Several multibladed scalpel handles currently are available that can accommodate as many as 6 or more size 15 blades, which most commonly are spaced 1.5-2.5 mm apart. Grafts obtained by punch grafting can be transplanted directly or cut into smaller grafts using a size 15 blade or razor blade. These round grafts can be cut into halves or quarters, or they can be dissected down to single hair grafts. Grafts harvested by strip harvesting can be cut to single grafts, minigrafts, or micrografts by using a size 15 blade or razor blade. Grafts obtained using an ellipse must be dissected using a size 15 blade.
Most surgeons use magnifying loupes to aid the dissection of grafts.
More recently, a dissecting microscope has been used by some surgeons to aid graft dissection. Some surgeons believe that follicular grafts, ie, those that are essentially a single follicular unit, offer better results, although further studies are needed. Follicular grafting and the use of dissecting microscopes are discussed in Hair Transplantation - The Follicular Unit Transplant Method . Single hair or micrografting is most often used to recreate the frontal hairline. Micrografting most often is used to recreate the frontal hairline.