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Background: In hair transplantation, the availability of a limited number of grafts for a conventional transplantation can pose a serious problem. The result can be a so-called "bunch" or "brush" appearance in the recipient area., Objective: We therefore developed a new method that allows this effect to be minimized., Method: This method is based on the use of a punch (1.6-1.7 mm in diameter) that allows small grafts to be extracted from already established standard grafts. We then transplant the resulting minigrafts in between the established standard grafts, which have now decreased in size., Results: The immediate reduction in the size of the standard grafts and the simultaneous generation of minigrafts produce the desired result: the "minigraft exclusively" look., Conclusion: Thus, patients with previously poor results in standard hair transplantation can now benefit from the modern method of mini- and micrograft transplantation.

With the conventional hair transplantation method of Okuda-Orentreich, the tuft effect and the creation of an abrupt hairline have been major problems. In the method presented here, minigrafts are exclusively distributed and transplanted over the entire surface. Through the use of this technique a more aesthetic pattern of hair growth is achieved than was possible before, even after only one treatment.