GOLDEN HAND EXTRACTION:

• Correct punch width
• Correct depth
• Correct angle
• Correct speed

GOLDEN HAND HARVESTING:

• Correct forceps usage
• Correct pressure
• Efficient cooperation

• It is reflected on the configuration of the grafts
• The configuration of the donor zone grafts must show 10% deviation from the configuration of harvested zone
  • For example, in the donor zone, maximum of 10% of the hair grafts/follicles, in total, contains only one single. When configured the total of grafts extracted, the golden hand is utilized only when maximum of 20% grafts obtained contains a single hair.

This is the first success criteria of the FUE hair transplant technique. It means that in one single session from a healthy donor area/zone, a maximum of 600 of 3000 follicular unit grafts should be containing only one hair strand.

TRANSPLANT PLAN, PLANING THE TRANSPLANT:

• Frontal Hairline:

• It is the creation of the hairline which shows the artistry and aesthetic success in fue hair transplant, and impact of the hair transplantation. The hairline is important when taking into consideration of the patient’s age, the potential future hair loss of the natural hair, and the general configuration of the grafts in addition to solving current aesthetic and cosmetic needs as well as to starting it from the line to solve future complications arising from hair loss. 

• From artistic, aesthetic, and cosmetics optic, the follicular unit grafts in the constructed hairline should be picked from the collected/harvested grafts containing a single hair strand, and the grafts to be transplanted in the line behind the hairline should have two hair strands that are very thin.

• Bridge Zone (Area):

• It is the zone/area where the fullest look in hair transplant should be achieved. In order to do that, the grafts containing two and three thick hair strands, which have more filling quality, should be preferred. When the results are seen within 12 months, the density in the bridge zone should complement the natural look in the hairline. That makes the patients feel happy when they look at the mirror and see the natural, fuller look. Fue hair transplant should be done to make the patient happy from aesthetic and artistic standpoint.

• Vertex – Crown Transplantation: 

• This is the last part to be planned out in hair transplantation. It is difficult to conduct transplant in this zone/area, and usually is considered during the second session. Patients with Norwood Classification 4-5-6 baldness should not be recommended of hair transplant in this zone/area first. The results in this zone/area are seen very late and due to its difficulty to transplant, the growing ratio relatively declines. Thick and strong grafts should be preferred for this zone/area.

DENSITY PLANNING (FOLLICULAR UNIT SIZE and SPACING):

Density gauging and planning are the most critical points of artistic and aesthetic stage. The transition between the hairline with high numbers of grafts containing single and double hair strands and the bridge area with grafts that are thicker with three hair strands should not be visible (should be naturally smooth) but rather how it occurs naturally.

In planning a fue hair transplant, 30-35 follicular unit grafts per square cm. (approximately 70-80 hair strands) are necessary for fullness. This number may increase in patients with thin hair strands. In the hairline, it is important to achieve a density with 70-80 hair strands (since the majority of the grafts will have a single hair strand, 50-55 grafts per square cm.).

Dense Packing: In fue hair transplantation, density plan may change in some cases if the density packing is 50 and above for grafts with double and triple hair strands in square cm. but 100 and above hair density is desired, and the patient’s general health as well as cosmetic-aesthetic-artistic health is not jeopardized.

PACKING QUALITY:

Creating (tiny) Holes: Tine holes have to be in appropriate depth and width, and have to accommodate varying single, double, and triple follicular unit graft structures. The holes must be in the transplant zone/area in an angle and direction to cover the bold spot as much as possible. When combined with density plan, creating holes completes the aesthetic and surgical stages of the transplant. 

Transplanting the follicular unit grafts: The follicular unit grafts are placed in these tiny holes one by one according to the density plan. While transplanting the units, the follicles must be protected…

TOTAL AESTHETIC QUALITY:

Golden Hand Extraction and Harvesting Quality: Correct and realistic transplant area/zone – Appropriate and natural density measuring – Opening correct transplant holes and transplanting are the chain links of hair transplant. In other words, the hair transplantation is an evolving vision; it is a surgical initiative born from a wide optic that creates innovating vision through experience. This surgical initiative can be achieved only by a Subject Matter Expert physician with innovative vision. ‘DOCTOR MADE FUE’ is essential for overall quality.

The length of operation and total aesthetic quality go hand-in-hand. In order to achieve the total quality, the length of the operation should be kept at the optimum/maximum (duration) when Golden Hand Standards and Transplant combined/merged.

According to our through and long-term clinical research, observation, and experience, the best plan in the follicular unit extraction hair transplant technique should not exceed 3500 follicular unit grafts per day. Otherwise, if the procedure extends beyond this standard

• There is a risk of damage on the donor area through scarring,
• Repeating of anesthesia (the dose),
• The risk of declining quality as the medical team gets tired,
• The risk of declining patient’s comfort and patience.