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Linear Slot Grafting

Reprinted with permission from Dr. Hitzig's office

Hitzig Schwinning Medical Group, LLC

Creating a "Perfect Fit".

Linear slot grafting was developed so that a slightly larger 4 to10 hair graft could be transplanted without the cosmetic limitations of round grafts or the compression of slits. The muti-blade scalpel can excise donor strips with a width equal to the length of the slot incision. This makes it easy to dissect narrow (0.5mm) linear hair bearing grafts. These narrow linear grafts contain "Coupled Follicular Units" (CFU's). These CFU's are groups of follicular units in natural distribution. The spacing between follicular units is the same as it is in the donor area. With the use of the Redfield Slot Punch* (Redfield Corp., Montvale, NJ) a similar size sliver of bald recipient tissue is removed creating a  "perfect fit"  for the linear graft. The receptor scalp integrity is not altered or compromised because corresponding tissue replaces the bald tissue removed and the ultimate growth appearance is natural because the hairs are not compressed or distorted. It also exponentially increases the speed of the procedure and significantly lessens the X factor (manipulation, drying, crushing and striping of grafts) thereby insuring minimal hair loss in the transfer.

At Hitzig Schwinning Medical Group, LLC,  we have seen that without graft distortion, the hairs grow softly and rarely does the patient experience the frizziness or kinky hair growth that often occurs after traditional round grafts or larger slits. Due to the narrowness of the grafts they can safely be placed closer together than round mini grafts. Within the frontal zone we will typically create a 1 to 2cm hairline zone of small 1-3 hair follicular units, progressively followed by larger linear grafts as we move anterior and central on the scalp. The spacing between 0.5mm x 2.5mm linear grafts behind the hair line zone is typically 1mm apart. To fill gaps between slot incisions small slits containing single follicular units are used. By staggering the larger linear graft into the anterior of the hairline zone we are able to blend the hairs creating a very natural appearance with significant density in a single session. Healing is quick and virtually undetectable. The use of GraftCyte Moist Dressings and Concentrate Spray in the post surgical protocol has helped enhance healing and minimize hair shedding after transplantation.

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