A new practical classification for spatial distribution and morphology of human hair: Ahmad's<scp>LGMA</scp>classification

Malik, Anas

doi:10.1111/jocd.12427

Cited by 4 publications

(6 citation statements)

References 13 publications

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“…The “donor density” is the total number of hair visible in the donor area is documented as “hair per cm 2 .” There is a wide variation in hair density . The donor hair characteristics and their spatial orientation also influence the donor harvesting . The wide variety of punches and machines makes it difficult to choose the right combination.…”

Section: Discussionmentioning

confidence: 99%

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Battle of the punches: Comparison of transection rates of different punches during FUE

Mohmand¹,

Malik²

2019

J of Cosmetic Dermatology

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Objectives To know the transection rate using three different kinds of punches of the same size (0.9 mm). Materials and methods The study was conducted in 10 patients undergoing FUE. Informed consent was obtained from all the patients. In each patient, five areas of 1 cm2 were selected in three rows (each row having five areas of 1 cm2). For each row, one kind of punch (sharp, serrated, and blunt) was used. The rows were selected randomly (single‐blind). The machine was set at a constant speed of 1200‐1500 g. The grafts were harvested with the patient in lying position, the surgeon sitting on head side, and the harvesting started from the right side of the patient to left side. For each box, the FUs and hair were calculated. The harvested FUs were checked under microscope. Any transection (complete or incomplete) was calculated. All the data were collected and analyzed. Results The total hair yield was maximum with blunt punch (268.4) followed by serrated (247.2) and sharp (207.6). Similarly, the maximum FU yield was 155 using serrated punch followed by 154.4 by blunt and 147.2 in sharp punch. The hair:FUs was highest in blunt punch (1:1.738) vs serrated punch (1:1.595) vs sharp punch (1:1.410). The transection rate was highest with sharp punch (23.9%) followed by serrated (18.8%) and blunt punch (14.5%). Conclusion The graft:hair ratio was maximum using blunt punch. Sharp punch resulted in maximum transection rate with lowest graft:hair ratio.

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Section: Discussionmentioning

confidence: 99%

“…8 The donor hair characteristics and their spatial orientation also influence the donor harvesting. 9 The wide variety of punches and machines makes it difficult to choose the right combination. FUE involves the "cherry picking" of FUs with greater number of hairs.…”

Section: Discussionmentioning

confidence: 99%

Battle of the punches: Comparison of transection rates of different punches during FUE

Mohmand¹,

Malik²

2019

J of Cosmetic Dermatology

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“…There is variation among the hair angles within the same FU group which is attributed to the different arrangement of underlying hair follicles . Therefore, the assessment of the accurate hair shaft exit angle is important, and if the angles are acute, the injection technique can alter the exit angles which results in less transection and less physical fatigue of the operating surgeon.…”

Section: Discussionmentioning

confidence: 99%

“…There is variation among the hair angles within the same FU group which is attributed to the different arrangement of underlying hair follicles. 16…”

Section: Discussionmentioning

confidence: 99%

Analysis of the changes in scalp hair angles: In vivo and in vitro comparison before and after tumescence

Malik¹,

Mohmand²

2018

J of Cosmetic Dermatology

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“…During the last ten years, many authors have dealt with these two techniques and the way of harvesting follicular units from the donor region. However, a small number of authors have dealt with the method of making holes in the recipient region and determining the direction of future hair [2,4,[14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Determination of follicular direction and preparation of micrograft holes for hair transplantation

2019

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Introduction/Objective Hair transplantation is one of the fastest evolving procedures in aesthetic surgery and is accompanied by continuous improvement of new techniques. Hairline planning is one of the most important steps in hair transplantation. The shape of the hair also varies depending on the variation of facial shape so it is very important when determining hair direction and making holes for future grafts. Methods We used ordinary 18 gauge injection needles whose number was the same as the number of micrographs we planned for transplantation. Needles are administered in pile growth direction and angle, starting from the first row, and then proceeding to the second one and so on, until we insert all prepared needles. We insert them one in front of the other with a precision ease for future follicles. Results In all 56 patients, we obtained natural hair growth. Inserting the needles reduced bleeding and the average time of the operation was three hours. The success of grafting was 95%. We only had one infection in one patient. Hair growth corresponded to the needle insertion. After a year of transplantation at the last control, the patient's satisfaction was 100%. Conclusion By using the same number of needles as the number of grafts we reduced operating time, we had a better determination of the direction of hair growth, we can prevent follicular extraction that can be caused by new needle insertion, and this technique achieved a good aesthetic result.

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A new practical classification for spatial distribution and morphology of human hair: Ahmad'sLGMAclassification

Abstract: It will help the hair restoration surgeons and dermatologists to identify the various pattern and also to help in deciding the appropriate size of the punch in FUE.

Cited by 4 publications

References 13 publications

Battle of the punches: Comparison of transection rates of different punches during FUE

Battle of the punches: Comparison of transection rates of different punches during FUE

Analysis of the changes in scalp hair angles: In vivo and in vitro comparison before and after tumescence

Determination of follicular direction and preparation of micrograft holes for hair transplantation

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