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How to get optimum results of hair transplant

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TO IMPROVE THE FINAL OUTCOME OF HT
1. Minimize injury to follicles while extraction and implantation.
2. Reduce operative time.
3. reduce ischemia time (out of body time).
4. Minimize storage injury & reperfusion injury

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How to get optimum results of hair transplant

  1. 1. HOW TO GET OPTIMUM RESULTS OF HAIR TRANSPLANT DR. ANIL KUMAR GARG MS, MCh, FISHRS, ABHRS DR.SEEMA GARG. MBBS., MSc, ABHRS REJUVENATE HAIR TRANSPLANT CENTRE, INDORE ,INDIA • Email-seema@anilgarg.com. www.anilgarg.com
  2. 2. Nothing to Disclose
  3. 3. TO IMPROVE THE FINAL OUTCOME OF HT • 1. Minimize injury to follicles while extraction and implantation. • 2. Reduce operative time. • 3. reduce ischemia time (out of body time). • 4. Minimize storage injury & reperfusion injury
  4. 4. MINIMAL TRANSECTI ONS • Learn and practice---fellowship, workshop, regular watch videos
  5. 5. LEARNING MODULE FOR FUE-JCAS
  6. 6. MAGNIFYING LOUPE-4.5X
  7. 7. FUE HANDLE- learning can be started with manual, or motorized dull punch MANUAL MOTORIZED
  8. 8. GOOD QUALITY OF INSTRUMENTATIONS Devroye System with a hybrid punch Trivellini Mamba System Harris SAFE system NOTE—learn and practice one system first, master this and switch to another system
  9. 9. Understand the various types of hair follicle injuries during harvesting ,and how to prevent them PARTIAL TRANSECTION COMPLETE TRANSECTION DESHEATING CAPING FRACTURE PLUG Denuded grafts, Iatrogenic splaying Curtsey-Bob True
  10. 10. 1. TO REDUCE OPERATIVE TIME •Buddies' technique of extraction and implantation- (two persons simultaneously doing extraction and implantation). •Use of good quality punches. •Ergonomics.
  11. 11. 1. Use of Thai massage chair – for buddies' technique of extraction and simultaneous implantation
  12. 12. SIMULTANEOUS SCORRING BY TWO SURGEONS AND REMOVAL OF GRAFTS
  13. 13. Buddy technique of harvesting - reduces harvesting time Simultaneous extraction and implantation- To reduce overall time
  14. 14. The most comfortable for the patients, For simultaneous beard extraction and implantations
  15. 15. To reduce injury to follicles--- No touch to root implantation—implanters, needle
  16. 16. 3. TO MINIMIZE STORAGE INJURY & REPERFUSION INJURY We use Platelets rich 3D fibrin scaffold as an autologous graft holding media. The study done by author proves that- (Paper published in “Hair transplant forum International” volume 28 May / June page 89,94-96, 2018 and presented in ISHRS 2016,2017, WLSW2018).
  17. 17. •Results
  18. 18. Total Grafts-5200, Scalp-3207, Beard-1993, Two Days
  19. 19. 4050 grafts in one day – 3000 from scalp + 1050 from beard Result after one year of hair transplant
  20. 20. Result after 10 months of hair transplant 5020 grafts in two days = 3015 from scalp + 2005 from beard
  21. 21. 3500 grafts in one days= 2900 from scalp + 600 from beard Result after 10 months of hair transplant
  22. 22. CONCLUSION - to have optimum results of donor hair follicles all factors should be taken care during graft harvesting, handling, storage and implantations
  23. 23. Thanks

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