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No-Shave Long Hair Follicular Unit Excision Using an All-Purpose Skin-Responsive Device.
Umar, Sanusi; Khanna, Raveena; Gonzalez, Alejandro; Chouhan, Kavish; Maldonado, Juan Carlos; Oguzoglu, Osman Tayfun; Nusbaum, Aron.
Afiliación
  • Umar S; Department of Medicine, Dermatology Division, University of California, Los Angeles, CA, USA.
  • Khanna R; Division of Dermatology, Harbor-UCLA Medical Center, Torrance, CA, USA.
  • Gonzalez A; Dr. U Hair and Skin Clinic, Manhattan Beach, CA, USA.
  • Chouhan K; Dr. U Hair and Skin Clinic, Manhattan Beach, CA, USA.
  • Maldonado JC; Department of Dermatology, Howard University College of Medicine, Washington, DC, USA.
  • Oguzoglu OT; Mxcapilar Clinic, Chulavista, Sonora, Mexico.
  • Nusbaum A; Department of Dermatology, DermaClinix, New Delhi, India.
Clin Cosmet Investig Dermatol ; 16: 3681-3691, 2023.
Article en En | MEDLINE | ID: mdl-38144157
ABSTRACT

Background:

Current no-shave long hair-follicular unit excision (LH-FUE) techniques employ recesses (slots, notches, or grooves) in punch tips to reduce the long-hair shaft break rate (SBR) and graft transection rate (GTR). However, these methods demand advanced skills and extended procedure time.

Objective:

We aimed to evaluate a skin-responsive FUE technique without the use of recess-tipped punches, accommodating diverse hair and skin types in LH-FUE procedures. Methods and Materials We retrospectively analyzed patients who underwent this technique using a UGraft Zeus device at five multinational clinics (Mexico, Colombia, India, United States, and Türkiye) from August 9, 2021, to April 11, 2023. Donor zones were pre-operatively graded for expected difficulty using the Sanusi FUE Scoring (SFS) Scale, ranging from class I (low difficulty) to V (high difficulty).

Results:

Among 152 patients (mean age, 46 years; 146 straight-wavy, 6 curly-coiled hair), most (n=107) were class I donors. The GTR ranged 2.2%-4.3%, and was highest in class IV donors and those with thick-firm scalps. The SBR was 12.2%, and the average graft excision rate (GER; speed) was 440 grafts/h. Only 19G and 18G punches were used. All patients were satisfied with the procedure, with 57.4% reporting that they were "very happy". Surgeon willingness to perform no-shave LH-FUE significantly increased from 1.25 to 4.20 (on a scale of 1-5) after adopting this device. SFS class, skin thickness, and firmness, more than hair curliness, influenced the GTR, SBR, torque, and punch movement duration.

Conclusion:

Our findings reveal consistent success in conducting no-shave LH-FUE using this skin-responsive device across diverse patients. Notably, success was achieved without recess-tipped punches, resulting in low GTR and SBR, along with a high GER and increased patient satisfaction. These outcomes suggest enhanced procedure speed and ease of use, contributing to a greater willingness among surgeons to adopt this technique.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Clin Cosmet Investig Dermatol Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Nueva Zelanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Clin Cosmet Investig Dermatol Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Nueva Zelanda