What is the Microscope Method for Hair Transplant ?

What is the Microscope Method for Hair Transplant ?


Hair transplantation was a long way from the times of Punch Hair Transplant by Dr Orentreich in the 1950s to the Follicular Unit Hair Transplant (FUT) in the 1990s and the more modern Follicular Unit Extraction (FUE) procedure. With the invention of FUE, the hope of 'no noticeable scarring in the donor field now seems like a probability.


Most surgeons were shocked at the magnitude of the follicular activity that resulted in the "blind" cutting of several strips with multi-blade blades and the latest dissecting tools. It was estimated that nearly 25% of the follicles were traumatised in some instances and that, even for the most skilled surgeons, this statistic was around 10%. In their defensive line, the multi-stripe surgeons referred to the work of J.C. Kim of Korea, who experimentally showed that much of the transected follicles gradually regrow hair.


Dr developed strip dissection under stereoscopic microscopes. Bob Limmer of Texas 1987 tried to give the operator an unparalleled view of the excreted scalp tissue and the personal hair follicles. Microscopic dissection, however, ranged only about 150-200 grafts per hour and significantly increased the number of staff considered necessary for each process. As a result, there was a great deal of initial resistance to the new microscopic methods, and the experts were slow to adopt this diligent technique.


Afterwards, however, David Seager of Toronto wrote a whole book and eloquently more about technique, and Drs. Bernstein and Rassman, and many others took it even further. Dissection teams of ten or more support staff became common, and 2-3 extra assistants were needed for graft transplantation.

What to Know Before Microscopic Hairline Reconstruction

  • The hair follicles in the hairline should be chosen in advance and implanted with absolute accuracy.


  • Hair follicles chosen for hairline are evaluated under magnification to ensure that they are single-haired follicles.


  • The hair follicles should be positioned in the correct position and depth.


It is important to note that the surgeon's expertise is as critical as the actual surgical method with all hair restoration procedures. An advanced and professional surgeon will typically foresee and take action to prevent any cosmetic and psychological complications before they occur. Hair transplantation is indeed a form of art as a science, and those who neglect that in a rush of innovation and expanded workforce levels are doomed to failure.


The grafting of follicular units indeed prevails at present, with meticulous dissection under stereoscopic microscopes, as that of the "gold standard." It's impossible to imagine anything being done in the future. However, it is important that the surgeon remains attuned to the particular sensitivities and desires of each patient and not treat him as a mere "client" to be handled by a semi-automated surgical line of production.

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