Core Competencies for Hair Restoration Surgeons Recommended by the International Society of Hair Restoration Surgery

Background and Aim: Scarring is an important clinical problem that occurs because of skin damage. Each year, around 100 million individuals in the Western world develop new scars, some of which pose substantial issues for those who are affected. The purpose of this work was to compare the effect of platelets rich plasma (PRP) on hair transplantation in treatment of cicatricial alopecia Methods: This randomized control study was performed on 45 cases with 2ry cicatricial alopecia. The alopecic area of each patient was divided into two halves: 1st half (A) [hair transplantation without PRP injection] and 2nd half (B) [hair transplantation after intradermal injection of autologous PRP in recipient site intra-operative and two weeks postoperative]. Each patient was submitted to general examination, local examination of the donor and recipient sites, and laboratory investigations. Results: Our study suggests that it after hair transplantation is an effective treatment for cicatricial alopecia (CA). Conclusion: PRP has a high concentration of growth factors such as platelet-derived growth factor, vascular endothelial growth factor, and epidermal growth factor. Our study suggests that PRP is an effective treatment for CA.

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“…Our patients had mean age of 27.4±7. Between the ages of 30 and 50, 85.7 % of patients were males and 14.3 %were women [8].…”

Section: Discussionmentioning

confidence: 99%

Comparative Study on Hair Transplantation with or without Platelets Rich Plasma Effect in Treatment of Cicatricial Alopecia

Eleneen

Shoukr

Nofal

et al. 2022

JAMMR

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“…Nevertheless, successful outcomes continue to depend on a practitioner's knowledge including appropriate patient selection, hair line design, as well as graft placing techniques and technical competency. (18,19) As the popularity of FUE harvesting grew, so did reports of donor area damage from excessive graft excision and visible donor thinning and over harvesting. A need to identify limits was addressed by defining excision density and the development of mathematical models to help surgeons predict and prevent visible donor area thinning.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Follicular Unit Excision-Linear Ellipse Donor Harvesting Technique: Combining Standard Follicular Unit Excision with Follicular Unit Excision inside a Linear Strip (Modified Linear Strip Excision) to Optimize Graft Yield

Keene,

Susacasa,

Miranda

et al. 2023

Facial Plast Surg

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: Follicular Unit Excision (FUE) graft dissection has become the dominant method of donor harvesting globally, however, only a percentage of donor hairs can be excised inside the safe donor area (SDA) before visible donor thinning occurs. Compared to linear strip excision (LSE) where all follicular units inside the harvested ellipse of hair are used, FUE poses substantial limitations for life- time graft yield and, therefore, cosmetic coverage in patients with advanced pattern hair loss, especially when baseline density is average. Combining the donor harvesting methods of FUE and LSE has been shown to optimize graft yield while minimizing the risk of donor depletion from overharvesting. The latter risk increases with aggressive excision density using FUE. However, the LSE approach has had the drawback of requiring a team of assistants for microscopic graft dissection, usually between four and six specially trained assistants. Increasingly clinics have avoided the time and expense of staff and training by simply not offering the LSE method. This chapter describes a surgical technique called FUE-Linear ellipse (FUE-LE) where FUE dissection of grafts inside a demarcated linear ellipse eliminates the need for a large dissection team. Following FUE of hair inside the demarcated linear ellipse, the harvested ellipse is excised. Any remaining follicular units can be dissected by one or two assistants, and the empty ellipse discarded. For clinics already offering LSE, this technique reduces the dependency on specially trained graft dissectors. For practices that currently offer only FUE, the addition of the linear strip excision (LSE) method is possible without specialized staff training or associated equipment costs. FUE-LE allows clinics to combine donor harvest options to optimize graft yield, critical for patients with advanced pattern hair loss, and minimizes their risk for donor depletion while reducing costs of and dependency on large teams of graft dissectors.

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“…Hair restoration surgery has grown in popularity in recent years, expanding the demand for qualified hair restoration surgeons . The International Society of Hair Restoration Surgery (ISHRS) has developed Fellowship Training Guidelines that may be completed by any allopathic or osteopathic medical graduate, thus offering nonsurgeons the unique opportunity to train in a surgical discipline . Because hair restoration practitioners can be trained regardless of medical specialty, the physician network is diverse in experience and background.…”

Section: Introductionmentioning

confidence: 99%

“…12,13 The International Society of Hair Restoration Surgery (ISHRS) has developed Fellowship Training Guidelines that may be completed by any allopathic or osteopathic medical graduate, thus offering nonsurgeons the unique opportunity to train in a surgical discipline. 14,15 Because hair restoration practitioners can be trained regardless of medical specialty, the physician network is diverse in experience and background. To our knowledge, online ratings of American Board of Hair Restoration Surgery (ABHRS) surgeons have not been studied.…”

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confidence: 99%

Assessing patient satisfaction among ABHRS surgeons: Opportunities to improve

Hakimi

Yasmeh²,

Foulad

2019

J of Cosmetic Dermatology

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Potential patients are increasingly using online physician-rating portals to make initial health care decisions. In fact, a 2014 study by Hanauer et al concluded that 59% of patients identify online physician reviews as either "somewhat" or "very" important when selecting providers. 1 Mostaghimi et al demonstrated that 25% of patients reportedly view physician-rating websites prior to their initial appointment. 2 These reviews have become indicators of patient satisfaction, a factor that has been shown to affect clinical outcomes, patient retention, and medical malpractice claims. 3 As such, many medical specialties have studied physician-rating websites to qualitatively evaluate patient satisfaction. [4][5][6][7][8] Self-reported ratings and reviews have become especially prevalent in aesthetic surgery, reflecting the desire for social networking by patients regarding their physicians' quality of service. 9 Almost

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Core Competencies for Hair Restoration Surgeons Recommended by the International Society of Hair Restoration Surgery

Cited by 3 publications

References 1 publication

Comparative Study on Hair Transplantation with or without Platelets Rich Plasma Effect in Treatment of Cicatricial Alopecia

Comparative Study on Hair Transplantation with or without Platelets Rich Plasma Effect in Treatment of Cicatricial Alopecia

Follicular Unit Excision-Linear Ellipse Donor Harvesting Technique: Combining Standard Follicular Unit Excision with Follicular Unit Excision inside a Linear Strip (Modified Linear Strip Excision) to Optimize Graft Yield

Assessing patient satisfaction among ABHRS surgeons: Opportunities to improve

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