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CC BY-NC-ND 4.0 · Indian J Plast Surg 2021; 54(04): 471-476
DOI: 10.1055/s-0041-1739251
Review Article

Optimal Hair Transplant Recipient Site Slit Design: Minimizing Vascular Damage

Authors

  • Pradipkumar R. Atodaria

    1   Atodaria Hair Transplant & Cosmetic Surgery Center, “Harsh-Deep,” Surat, Gujarat, India

  • Aniketh Venkataram

    2   The Venkat Center for Skin ENT & Plastic Surgery, Vijayanagar, Bangalore, Karnataka, India

  • Venkataram Mysore

    2   The Venkat Center for Skin ENT & Plastic Surgery, Vijayanagar, Bangalore, Karnataka, India

  • Kuldeepsinh P. Atodaria

    1   Atodaria Hair Transplant & Cosmetic Surgery Center, “Harsh-Deep,” Surat, Gujarat, India

Funding No funding has been obtained for this study.
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Abstract

An often overlooked aspect of hair transplantation is the art of recipient site design and slit creation. There is also a lack of consensus on which technique provides the optimum coverage while minimizing vascular damage. This paper aims to provide logical arguments to determine the optimal instrument and method of slit creation, in order to ensure maximum density, optimal survival, minimal pop-out, and minimal damage to scalp vascularity.

The use of semiconical blades reduces the damage to the dermis and vascular plexus as compared with rectangular blades and needles, as the depth of penetration required is lower. The use of acute angle reduces the depth of penetration for the same length of slit and decreases damage to deep plexus. Coronal slits produce less vascular damage than that of sagittal slits with the same size blades.

We believe that these recommendations provide the optimum volume slits while causing minimal vascular damage.

Keywords

Hair transplantation - follicular unit - recipient site slit - androgenic alopecia


Publication History

Article published online:
31 December 2021

© 2021. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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