Holding Solutions, Conditions, and Additives to Optimize Hair Follicle Viability and Function

Chapter

Abstract

Hair restoration surgery (HRS) has made great progress in regards to outcome and proper hairline design. The result is that the majority of HRS cases are considered “successful,” and this is reflected in the ever-increasing numbers of patients seeking HRS. However, issues with inconsistent growth and survival of follicular grafts have continued to plague surgeons. It is the inconsistency in patient outcomes that has focused attention on how to maintain maximal follicular graft survival. Follicular grafts are exposed to physical and biochemical trauma from the point of isolation to implantation. To address these issues, improved graft storage solutions and methods in which the grafts are isolated have been developed. Unlike organ preservation, follicular graft preservation has been poorly investigated, and there is no specific graft holding solution for HRS. In the majority of HRS, graft holding solutions are being used that are not intended for survival of follicular grafts. Further, the use of additives in the HRS process has not been sufficiently studied to understand how they may affect outcome. The purpose of this chapter is to explore the practical clinical limitations and benefits of current graft holding solutions and additives used in HRS.

Keywords

Follicular unit viability Preservation Solutions Conditions Treatments 

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© Springer Japan KK, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Energy Delivery SolutionsJeffersonvilleUSA

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