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FUT Donor Zone

The development of follicular grafting has given a new dimension to the old strip harvesting techniques. The appearance of FUT donor scar is the major concern for patients with thin hair density or those who wish to wear their hair short.

The new advanced FUT technique has not only favored upon yielding the most naturalistic recipient coverage, but also concentrates on the resulting donor scar to be more cosmetically acceptable.

The new principles of donor dissection, excision and suturing have made a substantial improvement making way for donor scar recovery in as soon as 3months after the surgery. Other complications such as, donor wound infection; effluvium; necrosis, and keloids are also overcome at great extent.

Ideal Donor Area

The ideal donor area is usually considered the center and sides of the back of the scalp, along the occipital curve. This is because the hair is thickest in texture and highest in donor dominance characteristic.

Scalp Laxity is an integral characteristic which contributes in the final surgical planning. The surgeon would examine the candidates scalp to asses that is not too tight, neither too flexible. When the scalp is too tight, it has the potential to result in tension as the edge of the donor wound is stretched to close. This results in prolonged healing and developing scar tissues. If the scalp is too flexible it also bears the potential of developing a wider scar in comparison to tight closures.

Donor Incision

The new advanced donor incision includes tumescent anaesthesia, and use of fine single blade instruments makes the strip excision very precise and less invasive.

The anaesthetic solution is injected subcutaneously. The tumescent solution constricts blood vessels and capillaries helping in preventing excess blood loss and bruising.

The angle, placement and length of the instrument depend on donor demand for the best coverage of the recipient zone. The incision is aimed to be one single line. And if more grafts are required and it is eligible, another strip can be excised immediately above or under the previous incision.

The Donor Strip Excision

The donor strip is usually, about 1-1.5mm wide and 2mm in height, the actual size of the donor strip depends on the donor supply, scalp laxity and donor demand of the patient.

The hair around the donor strip is clipped short. While the top layers of hair are secured with hair ties. As the procedure is over, the top layers of hair is untied thus it falls over the wound and partially hides it.

Donor Closure

Once the strip is excised, it is placed onto a holding solution waiting to be dissected into hair grafts. The donor wound is closed and sutured into a fine line.

Trichophytic donor closure is a new principle that results in the finest linear scar. The suturing technique allows the existing hairs of the donor zone to grow through the linear scar, masking it at the most. There are two options for donor closure that could be done with absorbable sutures or stainless steel staples.

The development of follicular grafting has given a new dimension to the old strip harvesting techniques. The appearance of FUT donor scar is the major concern for patients with thin hair density or those who wish to wear their hair short.

The new advanced FUT technique has not only favored upon yielding the most naturalistic recipient coverage, but also concentrates on the resulting donor scar to be more cosmetically acceptable.

The new principles of donor dissection, excision and suturing have made a substantial improvement making way for donor scar recovery in as soon as 3months after the surgery. Other complications such as, donor wound infection; effluvium; necrosis, and keloids are also overcome at great extent.

Ideal Donor Area

The ideal donor area is usually considered the center and sides of the back of the scalp, along the occipital curve. This is because the hair is thickest in texture and highest in donor dominance characteristic.

Scalp Laxity is an integral characteristic which contributes in the final surgical planning. The surgeon would examine the candidates scalp to asses that is not too tight, neither too flexible. When the scalp is too tight, it has the potential to result in tension as the edge of the donor wound is stretched to close. This results in prolonged healing and developing scar tissues. If the scalp is too flexible it also bears the potential of developing a wider scar in comparison to tight closures.

Donor Incision

The new advanced donor incision includes tumescent anaesthesia, and use of fine single blade instruments makes the strip excision very precise and less invasive.

The anaesthetic solution is injected subcutaneously. The tumescent solution constricts blood vessels and capillaries helping in preventing excess blood loss and bruising.

The angle, placement and length of the instrument depend on donor demand for the best coverage of the recipient zone. The incision is aimed to be one single line. And if more grafts are required and it is eligible, another strip can be excised immediately above or under the previous incision.

The Donor Strip Excision

The donor strip is usually, about 1-1.5mm wide and 2mm in height, the actual size of the donor strip depends on the donor supply, scalp laxity and donor demand of the patient.

The hair around the donor strip is clipped short. While the top layers of hair are secured with hair ties. As the procedure is over, the top layers of hair is untied thus it falls over the wound and partially hides it.

Donor Closure

Once the strip is excised, it is placed onto a holding solution waiting to be dissected into hair grafts. The donor wound is closed and sutured into a fine line.

Trichophytic donor closure is a new principle that results in the finest linear scar. The suturing technique allows the existing hairs of the donor zone to grow through the linear scar, masking it at the most. There are two options for donor closure that could be done with absorbable sutures or stainless steel staples.

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