Enhancing Graft Survival Rates in Follicular Unit Excision: A Chinese Expert Consensus on Perioperative Procedures.

Zhang, Jiaxian; Zhang, Jufang; Wu, Wei; Jiang, Wenjie; Li, Yufei; Xie, Xiang; Zhang, Dongyi; Gong, Zhenyu et al. · Plast Reconstr Surg · 2025

expert_opinion · Level V

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Abstract

The survival rate of grafts, a critical metric for evaluating the postoperative outcomes of follicular unit excision (FUE), can be significantly improved through standardized perioperative procedures. This expert consensus aims to provide evidence-based recommendations to health care professionals in the field of hair transplantation to enhance graft survival rates. A systematic review was conducted on all clinical issues related to the graft survival of FUE. Each clinical issue was evaluated by a panel of experts, leading to the development of consensus recommendations. This consensus offers recommendations on 7 clinical issues related to FUE: preoperative preparation, graft harvest, external dissection and trimming, graft preservation, graft implantation, postoperative care, and complication prevention. Each of these issues is discussed in detail within this review. An expert consensus was established to enhance graft survival rates, based on the best available evidence for each clinical issue.

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