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    The first step in this procedure is the removal of the donor strip from the recipient site. It is important to do this in a way that ensures minimal damage to the donor hairs and minimal scaring to the donor area after the tissue is sutured together. First, the physician has to identify the safe donor area, which is the portion of donor hair that is meant to last forever. It is important to wet the hair while making this determination as this will reveal the true safe area. Then the hair is cut short at the site where the strip is going to be removed. At SMG we like to keep this hair a little longer for three reasons: It makes it easier to follow the angle of the hair when we make the incision; It makes it easier to handle the graft at the later placing stage; It gives a better preview of how the transplant is looking and makes it easier to do any fine tuning that is needed to create a perfect result.

    • Choosing Safe Donor Area
      Wet Hair to Reveal Risk Area


    • Leave Donor Hair Long
      Helps With Placing


    Before actually removing the donor strip, it is important to be able to evaluate the donor area density so the correct amount of tissue can be and the correct amount of grafts created. At SMG we use digital technology and software to photograph and measure the donor density. We also test the laxity of the scalp in order to calculate the safe amount of tissue we can remove without causing tension or scarring. We use a tool called a “Laxometer” to accurately access the laxity.

    We have each patient do scalp stretching exercises before their procedure to ensure the greatest laxity possible. In addition for the last 3 years we have been able to use a medication called “Vitrase” that can be injected into the Donor are and increase laxity thereby decreasing the chance of scarring.

    • Measure Donor Density
      1 CM Circlecm1
    • Check Donor Laxity
      1-2 CM Depending On Laxitycm2

    Dr. Shapiro uses true, 5.0 power surgical loops to magnify the area of tissue removal in order to better follow the exact angle of the hair and prevent damage. Some do not use this level of magnification, but we feel the greater the visibility and magnification, the less chance of damaging hairs. After the strip is removed the donor area is sutured closed with a recent advancement called a trichophytic closure. This technique helps limit any scar that develops in the donor area because it allows hair to grow through the scar and camouflage its visibility.

    • DONOR STRIP REMOVEDFollow angle of


    • DONOR SUTUREDTrichophytic


    • DONOR SUTUREDIncision hard to see



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“Thank you very much for your attention. I am very happy with the results of the surgery. After 3 months only I already have full hair coverage in all the affected areas and don’t need to use the hair clips like I used to do for many years. Please give my beast regards to Dr. Shapiro and the team...”Read More

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