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Unger, Robin et al.: 2023 Hair Transplantation DOI: 10.1055/b-0042-191756
Section V Follicular Unit Extraction Procedure

61 Ergonomics in Hair Restoration Surgery: FUE Technique

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Editors: Unger, Robin; Shapiro, Ronald

Authors: Gupta, Aditya K.; McDonald, Adriane; Noreldin, Ahmed Adel; Bauman, Alan J.; Juliano, Alessandra; Abbasi, Ali; Dua, Aman; Christiano, Angela M.; O’Mara, Angela; Yong, Angeline Anning; Tosti, Antonella; Ruston, Antonio; Nusbaum, Aron G.; Poswal, Arvind; Shahmalak, Asim; Alp, Bayramoğlu; Nusbaum, Bernard P.; Farjo, Bessam; Feriduni, Bijan; Wolf, Bradley R.; Puig, Carlos J.; Varona, Christopher M.; Albertini, Conradin von; Ziering, Craig; Pathomvanich, Damkerng; Josephitis, David; Perez-Meza, David; Mangubat, E. Antonio; Ball, Edward A. M.; Poblet, Enrique; Eisenberg, Eric L.; Wang, Etienne C. E.; Rinaldi, Fabio; Jimenez, Francisco; Krenitsky, Gabriel H.; Williams, Greg; Abaci, Hasan Erbil; Radwanski, Henrique N.; Park, Jae Hyun; Hernandez, Irene; Harris, James A.; Vogel, James E.; Devroye, Jean; Irvine, Jeff; Epstein, Jeffrey; Cooley, Jerry E.; Shapiro, Jerry; Wong, Jerry; Kim, Jino; Jackow, Joanna; Cole, John; Dua, Kapil; Washenik, Ken; Williams, Ken; Erdogan, Koray; Sicco, Kristen Lo; Yagyu, Kuniyoshi; Bloch, Leila David; Santos, Leopoldo Duailibe; Avila, Lorena; Pontes, Luciana Takata; Khanna, Manoj; Avram, Marc R.; Pitchon, Marcelo; Crisóstomo, Márcio; Barusco, Marco N.; Sanseverino, Maria Angélica Muricy; Schambach, Marie A.; Unger, Mark; Speranzini, Mauro; Cole, Megan; Mayer, Melvin L.; Beehner, Michael L.; Neff, Mike; Mohmand, Mohammad H.; Ahmad, Muhammad; Rogers, Nicole E.; Large, Nicole; Farjo, Nilofer; Otberg, Nina; Desai, Nirav V.; Mohebi, Parsa; Frechet, Patrick; Mwamba, Patrick; Shapiro, Paul; Rose, Paul T.; Tesauro, Piero; Kinler, Rae Lynne P.; Rabbani, Ramin; Konior, Raymond J.; Kothottil, Renu; Lemos, Ricardo Gomes de; Mejia, Ricardo; Shiell, Richard C.; Finney, Robert; True, Robert H; Dorin, Robert J.; Haber, Robert S.; Unger, Robin; Shapiro, Ronald; Adajar, Ruel A.; Knudsen, Russell G.; Nadimi, Sahar; Lam, Samuel M.; Vasa, Sanjeev; Tovar, Sara Lea Salas; MD, Sara Wasserbauer; Boden, Scott A.; Keene, Sharon A.; Abbasi, Sheida; Kabaker, Sheldon S.; Kobren, Spencer David; Gabel, Steven; Hwang, Sungjoo “Tommy”; Nakatsui, Thomas C.; Carman, Timothy; Lardner, Tina; Elliott, Vance W.; Mysore, Venkataram; Unger, Walter P.; Rassman, William; Doucet, Yanne S.; MD, Young-Ran Lee; Guo, Zongyou

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)



 
Jean Devroye and Maria Angélica Muricy Sanseverino

Summary

Hair restoration surgeries are usually long and laborious affairs. Procedures typically exceed 5 hours of uninterrupted work and can reach more than 8 hours depending on the technique that is used. This requires both a lot of concentration and physical effort. Musculoskeletal disorders can be a medical problem for doctors and assistants. In the follicular unit transplantation (FUT) technique (single-strip excision), the most commonly performed procedure to the present time, advances in ergonomic design have been aimed primarily at technicians who spend most of the surgery performing repetitive movements. With the emergence of the FUE technique, the concern with ergonomics turned to the surgeon and the patient who must remain in place for between 1 and 5 hours, depending on the area to be transplanted, while the follicular units are excised from the donor area one by one. In the longest sessions, excision of a single follicular unit might be repeated more than 2,000 times or more. We believe that in order to achieve a good-quality FUE hair transplant, pain, fatigue, and discomfort must be minimized for both patient and surgeon.

Key words

ergonomics - musculoskeletal disorders - FUE - zero concept - static position
 
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