Evaluation of Clinical Outcome of Hair Restoration by the Follicular Unit Extraction (FUE) Technique With Versus Without Adding (PRP) | ||||
The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
Article 2, Volume 48, Issue 3, July 2024, Page 171-182 PDF (675.97 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejprs.2024.365325 | ||||
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Authors | ||||
Dalia Mofreh Elsakka; Hisham Taha Ahmed ![]() | ||||
The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Menoufia University, Shebin Elkom, Menoufia | ||||
Abstract | ||||
Background: Technique of adding versus not adding (PRP) is a handy tool in the hair restoration field, particularly when used in conjunction with hair transplantation in preoperative preparation for the recipient site and postoperative follow-up monthly injections for recipient and donor site as it encourages graft survival, donor site healing, reduces graft loss, improving overall final cosmetic results and patient satisfaction with results. Objectives: To evaluate clinical outcome and efficiency of hair restoration by the follicular unit extraction (FUE) PRP. Methods: A preliminary prospective study carried out on 24 patients at Menoufia University Plastic Surgery Department outpatient clinics and other private clinics, from April 2019 to July 2022. They were operated with FUE method of hair restoration, half of them were pre and post treated with PRP, the other half were not treated with PRP. Postoperative assessment of graft survival and density, natural appearance and patient satisfaction, donor site morbidity in the form of scarring, hypopigmentation, or depletion in case of overharvesting. Followed- up periodically at 3, 6, 9, and 12 months postoperative and monthly for PRP for injection. Results: 24 patients were asking for hair transplantation, aged between 22 and 43ys with mean age of the non-injected group is 33ys, the injected group pretreated and postoperatively treated with PRP injections mean age is 35.17ys. No cases of donor or recipient site necrosis, AV fistula or moth-eaten appearance of donor. Poor graft growth after 1 year of followup < br />in the injected group was 0 while in non-injected group < br />was 0.08 level. Aesthetic outcome was assessed and compared where the excellent in PRP-injected group was 6 (50%) and satisfactory was 6 (50%) and there is no poor satisfaction results were recorded. In non-injected PRP group excellent satisfaction was observed in 3 (25%), satisfactory was observed in 7 (58.33%) and poor observed in 2 (16.67%) of the operated patient with overall superior patient satisfaction in PRP injected group. Conclusion: The FUE technique of hair transplantation is emerging popular and is more patient-friendly. Concerning hair transplantation, PRP's role in treating the donor site, promotes the growth of transplanted hairs. C | ||||
Keywords | ||||
Hair transplantation; Follicular unit excisionextraction; Platelet rich plasma; Follicular unit transplantation; Strip method | ||||
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