Describes how the role of the surgical assistant changes for follicular unit extraction surgery

1. FUE: The Surgical Assistant’s Role Tina Lardner Denver, Colorado ISHRS 19 th Annual Scientific Meeting Anchorage, Alaska September 14-18, 2011

5. Overview of FUE

7. 2. Assisting in Surgery Superior to the patient Opposite to the physician’s hand Prone, exposing occiput area Side, exposing temporal Area Surgeon Position Patient’s Position Assistant’s Position Patient’s Position

11. 3. Graft Extraction Challenge

15. 4. Graft Inspection

16. 4. Graft Inspection Sebaceous glands Terminal follicles: pigmented with bulbs extending to fatty layer Epidermis Dermis Fatty layer Bulbs Epidermal cap Miniaturized follicle

17. 4. Graft Inspection Transection Examples of telogen follicles

20. 5. Graft Placement

24. 5. Graft Placement Incorrect placement Epidermis is not flush with the skin and hair is pointing in the wrong direction Epidermis flush with the skin Correct placement Epidermis flush with the surface of the skin

27. 6. Post Op Care 1 Day Post-op: Scabs have formed 8 Days Post-op: Hairs in between extraction sites have grown out FUE Scars: Although scars are difficult to see, if hair is cut too short, they become visible

29. Thank you