AKESO MAGP HAIR TRANSPLANT

AKESO MAGP – MICROSCOPE ASSISSTED AND GUIDED PRECISE FUE HAIR TRANSPLANT

AKESO MAGP ( MAGP stands for MICROSCOPE ASSISTED & GUIDED PRECISE FUE HAIR TRANSPLANT ) is a technique in which graft extraction is done with the help of a microscope. Microscope assistance can provide the surgeon upto 10 X – 25 X magnification. Normally, FUE hair transplant is done with glasses or loupes having a magnification factor of 2.5 X – 4 X. While most websites from individual doctors and clinics claim only 1 – 5 % graft transaction rates, those claims were not realistic as they don’t count partial transactions. You have to give your valuable 15 minutes to this page to get the right concept of this MICROSCOPE ASSISTED AND GUIDED PRECISE FUE HAIR TRANSPLANT technique.

AKESO Microscope assisted and guided precise FUE HAIR TRANSPLANT ( MAGP )

Dr Akhilesh Jangid is a highly qualified Microsurgeon who has got training in microsurgery at SMS Medical College during his plastic surgery training. He enhanced his microsurgery skills at Ganga Hospital, coimbatore, which is worldwide famous for microsurgery training. He has got his skills further enhanced by obersership in St Andrews Plastic Surgery Center, UK.

Dr Akhilesh analysed various parameters which can affect the result of FUE hair transplant. He concluded that intact graft extraction depends on precise identification of the angle between hair and scalp skin. Further, if the hair is thin or curly or having very acute angles with the scalp skin, the transection of grafts increases. Even if the complete transection rate is low, the partial transection rate is very high in the difficult cases. Role of increasing magnification to identify the correct hair scalp angle is well documented. Most of Surgeons worldwide use magnifying glasses and loupes with a magnification factor 2.5 X – 4 X. Dr Akhilesh, as a trained microsurgeon, is the first Hair restoration surgeon in India to use a Microscope during the FUE hair graft extraction process. It prevents damage to hair, even in the most difficult cases for FUE. Further, he has done some modifications in his punch to extract intact grafts.

Microscope Assisted: – Dr Akhilesh is microsurgeon who has very high hand-eye coordination to operate even at 25 X magnification. AKESO is the first clinic in INDIA to use Microscopic 10 X – 25 X magnification standard during graft extraction. Dr Akhilesh is able to extract more than 2500 grafts per day in this technique
Dr Akhilesh’s modification to FUE Punch – Dr Akhilesh has done 3 modifications in his punches used for FUE graft harvest. a. 10-degree Centrifugal edge – As the hair in each graft is in the centre, the centrifugal semi-sharp edge does not cut the graft. b. Semi-sharp edges – so that no graft is cut easily. Punch Guard – to prevent the punch from going deeper than a certain level so that the graft is not cut.

How the MAGP (Microscope assisted FUE) provides better result than normal FUE or Normal DHT / DHI

In normal FUE, DHT, or DHI, the graft extraction process is done at 2.5 – 4 X magnification. So, graft quality is the same in each of these techniques.
In MAGP, we use 10 X – 25 X magnification instead of 2.5 – 4 X magnification. It provides the following advantages to improve the quality of grafts.
- It provides a better definition of the hair scalp angle. So, when the punch is inserted parallel to the hair direction to cut the skin around the graft, then the possibility of partial transection reduces. It increases the number of hairs in your hair transplant with the same number of grafts.
- It provides a better comparison of grafts when we extract them. We can see even a 10 – 20 % difference in the thickness of hair and grafts. If we are able to extract 10 % thicker grafts, then the volume increase is 21 %. If graft thickness can be increased by 15 % then the extra volume generated is 32 % ( formula to calculate hair volume is πr2L, where r = radius of hair and L = length of hair ). So, thicker hair selection means 20 – 30 % extra volume or blackness ( commonly referred to as density by patients ) in comparison to normal FUE or DHT.
- At higher magnification, the surgeon can better see the number of hairs in each graft. So the grafts with a higher number of hairs can be selected by the surgeon more efficiently than normal FUE or normal DHT process. So you get more hair in the same number of grafts in the MAGP Technique.

How much better result can be provided by better graft selection in terms of thickness of hair

Under high magnification of a microscope, we can have a better comparison of hair thickness in grafts when we extract them. We can see even a 10 – 20 % difference in the thickness of hair and grafts.
Volume of hair can be calculated by assuming that hair is a cylindrical structure. The formula to calculate hair volume is πr2L, where r = radius of hair and L = length of hair
So if the diameter or radius increases ( hair thickness increases ), then the same number of hairs have more volume. So they provide more blackness on your scalp. Results look more dense.
If we are able to extract 10 % thicker grafts, then volume increase is 21 % ( π X 1.1r X 1.1 r L = 1.21 πr2L
If graft thickness can be increased by 15 % then the extra volume generated is 32 % ( formula to calculate hair volume is πr2L, where r = radius of hair and L = length of hair ). So, thicker hair selection means 20 – 30 % extra volume or blackness ( commonly referred to as density by patients ) in comparison to normal FUE or DHT.
So, by choosing relatively thicker hair, we can improve the results of FUE, DHT, or DHI by 20 – 35 % if we use MICROSCOPIC FUE to select grafts with relatively thicker hair.

How much better result can be provided by better graft selection in terms of grafts with high number of hair

If you are an advanced searcher on the internet regarding hair transplant, then you know that one hair = 1 follicle. A collection of hair/follicles that are adjacent to each other is called a follicular unit. A follicular unit can have 1 – 4 hairs or follicles. When a follicular unit (FU) is taken out from your scalp, it is called a Graft. So, one graft has 1 – 4 follicles or 1 – 4 hairs.

Under Microscope, we can know before extraction which graft has a higher number of hairs. SO we can select grafts with a higher number of hairs. Suppose we are extracting 2000 grafts by FUE, and we are getting 4050 hairs in these grafts. So with the help of a microscope, we can achieve 4300 – 4500 hairs in 2000 grafts. SO MAGP provides you with a high number of hairs in the same number of grafts in comparison to FUE / DHT or DHI. That’s why results appear more dense in MAGP even if the number of grafts is the same.

How much better result can be given by preventing partial transection of grafts

Structure of graft

Normally, about 5 – 15 % hair units or grafts contain a single hair. About 40 – 50 % grafts or FU contain two hairs. About 40 % grafts or FU have three hairs. About 5 % may have more than 3 hairs. This distribution depends on age, sex, stage of baldness, donor area condition, etc.

Calculation of grafts in FUE surgery

If a surgeon scores your skin to extract a graft, he defines it as a successful graft harvest even if one hair root is intact during the graft extraction process, even if the original Follicular unit has 3 or 4 hair roots. For example, one follicular unit has 4 hairs, and the surgeon extracts it intact, then it is called one graft. If one hair out of four is damaged, then it is also called 1 graft. If two hairs get damaged and two hairs are intact, then it is also called 1 graft. If three hairs get damaged and one hair is intact, then the surgeon also calls it one graft. So surgeons calculate it as one graft even if one root is intact and three have been damaged. Because of this calculation error, the same number of grafts can have highly different hair numbers, and your hair transplant result will depend on the number of hair also.

If a hair technician is harvesting grafts, he may have a very high complete or partial transection rate of grafts. He may deliver you 1200 hairs in 1000 grafts. If an unexperienced surgeon is harvesting 1500 hair in 1000 grafts and other is harvesting 2300 hair in 1000 grafts, the possibility of denser result will be more in the surgeon who is harvesting more intact FUE units from your scalp. Microsurgery in FUE hair transplant tries to give you more intact FUE grafts so that the average number of hairs per graft is high, and you get better results with the same number of grafts.