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Hair transplantation in the form of follicular units constitutes the cornerstone of hair-replacement surgery. Harvesting follicular units directly from the donor area by using punches is described as follicular unit extraction (FUE) technique, and it eliminates the need for excision of a hair-bearing strip. In this article, we presented our surgical approach for hair transplantation, which is based on performing follicular extraction in 2 phases: follicular unit isolation and follicular unit collection, and discussed some technical details of FUE and some advantages and disadvantages of this approach. We transplanted an average of 1651 follicular units in 1 day, 2610 follicular units in 2 days, and 3200 follicular units in 3 days.

To increase the survival of proximally pedicled venous island flaps, which are known to be safe only when small, we used surgical and chemical delaying procedures both individually and in combination for 7, 14, and 21 days. Survival was 1% in those flaps designated as controls, in which there was neither surgical nor chemical delay. However, it was 3%, 31%, and 68% at 7, 14, and 21 days, respectively, when surgical delay was used and 16%, 56%, and 86%, at 7, 14, and 21 days, respectively, when chemical delay was used. Survival was 32%, 84%, and 87%, at 7, 14, and 21 days when both chemical and surgical delays were used. We conclude that chemical delay is more effective than surgical delay in increasing survival of proximally pedicled venous island flaps, but the use of combined chemical and surgical delay may reduce the time required for delay.

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