Limiting donor shock loss
during FUE treatments.
Shock loss
is often and mostly associated with the recipient area.
However if
FUE extractions are performed by untrained or inexperienced staff or surgeon it
can lead to major problems.
Basically
there are 2 major issues that can lead to donor shock loss.
Overharvesting:
Too many attempts/extractions
are performed, leading to sub skin scarring. This can lead to blood flow
disturbance and as a consequence native (weaker) hairs may be lost (either
temporary or permanent).
Solutions:
·
use
an intelligent extraction pattern and small FUE punches.
·
Experienced
FUE staff will have little to virtually no failed attempts
·
Use
of manual FUE technique will greatly limit tissue heat buildup which is often
associated with high rotation electric devices.
Extractions punch size and
depth of scoring
Back in
2004 when during the early days of FUE it was standard to use a 1 mm punch for
FUE extractions.
However
these were made out of surgical stainless steel and although the inner diameter
was 1 mm, the outer diameter was 1.7 mm. It is not hard to understand why a
large punch creates more (unwanted) scarring.
Most experienced FUE clinics and surgeons
will not use anything larger then 0.80 mm punches. These new punches are now
made out of special titanium coated tips where the outer diameter is usually
just 0.2 mm wider then the inner diameter. It is only logical that smaller
instruments leave smaller wounds and therefore the risk of donor shock loss is
reduced.
One of the
most common mistakes made by inexperienced FUE practitioners is the fact that
they score too deep. This results in graft burying and unnecessary tissue damage.
Using a mixture of blunt and or sharp punches, at the correct scoring depth
will limit donor shock loss.
Prohairclinic is recognized worldwide as one of the pioneers for FUE mega sessions and FUE
only. We have developed our own routines and standards that always favor the
patients safety. In this matter we have found that using the correct extraction
technique, with the correct instruments, and limiting the session sizes we have
never run into any form of major donor shock loss.
Example of major donor
shock loss
Reacties