Strip Method

The strip method obtains hair from back of the head in the form of pilary lappets (strips of skin covered with hair).

A strip of skin several centimeters wide is cut from the donor zone. The surgeon cuts a strip from the back of the head and then stitches the skin back together using degradable thread. The stitch dissolve a short time after the operation and after the incision has completely healed. After 9 to 12 months, following the appearance of a full growth of hair, the small amount of scar tissue from the extraction becomes virtually invisible.

The strip method of hair restoration is suitable for patients with levels III–VII of androgenetic hair loss as defined by the Norwood scale.

Through the use of the strip method it is possible to extract a large number of grafts (up to 6,000) per surgery.

Furthermore, repeat surgery can be performed within one year of the procedure.

A few stages of hair transplant surgery using the strip method are demonstrated below:

1. Preparation for strip hair transplant

You can watch a video of preparation for strip hair transplant.

2. Cutting out of the pilary strip

Hairs for transplant are extracted from the donor zone on the back of the patient’s head in the form of pilary strips of skin.

Local anesthesia is applied to the donor zone, and then the hair on the area is carefully cut.
Local anesthesia is applied to the donor zone

Then the surgeon cuts a pilary strip of a desired size from the donor zone:
Pilary strip cutting

3. Stitching of the donor zone

After the strip is removed, the surgeon carefully seals the donor zone with degradable stitches. The process is carried out with the utmost precision and care to ensure that scarring is kept to a minimum:
Stitching of the donor zone

Within a year the scar becomes a very slightly built strip, invisible even in the case of a very short haircut. This is how the stitching appears just after the donor zone is closed:
Donor zone after

4. Graft processing

You can also watch a video of grafts processing.

After the donor material is extracted, a team of assistants consisting of 6–12 persons (depending the scale of the surgery) processes the material, dividing it into separate follicular units – grafts:
Team of assistants processes grafts

Assistant at microscope

The lead assistant divides the strip into small parts which will then be processed by other assistants afterwards:
Assistant devides the strip

Separate grafts are obtained from these small parts of skin. These grafts are then stored in special containers filled with saline solution:
Assistant prepares grafts

The grafts are then stored in their containers in a refrigerator at a temperature of 4°C:
Refrigerator with Petri dishes

Petri dishes with grafts

Hair grafts

4. Recipient sites creation

You can also watch a video of recipient sites creation.

Meanwhile, the surgeon begins the creation of the recipient sites on the patient’s head in the recipient area. He opens all the necessary pores for the transplant in advance in order to reduce the time of the next stage of surgery:
Pores creation

Akaki Tsilosani

The recipient sites are created using very thin needles and a limited length that protects the recipient area from an excessive trauma and aids the skin’s recovery:
Thin needle

We use different size needles for different hair grafts:
1 hair grafts – 21G needles (0.8 mm diameter) or 0.75 Sharpoint micro blade.
2 hair grafts – 20G needles (0.9 mm diameter) or 1 mm Sharpoint micro blades.
3–4 hair grafts – 19G needles (1.1 mm diameter) or Sharpoint 15 micro blade (1.5 mm).
Different needles

The number of created recipient sites is counted by a specialized device in real time, thus enabling the patient to view how the procedure is progressing:
Pores counter

After creating the necessary number of recipient sites, the surgery moves through to the last stage:
Pores creation at the crown area

5. Graft implantation

You can also watch a video of grafts implantation.
In the last stage of the surgery, assistants fill the newly-opened pores with the grafts:
The process is conducted by 3–5 assistants

The process is conducted by 3–5 assistants, thus greatly reducing the duration of the surgery. The assistants handle the grafts very carefully with the use of special micro tools and magnifying equipment, to ensure that the grafts are transplanted intact. Thus, the maximal survivability of grafts is ensured:
Assistants fill the newly opened pores with the grafts

6. Following the transplant

On completion of the surgery the patient can go home alone. He suffers no pain or loss of circulation after the anesthetic has worn off. There is also no need to take any further medication. This is how the patient’s head looks immediately following the hair transplant:
Patient`s head immediately after the hair transplant

 

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