The Trivellini System and Technique

Trivellini, Roberto

doi:10.33589/28.5.0188

Cited by 10 publications

(42 citation statements)

References 2 publications

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“… 17‐20 However, this punch requires more pressure to make the incision than a sharp punch, causing the skin to undergo more deformity. Additionally, Trivellini developed a flared punch that has a trumpet shape 21‐24 …”

Section: Punch Shapes That Minimize Injury To Follicular Unitsmentioning

confidence: 99%

“…The suction feature is used to lift the excised graft upwards permitting it to be drawn into a collection chamber. The Trivellini System also utilizes suction, which aids in the excision 21‐23 . A comparison of the currently used motorized and robotic systems for FUE is presented in Table 1, Table 2 and Figure 4.…”

Section: Motorized Movementsmentioning

confidence: 99%

“…This motion is a combination of rotation and oscillation. Usually, rotation is applied first, and then oscillation 7,22,24 …”

Section: Motorized Movementsmentioning

confidence: 99%

“…It facilitates loosening of the graft inside the punch, separating the perifollicular tissue from the punch walls. This motion is used in conjunction with the Harris hexagonal‐shaped punch, 9‐12 and the Trivellini Edge Out™ and flared tip punches 21,22,24 (Figure 2). Additionally, Umar has described the use of ultrasonic frequencies to vibrate the DrUPunch Curl™ (termed DrUGraft™ Sonic FUE), which eases extraction of grafts from thick skin 34…”

Section: Motorized Movementsmentioning

confidence: 99%

“…Examples of these programmable devices include the Powered Cole Isolation Device (PCID) (rotation, oscillation, roto‐oscillation) 7,15,16 . The Trivellini System is equipped with a touch‐sensitive feature called SmartReact 22,23 . When the device senses initial contact with the skin around the follicular unit, it activates the preprogrammed suction and one or more of preprogrammed rotation/oscillation/roto‐oscillation/vibration features without the use of a foot pedal.…”

Section: Motorized Movementsmentioning

confidence: 99%

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Innovations hair restoration surgeons have made to adapt to the challenges of follicular unit excision

Gupta

Bruce

Trivellini

et al. 2020

J of Cosmetic Dermatology

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Background Early use of follicular unit excision (FUE) as a method of hair transplantation was limited by high rates of hair follicle transection. This hurdle has been overcome by innovative methods, punch shapes, and devices. With the vast array of tools available, it can be difficult for hair transplant surgeons to choose the best option for their practices. Aims To provide an in‐depth review and comparison of currently available FUE methods, punch designs, and motorized devices, and discuss how these tools fit the unique skin and hair characteristics of patients. Methods A review of the literature and available information on FUE methods, punches, and devices, as well as the authors’ experience in this area, is provided. Results Innovative FUE methods, punch shapes, and motorized devices have successfully minimized the rate of hair follicle transection. Methods include the use of sharp punches with depth control, and blunt rotating punches. Punch shapes such as flared, hybrid, and edge out have successfully reduced transections by keeping the cutting edge away from the follicles under the skin. The development of motorized devices using features including rotation, roto‐oscillation, oscillation, vibration, suction, and hydration has also aided in achieving more successful graft excision. Conclusion Follicular unit excision is a widely used technique by hair restoration surgeons. Therefore, it is important for physicians to be aware of the array of punches and devices available and understand how these tools can be used to adapt to the unique skin and hair characteristics of individual patients to optimize successful graft harvesting.

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Section: Punch Shapes That Minimize Injury To Follicular Unitsmentioning

confidence: 99%

Section: Motorized Movementsmentioning

confidence: 99%

“…This motion is a combination of rotation and oscillation. Usually, rotation is applied first, and then oscillation 7,22,24 …”

Section: Motorized Movementsmentioning

confidence: 99%

Section: Motorized Movementsmentioning

confidence: 99%

Section: Motorized Movementsmentioning

confidence: 99%

See 3 more Smart Citations

Innovations hair restoration surgeons have made to adapt to the challenges of follicular unit excision

Gupta

Bruce

Trivellini

et al. 2020

J of Cosmetic Dermatology

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Entwicklung der Haartransplantation in den letzten Jahren – moderne Verfahren heute

Neidel¹

2021

J Ästhet Chir

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Follicular Unit Excision (FUE) Basics

Lam

2023

Facial Plast Surg

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Follicular unit excision (FUE) has risen to the forefront as the world’s most popular hair transplant procedure. However, most writing on this subject has catered to the advanced practitioner. The goal of this chapter will be to focus on safe planning and decision making along with key technical steps that will guide the beginner surgeon to harvest a graft safely and to harvest the donor area in a uniform way to avoid overharvesting. Topics covered in this chapter also include instrumentation and decision making between FUE versus linear strip excision.

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The Trivellini System and Technique

Cited by 10 publications

References 2 publications

Innovations hair restoration surgeons have made to adapt to the challenges of follicular unit excision

Innovations hair restoration surgeons have made to adapt to the challenges of follicular unit excision

Entwicklung der Haartransplantation in den letzten Jahren – moderne Verfahren heute

Follicular Unit Excision (FUE) Basics

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