Local Anesthesia Techniques in Hair Restoration Surgery

Abstract

Pain during hair restoration surgery and other dermatologic surgery procedures is one of patients' main fears. The authors briefly describe local anesthesia techniques they use in their surgical practice that make these procedures more pleasant for patients. The ability to provide a pain-free experience during hair restoration surgery will increase patients' satisfaction and allow patients to return for subsequent procedures.

Clinical significance of Vibration Anesthesia on reducing pain of Ring-Block (Subcutaneous Injections) in the patients undergoing Hair Restoration Surgery

“…The stimulus which reaches the brain irst is perceived irst [3]. Various studies have been mentioned in which vibration anaesthesia has been used to reduce the pain, however there are a few studies which also describe its use in hair restoration surgery [12,13].…”

Short-Term Efficacy of Autologous Cellular Micrografts in Male and Female Androgenetic Alopecia: A Retrospective Cohort Study

“…Under local anesthesia, using anesthesia techniques which were previously described by the author, 22 a 2.5 mm punch biopsy was used to extract 3 scalp tissue specimens from the patient’s occiput behind the ear, using Rigeneracons medical device (CE certified class I; Human Brain Wave, Turin, Italy). The collected specimens are placed in Rigeneracons by adding 1.5 mL of sterile physiologic solution to the device.…”

“…Yet, the few published reports provide promising results, showing an increase in hair density and thickness in a high percentage of patients. 22 , 37 , 38 However, these studies comprise limitations that impede the generalizability of the findings, notably due to limited sample size.…”

Anesthesia Techniques for Harvesting via Follicular Unit Excision

“…Some hair restoration surgeons employ nerve blocks routinely, particularly for anesthesia of the recipient areas (frontal hairline, frontotemporal angles, and midscalp). 5,6 A nerve block of the greater occipital nerve, the lesser occipital nerve, the auriculotemporal nerve, and the zygomaticotemporal nerve is used by some surgeons for anesthesia of the donor area for FUE. In my experience, this nerve block is not sufficient to provide adequate anesthesia to the entire donor Fig.…”