From Scalp Flaps to Follicular Units: A Historical Perspective on Hair Transplantation Techniques

    February 2025 in “ Dermatologic Surgery
    Camille Moeckel, Georgios Chacharidakis, Stavros Balasis, Dawn Queen, Marc R. Avram, Gianna Panagiotopoulou
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    TLDR Hair transplantation is the best method for restoring hair, especially for genetic hair loss.
    This review article provides a historical overview of hair transplantation (HT) techniques, tracing their development over the past 200 years. It highlights key contributions from pioneers like Dieffenbach, Hodara, and Okuda, and discusses significant milestones such as punch grafting, follicular unit transplantation (FUT), and follicular unit extraction (FUE). FUT focused on natural follicular grouping, while FUE offered minimally invasive methods with quicker recovery and improved aesthetics. Recent innovations include robotic-assisted procedures and bioengineered follicles, emphasizing precision and patient-centered care. The article concludes that HT remains the most effective method for hair restoration, especially for androgenetic alopecia.
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