Direct View Donor Harvesting

Presented by Dr. Steven C. Chang in International Society of Hair Restoration Surgery 12th Annual Meeting: August 2004 at Vancouver, Canada.


Even if we check the donor cutting from time to time during donor harvesting, it is always too late. The damages are already done. By using the direct vision method (keep cutting area open all the time), we can correct the direction right away.


To improve the quality of donor harvesting, at the same time prevent nerve and vascular damage.

Materials and Methods

Material: Two skin hooks.

Method: One hook held by the surgeon, another one held by the surgical technician. Try to open the incision all the time. And check the lowest incision every time when you change the hook location.

Trick of correction:
“See head to head, see tail to tail”-will explain during presentation


1. Knowledge of follicular direction at different parts of the scalp
2. Observation of hair angle and flow
3. Tumescent
4. Wedge Blade
5. At the edge areas-Dr. Pathomvanich’s approach


The advantages of the direct vision method:
1. Take 3 minutes to learn
2. One to Two minutes to cut
3. Reduce the trans-section rate right away (no learning curve)
4. Useful for both Strips and Ellipse harvesting methods