FUE in Egyptian
There is a wide variety of various characteristics of hair in different parts of world among different races. Here we would like todiscuss various points to be taken into consideration while taking up a case of hair transplant by FUE technique in an Egyptian patient.
A 33 years old Egyptian male came to us with progressive patterned hair loss from front part of scalp since last 5 years with positive family history. On examination, thinning of hair was seen in front as well as mid scalp extending up to crown and sparing of hair of back and side of scalp. The diagnosis of androgenic alopecia with NH Grad III (Vertex) was made (Fig 1). The patient was advised to undergo hair transplantation by FUE technique to cover the frontal bald area with 1500 grafts and to treat the crown with medical treatment. So, we would like to discuss the challenges one should be ready to encounter while operating upon an Egyptian patient.
The facial features of this gentleman from Egypt were a mixture of Negroid and Caucasian with more similarities towards Negroid. However, it was longer and slightly narrower (dolichocephalic tomesocephalic) than rest of the people.
The hair characteristics were kinky to curly hair with relatively low density and black in color. The hairwere in the form of a spongy zigzag, coiled, springy pattern that had a lot of shrinkage. As a result it had a natural tendency to tangle.
The hair follicles were also placed superficially as compared to the average Indian population despite the average length of 4-5mm. The lower portion of follicle was situated more parallel to skin surface contrary to straight or wavy hair in which follicles are perpendicular to skin. The density of hair was also less ( 60 FU/cm2)
Technique of FUE
There was no difference in patient preparation and local anesthesia. But there were subtle variations at the time of slit making, extraction and implantation which are enumerated as follows:
Hair transplantation in Egyptian is a different and complex entity. A modification of the technique by the surgeons, keeping in mind the above-mentioned differences can give cosmetically pleasing results.