Journal Club: A comprehensive review of evolution of advanced follicular unit excision systems

Hair transplant surgeons often employ the FUE technique, making it essential for them to be familiar with the different available devices. An ideal graft harvesting system should possess several key attributes. It should operate at high extraction speeds while maintaining a zero transection rate to preserve the integrity of the grafts. The system should be multiphasic, allowing for smooth extraction of grafts from the scalp, beard, body, and long hair. Moreover, it should ensure proper sheathing of the grafts, particularly with a sufficient amount of tissue around the lower third for successful transplantation. In addition, it must be cost-effective, with minimal ongoing operational expenses, making it an efficient and economical choice for practitioners. As the quest for an ideal system continues, it is equally important to understand how these systems can be customised according to the unique hair and skin characteristics of each patient.

Ref: Chauhan K, Tandon M, Kumar A, Taneja N, Hamid SA. A comprehensive review of the evolution of advanced follicular unit excision systems. J Cutan Aesthet Surg. 2025;18:69-77. doi: 10.25259/JCAS_4_2024