Objectives: The indications are almost for male androgenetic alopecia and female androgenetic alopecia, some cicatrical alopecia (burns, post radiotherapy etc...), afro-american traction alopecia and body hair alopecia (eyebrows, beard).

Introduction: According to the size of the alopecia, the baldness evolution and the donor hair capacity, hair restoration should be tailored to the individual's needs. The use of the Unshaven strip follicular unit transplants (FUL) is a method with its advantages and disadvantages. Sometimes FUL can be combined with follicular unit extraction (FUE). The multifactorial classification and the digital phototrichogram are essential.

Materials / method: - The multifactorial classification and the digital phototrichogram (Trichoscale®): calculate precisely the capacity of the donor area.

- The Follicular Unit Long Hair (FUL): the scalp is not previously shaved. Long hairs are harvested with a strip.
Usually 1000-2000 1-3 hairs FUL are implanted in one session. For the surgeon it is easier to give the orientation and choose their calibers and colors.

The main advantage is that the harvested donor area and the recipient area are immediately covered by the long hair.

Results: For each FU indications the best choice upon each procedure will be developed according to the age (young or older patient), to the ethnic variations (Afro-Americans, Asians…), to their psychological profile, their hair styling (shaved or unshaved) and their own esthetic desire.

Conclusion: The unshaven FUT (FUL) method has been refined and well defined. This treatment is one of the solution, alone or combined with FUE, for an aesthetic and definitive correction of various definitive alopecia.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: The debate these days: What is the best FUE technique? There is:
* Manual: 1 doctor (1 or 2 hands/or 2 doctors)
* Assisted: Motorized, Automated, and Robotic.

There are no significant studies comparing the different techniques.
Motorized techniques: Its main function is to rotate the punch.
Automated system that combines suction and extraction and also implantation
Robotic Extraction-Implantation.

The objectives are to evaluate, in a pilot study, the differences between the different extraction-implantation methods of follicular units with FUE technique.

Introduction: In the recent years, follicular unit extraction (FUE) technique has become the most used by professionals because patients prefer it. This technique does not leave visible scars and is less “aggressive”.
Methods of harvesting with fue are:
* Manual
* Motorized
* Automatized
* Robot assisted

There is an important debate about whether the extraction must be manual, automated, or robotized.

In order to minimize the errors that fatigue causes due to long-term processes, different motorized systems and, recently, automated or robotic procedures have been implemented.

Materials / method: Male patients between 30 and 55 years of age with baldness patterns III to V of Hamilton.

In order to extract follicular units with manual FUE technique, use punches blunts. When motorized, use the micromotor with straight handpiece. When robotized use Artas robot 9x. For every technique, I use punchs 0.9 and 1 mm.

6.25 cm2 adjacent areas were studied, with almost identical density and follicular units with an 1.9 mms extraction spacing.

The extraction time, number of incisions per area, total and partial transection and healing, robotic incision and implantation were studied.

Results: Preliminary results indicate that these devices are an ally for the Surgeon-Dermatologist.

In order to minimize the errors that cause fatigue due to long-term processes, different motorized systems and robotic must be used.

The extraction time is slower in manual and motorized with a single surgeon than in robotic, but is faster if two surgeons are involved.

Robotic has the best transection rate.

In all three techniques the healing was excellent without visible scars, preserving the natural appearance of the donor area.

Robotic implementation is slower than manual.

Conclusion: It is a pilot study and therefore with statistical limitations that only aims to guide the conduct of a larger study in terms of number of patients and variables.

The robotic aid seems to provide better extraction results, in terms of transection rate, than the manual and motorized techniques; and also it's faster than manual, being similar in terms of time when comparing to motorized, and the healing evolution is similar for all of them.

However, it has disadvantages: High purchase price, maintenance, update and cost per process.

Robotic incision and implantation don't overcome the manual

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability