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Kayiran et al. Plast Aesthet Res 2018;5:9 Plastic and
DOI: 10.20517/2347-9264.2017.86 Aesthetic Research

Original Article Open Access

Evolution of hair transplantation

Oguz Kayiran , Ercan Cihandide 2
1
1 Sultan Abdulhamid Han Training and Research Hospital, Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul
34668, Turkey.
2 Acibadem Atasehir Hospital, Yuniq Plastic Surgery Clinic, Istanbul 34750, Turkey.

Correspondence to: Dr. Oguz Kayiran, Sultan Abdulhamid Han Training and Research Hospital, Department of Plastic,
Reconstructive and Aesthetic Surgery, Selimiye Mh., Tibbiye Cd., Istanbul 34668, Turkey. E-mail: droguzk@yahoo.com

How to cite this article: Kayiran O, Cihandide E. Evolution of hair transplantation. Plast Aesthet Res 2018;5:9.
http://dx.doi.org/10.20517/2347-9264.2017.86

Received: 21 Nov 2017 First Decision: 26 Jan 2018 Revised: 1 Mar 2018 Accepted: 2 Mar 2018 Published: 11 Mar 2018
Science Editor: Raúl González-García Copy Editor: Jun-Yao Li Production Editor: Cai-Hong Wang

Abstract
Aim: Numerous non-surgical methods and surgical options are available for the solution of baldness in the practice.
Technology provides mighty weapons in this field. Thus, individualized solutions are best carried out with well-trained
and qualified practitioners. Here, a modification of follicular unit extraction, direct hair implantation is introduced with
previously licensed unique pens.

Methods: Follicular unit extraction and direct hair implantation methods were carried out in 207 hair transplantations
between January and December of 2014. The nests for the grafts were created via pieces of hand-cut razor blade in
follicular unit extraction. In addition, a new modification of follicular unit extraction, direct hair implantation, is done via
pens that are produced for this purpose.

Results: Thirty-eight direct hair implantations were performed in addition with 169 follicular unit extractions. An average
number of 2973 grafts were transplanted. Mean operation time was calculated as 385 min.

Conclusion: Hair transplantation is still the best solution for hair loss. In conjunction with the surgery, the addition of
non-surgical interventions may give a better result to the patient. On the other hand, the promising results in the field of
regenerative medicine with cell-based solutions may alter hair transplantation and change the options solely into this field.

Keywords: Hair transplantation, direct implantation, razor, nest

© The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made.

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