Use of mechanical pencil with needle for slit making in hair restoration surgery
How to cite this article: Vendhan S, Neema S, Vasudevan B, Bala N. Use of mechanical pencil with needle for slit making in hair restoration surgery. Indian J Dermatol Venereol Leprol. doi: 10.25259/IJDVL_806_2023
One of the most popular techniques used by surgeons for slit creation during hair restoration surgeries is the use of needles or blades. Owing to their smaller length, producing a slit with a Nokor needle or an 18/19G needle exerts strain on the surgeon, increases the duration of surgery and makes angulation of the slit difficult, perhaps harming the deep plexus. 1
We propose a solution for the above-mentioned problem by using an autoclaved mechanical lead pencil as a holder for the hypodermic/ Nokor needle. Because it was readily available, less priced and had a sturdy lead retainer, we selected a metallic 2 mm mechanical lead pencil. Using clean scissors, we snipped the needle hub on an 18G/19G or Nokor needle. Instead of lead, the needle without its hub was inserted inside the mechanical pencil. By covering the needle with micropore tape, we changed the needle’s diameter to achieve the desired size [Figure 1].
The depth of the needle can be changed as needed with the use of the mechanical pencil. The enhanced ergonomics using the pencil as a needle holder, offer the surgeon easy slit making with minimal effort also cutting down the length of the procedure [Figure 2 and Video 1].
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Use of artificial intelligence (AI)–assisted technology for manuscript preparation
The authors confirm that there was no use of artificial intelligence (AI)–assisted technology for assisting in the writing or editing of the manuscript and no images were manipulated using AI.