59 Special Considerations for Postoperative Care in Follicular Unit Excision
Book
Editors: Unger, Robin; Shapiro, Ronald
Title: Hair Transplantation
Print ISBN: 9781626236936; Online ISBN: 9781684202737; Book DOI: 10.1055/b000000335
6. Edition © 2023 Thieme. All rights reserved.
Thieme Medical Publishers, Inc., New York
Subjects: Plastic, Reconstructive and Cosmetic Surgery;Dermatology
Thieme Clinical Collections (English Language)
Summary
Special considerations for postoperative care in follicular unit excision (FUE) are necessary as there are important distinctions that need to be understood compared to follicular unit transplantation (FUT). Although biologics are increasingly being utilized for hair transplantation in general, FUE grafts benefit additionally as they are especially fragile and usually not as robust as strip grafts. Liposomal adenosine triphosphate (ATP) is one such product that is currently used in this case. Occasionally, patients want the added benefits of FUE without having to undergo shaving for the procedure. Long hair FUE and using shaved bands to cover over the donor area after surgery are useful for these patients. Pruritus in the donor may be somewhat increased in these patients depending on the type of excision performed, and this should be treated appropriately. In addition, folliculitis is also possible in the donor, especially if there may have been a high number of partially transected grafts. Even with judicious planning in the donor and an appropriate density of excision, surgical effluvium in the donor is still a risk for the patient. Overharvesting of grafts and/or working with patients with vasculopathies and other comorbidities may cause necrosis in the donor area. Hypoesthesia is always a risk in hair transplant surgery and occurs in both FUE and FUT.
Key words
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