» » An interesting aspect is the patient is so happy with the donor healing
» he
» » is reluctant to tempt fate and maybe impair the good work; so his next
» » procedure will be FUE; so he gets the best of both; maximum hair within
» » his limits from FUT, a neat closure even with short hair unnoticeable
» to
» » the majority unless scrutinised and then FUE to increase his coverage
» over
» » the crown.
»
» Is there a problem with using the strip and FUE in a single procedure.
» Thanks
Hi marco,
When this patient came to us we mused over the various options available; initially we were looking at getting around 4000 from the strip and maybe 2000 from FUE in the same procedure; but his hair characteristics allowed 6000 from the strip the patient decided to leave it there and wait for the regrowth.
There is no problem combining the two techniques in “one session” if the maximum potential wants to be achieved in minimum time, this would still allow for another pass of FUT or FUE in the future; that said most prefer to opt for one and then assess their future later. I posted a 3334 FUT earlier on Hairsite, and the second procedure was just that 2000 FUT and 500 FUE.Obviously care has to be taken when combining techniques, a safe distance has to be kept between the suture line and the FUE extraction but it is perfectly possible to do without causing excessive trauma to the scalp, the patient or the grafts.
Where we do find a great need of combining the techniques is in the case of repairs and generally bad cases. The donor is severely impaired or the positioning of the scars is counter productive to another large strip so FUE is also used to maximise the graft numbers. This has the benefit to use the FUT and FUE grafts in specific areas of the scalp to ensure maximum yield. For example ridging and cobblestoning can lower the yield because of the damage caused by incorrect slit making or placement; for this you want strong grafts and as FUT grafts generally have more tissue surrounding them they have a greater chance of a better yield.
» » » An interesting aspect is the patient is so happy with the donor
» healing
» » he
» » » is reluctant to tempt fate and maybe impair the good work; so his
» next
» » » procedure will be FUE; so he gets the best of both; maximum hair
» within
» » » his limits from FUT, a neat closure even with short hair unnoticeable
» » to
» » » the majority unless scrutinised and then FUE to increase his coverage
» » over
» » » the crown.
» »
» » Is there a problem with using the strip and FUE in a single procedure.
» » Thanks
»
» Hi marco,
»
» When this patient came to us we mused over the various options available;
» initially we were looking at getting around 4000 from the strip and maybe
» 2000 from FUE in the same procedure; but his hair characteristics allowed
» 6000 from the strip the patient decided to leave it there and wait for the
» regrowth.
»
» There is no problem combining the two techniques in “one session” if the
» maximum potential wants to be achieved in minimum time, this would still
» allow for another pass of FUT or FUE in the future; that said most prefer
» to opt for one and then assess their future later. I posted a 3334 FUT
» earlier on Hairsite, and the second procedure was just that 2000 FUT and
» 500 FUE.Obviously care has to be taken when combining techniques, a safe
» distance has to be kept between the suture line and the FUE extraction but
» it is perfectly possible to do without causing excessive trauma to the
» scalp, the patient or the grafts.
»
» Where we do find a great need of combining the techniques is in the case
» of repairs and generally bad cases. The donor is severely impaired or the
» positioning of the scars is counter productive to another large strip so
» FUE is also used to maximise the graft numbers. This has the benefit to
» use the FUT and FUE grafts in specific areas of the scalp to ensure
» maximum yield. For example ridging and cobblestoning can lower the yield
» because of the damage caused by incorrect slit making or placement; for
» this you want strong grafts and as FUT grafts generally have more tissue
» surrounding them they have a greater chance of a better yield.
It was pointed out that why have strip when FUE is available; as a clinic that does both techniques we are in a position to advise the better technique to meet the persons needs; if it was money orientated we could have said FUE to him from day one. The point is and contrary to much that is written FUE may not have given this patient 6000 grafts without over harvesting his donor area, and ironically causing more scarring than he has now. Even if he has the ability to safely harvest 6000 via FUE it would certainly have not been prudent to do it in one procedure. If FUE only was chosen and assuming he had the donor to reach 6000 without over harvesting that would be him tapped out, with no options for the crown. I will look at his file and do the maths to see what the FUE possibilities where prior to the op.
» Hi marco,
»
» When this patient came to us we mused over the various options available;
» initially we were looking at getting around 4000 from the strip and maybe
» 2000 from FUE in the same procedure; but his hair characteristics allowed
» 6000 from the strip the patient decided to leave it there and wait for the
» regrowth.
»
» There is no problem combining the two techniques in “one session” if the
» maximum potential wants to be achieved in minimum time, this would still
» allow for another pass of FUT or FUE in the future; that said most prefer
» to opt for one and then assess their future later. I posted a 3334 FUT
» earlier on Hairsite, and the second procedure was just that 2000 FUT and
» 500 FUE.Obviously care has to be taken when combining techniques, a safe
» distance has to be kept between the suture line and the FUE extraction but
» it is perfectly possible to do without causing excessive trauma to the
» scalp, the patient or the grafts.
»
» Where we do find a great need of combining the techniques is in the case
» of repairs and generally bad cases. The donor is severely impaired or the
» positioning of the scars is counter productive to another large strip so
» FUE is also used to maximise the graft numbers. This has the benefit to
» use the FUT and FUE grafts in specific areas of the scalp to ensure
» maximum yield. For example ridging and cobblestoning can lower the yield
» because of the damage caused by incorrect slit making or placement; for
» this you want strong grafts and as FUT grafts generally have more tissue
» surrounding them they have a greater chance of a better yield.
Fascinating, we should revisit this as well as the other comments that you have just posted in a new thread. All very educational.
It’s not that we care or don’t care what you think. It’s just that we wish you would not express it in suchg an ignorant way. It may not be the case but it seems that you just state things to be provocative but without any real substance or at least without bringing anything new to the table which is immature for a man of your age.
» »
» » why do you guys care what I think anyway
»
» It’s not that we care or don’t care what you think. It’s just that we wish
» you would not express it in suchg an ignorant way. It may not be the case
» but it seems that you just state things to be provocative but without any
» real substance or at least without bringing anything new to the table
» which is immature for a man of your age.
anything new to the table, what do you bring that is new to the table? what is there in the last few years new to the table with hair transplants other than body hair, which basically is a failure
Oh knowledgable one, Please enlighten us with your wisdom on hair transplants
most guys on the board, to me, are a combination of battle scarred butcher victims trying to fix their problem, or they are so desperate about looking bald that they risk disfigurment, and often get just that…in order to fix their problem
Hair transplantation, is still in many ways barbaric, and most guys get trapped into 30 years of continual transplants , and I would say the majority of guys on the board regret getting it done
Like I said you are free to disagree, and please point out all of the valuable contributions to the board you have made
BHR, do you think if trichophytic closure actually made the scar look more obvious immediately after surgery because the doctor had to fold one flap of the skin onto the other?
If it was for the clinic, they would not offer strip cause with FUE they make more money.
I think you have not seen many strip procedures thats all.
About the scar, I think there is one variable which has not been discussed which is the importance to keep a low profile during the time after the procedure. If you plan on doing weights and doing your normal life 2 or 3 weeks post-op, chances are the scar start to widen in the first weeks after post op. It could be the case that this patient for some reason did not follow a good routine and the scar has widened.
In regard to the scar been from temple to temple, there is simply no free lunch. If you think that it could be done through FUE, well it might be the case that after FUE you could leave the donor so bad that it looks moth roaten, and look eve worst than with the current scar.
If you go with FUE, you must be careful cause even though it looks like a tempting first option, it does have it drawbacks and is not right for every patient.
» BHR, do you think if trichophytic closure actually made the scar look more
» obvious immediately after surgery because the doctor had to fold one flap
» of the skin onto the other?
» If it was for the clinic, they would not offer strip cause with FUE they
» make more money.
» I think you have not seen many strip procedures thats all.
» About the scar, I think there is one variable which has not been discussed
» which is the importance to keep a low profile during the time after the
» procedure. If you plan on doing weights and doing your normal life 2 or 3
» weeks post-op, chances are the scar start to widen in the first weeks after
» post op. It could be the case that this patient for some reason did not
» follow a good routine and the scar has widened.
»
» In regard to the scar been from temple to temple, there is simply no free
» lunch. If you think that it could be done through FUE, well it might be
» the case that after FUE you could leave the donor so bad that it looks
» moth roaten, and look eve worst than with the current scar.
»
» If you go with FUE, you must be careful cause even though it looks like a
» tempting first option, it does have it drawbacks and is not right for
» every patient.
»
»
» » BHR, do you think if trichophytic closure actually made the scar look
» more
» » obvious immediately after surgery because the doctor had to fold one
» flap
» » of the skin onto the other?
I had heard they make more money with strip, just the opposite, Even though the price per graft is lower, they can crank out many more grafts in a session with less effort, and their overall income is larger with strip
» BHR, do you think if trichophytic closure actually made the scar look more
» obvious immediately after surgery because the doctor had to fold one flap
» of the skin onto the other?
Hi johnp,
There are varients on “Tricho Closure” but any cut or slither from the edges to allow hair to regrow through the line is so minimal; it has to be made under micro loop and is almost not visible to the eye. The closure to look at is little different from the traditional strip closure unless you know what you are looking at.
I do not believe that is the reason, I believe it is because the patient had his hair cut short for the procedure you are able to see the entire closure uncut, excuse the pun. Most people come to the procedure with their hair left a little longer to ensure that during the post op healing the line cannot be seen, but this patient was not overly concerned and kept it short, as he has done throughout the post op months.
It is too early to judge. All hair transplants look pretty damn bloody the first week. I think the important thing is how it looks six months from now and whether it stretches? Only time will tell.
» It is too early to judge. All hair transplants look pretty damn bloody the
» first week. I think the important thing is how it looks six months from
» now and whether it stretches? Only time will tell.
I agree its too early to judge, your going to have to give it time.
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