FUE hair transplantation<\/p>\n
Introduction\u00a0<\/strong><\/h2>\n FUE Hair Transplantation<\/strong><\/p>\nAlopecia affects almost every third person worldwide. Hair loss significantly affects ones self-image and self-confidence, hence such high demand for\u00a0 hair restoration.<\/p>\n
\n- A good patient selection is of utmost importance in order to get a good result.<\/li>\n
- Treat any scalp pathology first. Use antibiotics for scalp folliculitis, and manage seborrhea with an antidandruff shampoo and a mild steroid if needed<\/li>\n<\/ul>\n
Evaluation and workup<\/h4>\n\n- History regarding any bleeding problems, hypothyroidism, hypertension, diabetes mellitus, any medications, drug allergies, vitamin supplements.<\/li>\n
- Minoxidil, Fanestride etc<\/li>\n
- Stop medicines like aspirin one week before surgery, clopidogrel five days before, and heparin and warfarin 24 hours before. Also, avoid alcohol and smoking for 3\u20134 days prior to the procedure.<\/li>\n<\/ul>\n
Androgenic alopecia<\/h4>\n\n- Researchers have yet to fully understand androgenic alopecia, but they link it to androgens, environmental factors, and multiple genes, including those for 5-alpha-reductase, aromatase, and sex-hormone binding globulin.<\/li>\n
- The gene mutations causes an increased concentration of 5-alphadihydrotestosterone (DHT), which has a greater affinity for androgen receptors than testosterone or dehydroepiandosterone (DHEA). DHT binding to androgen receptors is thought to induce production of cytokines TGFB1 and TGFB2, which consequently causes dermal papillae to respond by telogen transformation.<\/li>\n
- This manifests as male pattern hair loss. Female patients also experience androgenic alopecia, although hair loss tends to be more diffuse over the scalp with maintenance of the frontal hairline.<\/li>\n<\/ul>\n
![\"\"](\"https:\/\/drshehabbeg.com\/wp-content\/uploads\/2022\/12\/Picture26.jpg\")
![\"\"](\"https:\/\/drshehabbeg.com\/wp-content\/uploads\/2022\/12\/Picture27.jpg\")
<\/p>\n
Counselling<\/h4>\n\n- Dedicated counsellor \/ care taker<\/b><\/li>\n
- Show previous results<\/li>\n
- Steps of FUE<\/li>\n
- What to expect<\/li>\n
- Post operative care<\/li>\n
- Post op care<\/li>\n<\/ul>\n
\u00a0<\/h3>\nProvide factual <\/b>informations<\/b><\/h3>\n
It is always better to under promise and over deliver<\/strong><\/p>\nStrip method<\/h4>\n\n- Linear scar<\/li>\n
- Prolonged down time<\/li>\n
- Need to remove stiches or staplers<\/li>\n
- Time consuming<\/li>\n
- More team members required<\/li>\n
- Post operative hypoesthesia<\/li>\n
- Or hyperesthesia<\/li>\n
- Minimal graft loss due to transcection<\/li>\n
- Large number of grafts available<\/li>\n
- Per op better patient comfort<\/li>\n
- Fat covered stable grafts<\/li>\n<\/ul>\n
Traditional strip method<\/h4>\n
![\"\"](\"https:\/\/drshehabbeg.com\/wp-content\/uploads\/2022\/12\/Picture-1.jpg\")
<\/p>\n
Trichophytic Closure Technique<\/h4>\n
![\"\"](\"https:\/\/drshehabbeg.com\/wp-content\/uploads\/2022\/12\/Picture1-1.jpg\")
<\/p>\n
Utilize FUE for hiding linear scars<\/h4>\n
![\"\"](\"https:\/\/drshehabbeg.com\/wp-content\/uploads\/2022\/12\/Picture2-2.jpg\")
![\"\"](\"https:\/\/drshehabbeg.com\/wp-content\/uploads\/2022\/12\/Picture3-2.jpg\")
<\/p>\n
Follicular unit extraction<\/h4>\n\n- Follicular Unit Extraction (FUE) is a minimally invasive surgical procedure that utilizes a punch device to harvest follicular units that are later transplanted in areas of hair loss.<\/li>\n
- FUE captures the benefit of a wide range of available restoration techniques and avoids the disadvantages of traditional strip surgery.<\/li>\n
- A number of variations on the procedure are currently in practice and many more exciting advances are underway.<\/li>\n<\/ul>\n
Follicular unit extraction<\/h4>\n\n- FUE was first described in 2002 based on findings by Masumi Inaba, who noted that only the upper third of follicular units, where the errector pili muscle attachment is located, needed be freed by a punch for effective, viable follicle extraction.<\/li>\n
- Minimal down time<\/li>\n
- No stiches<\/li>\n
- No linear scar<\/li>\n
- No neurological sequelae<\/li>\n<\/ul>\n
How I do it<\/h3>\nMarkings<\/h4>\n
![\"\"](\"https:\/\/drshehabbeg.com\/wp-content\/uploads\/2022\/12\/Picture4-1.jpg\")
![\"\"](\"https:\/\/drshehabbeg.com\/wp-content\/uploads\/2022\/12\/Picture5-1.jpg\")
![\"\"](\"https:\/\/drshehabbeg.com\/wp-content\/uploads\/2022\/12\/Picture6-2.jpg\")
<\/p>\n
Density check of the donor region by <\/b>dermatoscope<\/b><\/h4>\n
![\"\"](\"https:\/\/drshehabbeg.com\/wp-content\/uploads\/2022\/12\/Picture7-2.jpg\")
<\/p>\n
Laser-assist hairline design device which is being used to make a hairline, to ensure the symmetry of the hairline.<\/b><\/h4>\n
![\"\"](\"https:\/\/drshehabbeg.com\/wp-content\/uploads\/2022\/12\/Picture8-2.jpg\")
![\"\"](\"https:\/\/drshehabbeg.com\/wp-content\/uploads\/2022\/12\/Picture9-2.jpg\")
<\/p>\n
The yellow line depicts the forehead height. The frontotemporal recession lies on the red line extending vertically upward from lateral <\/b>epicanthal<\/b> folds<\/b><\/h5>\n
![\"\"](\"https:\/\/drshehabbeg.com\/wp-content\/uploads\/2022\/12\/Picture11-2.jpg\")
![\"\"](\"https:\/\/drshehabbeg.com\/wp-content\/uploads\/2022\/12\/Picture10-2.jpg\")
<\/p>\n
Making of grids as safe donor region<\/b><\/h4>\n
![\"\"](\"https:\/\/drshehabbeg.com\/wp-content\/uploads\/2022\/12\/Picture12-2.jpg\")
<\/p>\n
Sites creation<\/b><\/h3>\n
Alopecia affects almost every third person worldwide. Hair loss significantly affects ones self-image and self-confidence, hence such high demand for\u00a0 hair restoration.<\/p>\n
- \n
- A good patient selection is of utmost importance in order to get a good result.<\/li>\n
- Treat any scalp pathology first. Use antibiotics for scalp folliculitis, and manage seborrhea with an antidandruff shampoo and a mild steroid if needed<\/li>\n<\/ul>\n
Evaluation and workup<\/h4>\n
- \n
- History regarding any bleeding problems, hypothyroidism, hypertension, diabetes mellitus, any medications, drug allergies, vitamin supplements.<\/li>\n
- Minoxidil, Fanestride etc<\/li>\n
- Stop medicines like aspirin one week before surgery, clopidogrel five days before, and heparin and warfarin 24 hours before. Also, avoid alcohol and smoking for 3\u20134 days prior to the procedure.<\/li>\n<\/ul>\n
Androgenic alopecia<\/h4>\n
- \n
- Researchers have yet to fully understand androgenic alopecia, but they link it to androgens, environmental factors, and multiple genes, including those for 5-alpha-reductase, aromatase, and sex-hormone binding globulin.<\/li>\n
- The gene mutations causes an increased concentration of 5-alphadihydrotestosterone (DHT), which has a greater affinity for androgen receptors than testosterone or dehydroepiandosterone (DHEA). DHT binding to androgen receptors is thought to induce production of cytokines TGFB1 and TGFB2, which consequently causes dermal papillae to respond by telogen transformation.<\/li>\n
- This manifests as male pattern hair loss. Female patients also experience androgenic alopecia, although hair loss tends to be more diffuse over the scalp with maintenance of the frontal hairline.<\/li>\n<\/ul>\n<\/p>\n
Counselling<\/h4>\n
- \n
- Dedicated counsellor \/ care taker<\/b><\/li>\n
- Show previous results<\/li>\n
- Steps of FUE<\/li>\n
- What to expect<\/li>\n
- Post operative care<\/li>\n
- Post op care<\/li>\n<\/ul>\n
\u00a0<\/h3>\n
Provide factual <\/b>informations<\/b><\/h3>\n
It is always better to under promise and over deliver<\/strong><\/p>\n
Strip method<\/h4>\n
- \n
- Linear scar<\/li>\n
- Prolonged down time<\/li>\n
- Need to remove stiches or staplers<\/li>\n
- Time consuming<\/li>\n
- More team members required<\/li>\n
- Post operative hypoesthesia<\/li>\n
- Or hyperesthesia<\/li>\n
- Minimal graft loss due to transcection<\/li>\n
- Large number of grafts available<\/li>\n
- Per op better patient comfort<\/li>\n
- Fat covered stable grafts<\/li>\n<\/ul>\n
Traditional strip method<\/h4>\n
<\/p>\nTrichophytic Closure Technique<\/h4>\n
<\/p>\nUtilize FUE for hiding linear scars<\/h4>\n
<\/p>\nFollicular unit extraction<\/h4>\n
- \n
- Follicular Unit Extraction (FUE) is a minimally invasive surgical procedure that utilizes a punch device to harvest follicular units that are later transplanted in areas of hair loss.<\/li>\n
- FUE captures the benefit of a wide range of available restoration techniques and avoids the disadvantages of traditional strip surgery.<\/li>\n
- A number of variations on the procedure are currently in practice and many more exciting advances are underway.<\/li>\n<\/ul>\n
Follicular unit extraction<\/h4>\n
- \n
- FUE was first described in 2002 based on findings by Masumi Inaba, who noted that only the upper third of follicular units, where the errector pili muscle attachment is located, needed be freed by a punch for effective, viable follicle extraction.<\/li>\n
- Minimal down time<\/li>\n
- No stiches<\/li>\n
- No linear scar<\/li>\n
- No neurological sequelae<\/li>\n<\/ul>\n
How I do it<\/h3>\n
Markings<\/h4>\n
<\/p>\nDensity check of the donor region by <\/b>dermatoscope<\/b><\/h4>\n
<\/p>\nLaser-assist hairline design device which is being used to make a hairline, to ensure the symmetry of the hairline.<\/b><\/h4>\n
<\/p>\nThe yellow line depicts the forehead height. The frontotemporal recession lies on the red line extending vertically upward from lateral <\/b>epicanthal<\/b> folds<\/b><\/h5>\n
<\/p>\nMaking of grids as safe donor region<\/b><\/h4>\n
<\/p>\nSites creation<\/b><\/h3>\n
- Dedicated counsellor \/ care taker<\/b><\/li>\n