How We Improved Our Results of Hair Transplantation

Abstract

Jalal Hamasalih Fattah

Background : Follicular unit extraction has evolved dramatically as the most recent advancement in surgical hair restoration as it leaves little scar, and creates natural, and pleasing result. The aim of this study is to demonstrate our new modifications and showing its effectiveness in improving our results.

Materials and Methods: A Prospective analysis of 247 male patients with Androgenic alopecia who underwent hair transplantation with Strip or FUE technique Between August. 2015 and June 2019 at our center was conducted. The mean age was [35.93 ± 4.40] Years. At one year postoperatively, patients were asked to fill up a questionnaire which included their satisfaction level, need for 2nd session, and complications. Informed written consent obtained from all patients. Data were analyzed using the statistical package for social science SPSS V. 23.

Results: In the last 134 cases, addition of 40 mg of Triamcinolone to the LA solution led to dramatic reduction of the incidence of postoperative oedema, from 74.3% to 6.7%. Adding three sessions of PRP at 2nd,4th, and 6th month post operatively resulted in increased patient satisfaction rate with better hair density and thickness where the rate of highly satisfied patient increased from 62.6% to 74.3%.

Conclusions: Addition of 40 mg Triamcinolone to the LA solution is highly effective in reducing postoperative oedema. FUE is preferred over strip method to avoid visible donor scar totally. Three sessions of PRP at 2nd,4th, and 6th month post operatively is recommended.

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