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Page 6 of 7 Saxena. Plast Aesthet Res 2018;5:5 I http://dx.doi.org/10.20517/2347-9264.2017.67

• The recipient area is prepared and coronal slits are made.
• The terminal portion of the device gently lifts and spreads the most superficial part of the slit.
• Another hand grasps the graft using forceps.
• The graft gently slides inside the slit while the slit is adequately dilated by the spreader.
• The spreader releases and the graft is positioned in place, thus allowing as many as 3-4 implanters to work
together in an organized manner.

ADVANTAGE OF THE KD SPREADER
There are many advantages to the KD spreader:
• There is lower risk of physical trauma to the graft even in a beginner’s hands.
• It improves the ability of beginners to perform FUE.
• It can be used to train inexperienced assistants without jeopardizing quality control.
• It allows 3 or 4 implanters to work in the same field, so a procedure finishes faster.
• It is a low-cost instrument that can be used repeatedly.
• The operator has a reduced risk of fatigue.
• Grafts stay immersed in holding solution, thus limiting the chance of dehydration.

CONCLUSION
After working in the field of hair transplantation for the last 15 years, I have realized there is a definite
learning curve for this procedure. Some physicians and assistants may develop skills very fast while other
struggles in clearing the steep learning curve of the FUE procedure. We introduce a novel instrument and
technique that may help facilitate this procedure.

The KD spreader may improve the ability of novice operators to perform FUE extraction and implantation
smoothly. A reduced learning curve may be necessary to train inexperienced assistants without sacrificing
the quality of their FUE transplantation.

DECLARATIONS
Authors’ contributions
Saxena K contributed solely to the paper.

Financial support and sponsorship
None.

Conflicts of interest
There are no conflicts of interest.

Patient consent
Not applicable.

Ethics approval
Not applicable.

Copyright
© The Author(s) 2018.

REFERENCES
1. Ginzburg A. Different orientation for the incision. In: Unger WP, Shapiro R, Unger R, Unger M, editors. Hair Transplantation, Fifth
Edition. Boca Raton: CRC Press; 2010. p. 402.