10 months post-op 1,000 FUE with Dr. Feller of Great Neck, NY

<<“there’s a reason why we don’t hear much about fue cases involving 6000, 7000 grafts or more (not counting bh transplant). Doctors like Hasson and Wong do 6000, 7000 grafts strip all the time. I think there’s your answer.” >>

Does anyone know what is the largest no. of head fue ever done ?

There is an overall lower yield for FUE as compared to strip which is why you don’t see many successful results of FUE super-megasessions floating around the internet.

Let’s say there is a 25% loss in FUE yield compared to strip. On a 500 or 1000 graft surgery the loss of 125 or 250 grafts will not be that cosmetically noticable. The benefit will still outweigh the loss. However On a 3000 FUE graft case the loss of 750 grafts would be impossible to miss.


Feller Medical, PC
Great Neck, NY

» There is an overall lower yield for FUE as compared to strip which is why
» you don’t see many successful results of FUE super-megasessions floating
» around the internet.

Yes but WHY lower yield in the first place?

» There is an overall lower yield for FUE as compared to strip which is why
» you don’t see many successful results of FUE super-megasessions floating
» around the internet.
»
» Let’s say there is a 25% loss in FUE yield compared to strip. On a 500 or
» 1000 graft surgery the loss of 125 or 250 grafts will not be that
» cosmetically noticable. The benefit will still outweigh the loss. However
» On a 3000 FUE graft case the loss of 750 grafts would be impossible to
» miss.

Thankyou. I would still like to know what is the largest no. of head fue that can be done safely for an average norwood 2 or norwood 3 person?

» There is an overall lower yield for FUE as compared to strip which is why
» you don’t see many successful results of FUE super-megasessions floating
» around the internet.
»
» Let’s say there is a 25% loss in FUE yield compared to strip. On a 500 or
» 1000 graft surgery the loss of 125 or 250 grafts will not be that
» cosmetically noticable. The benefit will still outweigh the loss. However
» On a 3000 FUE graft case the loss of 750 grafts would be impossible to
» miss.

Dr Feller,

Personally I disagree with your point about the more grafts the more noticeable, it is a % at the end of the day and will be relevant regardless of the numbers.

I also am not sure about this yield issue, I think it maybe down to the expertise of the doc in my opinion, no hard feelings but maybe some can and some can’t. But more concerning, are you saying that you get 25% loss with FUE compared to strip, because that is alarming. The price that you charge for FUE is probably the highest and you get around 75% yield?? Under the circumstances do you think you it is a viable option considering the loss of donor hair and the costs, should you perform it?

» Dr Feller,
»
» Personally I disagree with your point about the more grafts the more
» noticeable, it is a % at the end of the day and will be relevant
» regardless of the numbers.
»
» I also am not sure about this yield issue, I think it maybe down to the
» expertise of the doc in my opinion, no hard feelings but maybe some can
» and some can’t. But more concerning, are you saying that you get 25% loss
» with FUE compared to strip, because that is alarming. The price that you
» charge for FUE is probably the highest and you get around 75% yield??
» Under the circumstances do you think you it is a viable option considering
» the loss of donor hair and the costs, should you perform it?

what about the horrible thought that the other surgeons have 25% loss but just don’t tell us???

» » Dr Feller,
» »
» » Personally I disagree with your point about the more grafts the more
» » noticeable, it is a % at the end of the day and will be relevant
» » regardless of the numbers.
» »
» » I also am not sure about this yield issue, I think it maybe down to the
» » expertise of the doc in my opinion, no hard feelings but maybe some can
» » and some can’t. But more concerning, are you saying that you get 25%
» loss
» » with FUE compared to strip, because that is alarming. The price that
» you
» » charge for FUE is probably the highest and you get around 75% yield??
» » Under the circumstances do you think you it is a viable option
» considering
» » the loss of donor hair and the costs, should you perform it?
»
»
» what about the horrible thought that the other surgeons have 25% loss but
» just don’t tell us???

Ha, that can happen with any surgeon, fue or strip. Avoid hair transplant entirely if that really worries you.

» » There is an overall lower yield for FUE as compared to strip which is
» why
» » you don’t see many successful results of FUE super-megasessions
» floating
» » around the internet.
» »
» » Let’s say there is a 25% loss in FUE yield compared to strip. On a 500
» or
» » 1000 graft surgery the loss of 125 or 250 grafts will not be that
» » cosmetically noticable. The benefit will still outweigh the loss.
» However
» » On a 3000 FUE graft case the loss of 750 grafts would be impossible to
» » miss.
»
» Thankyou. I would still like to know what is the largest no. of head fue
» that can be done safely for an average norwood 2 or norwood 3 person?

You will be lucky if you can get 5000 fue. The best way to max out your donor is Strip first and then followed by FUE. Period.

» Stitchmeup - Here are a few of my pics showing the success of FUE into my
» old Bosley strip scar. There are a few other knocking around on various
» forums and a video which i will hunt down. Hope this info helps!
»
» I tried to log on via old account but having no luck unfortunately -
» nevermind!
» As a few of you know i had 114 FUE into my old Bosley strip scar with Dr
» Feller back in December 2004 and then another 70 grafts in November 2005.
»
»
» Prior to this i couldn’t dream of buzzing my hair down and the best i
» could do was a scissor cut by a competent barber in order for me to
» disguise the widest section of my old strip scar.
»
» Here are my a few pics of FUE into the old scarthe old scar:-)
» Regards
» Spex
»
»
»
»
» Prior to surgery into my scar with Dr Feller
»
»
»
»
» various pics
»
»
»
»
»
»
»
»
»
»
»
»
» Video of my scar now -
» Scar video

Oh, big fuckin deal. Seriously!

» » » There is an overall lower yield for FUE as compared to strip which is
» » why
» » » you don’t see many successful results of FUE super-megasessions
» » floating
» » » around the internet.
» » »
» » » Let’s say there is a 25% loss in FUE yield compared to strip. On a
» 500
» » or
» » » 1000 graft surgery the loss of 125 or 250 grafts will not be that
» » » cosmetically noticable. The benefit will still outweigh the loss.
» » However
» » » On a 3000 FUE graft case the loss of 750 grafts would be impossible
» to
» » » miss.
» »
» » Thankyou. I would still like to know what is the largest no. of head
» fue
» » that can be done safely for an average norwood 2 or norwood 3 person?
»
» You will be lucky if you can get 5000 fue. The best way to max out your
» donor is Strip first and then followed by FUE. Period.

Then you can have a great big scar for life for free.

» Then you can have a great big scar for life for free.

It’s a personal choice. That’s the only way if you want to max out the donor. FUE alone will never give you the max # of grafts possible. Besides, not all strip scars are that bad, you can also FUE the strip scar if it gets worse over time.

» There is an overall lower yield for FUE as compared to strip which is why
» you don’t see many successful results of FUE super-megasessions floating
» around the internet.
»
» Let’s say there is a 25% loss in FUE yield compared to strip. On a 500 or
» 1000 graft surgery the loss of 125 or 250 grafts will not be that
» cosmetically noticable. The benefit will still outweigh the loss. However
» On a 3000 FUE graft case the loss of 750 grafts would be impossible to
» miss.
»

Dr. Feller, with all due respect, I think it’s very irresponsible for you to make a blanket statement saying that there is an overall 25% lower yield for FUE. The least you could do is to back up your claim. Maybe you are not doing it right and therefore you lost 25% yield every time you do FUE ? :stuck_out_tongue:

» » There is an overall lower yield for FUE as compared to strip which is
» why
» » you don’t see many successful results of FUE super-megasessions
» floating
» » around the internet.
» »
» » Let’s say there is a 25% loss in FUE yield compared to strip. On a 500
» or
» » 1000 graft surgery the loss of 125 or 250 grafts will not be that
» » cosmetically noticable. The benefit will still outweigh the loss.
» However
» » On a 3000 FUE graft case the loss of 750 grafts would be impossible to
» » miss.
» »
»
» Dr. Feller, with all due respect, I think it’s very irresponsible for you
» to make a blanket statement saying that there is an overall 25% lower
» yield for FUE. The least you
» could do is to back up your claim. Maybe you are not doing it right and
» therefore you lost 25% yield every time you do FUE ? :stuck_out_tongue:

Agreed.Statements shouldn’t be made without backing it up.Most on hairsite,lately have been pushing FUE as the way to go,so why are you different

Unfortunately it is true.

The facts are I’ve seen the results of FUE from every “big name” FUE doctor and can assure you that their results are not as good as comparable strip procedures for procedures exceeding 500 grafts. Just look at the photos offered by FUE patients and strip patients on the internet through the years. No contest.

Another fact is that FUE surgery is much harsher on the graft than strip surgery is. There are three destructive forces that act on the graft during FUE that hardly exist during strip surgery:

  1. Torsion (Twisting of the graft at the top while the base is still attached to the skin)
  2. Traction (Pulling and yanking the graft free from the skin)
  3. Compression (squeezing the graft with forcepts to keep a grip while pulling)

ALL FUE doctors subject their FUE grafts to these destructive forces. My patented Feller Punch, which has been disclosed for years, minimizes these forces more than any other punch known and my FUE yeilds still fall short of strip yields.

The only way to improve FUE yields is to significantly reduce these forces which no FUE doctor has done to date no matter the hype and “secretive” instrumentation.

Look at it like this, a follicle is just like an eyeball. How well do you think you would see if your eyeball were squeezed, twisted, and pulled by a forcepts? You don’t have to be a doctor to know the tissue damage would be severe. Now remember than a follicle is thousands of times smaller and more vunerable than an eyeball.

That said, FUE is still and excellent procedure and I perform 3 per week of various sizes. But it’s limitations must be made known to patients before hand and overly aggressive procedures should be avoided until the technology catches up.


Feller Medical, PC
Great Neck, NY

» Look at it like this, a follicle is just like an eyeball. How well do you
» think you would see if your eyeball were squeezed, twisted, and pulled by
» a forcepts?

I just tried it and your right!

» Unfortunately it is true.
»
» The facts are I’ve seen the results of FUE from every “big name” FUE
» doctor and can assure you that their results are not as good as comparable
» strip procedures for procedures exceeding 500 grafts. Just look at the
» photos offered by FUE patients and strip patients on the internet through
» the years. No contest.
»
» Another fact is that FUE surgery is much harsher on the graft than strip
» surgery is. There are three destructive forces that act on the graft
» during FUE that hardly exist during strip surgery:
» 1. Torsion (Twisting of the graft at the top while the base is still
» attached to the skin)
» 2. Traction (Pulling and yanking the graft free from the skin)
» 3. Compression (squeezing the graft with forcepts to keep a grip while
» pulling)
»
» ALL FUE doctors subject their FUE grafts to these destructive forces. My
» patented Feller Punch, which has been disclosed for years, minimizes these
» forces more than any other punch known and my FUE yeilds still fall short
» of strip yields.
»
» The only way to improve FUE yields is to significantly reduce these forces
» which no FUE doctor has done to date no matter the hype and “secretive”
» instrumentation.
»
» Look at it like this, a follicle is just like an eyeball. How well do you
» think you would see if your eyeball were squeezed, twisted, and pulled by
» a forcepts? You don’t have to be a doctor to know the tissue damage would
» be severe. Now remember than a follicle is thousands of times smaller and
» more vunerable than an eyeball.
»
» That said, FUE is still and excellent procedure and I perform 3 per week
» of various sizes. But it’s limitations must be made known to patients
» before hand and overly aggressive procedures should be avoided until the
» technology catches up.

What do you think of Dr. Harris’ SAFE technique?

» Unfortunately it is true.
»
» The facts are I’ve seen the results of FUE from every “big name” FUE
» doctor and can assure you that their results are not as good as comparable
» strip procedures for procedures exceeding 500 grafts. Just look at the
» photos offered by FUE patients and strip patients on the internet through
» the years. No contest.
»
» Another fact is that FUE surgery is much harsher on the graft than strip
» surgery is. There are three destructive forces that act on the graft
» during FUE that hardly exist during strip surgery:
» 1. Torsion (Twisting of the graft at the top while the base is still
» attached to the skin)
» 2. Traction (Pulling and yanking the graft free from the skin)
» 3. Compression (squeezing the graft with forcepts to keep a grip while
» pulling)
»
» ALL FUE doctors subject their FUE grafts to these destructive forces. My
» patented Feller Punch, which has been disclosed for years, minimizes these
» forces more than any other punch known and my FUE yeilds still fall short
» of strip yields.
»
» The only way to improve FUE yields is to significantly reduce these forces
» which no FUE doctor has done to date no matter the hype and “secretive”
» instrumentation.
»
» Look at it like this, a follicle is just like an eyeball. How well do you
» think you would see if your eyeball were squeezed, twisted, and pulled by
» a forcepts? You don’t have to be a doctor to know the tissue damage would
» be severe. Now remember than a follicle is thousands of times smaller and
» more vunerable than an eyeball.
»
» That said, FUE is still and excellent procedure and I perform 3 per week
» of various sizes. But it’s limitations must be made known to patients
» before hand and overly aggressive procedures should be avoided until the
» technology catches up.

What does your patented punch do that is different from other doctors?

Macro,
You crack me up.

Therapy,
I have not tried Dr. Harris’ SAFE technique so I can’t really give you a useful critique. I spoke with him during the summer and he invited me out to his clinic to see him use his invention. I will try and take him up on that offer in a month or so. If it’s ok with him I will videotape the surgery using his instruments.

We had a good conversation and didn’t really differ much in our observations of the past 5 years of FUE surgery. Among the things we instantly agreed upon was the lower yield nature of FUE compared to strip surgery.

Ipod,
My patented punch has what is known in industry terms as " a relieved" tip. This means that the shaft of the punch expands just past the cutting surface so that the graft won’t adhere to the inside wall of the punch and get twisted with the punch while the base of the graft is still connected to the skin. Rather, the punch will spin over the graft with less friction and less adhesion. This decrease torsion force considerably and has allowed me to perform FUE procedures that were impossible for me before I had these new tools manufactured.
Another difference is that I patented “follicular perferation” which is the act of poking the deeper layers of skin with a needle while the graft is under traction. This significantly decreases traction and allows otherwise impossible FUE surgeries to become routine.


Feller Medical, PC
Great Neck, NY

» Unfortunately it is true.
»
» The facts are I’ve seen the results of FUE from every “big name” FUE
» doctor and can assure you that their results are not as good as comparable
» strip procedures for procedures exceeding 500 grafts. Just look at the
» photos offered by FUE patients and strip patients on the internet through
» the years. No contest.

I agree strip photos almost always look much better than fue. Dr. Arvind does both strip and fue and even his strip photos look better, so it has to do with the technique rather than the doctor’s skills IMO.

» Macro,
» You crack me up.
»
» Therapy,
» I have not tried Dr. Harris’ SAFE technique so I can’t really give you a
» useful critique. I spoke with him during the summer and he invited me out
» to his clinic to see him use his invention. I will try and take him up on
» that offer in a month or so. If it’s ok with him I will videotape the
» surgery using his instruments.
»
» We had a good conversation and didn’t really differ much in our
» observations of the past 5 years of FUE surgery. Among the things we
» instantly agreed upon was the lower yield nature of FUE compared to strip
» surgery.
»
» Ipod,
» My patented punch has what is known in industry terms as " a relieved"
» tip. This means that the shaft of the punch expands just past the cutting
» surface so that the graft won’t adhere to the inside wall of the punch and
» get twisted with the punch while the base of the graft is still connected
» to the skin. Rather, the punch will spin over the graft with less friction
» and less adhesion. This decrease torsion force considerably and has allowed
» me to perform FUE procedures that were impossible for me before I had these
» new tools manufactured.
» Another difference is that I patented “follicular perferation” which is
» the act of poking the deeper layers of skin with a needle while the graft
» is under traction. This significantly decreases traction and allows
» otherwise impossible FUE surgeries to become routine.
»
» —
» Feller Medical, PC
» Great Neck, NY

It sounds like Dr. Arvind’s expanding needle technique.