Hair transplantation entails the removing of a strip of permanent hair from the back of the scalp and re-implanting it into the recipient area. The first doctors to use hair transplants were Japanese (Sasagawa in 1930 and Okuda in 1939).
methodologies for affecting this are reasonably complex and have undergone many changes and improvements over the years. The simplest part of hair transplantation, at least in theory, is the removal of the donor strip and closure of the resultant defect, which is in the hands of an experienced and capable surgeon. Unfortunately, however, the improvements that have taken place in hair transplantation in general have not always spilled over into improved donor area outcomes. Unsightly donor scars and fibrosis are still not only with us, but are possibly even more pervasive than ever. One explanation given for deteriorated donor sites is the harvesting of relatively greater numbers of grafts, or so called giga sessions, when the surgeons extract 4.000 or more grafts in one surgery, making the closure of the wound more problematic.
But is this the whole story?
Our objective at VHC is to describe some technical aspects of donor area management consistent with harvesting the best possible donor strip, while leaving an inconspicuous scar and preserving the viability of the residual tissues for subsequent harvesting.