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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
Nothing to Disclose
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
MINIMAL
TRANSECTI
ONS
• Learn and practice---fellowship,
workshop, regular watch videos
LEARNING MODULE
FOR FUE-JCAS
MAGNIFYING
LOUPE-4.5X
FUE HANDLE-
learning can be
started with manual,
or motorized dull
punch
MANUAL
MOTORIZED
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
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
1. TO REDUCE
OPERATIVE TIME
•Buddies' technique of extraction and implantation-
(two persons simultaneously doing extraction and
implantation).
•Use of good quality punches.
•Ergonomics.
1. Use of Thai massage chair –
for buddies' technique of
extraction and simultaneous
implantation
SIMULTANEOUS SCORRING BY TWO SURGEONS AND REMOVAL OF GRAFTS
Buddy technique of harvesting - reduces harvesting time
Simultaneous extraction and implantation- To reduce overall time
The most comfortable for the patients,
For simultaneous beard extraction and implantations
To reduce injury to follicles---
No touch to root implantation—implanters, needle
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).
•Results
Total Grafts-5200, Scalp-3207, Beard-1993, Two Days
4050 grafts in one day – 3000 from scalp + 1050 from beard
Result after one year of hair transplant
Result after 10 months of hair transplant
5020 grafts in two days = 3015 from scalp + 2005 from beard
3500 grafts in one days= 2900 from scalp + 600 from beard
Result after 10 months of hair transplant
CONCLUSION
-
to have optimum results of
donor hair follicles all
factors should be taken care
during graft harvesting,
handling, storage and
implantations
Thanks
How to get optimum results of hair transplant

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How to get optimum results of hair transplant

  • 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
  • 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. MINIMAL TRANSECTI ONS • Learn and practice---fellowship, workshop, regular watch videos
  • 7. FUE HANDLE- learning can be started with manual, or motorized dull punch MANUAL MOTORIZED
  • 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. 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. 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. 1. Use of Thai massage chair – for buddies' technique of extraction and simultaneous implantation
  • 12. SIMULTANEOUS SCORRING BY TWO SURGEONS AND REMOVAL OF GRAFTS
  • 13. Buddy technique of harvesting - reduces harvesting time Simultaneous extraction and implantation- To reduce overall time
  • 14. The most comfortable for the patients, For simultaneous beard extraction and implantations
  • 15.
  • 16.
  • 17. To reduce injury to follicles--- No touch to root implantation—implanters, needle
  • 18. 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).
  • 20. Total Grafts-5200, Scalp-3207, Beard-1993, Two Days
  • 21. 4050 grafts in one day – 3000 from scalp + 1050 from beard Result after one year of hair transplant
  • 22. Result after 10 months of hair transplant 5020 grafts in two days = 3015 from scalp + 2005 from beard
  • 23.
  • 24. 3500 grafts in one days= 2900 from scalp + 600 from beard Result after 10 months of hair transplant
  • 25. CONCLUSION - to have optimum results of donor hair follicles all factors should be taken care during graft harvesting, handling, storage and implantations