Advanced Use of Tissue Adhesive in Hair Transplantation

BACKGROUND. Cobblestoning is an unsightly result of graft elevation in the recipient site after hair transplantation. OBJECTIVE. To describe the use of tissue adhesives for the avoidance of cobblestoning. RESULTS. The long-term cosmetic appearance of hair transplants may be improved through the use of cyanoacrylate adhesives in the grafting process. The major contribution of the adhesive is the virtual elimination of the common problem of graft elevation or cobblestoning, which produces an unsightly bumpiness in the recipient area. The choice of type of adhesive and the method of application are central to successful use of this technique. CONCLUSION. The indirect benefits of elimination of the need for postoperative bandages and restrictions in activities couple with the cosmetic results to produce a high degree of patient satisfaction.