5000单位以上的毛发移植如何实现？Large 5000+ Graft Transplants

偶尔忧伤

Question：I read about megasessions of 5000 or more grafts. Particularly from a Canadian group. Yet unless the average Canadian hat size is larger, that is near impossible unless they are doing it on the graft dissection end of things. How can one doc get so much more hair then others??Larger heads, larger incisions??
Answer：Large sessions, really large ones, were defined by me in 1993-4 timeframe when I reported first breaking 2000 grafts/session, then 3000, and finally in early 1994 I reported my first of many 4000+ graft sessions. These are not typical. First, the surgical team must be trained in doing large sessions with fast, efficient cutting and placing. The following points must be available for the surgery to be successful:
1.        The sessions should not take more than 8 hours, for beyond that time, the grafts out of the body that are awaiting placement produces reduced graft growth.
2.        The surgeon must know the nuances of prolonged anesthesia without increasing the risks to the patient.
3.        The patient’s scalp laxity must be very loose so that a wide strip can be taken safely (often these strips measure greater than 2cm in width and 10 inches in length)
4     The patient’s density must be high (50% higher than normal densities).
5      And as you said, the head should be a larger size to yield wider and longer strips.
Large sessions are no more risky than smaller sessions, but the above criteria must be met or the yield would not be there. My record number of grafts in any one session to date is 5800 grafts. I remember that patient well, because had his balding pattern been more advanced, I would have gotten 10,000 grafts from him with ease. His density was twice average densities, his head was larger than normal, his scalp was loose (actually, very loose), he was young and healthy and we completed the surgery in 7 hours.

我也来发一篇国外的植发的文章，昨天看到某位兄弟发了国外的帖子，但是有兄弟说看不懂，以后我从国外转的东西，我都会做适当翻译，只是蹩脚，希望各位别怪。

以上大致说的内容如下：
问： 我看到一则信息说加拿大的一家医疗机构可以做5000毛囊单位或者更多毛囊单位的植发手术。但是除非加拿大人的头比较大，除非他们的植发仅仅是毛囊分离而不用将头发种植到头皮里，否则这是不可能的。我不明白这家医院的植发医师是怎么提取到比别的植发医师提取到的毛囊多的呢？是因为患者的头比较大，还是海量提取？

答：大量毛囊单位移植，是被我定义的，在1993年-4月份。当时我报到了首例突破2000单位的毛囊移植，之后是突破3000单位的毛囊移植，最后在1994年我报到了首例突破4000单位的毛囊移植。这些都不是典型的案例。但是，首先，需要一支专业的植发团队，这支植发团队要训练有素：做到快速，高效地提取种植毛囊。以下几点是一个手术成功所必备的
1 整个过程不能够超过8小时，超出这个时间，被移出体外等待种植的毛囊的成活率就会降低
2  植发医师必须明白长久麻醉而不增加患者危险的一些方法应用
3  患者的头皮必须很松弛，这样才可以安全，快捷地提取毛囊
4  患者的头发密度必须是很好的（供体头发密度比平均密度高50%）
5  而且，头表面积要很大以至于能获取大量毛囊组织
大量毛囊移植的风险不会比小量的毛囊移植大。但是以上的准则是一定要遵守。在我做过的达到5800毛囊单位的手术记录中，有个患者，给我很深影响。因为给他做的秃顶造型非常超前。大家很轻松地从他的头部获取10000毛囊单位。他的头发密度是平常密度的两倍，他的头也要比标准头大，头皮也很松弛，他也很年轻，身体健康。而且我们完成这项手术在7小时之内。
（注：提取10000毛囊单位并不等于种植10000毛囊单位，因为有些毛囊在提取中被严重损伤不能在种植到头皮里，否则这样被损伤的毛囊术长不出头发的）

千丝烦恼

看起来好像蛮专业，我现在是脱发，但是我觉得应该能采取一些措施，能长出来。如果实在不行了，我也得考虑植发了

唯一的唯一

5000是很大的一块面积啊

白水的太阳

这个适用于中国人群吗？