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Hair transplant graft survival rate,
How much difference is there between
non-excision and excision methods?
Hello,
I’m Director Seong Eungyeong
of Cheongdam OK Clinic.

| ▶ Regular member of the Korean Academy of Aesthetic, Plastic and Laser Medicine |
|---|
| ▶ Regular member of the Korean Laser Skin and Hair Society |
| ▶ Regular member of the Korean Society for Obesity Research |
| ▶ Regular member of the Korean Filler Society |
| ▶ Regular member of the Korean Society of Aesthetic Surgery |
Basic differences between excision and non-excision methods
Hair transplantation is broadly divided into
excision and non-excision methods.

Before
The excision method involves cutting a certain width of the occipital scalp to separate follicular units,
while the non-excision method individually harvests hair follicles one by one.
Both methods aim for graft survival, but the approach process is different.

After
The excision method has the advantage of being able to secure a large number of follicles at once,
while the non-excision method is characterized by not leaving a linear incision scar.

Hair transplant graft survival rate
However, the graft survival rate itself is influenced more by follicle handling and the surgeon’s skill than by the method.
It is difficult to determine the outcome based on the method alone.
How does the risk of follicle damage differ?
Follicle damage is the most important variable during the harvesting process.

Hair transplant graft survival rate
In the excision method, follicles may be cut during the separation process,
and in the non-excision method, the roots can be damaged if the punch angle is incorrect.

Before
In other words, both methods have risk factors for damage.
What matters is the technique used to maintain the correct harvesting depth and angle.
Also, the longer the follicles are exposed to the outside after harvesting, the more it can work against graft survival.

After
Cooling storage and humidity control must be carried out thoroughly.
More than the method itself, how carefully the follicles are handled makes the difference in results.
Key factors affecting graft survival rate
Graft survival rate is not determined simply by the harvesting method.

Hair transplant graft survival rate
Blood flow in the transplanted area, whether there is scalp inflammation, and smoking habits all play a role.
The excision method is advantageous for achieving density because it allows large-volume transplantation, while the non-excision method tends to allow faster recovery of the donor area.


Before/After
However, there are also reports that, when properly performed, there is not a significant difference in graft survival rate between the two methods.
Ultimately, the key is how well the follicles are kept healthy.
Managing the surgery time is also important, and if it goes on for too long, it may be unfavorable for graft survival.
Differences in recovery management and selection criteria
The recovery process differs somewhat depending on the method.

Before
The excision method requires care of the sutured area, and there may be an initial pulling sensation.
The non-excision method creates many small dot-like wounds, but recovery is relatively quick.
However, for both methods, management during the first two weeks is important.

After
Strong friction or smoking can lower hair transplant graft survival rate.
It is necessary to follow the washing instructions accurately and wait for the scabs to fall off naturally.
Whichever method you choose, the decision should be made by considering your own scalp condition and the extent of the transplantation.
Rather than judging only by whether a scar remains, it is advisable to consider the number of follicles secured and the long-term density plan together.
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Hair transplant graft survival rate