Hair trauma article in Derm Surg review by Dr. Lindsey

Wendy and I review an article from Dermatologic Surgery that shows that damaged hair roots don't grow as well as undamaged ones. DUH. I've been saying this for years, and growing up farming...it only makes sense.


Now you can't do a hair transplant without damaging hairs. You can't. But you CAN minimize damage with microscopic dissecion, trained techs, and FUT surgery. AND if you have to do FUE...you better pick people that have stronger hairs to withstand avulsion, and you need to weigh the advantages of really skinny puches and smaller scars but no "dirt" around the roots versus a slightly bigger punch, slightly bigger scar, and more tissue protecting the root bulb. Mind you I'm not suggesting a 2mm derm punch like 2 regional doctors are reported to use...but consider going from 0.7mm to 1.1mm in select patients...may be worth considering. Since I personally abandoned 0.7mm punches and use a 0.9 to 1.1...our fue results have improved dramatically and noone...not army, not marines, not airforce...has had an fue scar concern here, yet.



The video is here.

http://www.youtube.com/watch?v=vzqRYr9kY7k



Dr. Lindsey

Thank you doctor. I think it is a really important point. Everyone is so desperate for the smaller punches they're a failing to consider the graft survivability. Also, that different patients may require different size punches to get the hair out safely. There is going to be a sweet spot for every FUE patient. I hope people keep that in mind before disparaging doctors or patients when the absolute smallest punch isn't used.

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