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A follicular unit, a structure surrounded by dermal sleeve, contains 1-4 hair follicles and constitutes an anatomical and physiological unity with the neighboring vessel and neural net.

Follicular unit transplantation was defined in 1996 and was a breakthrough in the 40-year history of hair transplantation. A follicular unit, usually containing 2-3 hair roots, is a unitary structure.


 

Previously, there was no awareness of their existence. However, their definition proved them impermeable structures that should not be divided. This finding indicated that hair transplantations should be performed keeping that in mind. Follicular unit should be meticulously extracted and implanted under a microscope.likle ekilmelidir.

Follicular unit extraction method is essentially a process of harvesting follicular units. The method involves the removal of the follicular unit without any incisions or sutures. Extraction of the units is performed with specifically designed needles of various diameters and tips. In Hairplast method, Follicular Unit Extractor is a needle of less than 1-mm diameter designed by Dr. Keser and patented by Turkish Patent Institute in 2003. An application for international PCT certification of the needle has also been filed. In transplanting the hair, it is possible to implant 50-60 follicular units (100-120) hair roots per cm2 and even more can be implanted if desired.

Prior to the extraction of follicular units, the hair in the donor area is shortened to the length of 1 mm. The donor area and implant area are then locally anesthetized. The needle is held closer to the scalp so that the lumen points at the middle of the hair and is inserted as far as 6-7mm at the growth angle of the hair and then pulled out. Therefore, the hair is cut out along with follicle and surrounding microscopic tissue in a cylindrical shape (click here for video captions). It is then pulled out gently with a micropenset and the follicular unit is removed by extrication from the loose floor. After harvesting of follicular units by this method, they can be implanted with facility through much smaller holes inflicted on the hairless area. Each follicular unit contains an average of two follicles. The advantages of the method over the aforementioned method are as follows:

1. There is no need for incision and suturing in the donor and implant areas. The punctures of less than 1-mm diameter in the area where the roots were removed will heal in a few days without any scars.

2. The hair roots can be obtained from any side of the head, not just from the back. In fact, when needed, body hair like chest hair can also be removed and implanted into the head.

3. An interval of 2 days between the sessions will be sufficient. There is no need to wait for months for the second session.

4. The diameter of follicular units is less than 1 mm; thus, they can be easily implanted through the small punctures in the implant area, which means a denser and more aesthetic transplantation.

Follicular Unit Extraction method is performed in limited number of centers in the world by Dr.Woods (www.4hair.com.au) in Australia and Dr.Jones (www.hair-doctor.Ca) in Canada.

The revolutionary technique is now successfully performed in Turkey thanks to the efforts and more than 20 studies of Dr. Keser with Turkish Patent Institute patented 'Follicular Unit Extractor' designed by Dr. Keser (contact us for more information).



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