In hair transplantation, the surviving rate of harvested grafts depends on different factors like maintenance of hydration, cold temperature, reduced mechanical handling and asepsis. All these factors are favorably improved if time out of body is reduced significantly. Some doctors have tried the new modification known as direct hair transplantation in the existing follicular unit extraction technique, in which the follicular unit grafts are implanted soon as when they are harvested.

Aim of doctors is to evaluate the efficiency and feasibility of direct hair transplantation. The patients willing to undergo hair transplantation by the technique of follicular unit extraction were enrolled after surgery. The recipient sites were created. Thereafter, the process of scoring the skin with punch, then graft extraction from the scalp and implantation were formed simultaneously. The results of patients were noticeable improvement in the photographs and reductions in baldness grade were taken as good and other it was classified as poor.

Hair transplantation is a surgical modality for the treatment o androgenetic alopecia. Hair follicles in the occipital scalp are harvested and then planted on to the frontal scalp are harvested after then planted on to the frontal scalp, and less often to the vertex. There are two methods of harvesting the follicles from the occipital scalp, where as in the second method individual follicular units are harvested. It is known as follicular unit extraction. The most important ones are called graft hydration, cold temperature, prevention of infection. The time is reduced due to large extent significantly improves the rare graft with the graft survival favorably improving all other factors. The modification tried by doctors is called direct hair transplantation, in which we implanted the graft as soon as it was harvested. In this position of the patient was made to lie down on the operation theatre table in prone and spine positions for the complete ring block.

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