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Kayiran et al. Plast Aesthet Res 2018;5:9 I http://dx.doi.org/10.20517/2347-9264.2017.86 Page 3 of 8

A B C

Figure 1. (A) The razor blade is cut into pieces with 1-2 mm sharp edges; (B) perforation is carried out with these pieces held by clamps; (C)
these nests are in a vertically-oriented fashion that are ready now for grafting

Table 1. The distribution of the patients
Month of 2014 Number FUE DHI Norwood Time (min) Graft
III IV V
January 11 11 5 6 359.2 2904.5
February 15 15 1 14 353.7 2733.3
March 15 15 1 2 12 346.3 2693.3
April 15 14 1 7 8 354.0 2793.3
May 14 13 1 14 369.6 2842.8
June 19 17 2 19 357.1 2784.2
July 21 20 1 21 349.8 2845.2
August 20 12 8 3 17 422.0 3145.0
September 15 10 5 2 13 441.3 3306.6
October 19 12 7 1 18 392.1 3173.7
November 21 16 5 3 18 407.6 3157.1
December 22 14 8 5 17 437.7 3118.2
Mean 17.25 81% 19% 0.5% 14.5% 85% 385.0 2973.0
Total 207 169 38 1 29 177 615,400
FUE: follicular unit extraction; DHI: direct hair implantation

Mean operation time was noted as 385 min in which mean FUE and DHI times were calculated as 373 and
437 min, respectively. The patients were followed-up between 1 and 5 years. Table 1 describes the distribution
of the patients.

None of the patients had infection. Inclusion cyst formation was observed in 4 patients who were treated
successfully.

A few results with DHI technique are presented in Figures 2 and 3.

DISCUSSION
Male type baldness may cause a negative effect on individual’s self-esteem. Hair transplantation gives a
unique permanent solution for those patients.

Non-surgical therapies for hair loss can be used mainly in early phases. Minoxidil, finasteride, dutasteride,
spironolactone or cyproterone acetate can be prescribed in selected patients with temporary actions [7-10] .
Moreover, low-level light or laser therapy can be utilized in patients with early-phase hair loss where the
practitioner may choose home-use and/or in-office systems. It is known that prostaglandin analogues such
as prostaglandin F2a and prostaglandin E2 promote hair growth in both mice and human follicles . In
[11]
practice, latanoprost (a prostaglandin F2a analogue) is a solution that provides a significant increase in hair