Journal of Cutaneous and Aesthetic Surgery
Print this page
Email this page
Small font size
Default font size
Increase font size
Home About us Current issue Archives Instructions Submission Subscribe Editorial Board Partners Contact e-Alerts Login 


 
   Table of Contents     
LETTER  
Year : 2014  |  Volume : 7  |  Issue : 1  |  Page : 68-69
A comment on a study of donor area in follicular unit hair transplantation


Dr. A's Clinic, Chittaranjan Park, New Delhi- 110019, India

Click here for correspondence address and email

Date of Web Publication2-Apr-2014
 

How to cite this article:
Poswal A. A comment on a study of donor area in follicular unit hair transplantation. J Cutan Aesthet Surg 2014;7:68-9

How to cite this URL:
Poswal A. A comment on a study of donor area in follicular unit hair transplantation. J Cutan Aesthet Surg [serial online] 2014 [cited 2018 Oct 20];7:68-9. Available from: http://www.jcasonline.com/text.asp?2014/7/1/68/129997


Sir,

Nirmal et al. published a study of donor area in follicular unit transplantation. [1] A study of donor area in follicular unit hair transplantation. It is a good thing that studies be carried out to further improve the outcome in surgical hair restoration.

Strip Follicular unit hair transplantation (FUHT) scar is definitely an area of concern for the patient and the doctor. However, for a study of the sort detailed above, there are a few things to keep in mind:

  1. Studies like this should be submitted with high quality pictorial proof. For 30 patients being followed up, picture proof of all of them should be submitted along with graft details and the Norwood level of the patient.
  2. Ideally, such studies should feature the different type of donor closure on different part of the same patient. This will reduce bias that may occur due to the patient's personal healing character. (e.g. Some patients have a barely visible scar even when no trichophytic closure is performed.)
  3. Patient's satisfaction has to be pre-determined on both counts:
    • Donor area healing.
    • Cosmetically pleasing result in the bald recipient area.


If we take too narrow a donor strip, grafts obtained would be reduced and the patient may not feel satisfied with the outcome in the recipient area, especially, if he has extensive hair loss.

Filling the strip scar at a later date with grafts extracted from scalp/body by Follicular unit extraction (FUE) would be a better alternative in my opinion. [2] That way the physician can maximise the grafts harvested and later, if the strip scar bothers the patient, he can get it filled with hair. An additional benefit of this approach is that the grafts can be transplanted at the desired angle and direction. Whereas in trichophytic closure, hair direction in strip scar is usually an issue. Grafts can be extracted from the beard or robust body donor areas for this purpose. [1]

 
   References Top

1.Nirmal B, Somiah S, Sacchidanand SA. A study of donor area in follicular unit hair transplantation. J Cutan Aesth Surg 2013;6:210-3.  Back to cited text no. 1
    
2.Poswal A. Use of body and beard donor hair in surgical treatment of androgenic alopecia. Indian J Plast Surg 2013;46:117-20.  Back to cited text no. 2
[PUBMED]  Medknow Journal  

Top
Correspondence Address:
Arvind Poswal
Dr. A's Clinic, Chittaranjan Park, New Delhi- 110019
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2077.129997

Rights and Permissions




 

Top
  
 
  Search
 
  
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Email Alert *
    Add to My List *
* Registration required (free)  


    References

 Article Access Statistics
    Viewed976    
    Printed36    
    Emailed0    
    PDF Downloaded136    
    Comments [Add]    

Recommend this journal