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Implanting
Implanting
Follicular unit grafts should always be handled as gently as possible, both during dissection and implantation. In particular, the bulb area should not be crushed, and this is one of the arguments for using implanters that minimize the handling of the grafts and manipulation during insertion. Forceps are commonly used, but require the grafts to be held by the tissue surrounding the bulb (Fig. 62-25). This is more easily done with strip FUT grafts, which tend to be chubbier than FUE grafts that may have minimal, if any, tissue surrounding the bulbs of the hairs. When using implanters, grafts can be loaded without touching the bulb at all, thereby avoiding any mechanical crushing forces to the bulb. However, when grafts are inserted into the skin using the implanter plunger, the bulb can still be damaged if excess force is used.
Figure 62-25. (A) Examples of placing forceps. (B) Typical setup of operators placing grafts on a patient. (C) Jewellers placing forceps action.