Synopsis: This editorial cautions that new instruments made to cut the donor strip rapidly, by placing the strip on a grid of knives, cause unacceptable levels of graft damage. The author advises that these devices should not be used in surgical hair restoration.
A New Surgical Instrument For the Automation of Hair Transplantation WILLIAM R. RASSMAN, MD, Los Angeles, CA ROBERT M. BERNSTEIN, MD, New York, NY Dermatologic Surgery 1998; 24: 623-627. Background As hair transplantation evolved into a procedure in which large numbers of very small grafts are moved in a single session, new problems have emerged. […]
Synopsis: The “Carousel” is an automated device used for hair transplantation that simultaneously makes recipient sites and inserts grafts. The instrument can hold up to 100 grafts at time. In theory, the instrument could decrease the total operative time and eliminate some human factors that contribute to graft injury during the hair restoration process. The Carousel, however, was limited in that very close graft placement was not possible and it could not account for the great variability in the human scalp that sometimes rendered the device ineffective.
Synopsis: Dr. Bernstein heads a group of twenty-one hair restoration surgeons in an attempt to standardize the classification of follicular unit transplantation and other small graft procedures, including various technical aspects of graft harvesting, graft dissection, and placement. The goal is to standardize the nomenclature, and formally describe other factors in the surgery, so that communication between physicians and patients may be enhanced and different hair replacement procedures may be examined and compared.
Synopsis: A satire on the perceived resistance of hair transplant surgeons to accept new ideas and adapt new technologies.
Synopsis: This book explains, in layman’s terms, the causes of hair loss, the way it is diagnosed and how androgenetic alopecia is treated – using medical therapy or surgical hair restoration. The book focuses on Follicular Unit Transplantation, but covers a wide range of topics from the emotional aspects of hair loss to steps one should take when considering hair transplant surgery.
Synopsis: This article acknowledges the wide variability in the anatomy of follicular units, but challenges the notion that using grafts larger than naturally occurring follicular unit is advantageous, if it necessitates using larger recipient wounds.
Robert M. Bernstein, MD, New York, NY William R. Rassman, MD, Los Angeles, CA Dermatologic Surgery 1998; 24(8): 875-880. Background The increasing importance that hair transplant surgeons are placing on maintaining the integrity of the naturally occurring follicular unit, has generated great interest in finding the ideal method of graft dissection. Objective The present study […]
Synopsis: This was the first objective study that showed that using stereo-microscopic techniques to dissect follicular unit grafts, was superior to loop magnification in preserving follicular units and reducing the transection of follicles.
Synopsis: This editorial reviews a study suggesting that ATP can be used to increase the life of grafts while they are being held outside the body during a hair transplant.
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