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The following article was presented at the 19th Annual International Society of Hair Restoration

FUE Donor Harvesting All Over the World, Our Experiences Considering Ethnical Varieties

By Frank G. Neidel, MD, and Karin Leonhardt, MD
International Society of Hair Restoration Surgery 19th annual scientific meeting
October 2011
Anchorage, Alaska
Frank G. Neidel, MD, approved surgeon, works in the field of hair transplantation since 1991. He performed since then about 6,000 hair transplant procedures.

He has experience with all common procedures, such as micro-holes, micro-slits, laser-assisted hair transplant, strip harvesting, FUE. In his office "Hairdoc" in Dusseldorf Germany, he does exclusively hair transplantation and reduction of scalp (Frechet Extender). He trained other in this field interested - collegues from Germany and Europe - he gives support to different clinics in Europe to secure quality in hair transplantation.

Frank Neidel is president of the German Society Hair Restoration Surgery, secretary of European Society Hair Restoration Surgery and member of the ISHRS.

F.G. Neidel: None. K. Leonhardt: None.

ABSTRACT
Introduction:
We have been performing strip harvesting for more than 20 years now on a daily basis in our clinics and in addition ye started FUE harvesting on a regular basis two years ago. When starting something different it is very important ID critically examine the procedure and the result.

Premise:
We have a precise protocol of harvesting to get data about our quality of work considering different aspects. Hut every FIJIE is easy, there are good days and bad days. Why?

Substantiating data:
We first thought that we needed to find the perfect instrument to make the procedure easier. We started out with a Tdamum hand punch We got better and faster with this technique but still had some patients where we had dh~culties. Sometimes follicles got damaged due to a "three dimensional fault", sometimes the harvesting was more difficult in the temporal areas, sometimes there were differences between left and right and between surgeon assisting staff.

We tried a rotating motor punch which we were already accustomed to from the time of using micro holes as recipient sites We found out that some patients had better results with the hand punch and some had better results with the rotating motor punch The motor punch was faster than the hand punch We then tried an oscillating motor punch, which combines advantages of both techniques. We also added a blunt punch to our tools and will show the advantages and disadvantages of all the tools.

Discussion:
So why not one tool for all patients? Take a look at our patients and try to find out for yourselves why certain techniques might work better than others. We will continue our strive to find the best individual treatment for all of our patients even if sometimes we have to make compromises.