Graft harvesting and management of the donor site

The strip technique remains the most popular method of harvesting grafts. The challenge in every patient is to maximize the number of grafts while minimizing the scar. Fortunately, there are many ways to ensure that the donor site will be inconspicuous. This article reviews the details of planning for follicle graft harvesting, including formulae for assessing scalp laxity and calculating strip dimensions. The procedure is discussed in detail, from preparation of the donor site and estimation of graft total through closure of the incision. The author presents his preferences for the technique with rationale and surgical tips.