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Surgery of hair
transplantation Transplant operations are performed on an outpatient basis, with mild sedation (optional) and injected topical anesthesia, and typically last about four hours. The scalp is shampooed and then treated with an antibacterial chemical prior to the donor scalp being harvested. The surgeon harvests a strip of skin from the posterior scalp, in an area of good hair growth. The excised strip is about 1-1.5 x 15-30 cm in size. While he is closing the resulting wound, assistants begin to dissect individual follicular unit grafts from the strip. Working with binocular microscopes, they take great care to remove excess fibrous and fatty tissue without damaging the vital follicular cells that will produce the patients' first crop of new hair. The surgeon then uses a fine needle to puncture the sites for receiving the grafts, placing them in a predetermined density and pattern, and angling the wounds in a consistent fashion to promote a realistic hair pattern. The assistants generally do the final part of the procedure, inserting the individual grafts in place. The finest surgeons can place more than 50 grafts per square centimeter in order to get a good density and appearance. In a "megasession", they may perform more prolonged surgeries, placing more than 2500-3000 grafts, reportedly even 6000 grafts, in one sitting.
Important notes for
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