For the above mentioned reasons, a technique that leaves the follicular unit intact but at the same time advocates the use of three and four-haired follicular groupings for surgical hair restoration was evolved by the innovative hair transplant surgeons. This procedure was found to have many advantages over follicular unit transplantation.A single hair follicular unit does not necessarily comprise a single hair and may contain 2-4 hairs in a single hole. When the follicular units are found very close to each other in the donor skin sample it is not advisable to separate them as it can cause iatrogenic damage to them. Advantage of this fact is taken to form three-and four-haired groupings when 2 two-haired follicular units or a three haired unit and one-haired unit are naturally placed very close to each other. A group (of 1-4 follicular units naturally placed close to each other) transplanted as a single graft results in superior hair growth and at the same time lessens the surgical damage and trauma to the recipient site. The hair transplant procedure of using natural groups for the hair transplant surgery has many advantages:
It results in much quicker hair transplant procedure as it saves time for separating each follicular unit and less time is required for their placement.
Hair transplant procedure prevents iatrogenic injury to follicular units during the dissection phase.
It lessens iatrogenic injury during placement phase because follicular groupings are not as fragile as follicular units because of more tissue attached to them.
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