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Hair Transplant Graft Dissection Dallas |
Graft Dissection DALLAS HAIR TRANSPLANT HAIR LOSS
HAIR
TRANSPLANT GRAFT DISSECTION |
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Graft dissection refers to
the stage during hair restoration in which the harvested
donor hair from the back of the head are trimmed and cut into individual
grafts
to be later inserted into the recipient
sites. Excellent graft dissection is an integral part to the
overall success of every hair restoration procedure. This tutorial
is intended to underscore the salient points necessary to achieve consistently
excellent dissected graft quality.
There are three major objectives
during graft dissection:
- Preservation
of follicular-unit integrity: Follicular units
refer to the natural groupings of 1 to 5 hairs that occur on one’s
head. Preserving these natural groupings of hair can increase
the survivability of the transplanted hair. As the distribution
and spacing of different follicular units are random, proper training
is needed to examine actual scalp and donor tissue to visualize the
appropriate path of dissection. It takes time and practice for
someone to recognize individual follicular units. The accompanying
video in this section shows these follicular units with close-up macro
photography.
- Preservation
of graft viability through proper handling: Grafts
that are traumatically handled or left out to dessicate will invariably
lead to poor or unnatural growth of transplanted hair. Proper
graft handling is discussed both in this section and in the
graft placement section.
- Maintain consistency
in graft size and shape: Although dissecting along
the natural cleavage planes that divide follicular units is important,
deciding how much surrounding tissue for each graft is equally so.
Depending on the end objective, grafts can be trimmed with little
surrounding tissue (“skinny”) or with additional tissue
(“chubby”), as shown in Graft Dissection Video 1 (Quicktime
| Windows
Media). Each dissected graft must be made to conform to
a consistent shape and size that will accommodate a specifically created
recipient site. Without consistency in graft dissection, the
dissected grafts simply will not fit into the created
recipient site. For example, if the grafts are made too
small relative to the created recipient site, they will fall into
the site and create pitting. If they are made too large, they
will be inserted traumatically and cause kinky hair growth, poor growth,
or no growth at all if the grafts remain too high relative to the
surrounding scalp.
Dr. Lam maintains quality
control by keeping his hair-transplant dissection team with him full
time. He does not outsource or use agency help.
In the past when he did, he recognized that outside help simply could
not deliver the quality of graft dissection that his own team who have
been trained by his hair-transplant
coordinator, Emina Karamanovski, could offer. Furthermore,
all dissection is carried out in the immediate vicinity of Dr. Lam’s
site creation (i.e., adjacent to the patient) not in another room where
the hair-transplant team leader would have no guidance on the successful
dissection of grafts. Every time that Dr. Lam creates a new type
of recipient site, the site is checked for graft to site fit before
continuing with the procedure. Therefore, quality control is continually
monitored at every step of the procedure. |
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