A Refined Open Donor Harvesting to Minimize Follicular Transection

  • Damkerng Pathomvanich


Strip excision is by far the most common method currently used for donor harvesting in hair restoration surgery throughout the world [1, 2, 3, 4, 5, 6]. Although there are many different techniques in strip excision, almost all are blind techniques. The surgeon’s skill and experience are required in keeping the scalpel blade parallel to the hair shaft to minimize transection. What appears to be a straight hair may have the root curved in an unpredictable direction. Hair follicles are arranged not in orderly but in random rows. Even hairs in the same follicle may be found in different planes and angles. The worst scenario is obviously the curly hair where it is impossible to parallel the blade with the hair shaft. Hair transection during blind cutting is inevitable.


Hair Follicle Dermal Papilla Hair Shaft Layer Closure Open Donor 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Unger W (1995) The donor site. In: Unger W (ed) Hair transplantation. Dekker, New York, pp 183–212Google Scholar
  2. 2.
    Rassman W, Carson S (1995) Micrografting in extensive quantities. Dermatol Surg 4:306–311CrossRefGoogle Scholar
  3. 3.
    Nordstrom EA (1995) An alternative method of evaluating efficacy of technique. In: Unger W (ed) Hair transplantation. Dekker, New York, pp 67–68Google Scholar
  4. 4.
    Bernstein R, Rassman W (1999) The logic of follicular unit transplantation. Dermatol Clin 17:277–295CrossRefPubMedGoogle Scholar
  5. 5.
    Haber R, Stough D (1996) Accurate estimation of grafts requirements when using multi-blade knives. In: Haber RS, Stough DB (eds) Hair replacement: surgical and medical. Mosby, St. Louis, pp 138–142Google Scholar
  6. 6.
    Limmer BL (1996) Elliptical donor stereoscopically assisted technique. In: Haber RS, Stough DB (eds) Hair replacement: surgical and medical. Mosby, St. Louis, pp 133–137Google Scholar
  7. 7.
    Parsley W (2005) Ploneer of the month: Arturo Sandoval Camarena, MD. Hair Transplant Forum 15(6)Google Scholar
  8. 8.
    Pathomvanich D (1998) Donor harvesting, a new approach to minimizing transection of the hair follicle: Hair Transplant Forum 8(5):1,4–5Google Scholar
  9. 9.
    Pathomvanich D (2000) Donor harvesting: a new approach to minimize transection of hair follicles. Dermatol Surg 26:345–348CrossRefPubMedGoogle Scholar
  10. 10.
    Stough DB (2006) Tension donor harvesting. Video in Haber R, Stough D (eds) Hair transplantation. Elsevier Saunders, PhiladelphiaGoogle Scholar
  11. 11.
    Arnold J (2002) Harvesting donor tissue in African-Americans. Cyberspace Chat. Hair Transplant Forum 12(4)Google Scholar
  12. 12.
    Mayer M (2006) Report on Haber spreader technique at European Society of Hair Restoration Surgery: 9th Annual Congress and Live Surgery Workshop. Hair Transplant Forum 4(127)Google Scholar

Copyright information

© Springer 2010

Authors and Affiliations

  • Damkerng Pathomvanich
    • 1
    • 2
  1. 1.DHT ClinicBangkokThailand
  2. 2.Bumrungrad HospitalBangkok

Personalised recommendations