■ Remove a trapzoidal donor strip with the base of the trapezoid in a caudal position!
■ Avoid transection of the hair follicles by making an incision at an angle of about 450 and cutting exactly parallel to the direction of hair growth.
■ The upper incision angle can vary. Use a magnifying device with a power of 2X. Multiple incisions at the same location cause transection, and thus destruction, of the hair follicle.
■ Cautiously excise the strips; pull gently to detach them below the hair roots in the fatty layer.
■ Do not injure the vascular-neural bundle. To avoid injuring the galea at all costs, the best policy is: hands off the galea!
■ Place the harvested strip into a sterile cooled 0.9 % saline solution immediately.
■ No mobilization. No opening of the galea.
■ Hemostasis should be carried out on the galea only and not near the hair follicle.
■ Pull the edges of the wound together over the donor site using monofilament absorbable sutures (2x0 or 0), e.g., Monocryl.
■ Insert the needle into the skin and out again below the hair roots; use a concealed knot. With this technique, the wound edges are already optimally adapted; smaller hemorrhages are automatically compressed.
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