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

Abstract

Background: Technique of adding versus not adding(PRP) is a handy tool in the hair restoration field, particularlywhen used in conjunction with hair transplantationin preoperative preparation for the recipient site and postoperativefollow-up monthly injections for recipient and donorsite as it encourages graft survival, donor site healing, reducesgraft loss, improving overall final cosmetic results and patientsatisfaction with results.Objectives: To evaluate clinical outcome and efficiency ofhair restoration by the follicular unit extraction (FUE) PRP.Methods: A preliminary prospective study carried out on24 patients at Menoufia University Plastic Surgery Departmentoutpatient clinics and other private clinics, from April 2019 toJuly 2022. They were operated with FUE method of hair restoration,half of them were pre and post treated with PRP, theother half were not treated with PRP. Postoperative assessmentof graft survival and density, natural appearance and patientsatisfaction, 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 postoperativeand monthly for PRP for injection.Results: 24 patients were asking for hair transplantation,aged between 22 and 43ys with mean age of the non-injectedgroup is 33ys, the injected group pretreated and postoperativelytreated with PRP injections mean age is 35.17ys. No casesof donor or recipient site necrosis, AV fistula or moth-eatenappearance 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 comparedwhere the excellent in PRP-injected group was 6 (50%) andsatisfactory was 6 (50%) and there is no poor satisfaction resultswere recorded. In non-injected PRP group excellent satisfactionwas observed in 3 (25%), satisfactory was observedin 7 (58.33%) and poor observed in 2 (16.67%) of the operatedpatient with overall superior patient satisfaction in PRPinjected group. Conclusion: The FUE technique of hair transplantation isemerging popular and is more patient-friendly. Concerning hair transplantation, PRP's role in treating the donor site, promotesthe growth of transplanted hairs. C