FUE, el último avance técnico importante en la cirugía de restauración capilar, es un método utilizado para la recolección de injertos.
Con la técnica FUE, un gran número de folículos pilosos se puede cosechar en un solo día.
El método FUE tiene un excelente potencial de nuevo crecimiento y la tolerancia al trauma por parte de los pacientes, dejándolos sin ningún tipo de cicatrices importantes.
Cada unidad folicular individual se obtiene directamente del cuero cabelludo, en lugar de partir de una tira de tejido donante que se ha extirpado del cuero cabelludo.
La técnica FUE originalmente se lleva a cabo manualmente utilizando punzones de mano de varios tipos con el fin de extraer las unidades foliculares de uno en uno.
En general, cualquier paciente que es un candidato adecuado para la restauración del cabello es un buen candidato para esta técnica.
Además, un paciente puede ser un mal candidato para una operación mediante tira, puede lograr un excelente resultado con FUE.
› Es posible rapar la cabeza sin ninguna cicatriz visible (pelo se puede llevar a <2 mm.). › No suturas y ninguna cicatriz lineal permanente. › Tiempo de curación: disminución del dolor postoperatorio › Menos límites sobre las actividades postoperatorias. › Ideal para un número limitado de injertos. › Ideal con condiciones del cabello donante de baja densidad › Extracción de injertos capilares indeseables. › Eliminación de la distorsión del ángulo de crecimiento del cabello permanente. › Ideal para reparar la cicatriz de la zona donante. › Operación de cabello donante con baja densidad, › Citoreducción y minigrafts › Eliminación de grafts no deseados en el cuero cabelludo › Extracción de pelo corporal › No distorsión permanente de los ángulos de pelo creciente
El método FUE implica un gran proceso de aprendizaje y requiere paciencia, resistencia física, resistencia,habilidad, coordinación excepcional y excelentes habilidades motoras manuales.
FUE se puede realizar bien o mal, como en cualquier otra forma de cirugía.
FUE manual es un método de extracción muy recomendable para la protección de la zona donante y la prestación de los injertos de buena calidad.
Un tipo de técnica FUE fue desarrollada especialmente para la extracción en Asmed, la llamada "(DES) técnica secuencial" y está siendo utilizado en todas las cirugías. (Video)
El objetivo fundamental de cualquier trasplante en Asmed es lograr la homogeneización sobre toda el área del cuero cabelludo. Esto se logra cuando se utilizan todas las partes de la zona donante en la distribución aleatoria. Con FUE, incluso después de varias sesiones, la zona donante parece ser sólo un poco menos densa de lo que era antes, pero esto sólo es evidente si se hace una inspección cercana.
Cada cráneo es diferente con diferentes contornos y formas, creando así un cambio constante en la dirección y el ángulo del cabello. Mediante la magnificación visual y la sensación táctil, el médico puede procesar visualmente y mentalmente matices sutiles de las características de la piel y del pelo, extrayendo de este modo la unidad folicular con precisión. De acuerdo con los parámetros del folículo extraído (condición y características), se pueden hacer ajustes en el momento oportuno. Esta importante opción permite una retroalimentación inmediata durante la cirugía.
Una megasesión se denomina al trasplante de un gran número de injertos en una sola sesión. En Asmed, este tipo de cirugías cirugías se realizan con gran éxito.
Las ventajas de un megasesión son: el mismo resultado final y además la comodidad de la realización de la cirugía durante una sola sesión en lugar de en varias sesiones.
El éxito de la megasesión requiere el dominio en la ejecución de las aberturas y el uso de técnicas especiales de implantación. Los pacientes deben ser cuidadosamente seleccionados para este tipo de procedimientos y es imprescindible un experimentado equipo quirúrgico bien organizado y un adecuado control de calidad.
La dirección de las incisiones afecta en gran medida la dirección del crecimiento del pelo, así como su ángulo, la separación y la profundidad.
Es durante esta fase del procedimiento donde el cirujano esculpe y crea una apariencia natural.La orientación de hendidura puede ser clasificada como de forma paralela o lateral. Las Incisiones realizadas en perpendicular a la dirección del crecimiento del pelo se denominan ranuras laterales. Las realizadas en paralelo al crecimiento del pelo se denominan rendijas paralelas (sagital).
La técnica lateral replica mejor la anatomía del cuero cabelludo paralela a la variación natural del cabello de 10 ° a 90 ° y permite un control preciso de la angulación del injerto. Ángulos agudos crean también el beneficio de aumentar la cobertura.
Además, mediante el uso de incisiones más pequeñas, se producen mayores densidades.
› orientación lateral › causa menos daño tisular. › permite mayor cercanía entre injertos. › permite la cobertura de hebras de cabello. › crea la ilusión de más volumen.
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