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Unger, Robin et al.: 2023 Hair Transplantation DOI: 10.1055/b-0042-191757
Section V Follicular Unit Extraction Procedure

62 Manual Follicular Unit Extraction 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)



 
Patrick Mwamba

Summary

Manual follicular unit extraction (FUE) is the best way for a new surgeon to learn the details of FUE. Although motorization of the punch may increase the speed of graft punching, motorization may lead to higher rates of transection than manual FUE. Direct linear punch insertion and oscillation are the two best methods of manual FUE. Different methods of graft removal can be employed including one or two forceps or use of the aide to extraction (ATOE). Accurate estimation of follicle angle and orientation is essential to successful manual FUE.

Key words

follicular unit excision - manual FUE - linear punch insertion - oscillating punch insertion - sharp punch - dull punch - two-step technique - three-step technique - four-step technique
 
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