Implantation- New Delhi Presentation
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Implantation- New Delhi Presentation
- 1. implantation
- 5. Potential risks • size • transection • injury • dehydration • time out of body • temperature • solution • dehydration • density • depth • orientation • size • transection • injury • dehydration • placing
- 6. respond to • Does the harvesting method have any affect on implantation? • Are there any differences between FUE and strip harvesting grafts?
- 8. FUE grafts • removed directly from the donor • time out of body • less soft tissue surrounding the follicles • splayed follicles • bulbs of different length more difficult to place more prone to injury and desiccation
- 9. •holding conditions •graft grasping techniques •time out of body
- 10. graft placement techniques •premade incisions •stick and place •implanter
- 11. Recipient site • vary in • size • shape • depth • width • direction • angulation • orientation • techniques • sagittal to coronal incisions • chisel blades to needles
- 12. Incision Orientation perpendicular • perpendicular to the long axis of hairs • control of hair angle and direction • improved hairlines • greater densities • better coverage • vascular damage ? • faster healing • greater scalp coverage parallel • parallel to the long axis of hairs • easier to place • damage less of the surrounding hair • easier to get inbetween native hairs
- 13. Basic Principles For Graft Placement • maximize visualization • avoid dehydration • proper graft sizing • gentle grasping • maintaining appropriate rotation of the natural CURVATURE • avoid multiple placing attempts • angle and directions of grafted hair should match the RESIDUAl hair
- 14. grasping the graft • Ideally at the fat • What about FUE ? • special attention • difficult to grasp in a bundle formation
- 17. Graft Insertion into Pre-made Incisions • Body/hand position
- 18. Graft Insertion into Pre-made Incisions
- 19. Stick and place • sticker creates the site, and placer inserts the graft • less bleeding • no missed sites or piggy backing • more difficult to control the distribution of the grafts
- 20. Implanter • the incision is made and graft is placed simultaneously • less bleeding • no missed sites or piggy backing • no time gap in which the recipient site is left empty and capable of bleeding • less trauma • faster than traditional S&P
- 21. Implanter
- 22. Implanter
- 23. Trauma to hair bulb kinky hair growth Desiccation poor growth or no growth Incorrect position poor growth or no growth pitting compression inclusion cyst ingrown hair grafty look unnatural cowlick Careless handling difficult insertion irregular growth popping ingrown hair unnatural result