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Paciente de 35 años, sin tratamiento médico (había probado 10 años antes pero había abandonado), y una alopecia agresiva y avanzada para su edad. Donante corta por alopecia retrógrada (212 cm2) y receptora de 230 cm2. Números muy difíciles de cuadrar pero medicamos al paciente con finasteride diario e intentamos estrategia en 3 cirugías y posible refuerzo final. Donante:
Temporal: 50 μm ; 70 UF/cm2; 172 pelos/cm2; 2,46 pelos/UF; CV: 8,60.
Parietal: 52 μm ; 81 UF/cm2; 216 pelos/cm2; 2,67 pelos/UF; CV: 11,23.
Occipital: 55 μm ; 79 UF/cm2; 221 pelos/cm2; 2,80 pelos/UF; CV: 12,15.
TDA: 212 cm².
TDC: 8,375 grafts (a 2,64 pelos/graft).
TDHC: 22,114 pelos.
Se extraen 3001 grafts (6,916 pelos ), a 2,30 pelos/grafts, para 110 cm2 de frontal (26-33 grafts/cm2). Punch: 0.85mm.
Grafts: I-486; II- 1316; III- 1011; IV- 175; V- 13.
En esta primera operación el paciente hace un post-op complicado inmediato brutal con hiperreacción cicatrizal, fibrina y alteración de la hemostasia, que es resuelta con medicación.
A los 5 meses segunda cirugía. Donante:
Temporal: 50 μm ; 62 UF/cm2; 142 pelos/cm2; 2,29 pelos/UF; CV: 7,10.
Parietal: 52 μm ; 70 UF/cm2; 160 pelos/cm2; 2,29 pelos/UF; CV: 8,32.
Occipital: 55 μm ; 71 UF/cm2; 175 pelos/cm2; 2,46 pelos/UF; CV: 9,63.
TDC: 5,432 grafts (a 2,35 pelos/graft).
TDHC: 12,749 pelos.
Se extraen 3,052 grafts (7,797 pelos ), a 2,55 pelos/grafts, para 120 cm2 de coronilla (22-32 grafts/cm2) . Punch: 0.85mm.
Grafts: I-230; II- 1192; III- 1355; IV- 257; V- 18.
Esta vez íbamos prevenidos por lo que el postquirúrgico fue normal. Esperamos 10 meses para el refuerzo según el plan inicial. Donante:
Temporal: 50 μm ; 42 UF/cm2; 93 pelos/cm2; 2,21 pelos/UF; CV: 4,65.
Parietal: 52 μm ; 52 UF/cm2; 128 pelos/cm2; 2,46 pelos/UF; CV: 6,66.
Occipital: 55 μm ; 60 UF/cm2; 146 pelos/cm2; 2,43 pelos/UF; CV: 8,03.
TDC: 2,576 grafts (a 2,37 pelos/graft).
TDHC: 6,104 pelos.
Se extraen 3001 (2401 + 600 BHT) grafts (5,946 pelos ), a 2,48 pelos/grafts, para 93 cm2 de frontal (17-18 grafts/cm2) y 115 cm2 de coronilla (15 grafts/cm2) . Punch: 0.85/ 0.8 mm.
Grafts: I-226; II- 980; III- 1033; IV- 150; V- 11. VI-1
BHT: I- 515 II- 84 III- 1
Ahora sí, empezamos a tener una cobertura interesante. Emplazado para una cuarta intervención.
This patient, aged 35 and without medical treatment (he had tried it 10 years earlier but had given up), has an aggressive and advanced alopecia for his age. Short donor area due to retrograde alopecia (212 cm2) and large recipient (230 cm2). Numbers very difficult to match but we medicated the patient with daily finasteride and tried a strategy in 3 surgeries with subsequent final reinforcement. Donor:
Temporal: 50 μm ; 70 FU/cm2; 172 hairs/cm2; 2.46 hairs/FU; CV: 8.60.
Parietal: 52 μm; 81 FU/cm2; 216 hairs/cm2; 2.67 hairs/FU; CV: 11.23.
Occipital: 55 μm; 79 FU/cm2; 221 hairs/cm2; 2.80 hairs/FU; CV: 12.15.
TDA: 212 cm².
TDC: 8,375 grafts (at 2.64 hairs/graft).
TDHC: 22,114 hairs.
We extracted 3,001 grafts (6,916 hairs) to restore 110 cm2 in the front area (26-33 grafts/cm2). Punch: 0.85mm.
Breakdown: I-486; II- 1316; III- 1011; IV- 175; V- 13.
In this first operation the patient has a brutal immediate complicated post-op with scar hyperreaction, fibrin and alteration of hemostasis, which was resolved with medication.
At 5 months, 2nd surgery. Donor:
Temporal: 50 μm ; 62 FU/cm2; 142 hairs/cm2; 2.29 hairs/FU; CV: 7.10.
Parietal: 52 μm; 70 FU/cm2; 160 hairs/cm2; 2.29 hairs/FU; CV: 8.32.
Occipital: 55 μm; 71 FU/cm2; 175 hairs/cm2; 2.46 hairs/FU; CV: 9.63.
TDC: 5,432 grafts (at 2.35 hairs/graft).
TDHC: 12,749 hairs.
We extracted 3,001 grafts (7,797 hairs) to restore 120 cm2 in the crown (22-32 grafts/cm2) at 2.55 hairs/graft.
Punch: 0.85mm.
Breakdown: I-230; II- 1192; III- 1355; IV- 257; V- 18.
This time we were prepared so the post-surgery was normal. We waited 10 months for the reinforcement according to the initial plan. Donor:
Temporal: 50 μm ; 42 FU/cm2; 93 hairs/cm2; 2.21 hairs/FU; CV: 4.65.
Parietal: 52 μm; 52 FU/cm2; 128 hairs/cm2; 2.46 hairs/FU; CV: 6.66.
Occipital: 55 μm; 60 FU/cm2; 146 hairs/cm2; 2.43 hairs/FU; CV: 8.03.
TDC: 2,576 grafts (at 2.37 hairs/graft).
TDHC: 6,104 hairs.
We extracted 3,001 (2,401 + 600 BHT) grafts (5,946 hairs) to restore 93 cm2 in the front area (17-18 grafts/cm2) and 115 cm2 in the crown (15 grafts/cm2) at 2.48 hairs/graft. Punch: 0.85/ 0.8 mm.
Breakdown: I-226; II- 980; III- 1033; IV- 150; V- 11. VI-1
BHT: I- 515 II- 84 III- 1
Dr. Jose Lorenzo. www.injertocapilar.com. Madrid Spain
Негізгі бет 9054Grafts. NW VI. 3 step strategy. Below TDC(8k). BHT. Hyperreactive post-op(FAPD like). 2788/2022
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