Transplantation of beard follicle units to treat androgenetic alopecia in men
10.3760/cma.j.cn114453-20200407-00203
- VernacularTitle:移植胡须毛囊单位治疗男性雄激素性脱发
- Author:
Yong MIAO
1
;
Decong ZHU
;
Zhexiang FAN
;
Jin WANG
;
Qian QU
;
Ruosi CHEN
;
Chunhua ZHANG
;
Zhiqi HU
Author Information
1. 南方医科大学南方医院整形美容外科，广州 510515
- Keywords:
Hair transplantation;
Beard;
Androgenetic alopecia;
Follicular unit extraction
- From:
Chinese Journal of Plastic Surgery
2020;36(6):606-611
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and efficacy of transplanting beard to scalp using follicular unit extraction(FUE).Methods:Data obtained from hirsute patients with extensive alopecia who underwent hair transplantation between March 2017 and April 2014 at Nanfang Hospital were analyzed. Individual beard hair follicular units (FUs) were harvested under tumescence along the direction of beard growth, using a hollow acute punch with an inner diameter of 0.6-0.7 mm driven with a motor machine. The angle between the punch and the skin is adjusted according to the angle of the beard. The depth of the punch is usually between 2-4 mm and just breaks through the dermis of the skin. The rotation speed of punch is 2 500-3 000 r/min. The harvested FUs were implanted to the bald area. The total amount of FUs harvested and the rate of FUs transection were recorded for each patient. Follow-up examinations were scheduled at 3 days, 10 days, 1 month, 3 months and 9 months postoperatively to check for complications, wound healing and hair growth using portrait photograph and trichoscopy.Results:A total of 58 patients male patients with advanced androgenetic alopecia (AGA) (Norwood-Hamilton Ⅴ-Ⅵ) were included in this study. The average harvested FUs was 2 012±631 and the transection rate for beard FUs was(3.4±0.7)%. The incidence of donor folliculitis was 10.3%(6/58). Folliculitis was cured within 1-3 weeks after treatment. Although all the donor areas were healed normally, 62.1% (36/58) of the patients had remaining mild white spots under the trichoscopy. There was no visible hypopigmented scars observed in the bare areas post-operation. The satisfaction scores of both doctors and patients and the third party were 4.78, 4.40 and 4.76, respectively.Conclusions:Transplanting beard FUs to bald scalp using FUE is a safe and effective for severe androgenetic alopecia with abundant beard.
