Step by Step Hair Transplantation Pradeep Sethi, Abhinav Kumar, Arika Bansal, Sarita Sanke
INDEX
Page numbers followed by f refer to figure and t refer to table.
A
Acidic forms 25
Adrenal hyperplasia 213
Adrenaline 230
Aesthetic complications 148
Allergic reaction 23
Alopecia 60
areata, development of 108
type of 70f
Amnesia 20
Amnesic dose 20
Anagen hair 110, 116
follicles 117
identification of 116
sign of 116
Anaphylactoid reaction 23
Androgenetic alopecia
part of 28
risk of 81f
Anesthesia 19, 20, 103, 125
and tumescence, injection of 110f
injection 237
local 21
and tumescent 20
rapid injection of 23
type of 20
Anesthetic solution, local 20
Animation software 58
Arrector pili muscle 128, 134
Aspirin 148
B
Balding crown 90f
Baldness 159f
halo of 84
male pattern 60f
progression of 75, 84, 84f, 94f
ring of 99
risk of progression of 75, 159f
stages of 60
Beard 110, 129
anesthesia, design of ring block for 104f
area 169f
as donor, complications of taking 108
by sharp serrated follicular unit excision punch 106f
demarcation of 103f
extract 116
implanted in mid-scalp 173f
scalp to 106
scar, absence of visible 112f
variable density of 107f
Beard aesthetics
maintaining 105
retaining 105
Beard grafts 102, 105, 106, 113f, 159f, 160f, 168f, 182f, 185
after extraction of 194f, 267f
fragile compared to 159f
planted 159f
predominantly 114f
Beard hair 77f, 101, 102, 168f, 186
advantages of 110
anagen phase of 102
characteristic of 116
direction of 105
extraction 102
features of 102
follicles 116
grows 104
length of 103f
to scalp hair transplant 112
transplant, indications for 102
Bitemporal recessions, deep 218
Bleeding 148
time 148
Blood pressure, high 148
Body hair 111, 185, 230
extraction 128
to head transplant 115
transplant 101
Brachycephalic head 188
Breaching safe donor area 210
Brow lift scars, transplantation into 218
Bupivacaine 21
Burns 236
side 106
C
Caliber grafts, placement of thinner 230
Caliber hair shaft, large 3
Camera modes, types of 256
Camera room setup 246f
Camera, basic functioning of 268
Cardiac arrhythmias 23
Carotid artery 116
Castroviejo forcep grabs 136
Changing room 247
Cheek bones 27
Chemotherapy 226
Chest
grafts, implanted 114f
with dense hair growth 110
Chest hair 102, 181
extracting 110
follicles 117
Chin 27
Choi hair transplanter 230
Christmas tree pattern 213
Cicatricial alopecia 28, 223, 235237
causes of 240
primary 240
part of 226
Classical cowlick 45f
Clotting time 148
Communication pitfalls 164t
Consultation room 243
Corneal eye shield 230
Coronal angled slits 50f
Cowlick, structure like 265
Crown 84
designing 83
effect of 92f
evaluation of 85
reconstructed 180f
restoration of 84
sites of 88f
slit
creation in 88f
making in 87
superolateral aspect of 91f
Crown hair
loss progression 99
transplant 84
Crown part
center of whorl 87f
division of 87f
lower arc 87f
upper arc 87f
vertex transition point 87f
Crown reconstruction 96f, 98
complete 96f
Cyst formation 117
D
Dense beard, demonstration of 112f
Digital single lens reflex 245
camera 256, 265
basic 267f
Discoid lupus erythematosus 226, 236
Dolichocephalic head 187, 188f
Donor and recipient necrosis 148
Donor area
poor 121f
preparing 4
Donor density 186
structure like 265
Donor evaluation 120, 134
Donor region
safe 4f
shock loss 153f
unsafe 4f
Donor still exists 163f
Dressing room 252
DSS pattern 85
E
Ear, superior aspect of 78f, 193
Edema 148, 150
postoperative 150
Epinephrine 22
Exposure triangle 265
Eye of beholder 255
Eyebrow 27, 226228, 230, 232
bulb at sites of 228f
graft, strip composite 230
hair 226, 230
considerable growth of 229f
ideal female 226f
in both males and females 226
loss, total 232
male 227f
marking 228f
outline of 227
part of 229
restoration 232
scarred 235
transplantation of 225, 226, 229, 232
Eyelash 230
regrowth of 230
relatively longer transplanted 232f
transplantation 225, 229231
transplanted 230, 232f
wrongly planted 225
F
Facelift scars 218
Facial artery 116
Facial muscles, temporary paresis of 108
Facial nerve 116
Facial paralysis 117
Facial paresis 110f
Fanning technique 92
Female eyebrow demands 233
Female face, beauty of 211
Female hair transplant 150f, 211, 213, 214, 218
Female hairlines 44, 211, 155f
Fibrosing alopecia 28
confused with frontal 221f
Fibrous tissue 236
Fits face 170f
Follicle 146
destiny, transplanted 161t
hair graft 38, 153
individual 138
splayed 128
transplanted 161
Follicle grafts
multiple 138
single 227, 233
with hair
double 122
single 122
Follicular displacement, causes of 125
Follicular extraction
punches, cutting edge of 126
surgically advanced 128f
Follicular movement 125f
Follicular transection 227
reducing 128
Follicular units 3, 125, 163f
excision 102, 150, 223, 236
grafts 136
modification of 17
punch 139, 169f
scar 148
scars, pre-existing 169f
extraction 12, 120
method 227
parameters of 18t
scar 133f
surgery 17
transplantation 102, 176f, 219
transplantation scar 120, 148, 166, 177f
bad 152f
demonstrates wide 133f
hypertrophic 151f
Folliculitis
decalvans 236
in recipient region 149f
Food and Drug Administration 3, 213
Frontotemporal angle 54f, 58, 76, 155f
Frontotemporal recess 32f
female with 214f
Fuse grafts procedure 115f
G
Gadgets, close-up view of 259f
Gigasession 185, 186, 188
technical difficulties in conducting 203
Graft 137f, 138, 141f, 142f, 143, 145f, 174f
adherence of 129
after implantation of 51
appearance of 156
art and science of scoring of 119
at hairline, implantation of 53
at tip, holding of 140f
calculating number of 4
changes, depth of 132
cohesion of multiple 136
crush 136, 229
curved 143
damage, chance of 18
desiccation of 136
dissect tissue around 131f
donor 102
double and triple 140f
during extraction with forcep 127
epidermis of 13
extracted, number of 12
extraction of 5, 12, 14, 136, 138
falls short of 124f
for crown, extraction of 92
forester to pull 138f
from beard 151f
from each zone, number of 5
from implanter, unloading 16f
from scalp 192f
number of 129
handling 135, 136, 144
poor 159f
helps 136
hundred 90f
implantation of 13, 92f, 136, 143, 205f
number of 237
implanted 220f, 222f
number of 221f
implanting double 53
in proper direction, implantation of 53
into implanter, loading of 140
loading of 16f, 136, 209f
lower part of 137f
mal-handling of 156
multiple 227
number of 120f, 237
of maximum caliber 105
of mid scalp 88f
on side-burns 106
pitting of 147, 157f
placed in slits 47f
placement 12, 13, 14f, 227
strategic 217f
plantation of 209f
simultaneous 15f
pushing of 16f
restricts number of 123f
risk of burial of 126
scoring of 12, 14f, 104, 106f, 120, 125
smaller exit angle of 125
smooth implantation of 48
splayed 132, 143
steps of extraction of 136
storage 136, 138
structure like 265
superficial placement of 156
survival
predominant method of 17
rate 135
tight 136
total number of 202f
types of 138
with intact roots 140f
with multiple follicles 54f
wrongly implanted 178f
Graininess, visibility of 269
Great hair restoration 144
H
Hair 52f
absence of
growth of 148, 158
patchy loss of 112f
at center, sparsening of 212f
band, types of combs to 260f
black 230
bulb of 138
bunch of 45f
calibre, follicular density and 134
clipping of 230
curly 128
cycle of 101
damaging existing 212
density of 38
different angulations of 85
direction of 38, 51f, 227
and angle of 228
miniaturized 90f
of pre-existing 180f
donor 86f
down, window stripping with 7f
emergence, direction of 129
excellent growth of 239f
grafts, single 227
growth of 115, 226, 235, 237, 238f, 239f
in eyebrows 225
in female, survival of transplanted 218f
in frontotemporal angles 157f
in hairline, surgeon planted 155f
island of 84, 99
length of 122
long 172f, 217f
matches, visual density of transplanted 179f
miniaturized 39
natural form of 28
natural growth of existing 85
number of 185
occipital 208f
of higher caliber 122
on crown, bouncing of 87
one telogen 53
patient's history of 161
per eyelash 230
per graft, number of 111
pre-existing 155f, 179f
provide 40
raised, window stripping with 7f
root, level of neighboring 50f
single 40, 49f
sites in central forelock 42f
stand out, transplanted 155f
surgeons 25
surgery, aspects of 232
thick caliber 97f
torso 129
transplanted 87, 156, 159f, 207f, 239f
transplanting 166
trimming area 247
types of combs to unshackle 260f
Hair bearing
areas 229
scalp, anterior border of 62
Hair density
average 111
loss of 84
Hair follicle 229, 236
density of 213
direction of 125
donor 116
double 40f
fourth 116
multi 127
risk of damaging 48
single 230
graft 38
supply 57
third 116
Hair growth 12, 198f, 237, 238f
cycles 116
direction of 51, 138f
in crown, natural 85f
natural 85
Hair in temporal region 207f
recession of 159f
Hair loss 150, 220f
female pattern 123f, 212
in crown, patterns of 86f
in females 212
ludwig pattern of 212, 212f
patterns of 211
permanent 148
role in 252
vertex 85
Hair restoration 21, 48, 66, 185, 203, 241, 255
aesthetics of 83
anesthesia for 25
aspect of 57
for women 218
punch grafting for 171
surgery 161, 166, 186, 236, 240
challenges faced during 236
complications in 148, 237
failed previous 92, 167f
growth after first 156f
in cicatricial alopecia 236
prerequisites for 236
successful 120
Terminology Committee 138
Hair transplant 23, 53, 113f, 166, 186, 194, 203, 242
at temple 66
before 46f
center 241, 242, 252
conducting 22
corrective 56f, 165, 166, 168f, 181
hemostasis in 19
industry 243
informed consent 5
institution 256
learning 183
on crown, second session of 122f
pain management in 19
passion in 44
patient selection 3
performing 237
photographic angles in 258
photography in 255
postoperative care in 1, 7
previous failed 113f
prior 166
result 44
single 230
surgeon 2, 8, 12, 17, 28, 186, 210
surgery, instruments required in 250f
wrongly done 53
Hair transplantation 2, 17, 21, 133f, 194, 212, 214, 235
conservative 162f
direct 11, 12, 18, 18t, 120, 124f, 186
donor for 102
emergencies in 23
method
crown restoration direct 93f
direct 177f
of scalp 230
technique 12
direct 69, 156
with placement, close-up view of direct 14f
Hairless zone
island of 159f
rim of 158
Hairline 31f, 53f, 55f, 57, 66, 154f, 160f, 170f, 177f, 203
aesthetic 58, 61
aesthetically designed 174f
aesthetics of 170f
anatomical landmarks of anterior 28, 31f
and crown 81
and temple reconstruction 81f
anesthesia, incomplete 23
anterior 27, 28, 36, 57, 58, 66, 153
border of 40f
transplanted 33
artificial 32
beautiful 28, 74
close view of 180f
complements 67f
complete 76
creating 40
higher 206f
natural 153
creation in 38
curves downward 56f
designing of 58
designs of anterior 27, 28f
direction and angles of 79
drawing 33, 35, 36
ending 41f
final 265
flat anterior 62
from back, symmetry of 261f
frontal 28
area 32
frontotemporal 38
angle 32
recess area 32
graft economical methods of lowering 57
high 57, 66
in balding patient 57
in male, bell-shaped 30f
infratemple area 32
irregularity of 179f
lateral flare of 41f
lower 57, 203f
created for 47f
M type 28
male 44
matured male 58
mid-frontal point 30
natural 30
naturalness 157f, 180f
needle in 48
non-interlocked 39f
on face, anterior 59f
part of anterior 82
photographic evidence of drawn 262f
receding 211
recession of
anterior 28
overall female 215f
reconstructed 33, 56f, 57, 79
reconstruction of anterior 60
rectangular 28, 29, 30f
redesigned 176f, 177f
regression of 78f
restoration of 84, 122f, 176f
restore 66, 179f
round 28, 206f
rows of 43f, 115
second Doppler image of 35
shape of 57, 63
skeleton 58
sketched 175f
steps to design anterior 60f
surgeon's designed 36
surgical correction of 218f
temple balance 197f, 206f
temporal peak area 32
three-peak polygonal 191f
three-peaked high 189f
triangular 29f
types of anterior 28
unnatural 148, 153
with temple receding posteriorly 72f
with temporal hairline, recession of anterior 71f
wrong 53, 171
youthful 210
Hairline creation 44, 74f
artistry in 44
bringing artistry into 44
Hairline design 28, 36, 40, 44, 71f, 214
commentator's view on 60
device 260f
Hairline zone 176f
made behind 43f
marking 62
plant behind 155f
thinning at 218f
Half-moon shaped 84f
Halo 158
Halt disease progression 237
Hand wash
basin 247f
facility 247
Head size 187, 187f
Head washing area 252
Heart surgery 2
Herbal dihydrotestosterone, mild 213
Hump reconstruction 75
Hybrid trumpet punch 126f
Hyperesthesia 148
Hypertension 23
Hypertrophic scar 150
of punch harvesting 151f
Hypoesthesia 148
Hypoglycemia 23
Hypotension 23
I
Implantation 69, 216
Implanted roots, adequate space for 50f
Implanters, use of 12
Infection 148, 149, 237
staging of 22
Infiltration anesthesia 104
Insulin syringe 22
Interlocking pattern 39
Intradermal injections 22
Ischemia 237
J
Jaw line 169f
demonstration of 112f
Jeweller's forcep 128, 230
K
Keloids 148, 150
Kidney-shaped pattern 85
Koebnerization 237
L
Leg hair 102
Lichen planopilaris 226, 235, 236
Lidocaine and prilocaine, eutectic mixture of 103
Lignocaine 21, 230
Linear scar 219
development of 108
Liposomal adenosine triphosphate 138
Lorazepam 20
Lupus erythematosus 213
M
Massive periorbital swelling 150f
Massive scalp 172f, 181
Massive scars on scalp 181
Mayer's method 62
Medical and aesthetic complications 148t
Megasession 185
Methicillin-resistant Staphylococcus aureus 149
Mid scalp
and crown 209f
compared 81
grafts 77f
implanted on 209f
posterior part of 87
reconstruction 65, 76
region 35
Midazolam 20
Mid-pupillary point 32, 33f
Moustache hair, length of 102
Multiple wheal technique 23, 24f
Myocardial infarction 23
N
Native hair 153
Neck
beard hair 102
hyperextended 104
Needle while slit making, angle of 37f
Nerve
blocks, local 20
supraorbital 21, 21f
Neuralgic pain 148
Nonaligned punch 132f
Nonsteroidal anti-inflammatory drugs 148
Norwood-Hamilton pattern 213
of baldness 214f
O
Occipital region, lower part of 167f
Operation theater 248
scene of 15f
setup 247
spacious 248f
Oral antibiotic 13, 149
Oral finasteride, intake of 84f
P
Pain 148
management 23
postoperative 148
related complications 148
sharp shooting 148
Painkiller 13
Pentoxifylline 237
Photography room 246f, 257, 257f
creation of 257
mirror and gadgets of 259f
Polycystic ovarian syndrome 213
Poor donor aesthetics 148, 158
Pre-bald density 185
Prilocaine gel 117
local 116
Prothrombin time 148
Pseudopelade 213
of Brocq 223
Punch
grafting, scars of 121f
insertions, number of 125
size, right 105
touch skin surface 131f
Punch scars 172f
of previous surgery 98f
terrible looking 171f
R
Radiation 236
Radiotherapy 226
Rectan-Gular hairline, peaked 171f
Right eye, canthus of 54f
Root handling 18
Rotating surgeon's chair 251f
S
S pattern 85
Safe donor region, demarcation of 5f
Saline solution, simple 146
Sava™ (dull needle) implanter 141f
Scalp 236
after extraction, appearance of 169f
and beard, characteristics of 106
anterior 21f
coverage, full 186, 188
donor for 182f
donor recovery of 198f
frontal part of 191f
grows hair 235
hair colour contrast, high 205f
in traction alopecia, scarring of 70f
injections over 20
lateral part of 88f
micropigmentation 166
mid 89
of patient, examine 243
part of 122
region of 158f
side locks of 76
tissue 237
trimmed 216
tumescence in 22
washing area 252f
Scalp donor 181, 194
above average 195f
compromised 113f
depleted 114f
Scalp grafts 102, 104, 158, 160f, 185, 195f, 196f, 210
filled with 170f
for hair transplantation 102
for hairline, shortage of 89
to maintain 197f
Scalp hair 28, 101, 102, 106, 110, 186
follicles 117
Scarring alopecia 213, 223
Scars 148, 150
fibrotic process in 132
traumatic 120
visible 179f
Seizures 23
Sentinel hair away, floating 39
Sharp and blunt punch, advantage of 126f
Shock loss 212, 216
Shutter speed 268
Simultaneous scoring 12
Skin surface, punch hits 125f
Slit making, types of 51
Soft tissue, thicker 104
Sparse beard 107f
Splayed follicles 125f
Sterilization 125, 247
Subcutaneous tissue causes 23
Subdermal tissue 128
T
Technique extraction 136
Telogen effluvium 223
Telogen hair 115, 140f
Temple construction 66
Temple hair
changing direction of 81f
reconstruction 69
Temple hairline balance 66, 72f
Temple reconstruction 65, 67f, 81
aspects of 66
good 66
Temporal hair 33
Temporal hairline 66
Temporary hair loss 148
after surgery 150
Test patch 237, 238f, 239f
Three fundamental pillars 8
Thumb rule 66
Tissue
attached 128
dissection, methodology of 128
necrosis 237
turgor 104
Traction alopecia 28, 70f
temple reconstruction in 76
Trained hands, rare thing in 147
Transplant
after first 46f
density 212
Transplantation 213
Transplanted hair, poor growth of 148, 156, 176f
Trauma 229, 236
Trichotillomania 229
Trimmed donor, photographic evidence of 266f
Trimming 122, 216
Tumescent solution 21
V
Vasovagal syncope 23
Vellus hair 39, 89
evaluation of 85
Vitamin
E 148
supplementation 2
W
Wheal technique, continuous 24f
Whorl less dense 96f
Wind-O punch 127
Window trimmed patch, demonstration of 124f
Z
Z pattern 85
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