STRIP, hair transplant

Faster and slightly less expensive than FUE
Scalp excision, hence risk of postoperative pain and of visible scar

Indicated in case of average or even low hair density, or no acceptance of shaving by the patient.

 

PRINCIPLES :

Transplanting micro-grafts (1 to 4 hair follicular units) from the donor area (back and sides of the head) spared by alopecia to the recipient area, affected by alopecia.

Use of magnifying-loupes for the surgeon to work in augmented reality

SURGICAL PROCEDURE STEP BY STEP :

1. Local anesthesia of the sampling area (donor area)

2. Harvesting of follicular units (grafts) a strip of scalp is shaved or not (option long hair) and then extracted with a bistouri / scalpel in the donor area.

3. Suturation of the area of extraction of the strip with absorbable suture, so the stitches fall spontaneously after two weeks.

  • The technique of trichophytic closure allows hair from the donor area to regrow through the scar, so as to conceal it.
  • When suturing is done well, by a good surgeon, even without trichophytic closure, the linear scar is thin and discreet (0-2 mm wide), but in many patients it has been observed a large scar, thick, and often painful.
  • Some surgeons voluntarily limit the width of the strip (1 cm) to obtain a fine scar (no tension between the edges to be sutured).

4. Conservation, cutting, and sorting of grafts:

  • The strip is then placed in a preservation solution, and cut manually (by the medical team) into thin slices of 1 to 2 mm, and in follicular units (1 to 3 hairs or 4), using a bistoury with several blades and a stereoscopic microscope / magnifying glasses.
  • This is a crucial step that must be performed quickly (by a large team, minimum of 4 experienced assistants and nurses) as the result of the operation depends on the quality of the prepared grafts (risk of loss of grafts 15 % to 30% in case of bad spliting).

5. Implantation : the follicles (grafts) are implanted in the recipient area of the scalp (often shaved to faciliate the procedure):

  • either with micro clips (at the location of the micro incisions made previously with a micro blade or a fine needle)
  • or directly (without micro-incisions) with a pen-implanter also named "Choï implanter" (requires more handling).

PRECISIONS

Duration

  • The whole procedure takes usually 2 hours for 500 / 600 grafts, 4 hours for 2000 grafts, 6 hours for 3000 grafts...
  • Maximum in one session : usually 4500 grafts, sometimes up to 6000 if the best conditions are met...

More infos about STRIP technique : read more..

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