Transection at Donor Harvesting

After the microscopic hair dissection was adapted into hair transplantation, the most transection of hair follicle occurs at donor harvesting.

In our office, we have moved from multi-blade knife to double blade now to a single blade. The transection rate was cut down but not as perfect as expected. We had a paper to mention how to harvest strips years ago. But we keep improving our method.

Currently we use a completely different approach, combined with an intruder, skin hook and blade technique. The result is amazing, even curly hair has very minimal transection.

As you can see from the photos, there are many different types of hair: Caucasian hair, Asian hair, African-American hair, wavy, curly and gray hair. All have an excellent result.

After 50 years of hair transplant technique improvement, if we use the right method, the transection during the procedure is finally reduced to minimum.

Asian Hair

Caucasian Hair

Curly Hair

Edge-Most Difficult part to avoid transection

Wavy Hair

Grey Hair-Hard to see

Curly Hair-Not only curly on hair but also curly in the tissue. Almost impossible to avoid transection.

Limitations of hair transplants.

Hair transplantation is a surgery that relocates hair from the donor site to the front or vertex of the head. Hair transplantation itself cannot increase the number if hairs, it can only relocate the existing hair.
The more bald the head becomes, the larger the area is that needs coverage and less donor hair is available.With hair transplant surgery, we have to use less hair to cover a bigger area. To deliver 100 % density is impossible. How we use the hair is very important. The hair style, shape of the pattern of hair loss, color contrast and hair quality plays a role in what we should emphasize. Transplanting equal density throughout the head is never a good idea.

Young Patients-#3

A 26 year old male who is concerned that his scalp is visible in the daylight.

His hair doesn't show any sign of miniaturization.

The problem is his hair style, in which the hair sticks together. Also, the contrast between his hair and scalp color is too sharp.

My Recommendation: Consider changing the hair styling; or even changing the hair color to one more similar to the scalp color.