71 Follicular Unit Excision for Corrective Work

doi:10.1055/b-0042-191766

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Unger, Robin et al.: 2023 Hair Transplantation DOI: 10.1055/b-0042-191766

Section V Follicular Unit Extraction Procedure

71 Follicular Unit Excision for Corrective Work

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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)

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Supplementary Material

Antonio Ruston and Luciana Takata Pontes

Summary

For some cases, corrective procedures are only possible with the use of the follicular unit excision (FUE) technique. When donor hair for repair from strip surgery has been exhausted, FUE has enabled the utilization of additional scalp hair from outside the traditional safe donor area. It also allows for the careful excision of donor hair from in-between scars from previous punch or strip harvesting procedures. In addition, body hair can be used for repair. FUE also allow for the removal and recycling of unaesthetic, pluggy grafts from previous surgeries. Scalp micropigmentation (SMP) can be used as a complement to FUE by camouflaging linear scars and giving the impression of more volume in depleted donor areas. Corrective cases can be very complicated and challenging. They present with many difficulties such as low density in the donor area and preexisting scars. Grafts can be more difficult to extract due to hair angle distortion due to existing scars or improperly angled grafts. The surgeon must understand these difficulties and be aware of their own skill level and not hesitate in sending these cases to a more experienced colleague if necessary.

Key words

corrective FUE - difficult FUE cases - depleted donor FUE - SMP and FUE - FUE into scars

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