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Innovative modified hair follicle harvesting technique


Local block anesthesia was administered after painting and magic in the donor area. Use drilling Micromotor with FUE punches (0.9 and 1 mm sizes) to remove the hair follicles from an area containing donor hair.

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The author used a traditional follicle harvest method in group A patients for “area a” and “area b”, and for Goup B patients who used his modified technique using a reverse rake retractor, designed and developed by the author, for LOR (Area ‘b’). After removal, all hair follicles were visually evaluated and separated into different petrol dishes as full or incomplete grease (transferred hair follicle) for each ‘Area’ and ‘b’ Area.

A scalp lift reverse rack is made of stainless steel and has three parts, such as handle, top and the middle part:

Handle – Five inch length, round shape handle 0.5 cm diameter with trivial diameter of 3 inches on handle for better grip (prevent sliding of hand grip)

Tip – Six printing space with flat edge together and connected to horizontal bar 3 cm length

Average part – consisting of two horizontal bars, each 3 cm long connected with the help of six semicircular bars with an internal radius of about 0.5 cm. This middle section is urgently connected to the handle and has a tip portion as mentioned above.

Principle and method to lift reverse scalp to change

It shows the way to keep the scalp hoist instrument on the rear hearts and use it during the surgery. This instrument is kept in a non-dominant hand. Initially, your scalp must be accompanied by small acute pressure such as a skin hip and then it is to turn 180 ° to forward and overward pressure to center some of the many semicircular bars from the skin of the scalp is a semicircular lever action is the activity that is like the sea to use as a lever on a scalp as shown in it. This maneuver provides a stable platform by extending and sharpening the scalp’s skin in LOR to remove FUE, reducing the angle of change of hair and changing the exit angle of the rising hair to the near vertical angle (approx. at 55 ° –75 ° from a sharp angle (about 15 ° –20 °) as shown in the diagram. This facilitated the proper participation of tents with the emerging hair from stable and stable scree skin as one in another SDA.


Twelve male patients with androgenic alopecia were willing to undergo a FUE hair transplant for the surgery. We randomly carried out two groups (Group A and B), comprising six patients in each group.

In this study, reference is made to the transmission of hair follicle extracted to potential damage to the lower part of the hair follicle during FUE often the hair bulb containing stem cells, which will prevent it from generating new hair, and increases this damage to the risk of follicle growing, or surviving, when transplanted. Full healthier graphics were used to implant them at the recipient site, and incomplete grafts / intersections were discarded.

The FTR hair was calculated as the number of follicles transferred per 100 bites removed, for each marked region (Area ‘a’ and ‘b’) separately.

For statistical importance, data was analyzed by unearned test and P <0.05 was considered to be a statistically significant value.


The average RIA from the SDA in Group ‘A’ and Group ‘B’ patients was 2.78 and 2.60, respectively. Hair follicles harvested from the SDA in Group ‘A’ and ‘B’ Group patients were comparable, and the difference was not statistically significant (df = 10, t = 1.0379, P = 0.3238)

The average RIA was the lower donor range in Group ‘A’ patients and Group ‘B’ and 14.40 and 5.10, respectively. When a hair follicle harvested from a lower occipital donor area was compared to Group ‘A’ and Group ‘B’ patients and we observed the very significant statistical difference between these two groups (df = 10, t = 18.77, P <0.0001)

The average rate of FTR from the total area of ​​the scalp graft  in Group ‘A’ and Group ‘B’ patients was 5.10 and 3.10 respectively. Full hair follicles harvested in Group ‘B’ were much larger than Group ‘A’ (df = 10, t = 11.17, P <0.0001).


By applying statistical methods (P value, test and unexpired percentage), it shows an increasing contribution from the LOR, minus follicles hair follicles transformation as well as increased log hair follicles that ultimately increase hair transplant success.

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