Hair transplantation by follicular unit extraction for male androgenetic alopecia: A retrospective observational study from two centers.

Androgenetic alopecia Follicles Follicular unit extraction Hair density Hair transplantation Implantation

Journal

Medical journal, Armed Forces India
ISSN: 0377-1237
Titre abrégé: Med J Armed Forces India
Pays: India
ID NLM: 7602492

Informations de publication

Date de publication:
Oct 2020
Historique:
received: 16 08 2018
accepted: 22 11 2019
entrez: 9 11 2020
pubmed: 10 11 2020
medline: 10 11 2020
Statut: ppublish

Résumé

Follicular unit extraction (FUE) is the most popular method of hair transplantation in today's world. Hair transplantation in androgenetic alopecia (AGA) in males can restore the frontal hairline and provide hair density in alopecic areas to the satisfaction of most patients. Consecutive male patients of AGA who underwent hair transplantation by FUE method in two centers between the period of January 2016 and June 2017 have been included in this study based on inclusion and exclusion criteria. Photographic images, trichoscopy and Likert's scale were used to assess patient's improvement in hair density after the transplantation procedure. Statistical methods using SPSS software was used to analyze the results. Institutional ethical clearance and patients' written consent for procedure and images was obtained. The study was an observational retrospective study using data and images from records for which consent and ethical clearance was obtained from patients and the institution. Average number of follicular units transplanted in patients was 1290 (improvement in hair density: of 30.61 follicular units/sq cm). There was a statistically significant difference in improvement in hair density in patients younger than 33 years and in patients with Norwood classification below stage 4a. Forty-nine patients were satisfied with the results after assessment by the Likert scale. Hair transplantation by follicular extraction method provides good hair cover in AGA in males. This modern dermatosurgical technique with its many innovations is a very helpful technique to improve quality of life in male pattern baldness.

Sections du résumé

BACKGROUND BACKGROUND
Follicular unit extraction (FUE) is the most popular method of hair transplantation in today's world. Hair transplantation in androgenetic alopecia (AGA) in males can restore the frontal hairline and provide hair density in alopecic areas to the satisfaction of most patients.
METHODS METHODS
Consecutive male patients of AGA who underwent hair transplantation by FUE method in two centers between the period of January 2016 and June 2017 have been included in this study based on inclusion and exclusion criteria. Photographic images, trichoscopy and Likert's scale were used to assess patient's improvement in hair density after the transplantation procedure. Statistical methods using SPSS software was used to analyze the results. Institutional ethical clearance and patients' written consent for procedure and images was obtained. The study was an observational retrospective study using data and images from records for which consent and ethical clearance was obtained from patients and the institution.
RESULTS RESULTS
Average number of follicular units transplanted in patients was 1290 (improvement in hair density: of 30.61 follicular units/sq cm). There was a statistically significant difference in improvement in hair density in patients younger than 33 years and in patients with Norwood classification below stage 4a. Forty-nine patients were satisfied with the results after assessment by the Likert scale.
CONCLUSION CONCLUSIONS
Hair transplantation by follicular extraction method provides good hair cover in AGA in males. This modern dermatosurgical technique with its many innovations is a very helpful technique to improve quality of life in male pattern baldness.

Identifiants

pubmed: 33162652
doi: 10.1016/j.mjafi.2019.11.001
pii: S0377-1237(19)30126-1
pmc: PMC7606102
doi:

Types de publication

Journal Article

Langues

eng

Pagination

430-437

Informations de copyright

© 2020 Director General, Armed Forces Medical Services. Published by Elsevier, a division of RELX India Pvt. Ltd.

Déclaration de conflit d'intérêts

The authors have none to declare.

Références

Arch Dermatol. 1984 Apr;120(4):449-56
pubmed: 6703750
Dermatol Surg. 2006 Jan;32(1):56-61; discussion 61-2
pubmed: 16393599
J Cutan Aesthet Surg. 2013 Apr;6(2):100-5
pubmed: 24023433
Aesthet Surg J. 2009 Jan-Feb;29(1):72-6
pubmed: 19233009
Aesthet Surg J. 2013 Jan;33(1):128-51
pubmed: 23169821
Int J Trichology. 2014 Oct;6(4):168-72
pubmed: 25368473
Dermatol Surg. 1997 Sep;23(9):747-50
pubmed: 9311367
Dermatol Online J. 2012 Sep 15;18(9):12
pubmed: 23031379
J Am Acad Dermatol. 2004 May;50(5):777-9
pubmed: 15097964

Auteurs

Biju Vasudevan (B)

Senior Advisor (Dermatology), Base Hospital Lucknow, UP, 226002, India.

Shekhar Neema (S)

Classified Specialist (Dermatology), Command Hospital (Southern Command), Pune 411040, India.

Kunal Ghosh (K)

Brigadier Administration, Base Hospital Delhi Cantt, Delhi, India.

Sehdev Singh (S)

Senior Advisor (Dermatology), Command Hospital (Eastern Command), Kolkatta, India.

Anurag Khera (A)

Commanding Officer, 421 Field Hospital, C/o 99 APO, India.

Classifications MeSH