Survival and growth of the implanted hair bearing tissue is quite subjective in every case for all the grafts extracted and implanted. These factors completely depends on the surgeons experience, instruments used, technique used to extract and implant follicles, how the grafts are being handles post extractions and so on. Since each and every body tissue is quite sensitive and need to be relocated with optimum precision levels medically with skilled hands of a Surgeon, extraction process is the starting of the method and factors of a graft to survive on the scalp post hair transplant. The extraction process is done with the help of sharp serrated cylindrical punches of diameter 0.8mm or 0.9mm with incision levels of 0.6mm which is operated by a hand piece attached to an electric motor. The Punch rotates a speed of 60rpm and goes in to the scalp skin to separate the hair bearing follicular unit graft from the skin which need to take out with a forceps. In this process some inexperienced surgeons or may be OT technicians cannot understand the placement of the grafts and more often cut them during the extraction process causing the graft to due before or after extraction. Then the next important step is how to preserve the graft? Which most of the inexperienced team ignores and keep it in the room temperature dipped in RL solution. This causes the hair bearing tissue to go through a lot of shock and trauma which is a major cause of the graft not surviving or not lasting on the scalp for long years. The recent innovations have discovered a graft freezer box which keeps the grafts safe and sound without any shock and trauma which is stored at a 4 degrees temperature. Now this process helps the grafts to survive outside the body and when implanted retains its properties and survives on the scalp for long years. The next important factor of graft survival is the implants done, in most cases it’s been experienced that implant’s done with the help of implanters of DHI method does not survive for a long time and its quite not know technically as most of the surgeons and clients have revealed the same. The needle technique and the Sapphire implanting technique is relatively more successful than the implanter method. The graft survival ratio of Ice cell Sapphire micro FUE is the optimum and generally survives for more than 20 years or so, compared to basic needle method FUE which can survive up to 10 to 12 years followed by implanter method for 5-7 years.
