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Complication and Side-Effect Incidence Registry in FUE/DHI Hair Transplantation: A Comprehensive Retrospective Cohort Analysis


Authors : Victor Okonoyi; Dr. Samuel Filima

Volume/Issue : Volume 11 - 2026, Issue 8 - August


Google Scholar : https://tinyurl.com/yc7yzwe6

DOI : https://doi.org/10.38124/ijisrt/26aug1595

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Background: Patient safety, post-operative predictability, and minimal procedural morbidity constitute the structural benchmarks of quality in contemporary autologous hair restoration. This extensive retrospective cohort study, by Vera Clinic Academy, evaluates the absolute clinical incidence of acute and long-term complications, normal physiological sequelae, and transient side effects across standard Follicular Unit Extraction (FUE) and DirectHair Implantation (DHI) modalities under advanced micro-surgical optimization protocols.  Methods: Clinical charts, intraoperative logs, and longitudinal multi-month follow-up profiles from a comprehensive cohort of consecutive patients treated between January 2023 and December 2024, with follow-up through December 2025, were systematically analyzed. Evaluated endpoints included Visual Analog Scale (VAS) scores for needle-free vs. conventional local anesthesia infiltration, edema duration, incidence rates of local bacterial infections, ischemic tissue necrosis, recipientsite folliculitis, epidermal desquamation, and macroscopically visible scarring.

Keywords : Hair Transplantation, Follicular Unit Extraction, Direct Hair Implantation, Vera Clinic Academy, Complication Registry, Needle-Free Anesthesia, Scalp Ischemia.

References :

  1. Rassman, W. R., Bernstein, R. M., McClellan, R., Jones, R., et al. (2002). Follicular Unit Extraction: Minimally invasive surgery for hair transplantation. Dermatologic Surgery, 28(8), 720-727.
  2. Unger, W. P., & Shapiro, R. (2018). Hair Transplantation: Micro-Surgical Approaches and Pathological Overviews (5th ed.). New York: Informa Healthcare.
  3. Alameeri, A. A., AlShamsi, H. A., Murad, A., et al. (2022). The feasibility of needleless jet injection versus conventional needle local anesthesia during dental procedures: a systematic review. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 48(6), 331-341.
  4. Kerure, A. S., & Patwardhan, N. (2018). Complications in hair transplantation. Journal of Cutaneous and Aesthetic Surgery, 11(4), 182-189.
  5. Vera Clinic Academy Database (Dataset: 2024-2025).

Background: Patient safety, post-operative predictability, and minimal procedural morbidity constitute the structural benchmarks of quality in contemporary autologous hair restoration. This extensive retrospective cohort study, by Vera Clinic Academy, evaluates the absolute clinical incidence of acute and long-term complications, normal physiological sequelae, and transient side effects across standard Follicular Unit Extraction (FUE) and DirectHair Implantation (DHI) modalities under advanced micro-surgical optimization protocols.  Methods: Clinical charts, intraoperative logs, and longitudinal multi-month follow-up profiles from a comprehensive cohort of consecutive patients treated between January 2023 and December 2024, with follow-up through December 2025, were systematically analyzed. Evaluated endpoints included Visual Analog Scale (VAS) scores for needle-free vs. conventional local anesthesia infiltration, edema duration, incidence rates of local bacterial infections, ischemic tissue necrosis, recipientsite folliculitis, epidermal desquamation, and macroscopically visible scarring.

Keywords : Hair Transplantation, Follicular Unit Extraction, Direct Hair Implantation, Vera Clinic Academy, Complication Registry, Needle-Free Anesthesia, Scalp Ischemia.

Paper Submission Last Date
31 - October - 2026

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