Graft Insertion and Placement
- Two-forceps Technique
After the sites are created (Pre-made technique), and as the ongoing work for dissecting grafts under the microscope proceeds, members of the team begin the fine work of placing the individual FU grafts. We use “two-forceps technique”; this is done, under magnification, by gently grasping the delicate connective tissue at the base of the graft with ultra-fine jeweler’s forceps in dominant hand, and use another forceps open its waiting slit and insert the graft into it. This method is less crush injury of graft than one-handed technique.
Special graft holder
More over, ‘stick-and-place’ technique is used by the end of procedure to add up density and on the temporal area and eyebrow which the angle and direction of hair is downward and very steep. These are more difficult even than it sounds; the level of expertise required is nothing short of amazing. Not only must the FU’s be placed at the appropriate angle, with as little trauma as possible, but it must be done quickly and smoothly; remember that we try to minimize the number of hours that the grafts are "out of body", and that we may be creating and placing thousands of grafts. This procedure is not possible with out a large, expert and highly motivated surgical team.
Of all the steps of the surgical procedure, this graft placement phase may be the most relaxing, or boring, for the patient. Many patients will "unwind" and nap during this time. Hours may go by just sitting and chatting; this is where music and movies may be a blessed relief. These are not distracting to the operative team; they are used to maintaining high levels of concentration during hair transplants.
At the end of the procedure, a final check is made to insure that every graft is in place, that no "popping" or extrusion of FU’s has occurred, and that no bleeding is taking place. The hair is dampened and combed very carefully, again to avoid any graft displacement.
Stick-and-place technique in eyebrow transplantation