Facial Plast Surg 2024; 40(02): 214-222
DOI: 10.1055/s-0043-1776401
Original Article

Utility of Follicular Unit Excision Using Nonscalp Donor Hair

Steven Gabel
1   Gabel Hair Restoration Center, Portland, Oregon
› Author Affiliations

Abstract

Nonscalp donor hair harvesting or body hair transplantation offers patients an additional source of donor hair in cases when the scalp does not have an adequate supply for the intended recipient area. The most common applications for nonscalp donor hair are for patients with advanced hair loss or to camouflage scarring from prior hair restoration procedures. For patients with available body hair, the beard is probably the best source followed by the chest and abdomen. Combined, these sources may be able to provide thousands of additional grafts for transplantation. Nonscalp hair donor harvesting is technically challenging and should be performed by those with extensive experience in follicular unit excision surgical techniques.



Publication History

Article published online:
20 November 2023

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  • References

  • 1 International Society of Hair Restoration Surgery: 2022 Practice Census Results.
  • 2 Limmer BL. Elliptical donor stereoscopically assisted micrografting as an approach to further refinement in hair transplantation. J Dermatol Surg Oncol 1994; 20 (12) 789-793
  • 3 International Society of Hair Restoration Surgery: 2020 Practice Census Results.
  • 4 Unger W, Solish N, Giguere D. et al. Delineating the safe donor area for hair transplanting. J Am Acad Cosmet Surg 1994; 4: 239-243
  • 5 Cole J. Donor area harvesting body to scalp. In: Unger WP, Shapiro R. eds. Hair Transplantation. 5th ed. London: Informa Healthcare; 2011: 304-305
  • 6 Garg AK. The use of body hair with scalp hair for “combination grafting” to enhance visual density of hair transplantation and increase coverage in advanced alopecia. Hair Transplant Forum Int 2018; 28 (06) 217-223
  • 7 Saitoh M, Uzuka M, Sakamoto M. Human hair cycle. J Invest Dermatol 1970; 54 (01) 65-81
  • 8 Saxena K, Savant SS. Body to scalp: evolving trends in body hair transplantation. Indian Dermatol Online J 2017; 8 (03) 167-175
  • 9 True RH. Harvesting beard hair for scalp transplantation. Hair Transplant Forum Int 2015; 25 (04) 155-156
  • 10 Poswal A. Follicular unit excision to harvest body hair. In: Unger R, Shapiro R. eds. Hair Transplantation. 6th ed. New York:: Thieme; 2023: 467-472
  • 11 Umar S. The transplanted hairline: leg room for improvement. Arch Dermatol 2012; 148 (02) 239-242
  • 12 True RH. Nonscalp FUE harvesting. In: Lam SM, Williams Jr. KL. eds. Follicular Unit Excision (FUE). 2nd ed. New Delhi, India: Jaypee Brothers Medical Publishers; 2022: 787-806
  • 13 Gupta J, Chouhan K, Kumar A, Chandrasegaran A. A comparative study on the rate of anagen effluvium and survival rates of scalp, beard, and chest hair in hair restoration procedures of scalp. J Cutan Aesthet Surg 2019; 12 (02) 118-123
  • 14 Kulachi M. Moustache and beard hair transplanting. In: Unger W, Shapiro R. eds. Hair Transplantation. 5th ed. New York:: Informa Health Care;; 2011: 465
  • 15 Poswal A. The preshaving protocol in body hair-to-scalp transplant to identify hair in anagen phase. Indian J Dermatol 2010; 55 (01) 50-52
  • 16 Anastassakis K. Body hair transplantation FUE (BHT FUE). In: Androgenetic Alopecia from A to Z. Vol. 3. Switzerland: Springer; 2023: 151-167
  • 17 Boden SA. Prophylatic antibiotics in hair transplant surgery: recommendations to avoid use except in limited circumstances. Hair Transplant Forum Intl 2017; 27 (05) 185
  • 18 Limmer R. Micrograft survival. In: Stough D, Haer R. eds. Hair Replacement. St Louis, MO:: Mosby; 1996: 147-149
  • 19 Orentreich N. Autografts in alopecias and other selected dermatological conditions. Ann N Y Acad Sci 1959; 83: 463-479
  • 20 Hwang S, Kim JC, Ryu HS. et al. Does the recipient site influence the hair growth characteristics in hair transplantation?. Dermatol Surg 2002; 28 (09) 795-798 , discussion 798–799
  • 21 Batra AP, Mahajan A, Gupta K. Marginal mandibular branch of the facial nerve: an anatomical study. Indian J Plast Surg 2010; 43 (01) 60-64