Clinical experience on follicular unit extraction megasession for severe androgenetic alopecia

Li, Kai‐Tao; Qu, Qian; Wang, Jin; Liu, Fang; Fan, Zhexiang; Miao, Yong

doi:10.1111/jocd.13156

Cited by 12 publications

(8 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For these reasons, the demand for FUE hair transplantation surgery is increasing yearly 20 . For hair transplantation in children, we found that the hair in the occipital donor area of children has a smaller diameter, shorter hair follicle length, and softer scalp texture as compared to adults.…”

Section: Discussionmentioning

confidence: 86%

Treatment of scarring alopecia in children using follicular unit hair transplantation

Jin

Wang

et al. 2022

Pediatric Dermatology

View full text Add to dashboard Cite

Scalp surgical procedures, burns, and trauma can cause scarring alopecia, which places a significant burden on the lives of adolescents and leads to diminished quality of life (QOL). 1,2 In addition, adolescents with scarring alopecia may have lower levels of pride, selfworth, and body satisfaction, as well as higher levels of depressive symptoms, mental health problems, and suicidal ideation. 3,4 Management of pediatric scarring alopecia is often challenging, and several treatments approved for use in adults are off label in children and adolescents, with unknown safety and efficacy. 5 Hair grafting has become a popular treatment since it is minimally traumatic. This technique has been adapted for the reconstruction of sideburn alopecia. However, the use of hair transplantation in young patients has rarely been reported. Follicular unit hair transplantation may be an effective, safe, and well-tolerated treatment for scarring alopecia in children. 6,7 | ME THODSThis prospective observational study investigated patients aged ≤18 years who presented to the Beijing Children Hospital between

show abstract

Section: Discussionmentioning

confidence: 86%

Treatment of scarring alopecia in children using follicular unit hair transplantation

Jin

Wang

et al. 2022

Pediatric Dermatology

View full text Add to dashboard Cite

show abstract

“…In 2013, a megasession via strip method was described as transplanting over 3000 grafts in one procedure 8 . Recently, the concept of “FUE megasession” was reported to transplant outnumber 3000 grafts in one FUE operation 9 . In addition to treating most large area at once, a megasession has been shown to reduce overall downtime, decrease scarring, lessen vascular trauma, and increase hair density 8 .…”

Section: Discussionmentioning

confidence: 99%

“…For one‐time hair surgery with greater 3000 grafts, follicular unit extraction (FUE) megasession is an attractive treatment option for patients with severe AGA. FUE megasession has been shown to reduce the frequency of surgery and increase hair density with high graft survival 9 …”

Section: Introductionmentioning

confidence: 99%

Follicular unit extraction megasession treatment of high‐grade androgenetic alopecia in Asians: Introducing novel principles for surgical design

Liu

Di²,

Liu

et al. 2023

J of Cosmetic Dermatology

View full text Add to dashboard Cite

BackgroundMale androgenetic alopecia (MAGA) has been one of the most common reasons for hair consultation, which affects more than half of men under the age of 50. Recently, follicular unit extraction (FUE) megasession has been an attractive treatment option for patients with severe AGA. However, compared with hair transplant surgery by traditional FUE or follicular unit transplantation (FUT), a megasession lacks a suitable surgical design solution for Asian high‐grade AGA patients. Therefore, we introduced novel principles for surgical design into FUE megasession for Asians.ObjectiveThe goal was to investigate the naturalness of hair, patient and doctor satisfaction level, and safety assessment of FUE megasession with the specific surgical design, to explore a novel technique for an efficient, satisfactory, and safe FUE megasession procedure.MethodsThirty‐six Asian male patients with AGA in Hamilton Grade V–VI were enrolled in the research. All participants underwent FUE megasession treatment with the specific surgical design. The investigators observed the patients' general conditions, surgical information, naturalness of hair, and patient and doctor satisfaction level and adverse reactions.ResultsBefore surgery, the average age of patients was 36.8 ± 9.6 years, and average duration of disease was 8.3 ± 3.8 years. During surgery, we harvested an average of 3705 ± 383 grafts. Recipient density ranged from 30 FUs/cm2 to 50 FUs/cm2, and the total operation time was 10.6 ± 0.9 h. After surgery, patient‐rated Likert score for naturalness of hair was as high as 4.72, and the doctor rated 4.61. Patient satisfaction score was up to 4.64, and the doctor scored 4.75. No serious side effects occurred in the study.ConclusionFUE megasession with the introduced surgical design is a satisfactory treatment option for patients with high‐grade AGA in Asians, with few side effects. The application of the novel design method can effectively lead to relatively natural density and appearance in one operation. Due to its remarkable effect, high satisfaction level, and few postoperative complications, FUE megasession with the introduced surgical design has great potential for Asian high‐grade AGA patients.

show abstract

“…Hair follicle unit extraction (FUE) is a popular outpatient procedure that removes hair follicle units individually. [7][8][9] In the armpit, apocrine glands are associated with hair follicle units, so when hair follicle units are removed by FUE technique, apocrine glands will be removed at the same time. 10 We describe, herein, an innovative application of FUE technique in the treatment of bromhidrosis.…”

Section: Introductionmentioning

confidence: 99%

An innovative application of follicular unit extraction technique in the treatment of bromhidrosis

Zhang

Wei

et al. 2021

Acad Dermatol Venereol

View full text Add to dashboard Cite

Background Surgery is the most effective way to treat bromhidrosis, but postoperative complications are still the biggest obstacles for patients to choose surgical treatment.Objectives To introduce an innovative application of follicular unit extraction (FUE) in the treatment of bromhidrosis.Methods We conducted a case series study on 20 patients who received FUE technique for the treatment of bromhidrosis. The axillary hair follicles were extracted with a one-millimetre punch. The released hair follicles were collected for histological examination. After the operation, the wounds were wrapped with moderate pressure. The dressing was removed 24 h after the FUE operation. The postoperative complications were collected, and the improvement of malodour was evaluated by the 10-point visual analogue scale. Results Immediately postoperation, many needle-shaped holes appeared in the armpits. The holes healed 7 days after the operation, with no scar or pinpoint-like scars. Except for a female who complained of mild pain in the left armpit, no other patients had any discomfort. The malodour level varied between 0 and 4 during the follow-up period. The tissue examination showed that more than 90% of the completely plucked hair follicles were accompanied by apocrine glands, and many blocked and dilated apocrine glands were observed. The lumens of the blocked glands were filled with decapitation products, which were positive for K5, Brst-2 and CEA.Conclusions Patients with bromhidrosis have a positive response to FUE technique. The FUE technique is welltolerated, with only a few postoperative complications, which deserves to be widely promoted.

show abstract

Clinical experience on follicular unit extraction megasession for severe androgenetic alopecia

Cited by 12 publications

References 23 publications

Treatment of scarring alopecia in children using follicular unit hair transplantation

Treatment of scarring alopecia in children using follicular unit hair transplantation

Follicular unit extraction megasession treatment of high‐grade androgenetic alopecia in Asians: Introducing novel principles for surgical design

An innovative application of follicular unit extraction technique in the treatment of bromhidrosis

Contact Info

Product

Resources

About