This hair transplant patient came to our clinic in the winter of 07’. The patient is a class 3v with straight, medium coarse, salt and pepper hair. Before coming to our clinic, the patient had 2 strip sessions and a scalp reduction performed during the mid 90’s. The patient’s goal was to soften the frontal hair line and add coverage to the frontal third. Dr. Cole successfully treated this patient with 1000 CIT grafts to the frontal scalp.
The video / photo results shown below depict this patient’s progress at 10 months post-op. A dramatic change in the appearance of the frontal scalp has been achieved by 1000 CIT grafts. Also attached is video footage of the patient’s donor area previously harvested by approx. 1800 strip (FUT) grafts and 1000 CIT grafts. CIT scarring may or may not be visible in comparison to the strip scars that are visible in this patient’s donor. This is an advantage of beginning and ending hair restoration with CIT hair transplant method. With CIT, there is no linear scarring associated with strip hair transplant method (FUT). No clinic can guarantee that a surgery is 100% scar free but there are less invasive methods to harvest a donor area. A hair transplant should be performed by hair transplant methods that produce the best aesthetic result in both the donor and recipient area. This satisfied patient will be returning to add density in the crown and top.
Video results on recipient 764_file15.wmv
Before and After 1000 CIT
This particular patient would have been a class 6 if it had not been for his previous hair transplants. The progress of this case will definitely be published after the CIT in the crown is accomplished. The donor area shown in this case suggests that beginning and ending with CIT treatment may yeild a better result on the donor and recipient area. The donor video below, shows the after effects of two strip procedures totaling 1800 strip grafts and 1000 CIT grafts.
People should take notice, it’s wiser to do a small session like this spread out over several times rather than going for tens of thousands and risk everything all in one shot.
» People should take notice, it’s wiser to do a small session like this
» spread out over several times rather than going for tens of thousands and
» risk everything all in one shot.
Ipod,
I totally agree. For now, it’s better to go moderately and too agressive. Who knows what Mother Nature has in store for each of us. It’s essential to disclose to patients, that hair loss is a one-time treatment that is permanent. In fact, we recently had a patient who attended a consultation. The patient said that other doctor said that he had no donor remaining and that further strip (FUT) surgery wasn’t recommended.
Our clinic takes many major repair cases and cases that are resolved via strip. In CIT, overall density is decrease but there is less to worry about in terms of donor hair preservation. Grafts are tranplanted intact and the donor area may be covered with shorter hair. For this reason, we don’t like the idea of 25 year old patients having strip procedures performed. Not only do they eventually pay the same if not more per graft, they are often times left with the unsightly strip scar. This is not in their best interest. CIT was developed to yield a better aesthetic result and maximize donor area resources.
Many individuals think that they can achieve a great result by just graft into a scar at a later date. This misconception is based on many factors that include, skin elasticity, the patients’ ability to heal, and the hands of the surgeon. For this reason, patients should do their homework to understand any risks involved with a procedure.
» » People should take notice, it’s wiser to do a small session like this
» » spread out over several times rather than going for tens of thousands
» and
» » risk everything all in one shot.
»
» Ipod,
»
» I totally agree. For now, it’s better to go moderately and too agressive.
» Who knows what Mother Nature has in store for each of us. It’s essential
» to disclose to patients, that hair loss is a one-time treatment that is
» permanent. In fact, we recently had a patient who attended a consultation.
» The patient said that other doctor said that he had no donor remaining and
» that further strip (FUT) surgery wasn’t recommended.
»
» Our clinic takes many major repair cases and cases that are resolved via
» strip. In CIT, overall density is decrease but there is less to worry
» about in terms of donor hair preservation. Grafts are tranplanted intact
» and the donor area may be covered with shorter hair. For this reason, we
» don’t like the idea of 25 year old patients having strip procedures
» performed. Not only do they eventually pay the same if not more per graft,
» they are often times left with the unsightly strip scar. This is not in
» their best interest. CIT was developed to yield a better aesthetic result
» and maximize donor area resources.
»
» Many individuals think that they can achieve a great result by just graft
» into a scar at a later date. This misconception is based on many factors
» that include, skin elasticity, the patients’ ability to heal, and the hands
» of the surgeon. For this reason, patients should do their homework to
» understand any risks involved with a procedure.
»
I think these days it pays to wait or at least not go for mega sessions, if Acell’s stuff really works, we will have next generation HT very soon that gives us unlimited donor.
CIT, I am sure u meant to say " moderately than too aggressive" and “hair loss can be progressive.” hairloss might take 1+ sessions. There are risks but minimal with CIT/ FUE. Thanks for the post mate! Nicely done! Very good result for 1000 grafts if I may say so myself.
Yes. “Less is more” look is excellent for this patient and the patient’s donor area is harvested only when the surgeon selectively chooses each follicular unit depending on the demand in the recipient area. CIT patients do have the ability to wear a shorter hair style but many doctors who don’t perform our procedure still call it “blind” As you can see from the results, this is not the case. Yes, the “less is more” approach gives a full appearance despite the small amount of transplanted grafts. CIT has a transection rate of about 2%.
Hair loss is progressive in many cases, no physician can certainly predict how much hair loss a patient may have in the future and the least amount of transplanted grafts means the donor area was harvested effectively. Also, remember that it is better to harvest less grafts to produce same cosmetic effect. 1000 CIT grafts went a long way for this patient.
The best way to find out if you are a candidate for a hair transplant is to have a recommendation. At this point, we have an obligation to make each of our patients aware of possible side effects and drawbacks of both strip and CIT. The drawback is that CIT is a couple of dollars per graft and some patient may see minor signs of the extraction usually on the chest. They drawback of strip (FUT) is that nerves can be damaged and permanent loss of feeling may occur in the area strip extraction.
Patients should educate themselves and seek guidance from physicians who specialize in hair transplant.
The less is more is finally proving itself to be in anyone’s best interests. I figure u can always add more density at a later date. CIT, I am sure u meant to say " moderately than too aggressive" and “hair
» loss can be progressive.” hairloss might take 1+ sessions. There are
» risks but minimal with CIT/ FUE. Thanks for the post mate! Nicely done!
» Very good result for 1000 grafts if I may say so myself.
»
»
You can always add more density later if your donor area hasn’t been over-harvested. To achieve ideal density, we suggest doing more than one session. Most donor areas harvested by strip are usually limited and yield larger amounts of hairs when compared to FUE. With CIT, our form of FUE, the donor harvesting is performed as a less invasive method that maximizes the entire donor region or “safe zone”. A significant amount of our patients come to us due to this problem. The strip can cause unwanted effects in the donor area but produces more individual hairs. CIT harvesting spreads the donor area and doesn’t involve deep incisions.
» Whoaaa. I didn’t see the donor video. :waving: I only see the previous
» strips.
»
» » » » » Video results on donor area
» » » » » 764_file16.wmv
Yes. CIT harvesting of this previously strip harvested donor area shows that the strip harvesting performed in this donor area is more evident that the CIT harvesting.
» Very impressive for the amount of grafts;-) I am sorry for the patient
» having prior strip work:-(
I really don’t see any reason why anyone would want to have a scar? It just doesn’t make sense. It’s a no brainer unless the patient was never informed of fue being an option in lieu of strip.
» » Very impressive for the amount of grafts;-) I am sorry for the patient
» » having prior strip work:-(
»
» I really don’t see any reason why anyone would want to have a scar? It
» just doesn’t make sense. It’s a no brainer unless the patient was never
» informed of fue being an option in lieu of strip.
Hi neveragain,
I share the same opinion. All patients should be made aware that any surgery may cause scarring. In CIT or Fue, scarring isn’t nearly as visible as strip FUT hair transplant method. Younger patients seeking strip surgery should not be told that they will have a 1mm scar linear scar after surgery. Lots of top strip clinics don’t tell patients of the fact that more of a percentage of patients get wider scars than don’t. They should be told that scars can stretch over time and that trico closures are sure to deliver an unnoticeable linear scar. In strip, a scalpel is used to harvest all of the hair and a percentage of the surrounding donor follicular units are destroyed.
These patients should do research to find out the advantages and disadvantages of each method. More patients are being led to believe that correcting the scars is simple after CIT or FUE grafts are placed into them to decrease the appearance of the scars. Others are led to believe that tattooing scars is a permanent solution A large percentage of our patients come to us to achieve their previous goals and decrease the appearance of the strip scarring. These patients must keep in mind that once the scalp donor area has been harvested via strip, the scalp becomes tighter and growth into scar tissue is not always repairable. There are fewer benefits of having a strip than on CIT or FUE.
» » » Very impressive for the amount of grafts;-) I am sorry for the
» patient
» » » having prior strip work:-(
» »
» » I really don’t see any reason why anyone would want to have a scar? It
» » just doesn’t make sense. It’s a no brainer unless the patient was never
» » informed of fue being an option in lieu of strip.
»
» Hi neveragain,
»
» I share the same opinion. All patients should be made aware that any
» surgery may cause scarring. In CIT or Fue, scarring isn’t nearly as
» visible as strip FUT hair transplant method. Younger patients seeking strip
» surgery should not be told that they will have a 1mm scar linear scar after
» surgery. Lots of top strip clinics don’t tell patients of the fact that
» more of a percentage of patients get wider scars than don’t. They should
» be told that scars can stretch over time and that trico closures are sure
» to deliver an unnoticeable linear scar. In strip, a scalpel is used to
» harvest all of the hair and a percentage of the surrounding donor
» follicular units are destroyed.
»
»
» These patients should do research to find out the advantages and
» disadvantages of each method. More patients are being led to believe that
» correcting the scars is simple after CIT or FUE grafts are placed into them
» to decrease the appearance of the scars. Others are led to believe that
» tattooing scars is a permanent solution A large percentage of our patients
» come to us to achieve their previous goals and decrease the appearance of
» the strip scarring. These patients must keep in mind that once the scalp
» donor area has been harvested via strip, the scalp becomes tighter and
» growth into scar tissue is not always repairable. There are fewer benefits
» of having a strip than on CIT or FUE.
»
» Example one:
»
»
That pic says a thousand words. The grafts in the scar took, but that dude is still stuck with a scar. He can never wear his hair short without people knowing that he’s had a hair transplant, and he knows it.
»
»
»
» Amen.
»
» That pic says a thousand words. The grafts in the scar took, but that dude
» is still stuck with a scar. He can never wear his hair short without people
» knowing that he’s had a hair transplant, and he knows it.
It is a shame that most patients don’t begin and end with FUE or CIT. At least some of these prior strip patients aren’t getting unsatifactory results in the recipient areas.
Strip scars can be extremely unpredictable. I would do it if there were 0% chance of nerve damage. Fue afterwards would be my next move:(
» » » » Very impressive for the amount of grafts;-) I am sorry for the
» » patient
» » » » having prior strip work:-(
» » »
» » » I really don’t see any reason why anyone would want to have a scar?
» It
» » » just doesn’t make sense. It’s a no brainer unless the patient was
» never
» » » informed of fue being an option in lieu of strip.
» »
» » Hi neveragain,
» »
» » I share the same opinion. All patients should be made aware that any
» » surgery may cause scarring. In CIT or Fue, scarring isn’t nearly as
» » visible as strip FUT hair transplant method. Younger patients seeking
» strip
» » surgery should not be told that they will have a 1mm scar linear scar
» after
» » surgery. Lots of top strip clinics don’t tell patients of the fact
» that
» » more of a percentage of patients get wider scars than don’t. They
» should
» » be told that scars can stretch over time and that trico closures are
» sure
» » to deliver an unnoticeable linear scar. In strip, a scalpel is used to
» » harvest all of the hair and a percentage of the surrounding donor
» » follicular units are destroyed.
» »
» »
» » These patients should do research to find out the advantages and
» » disadvantages of each method. More patients are being led to believe
» that
» » correcting the scars is simple after CIT or FUE grafts are placed into
» them
» » to decrease the appearance of the scars. Others are led to believe
» that
» » tattooing scars is a permanent solution A large percentage of our
» patients
» » come to us to achieve their previous goals and decrease the appearance
» of
» » the strip scarring. These patients must keep in mind that once the
» scalp
» » donor area has been harvested via strip, the scalp becomes tighter and
» » growth into scar tissue is not always repairable. There are fewer
» benefits
» » of having a strip than on CIT or FUE.
» »
» » Example one:
» »
» »
» »
»
»
»
»
»
» Amen.
»
» That pic says a thousand words. The grafts in the scar took, but that dude
» is still stuck with a scar. He can never wear his hair short without people
» knowing that he’s had a hair transplant, and he knows it.
»
»
»
»
» » » » » Very impressive for the amount of grafts;-) I am sorry for the
» » » patient
» » » » » having prior strip work:-(
» » » »
» » » » I really don’t see any reason why anyone would want to have a scar?
» » It
» » » » just doesn’t make sense. It’s a no brainer unless the patient was
» » never
» » » » informed of fue being an option in lieu of strip.
» » »
» » » Hi neveragain,
» » »
» » » I share the same opinion. All patients should be made aware that any
» » » surgery may cause scarring. In CIT or Fue, scarring isn’t nearly as
» » » visible as strip FUT hair transplant method. Younger patients seeking
» » strip
» » » surgery should not be told that they will have a 1mm scar linear scar
» » after
» » » surgery. Lots of top strip clinics don’t tell patients of the fact
» » that
» » » more of a percentage of patients get wider scars than don’t. They
» » should
» » » be told that scars can stretch over time and that trico closures are
» » sure
» » » to deliver an unnoticeable linear scar. In strip, a scalpel is used
» to
» » » harvest all of the hair and a percentage of the surrounding donor
» » » follicular units are destroyed.
» » »
» » »
» » » These patients should do research to find out the advantages and
» » » disadvantages of each method. More patients are being led to believe
» » that
» » » correcting the scars is simple after CIT or FUE grafts are placed
» into
» » them
» » » to decrease the appearance of the scars. Others are led to believe
» » that
» » » tattooing scars is a permanent solution A large percentage of our
» » patients
» » » come to us to achieve their previous goals and decrease the
» appearance
» » of
» » » the strip scarring. These patients must keep in mind that once the
» » scalp
» » » donor area has been harvested via strip, the scalp becomes tighter
» and
» » » growth into scar tissue is not always repairable. There are fewer
» » benefits
» » » of having a strip than on CIT or FUE.
» » »
» » » Example one:
» » »
» » »
» » »
» »
» »
» »
» »
» »
» » Amen.
» »
» » That pic says a thousand words. The grafts in the scar took, but that
» dude
» » is still stuck with a scar. He can never wear his hair short without
» people
» » knowing that he’s had a hair transplant, and he knows it.
Strip scars can be extremely unpredictable. I would do it if there were 0%
chance of nerve damage. Fue afterwards would be my next move:(
nwone,
There will definitely be a chance of nerve damage by having a strip performed. Some strip patients will even experience a tingling sensation in the donor area for years after the procedure. These are just some of the risks of the procedure. Once you use a scalpel to cut into tissue, you risk having a scar. I have not seen any cases where a patient experienced loss of sensation by having CIT harvesting in their donor area. With CIT, the extractions in the donor area are typically shallower than the typical incisions of a strip. Please remember, there is no procedure that has a 0% chance of scarring. Our goal is to provide the best aesthetic result in the donor and recipient area.
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