PMID- 38197285 OWN - NLM STAT- MEDLINE DCOM- 20240329 LR - 20240329 IS - 1473-2165 (Electronic) IS - 1473-2130 (Linking) VI - 23 IP - 4 DP - 2024 Apr TI - Long-hair follicular unit excision enhances the cosmetic results of hairline restoration: A retrospective study in Chinese recipients. PG - 1344-1350 LID - 10.1111/jocd.16136 [doi] AB - BACKGROUND: Long-hair follicular unit excision (LHF) is gaining popularity, especially for hairline restoration, because it helps avoid hair removal in the donor area and provides better immediate postoperative results. AIMS: This study aimed to assess the postoperative clinical outcomes of LHF for hairline restoration. PATIENTS/METHODS: Data from 248 patients (223 women and 25 men) who underwent hairline restoration with LHF between September 2018 and June 2022 were analyzed, and they were followed up immediately and 9 months postoperatively. The complications and survival rate of long-hair grafts were assessed. Patient postoperative satisfaction was assessed using a 5-Point Likert Scale. The Generic Quality of Life Inventory-74 (GQOLI-74) assessed the quality of the postoperative life. RESULTS: The planned extraction density was set at 15-25 FU/cm(2). The mean number of total extracted hair grafts, transection rate in the extraction area, and extraction time were 1970 +/- 124 FU, 3.9 +/- 0.2%, and 3.2 +/- 0.8 h, respectively. The hairline implantation density was set at 50-70 FU/cm(2). The mean number of total transplanted hair grafts was 2031 +/- 371 FU; the implant time was 3.8 +/- 1.9 h. No serious complications occurred within 7 days postoperatively. The mean graft survival rate was 93.1 +/- 1.3% at 9 months postoperatively. All patients were satisfied with the immediate postoperative results, and most were satisfied with the 9-month outcomes (mean overall satisfaction score: 4.7). The scores of physical function, psychological function, social function and material life function after operation were higher than those before operation (p < 0.0001). CONCLUSIONS: Hairline restoration with LHF could enhance the cosmetic outcomes and be widely used in clinical practice. CI - (c) 2024 The Authors. Journal of Cosmetic Dermatology published by Wiley Periodicals LLC. FAU - Jin, Meitong AU - Jin M AD - Department of Medical Cosmetology, Yanbian University Hospital, Yanji, China. AD - Department of Dermatology, Yanbian University Hospital, Yanji, China. AD - College of Medical, Yanbian University, Yanji, China. FAU - Zhang, Jufang AU - Zhang J AD - Department of Cosmetic & Plastic Surgery, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. FAU - Jin, Zhehu AU - Jin Z AD - Department of Medical Cosmetology, Yanbian University Hospital, Yanji, China. AD - Department of Dermatology, Yanbian University Hospital, Yanji, China. FAU - Pi, Longquan AU - Pi L AD - Department of Medical Cosmetology, Yanbian University Hospital, Yanji, China. AD - Department of Dermatology, Yanbian University Hospital, Yanji, China. FAU - Diao, Yongfeng AU - Diao Y AD - Sichuan Huamei Zixin Medical Aesthetic Hospital, Chengdu, China. AD - Suzhou Mylike Cosmetic Hospital, Suzhou, China. AD - Kibition Medical Aesthetics Clinic, Shanghai, China. LA - eng PT - Journal Article DEP - 20240110 PL - England TA - J Cosmet Dermatol JT - Journal of cosmetic dermatology JID - 101130964 SB - IM MH - Male MH - Humans MH - Female MH - *Hair/transplantation MH - Retrospective Studies MH - Quality of Life MH - *Hair Removal MH - China MH - Hair Follicle/transplantation MH - Alopecia/surgery OTO - NOTNLM OT - follicular unit transplantation OT - hairline restoration OT - long-hair follicular unit excision EDAT- 2024/01/10 06:42 MHDA- 2024/03/29 06:46 CRDT- 2024/01/10 05:29 PHST- 2023/11/07 00:00 [revised] PHST- 2023/04/23 00:00 [received] PHST- 2023/12/04 00:00 [accepted] PHST- 2024/03/29 06:46 [medline] PHST- 2024/01/10 06:42 [pubmed] PHST- 2024/01/10 05:29 [entrez] AID - 10.1111/jocd.16136 [doi] PST - ppublish SO - J Cosmet Dermatol. 2024 Apr;23(4):1344-1350. doi: 10.1111/jocd.16136. Epub 2024 Jan 10.