Graft Preparation: Slivering and Dissecting
The initial step of slivering the donor tissue into smaller units is the most crucial and technically exacting step. This use a single assistant who is very precise and capable of this step assures minimal transection of follicles. We apply a horizontal (coronal) slivering using x4 prismatic loupe or under 5-power magnifier with special designed plate give us faster and easier for further dissection.
To avoid unnecessary follicular transection, all graft production is accomplished under 10-power magnification binocular stereo-microscope and carefully trimmed into individual follicular unit graft then grouped separately into 1-hair, 2-hair, and 3-4 hair graft. Grafts are kept immersed in chilled holding normal saline solution at all the times.
We have a bacteriostatic humidifier running constantly during the surgery helps add moisture to the air and reduces graft drying.
Piece of donor strip is slivered into thinner slices.
Slivers of donor strip.
Grafts are prepared under 10 times magnification stereo-microscope.
Graft dissection (small slivers are separated into each follicular unit).
1-4 hairs follicular unit grafts.
Each follicular unit is grouped and submersed in chilled normal saline ready to transplant.