FOR THE MEDICAL PRACTITIONER
Plastic Surgery
doi: 10.25005/2074-0581-2026-28-1-222-229
FOLLICLE IMPLANTATION TECHNIQUE IN AUTOLOGOUS HAIR TRANSPLANTATION

V.YU. KOLESNIK, R.A. PAKHOMOVA, A.A. KOLESNIK

Russian Biotechnology University (ROSBIOTECH), Moscow, Russian Federation

Objective: To develop and present a protocol for improving aesthetic outcomes during surgical treatment using the Follicular Unit Extraction (FUE) method in patients with stage III-IV androgenetic alopecia according to the Norwood-Hamilton scale by taking into account the direction and angle of hair growth.

Methods: The study was based on direct physical measurement of the hair shaft exit angle, a retrospective analysis of surgical outcomes, and a survey of 52 patients who underwent surgery in 2022-2023 (patent application RU No. 2024136143). All patients were male, with a mean age of 35 years (range: 25 to 63 years), and underwent hair transplantation using the FUE and Direct Hair Implantation (DHI) techniques.

Results: Each area of scalp hair cover has specific characteristics of hair shaft growth, and the implantation of autografts in accordance with physiological parameters improved patient satisfaction with surgery (according to survey results, in which patients separately assessed the naturalness of the final aesthetic outcome). The number of highest-scoring responses in the questionnaire increased by 19.7% after the introduction of this technique.

Conclusion: The use of a technique that accounts for the direction and angle of hair growth in the transplantation area, along with the patient's individual characteristics, should be adopted by every physician performing hair transplantation to improve surgical outcomes.

Keywords: Androgenetic alopecia, hair transplantation, FUE, DHI.

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References

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Authors' information:

Kolesnik Vasiliy Yaroslavovich,
Postgraduate Student, Department of Plastic and Reconstructive Surgery, Russian Biotechnology University (ROSBIOTECH)
ORCID ID: 0009-0001-6572-2392
E-mail: v.kolesnik@bk.ru

Pakhomova Regina Aleksandrovna,
Doctor of Medical Sciences, Head of the Department of Plastic and Reconstructive Surgery, Russian Biotechnology University (ROSBIOTECH)
ORCID ID: 0000-0002-3681-4685
E-mail: pra5555@mail.ru

Kolesnik Anastasia Andreevna,
Postgraduate Student, Department of Plastic and Reconstructive Surgery, Russian Biotechnology University (ROSBIOTECH)
ORCID ID: 0009-0002-9999-4107
E-mail: bonfv802@gmail.com

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment.

Conflicts of interest: No conflict

Address for correspondence:

Kolesnik Vasiliy Yaroslavovich
Postgraduate Student, Department of Plastic and Reconstructive Surgery, Rus- sian Biotechnology University (ROSBIOTECH)

125080, Russian Federation, Moscow, Volokolamskoe highway, 11

Tel.: +7 (916) 2760630

E-mail: v.kolesnik@bk.ru


This work is licensed under a Creative Commons Attribution 4.0 International License.

Materials on the topic:
  1. CHARACTERISTICS OF COMPLICATIONS ASSOCIATED WITH THE USE OF A DERMOGLANDULAR FLAP IN AUGMENTATION MASTOPEXY
  2. CURRENT METHODS OF SKIN RECONSTRUCTION SURGERY
  3. REPAIR OR HEAD AND NECK POSTTRAUMATIC DEFECTS WITH THE LATISSIMUS DORSI MYOCUTANEOUS FLAP: CASE REPORT
  4. ONE-STAGE RECONSTRUCTION OF A FULL-THICKNESS DEFECT OF THE UPPER THIRD OF THE AURICLE: A CASE REPORT
  5. USE OF ARTIFICIAL INTELLIGENCE TECHNOLOGIES IN THE SELECTION OF IMPLANTS FOR AUGMENTATION MAMMOPLASTY
  6. ONE-STAGE CORRECTION OF CHRONIC ULNAR NERVE INJURIES
  7. COMPREHENSIVE APPROACH TO SURGICAL TREATMENT OF NEUROTROPHIC FOOT ULCER BY LOCAL PLASTIC METHOD: CASE REPORT
  8. OXIDATIVE STRESS AND ANTIOXIDANT SYSTEM IN SEVERE UPPER LIMB INJURIES
  9. REPAIR OF SEVERE POST-BURN CICATRICIAL CONTRACTURES AND DEFORMATIONS OF THE LOWER LIMB
  10. ANALYSIS OF COMPLICATIONS AFTER AUTOGRAFT TRANSPLANTATION IN SEVERE UPPER LIMB INJURY

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