Evaluation of Clinical Outcome of Hair Restoration by the Follicular Unit Extraction (FUE) Technique With Versus Without Adding (PRP)

Document Type : Original Article

Authors

The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Menoufia University, Shebin Elkom, Menoufia

Abstract

Background: Technique of adding versus not adding
(PRP) is a handy tool in the hair restoration field, particularly
when used in conjunction with hair transplantation
in preoperative preparation for the recipient site and postoperative
follow-up monthly injections for recipient and donor
site as it encourages graft survival, donor site healing, reduces
graft loss, improving overall final cosmetic results and patient
satisfaction with results.
Objectives: To evaluate clinical outcome and efficiency of
hair restoration by the follicular unit extraction (FUE) PRP.
Methods: A preliminary prospective study carried out on
24 patients at Menoufia University Plastic Surgery Department
outpatient clinics and other private clinics, from April 2019 to
July 2022. They were operated with FUE method of hair restoration,
half of them were pre and post treated with PRP, the
other half were not treated with PRP. Postoperative assessment
of graft survival and density, natural appearance and patient
satisfaction, donor site morbidity in the form of scarring, hypopigmentation,
or depletion in case of overharvesting. Followed-
up periodically at 3, 6, 9, and 12 months postoperative
and monthly for PRP for injection.
Results: 24 patients were asking for hair transplantation,
aged between 22 and 43ys with mean age of the non-injected
group is 33ys, the injected group pretreated and postoperatively
treated with PRP injections mean age is 35.17ys. No cases
of donor or recipient site necrosis, AV fistula or moth-eaten
appearance of donor. Poor graft growth after 1 year of followup < br />in the injected group was 0 while in non-injected group < br />was 0.08 level. Aesthetic outcome was assessed and compared
where the excellent in PRP-injected group was 6 (50%) and
satisfactory was 6 (50%) and there is no poor satisfaction results
were recorded. In non-injected PRP group excellent satisfaction
was observed in 3 (25%), satisfactory was observed
in 7 (58.33%) and poor observed in 2 (16.67%) of the operated
patient with overall superior patient satisfaction in PRP
injected group. 
Conclusion: The FUE technique of hair transplantation is
emerging popular and is more patient-friendly. Concerning hair transplantation, PRP's role in treating the donor site, promotes
the growth of transplanted hairs.
                                                                                                                                            C

Keywords

Main Subjects

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