{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T14:35:48Z","timestamp":1781706948332,"version":"3.54.5"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Follicular unit excision (FUE) graft dissection has become the dominant method of donor harvesting globally, however, only a percentage of donor hair can be excised inside the safe donor area before visible donor thinning occurs. Compared to linear strip excision (LSE) where all follicular units inside the harvested ellipse of hair are used, FUE poses substantial limitations for lifetime graft yield and, therefore, cosmetic coverage in patients with advanced pattern hair loss. This paper reviews how combining the donor harvesting methods of FUE and LSE has been shown to optimize graft yield while minimizing the risk of donor depletion from overharvesting. It then describes a surgical technique called FUE-Linear Ellipse (FUE-LE) where FUE dissection of grafts inside a demarcated linear ellipse eliminates the need for a large dissection team which has posed a barrier for many new practices that offer both the donor harvesting methods. For practices that currently offer only FUE, the addition of the LSE method by the modified FUE-LE technique is possible without specialized staff training or associated equipment costs. In this paper, surgery practices that have adopted this technique will report on their experiences. Hair restoration surgeons are encouraged to provide both methods of donor harvesting (FUE and LSE using FUE-LE) in order to optimize graft yield for patients and avoid long-term donor depletion. Based on limited experience, it appears the technique of FUE-LE will help achieve this goal.<\/jats:p>","DOI":"10.1055\/a-2198-2703","type":"journal-article","created":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T22:43:53Z","timestamp":1698273833000},"page":"205-213","source":"Crossref","is-referenced-by-count":1,"title":["Follicular Unit Excision-Linear Ellipse Donor Harvesting Technique: Combining Standard Follicular Unit Excision with Follicular Unit Excision inside a Linear Strip (Modified Linear Strip Excision) to Optimize Graft Yield"],"prefix":"10.1055","volume":"40","author":[{"given":"Sharon A.","family":"Keene","sequence":"additional","affiliation":[{"name":"Physician's Hair Institute, Tucson, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandra","family":"Susacasa","sequence":"additional","affiliation":[{"name":"Hair Recovery, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo","family":"Miranda","sequence":"additional","affiliation":[{"name":"Clinica Pelle, Nova Redentora, Sao Jose do Rio Preto, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrique","family":"Radwanski","sequence":"additional","affiliation":[{"name":"International Society of Hair Restoration Surgeons (ISHRS), Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,11,28]]},"reference":[{"issue":"02","key":"ref1","first-page":"193","article-title":"Effect of follicular unit extraction on the donor area","volume":"7","author":"M Humayun Mohmand","year":"2018","journal-title":"World J Plast Surg"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"121","DOI":"10.33589\/20.4.0121","article-title":"Expanding graft numbers combining strip and FUE in the same session: effect on linear wound closure forces","volume":"20","author":"A Tsilosani","year":"2010","journal-title":"Hair Transplant Forum International"},{"key":"ref3","first-page":"383","volume-title":"Combined strip and FUE technique","author":"M Crisostomo","year":"2016","edition":"1st ed."},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"177","DOI":"10.33589\/29.5.177","article-title":"A side by side study of FUT vs FUE graft availability in the same patients and its implications on lifetime donor supply and management","volume":"29","author":"D S Josephitis","year":"2019","journal-title":"Hair Transplant Forum International"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"173","DOI":"10.4103\/JCAS.JCAS_118_18","article-title":"Controversies in hair transplantation","volume":"11","author":"M Kumaresan","year":"2018","journal-title":"J Cutan Aesthet Surg"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1097\/00000637-199111000-00009","article-title":"Micrografts and minigrafts: a new approach for baldness surgery","volume":"27","author":"C O Uebel","year":"1991","journal-title":"Ann Plast Surg"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"1524","DOI":"10.1097\/00006534-199711000-00024","article-title":"Micrograft and minigraft megasession hair transplantation results after a single session","volume":"100","author":"A Barrera","year":"1997","journal-title":"Plast Reconstr Surg"},{"key":"ref8","first-page":"258","volume-title":"Baldness surgery: megasessions with follicular units","author":"C O Uebel","year":"2008"},{"issue":"08","key":"ref9","first-page":"720","article-title":"Follicular unit extraction: minimally invasive surgery for hair transplantation","volume":"28","author":"W R Rassman","year":"2002","journal-title":"Dermatol Surg"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/j.fsc.2013.05.002","article-title":"Follicular unit extraction","volume":"21","author":"J A Harris","year":"2013","journal-title":"Facial Plast Surg Clin North Am"},{"issue":"04","key":"ref11","doi-asserted-by":"crossref","first-page":"e2018.00045","DOI":"10.4293\/JSLS.2018.00045","article-title":"The length of surgical skin incision in postoperative inflammatory reaction","volume":"22","author":"A Ioannidis","year":"2018","journal-title":"JSLS"},{"issue":"08","key":"ref12","doi-asserted-by":"crossref","first-page":"1078","DOI":"10.1097\/DSS.0000000000002373","article-title":"Old friend or new ally: a comparison of follicular unit transplantation and follicular unit excision methods in hair transplantation","volume":"46","author":"A K Gupta","year":"2020","journal-title":"Dermatol Surg"},{"issue":"05","key":"ref13","doi-asserted-by":"crossref","first-page":"179","DOI":"10.33589\/28.5.0179","article-title":"FUT vs FUE graft survival: a side-by-side study of 3 patients undergoing a routine 2,000 + graft hair transplantation","volume":"28","author":"D Josephitis","year":"2018","journal-title":"Hair Transplant Forum International"},{"issue":"01","key":"ref14","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.clindermatol.2006.10.001","article-title":"Clinical aspects of full-thickness wound healing","volume":"25","author":"A E Rivera","year":"2007","journal-title":"Clin Dermatol"},{"issue":"06","key":"ref16","first-page":"532","article-title":"Follicular unit extraction for hair transplantation: an update","volume":"108","author":"F Jim\u00e9nez-Acosta","year":"2017","journal-title":"Actas Dermosifiliogr"},{"key":"ref17","first-page":"542","volume-title":"FUE megasession","author":"M Schambach","year":"2022"},{"issue":"03","key":"ref18","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1111\/j.1524-4725.2008.01059.x","article-title":"Core competencies for hair restoration surgeons recommended by the International Society of Hair Restoration Surgery","volume":"35","author":"C J Puig","year":"2009","journal-title":"Dermatol Surg"},{"issue":"01","key":"ref19","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1177\/1090820X12468314","article-title":"Hair restoration surgery: the state of the art","volume":"33","author":"J E Vogel","year":"2013","journal-title":"Aesthet Surg J"},{"issue":"01","key":"ref20","doi-asserted-by":"crossref","first-page":"1","DOI":"10.33589\/28.1.0001a","article-title":"Determining safe excision limits in fue: factors that affect, and a simple way to maintain aesthetic donor density","volume":"28","author":"S A Keene","year":"2018","journal-title":"Hair transplant Forum International"},{"issue":"04","key":"ref21","doi-asserted-by":"crossref","first-page":"142","DOI":"10.33589\/28.4.0142","article-title":"How to avoid overharvesting during repeat follicular unit excision sessions by calculating the number and density of previously excised grafts","volume":"28","author":"K Yagyu","year":"2018","journal-title":"Hair Transplant Forum International"},{"key":"ref23","first-page":"730","volume-title":"Residual density","author":"K Dua","year":"2022"},{"issue":"04","key":"ref24","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1055\/s-0041-1739250","article-title":"Patient counselling and medicolegal aspects of hair transplant surgery","volume":"54","author":"S S Sattur","year":"2021","journal-title":"Indian J Plast Surg"},{"key":"ref25","first-page":"591","volume-title":"Combining strip harvesting, FUE technique, and body -hair transplant for advanced baldness","author":"M Crisostomo","year":"2022"},{"issue":"04","key":"ref26","doi-asserted-by":"crossref","first-page":"182","DOI":"10.4103\/JCAS.JCAS_125_18","article-title":"Complications in hair transplantation","volume":"11","author":"A S Kerure","year":"2018","journal-title":"J Cutan Aesthet Surg"},{"issue":"03","key":"ref27","doi-asserted-by":"crossref","first-page":"85","DOI":"10.33589\/26.3.0085","article-title":"Combining scalp micropigmentation (SMP) and hair transplantation","volume":"26","author":"W Rassman","year":"2016","journal-title":"Hair Transplant Forum International"},{"issue":"02","key":"ref28","doi-asserted-by":"crossref","first-page":"69","DOI":"10.4103\/0974-2077.69014","article-title":"Review of factors affecting the growth and survival of follicular grafts","volume":"3","author":"W M Parsley","year":"2010","journal-title":"J Cutan Aesthet Surg"}],"container-title":["Facial Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2198-2703.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T16:20:23Z","timestamp":1730823623000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2198-2703"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,25]]},"references-count":26,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2024,3,18]]},"published-print":{"date-parts":[[2024,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2198-2703","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0736-6825","1098-8793"],"issn-type":[{"value":"0736-6825","type":"print"},{"value":"1098-8793","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,10,25]]},"published":{"date-parts":[[2023,10,25]]}}}