FUE by SAFE Technique. an expose\' (0.75mm)... Hairtech

Hair Transplant
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One last critical area I want to talk about before I get back to the patient. Optics in hair transplants have gotten extremely important since the advent of singles, hairlines, microscopes, etc, etc…

Most clinics still utilize the common head visor to place. More and more are clinics pulling away from these visors and moving towards what we use here at our clinic. Below are mid-range expense barrel loupe optics. I Thomas (hairtech) use the blue ones. They are trendy, light weight, and wonderful.

Give me a little more time. I have a few more patient photos coming.

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Ok the patient from yesterday came in. Here is Janiece giving our patient his first shampoo. This is not typical of most offices but the reason for us to require a first day post-op shampoo is so that the grafts can be re-checked, the donor area can be cleaned (suture line if FUT), and for a more specific post-op education concerning graft care from then on.

and drying…

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and now his head is dry… Notice the donor area. His hair easily covers the areas we extracted from.

And here is a shot of one of the extraction areas… Notice the almost negligence of the extraction sites. This is because of the size of the punch used at our office as does most (not all) offices. One can conclude at this point that the smaller the punch one can start with will result in less of a scarred area post op. It is plain common sense.

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Somewhat out of order but here is me placing/planting the hairline.

Placing/planting grafts is the term when putting the hairs back into the scalp.

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couldnt you just take some videos lol.

I am joking these are all very nice pictures keep them coming its all very interesting, i wish you had a patient with more hairloss so we could see the outcome as well in 6 months from now :slight_smile:

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no problem I will. Thanks for the comments.

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A very informative & graphic portrayal.
Most clinics would be 2 paranoid to reveal trade secrets to do something like that so I really appreciated it.I had allot of questions on the actual surgery & those photos & commentary answered everyone of them. Keep the photos coming; I’d love to see one on BHT if any clinic is game enough.

I have 3 questions.

1.When I had my strip done they bandaged my entire head.They said that they did it not only because of the wound at the back of my head but to protect the grafts for the first 24 hours & to ensure they weren’t damaged in my sleep. Why is it that they don’t take this precaution in FUE or BHT??

2.The abattoir that performed my HTP washed my hair the next day as well. Given that my yield was so low I am wondering if washing the hair the very next day may damage the grafts??

  1. Not to sound like a jerk but Dr Harris’s hairline isn’t exactly full of life. Why doesn’t he have a HTP?
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» 3. Not to sound like a jerk but Dr Harris’s hairline isn’t exactly full of
» life. Why doesn’t he have a HTP?

My thoughts to!

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Damn!
First it was all the toys made in China.
Now all hair transplant seems made in India. Hairtech, even your punches are made in India.
:slight_smile: :slight_smile:

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My answers to freakon 4-5 questions are coming but since I type so damn slow… I have typed now 3 times and when I hit reply it throws everything out and now i have to retype everything again… breath… so the answers are coming… I just have to type in word and then I will reply. sorry for the delay.

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2.The abattoir that performed my HTP washed my hair the next day as well. Given that my yield was so low I am wondering if washing the hair the very next day may damage the grafts??

NNNNNNNNNNOOOOOOOO!!! THIS IS A MIS-NOMER. PLEASE READ.

OK LET’S GET SOME MICROBIOLOGY EDUCATION OUT OF THE WAY. THIS IS THE BEST WAY TO CONVEY WHY IT IS SO IMPORTANT TO WASH/SHAMPOO THE DAYS AFTER A TRANSPLANT.

THE SCALP IN GENERAL IS CONSIDERED TO BE BY A MICROBIOLOGIST’S STANPOINT to be very “dirty”. What? This means to a microbiologist that the scalp, quantitatively, has a very high number of bacteria. This is normal. Don’t worry. However when an individual undergoes a transplant, opportunities arise for bacteria to exponentially increase in numbers. Is this bad? Yes/maybe not. It is known across the board that post transplant, there is a potential for infection but it is highly unlikely in “normal” individuals. Why? Because the scalp is highly vascular. The circulation of blood and blood components is high, so it is easy for the scalp to fight off infections or bacterial increases, if you will.

So post transplant, the scalp and the immune system is working hard at healing and closing the doors of opportunity to infections. If the person simply washes once per day, i cannot express to you enough the impact this has on bacterial load. Post transplant, bacteria is given blood, serum, an increase in temperature, crevices, fissures, etc. Bacteria sees this as a haven to begin to divide.

Ok so who cares? Not really anyone because generally, it doesn’t matter. The immune system can take this hit normally. Consider this:

If you take away the bacteria by washing only once what have you accomplished?

The immune system can concentrate on building a foundation for the grafts and less on worrying on bacteria load.

Simply put, healing is not retarded if you wash once per day.

It hurts me to read that you had a transplant and you had a low yield. I highly doubt that it was because on the wash next day unless they were not being careful. We require a next day wash to provide a visual inspection of the grafts and to reset any graft out of place. 9 times out of 10 there is no problem.

More answers to the questions are coming… just wait a bit. I especially want to answer to the Dr. Harris’s transplant question. Give me a little time. I am doing laundry. AARRghh!:smiley: :smiley: :smiley:
»

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  1. When I had my strip done they bandaged my entire head.They said that they did it not only because of the wound at the back of my head but to protect the grafts for the first 24 hours & to ensure they weren’t damaged in my sleep. Why is it that they don’t take this precaution in FUE or BHT??

Good question. Bandages are not required by most clincs and certainly not ours. We do not require a bandage for FUE/FUT/ or repair. I have had opportunities to see several clinics. Off hand I can say that only one comes to mind that “has” to have a bandages post-op and it isn’t even for FUT/Strip.

Anyway, bandages post op need to be scrutinized carefully. If the donor area in a strip is “oozing”, then maybe this is a case where a bandage is needed. Let me give you a case in point about a bandage situation that was not only unnecessary, but more importantly resulted in a fiasco.

I worked for a clinic in the past that required a bandanna to be utilized post-op. At this clinic I was on call to answer calls to patients if there was a need. One night about 4:00AM I got a frantic call from a patient. He said that he did not take his bandanna off before he went to sleep. In fact he had gotten back to the hotel after his long stent in the chair and he fell asleep. When he awoke around 3:45AM, he pulled off the bandanna and looked at it. What he saw… was freakon 300 little grafts looking back at him. The bulbs all perfectly lined up, staring at him. He freaked out, like anyone would (1. because they were his only natural resource. 2. They were $15 per graft at that time) He called me. I told him to quickly immerse the grafts in a 9/1 salt/water mixture… if anything saline… but use whatever he had. I told him to meet me at the hospital.

He met me and I spent the next 2 hours gently pulling the grafts out of the bandanna, reviewing each one under microscopy, and finally re-placing them back into the scalp. He lost 70 precious grafts.

Bandannas might be necessary in some instances, however we do not employ this method. We simply tell the patient to go home or to the hotel, lay on his/her back in a 30-45 degree angle and ingest our orally prescribed sedatives. The sedatives should keep the patient from moving and/or rolling around. This method seems to work for our clinic.

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Question 3. Look at the photo below. Dr Harris’s tranplant in my eyes took years off of his look. Look at the picture on the left. Do you see the picture on the wall? That is Dr. Harris pre-transplant. Now look at the one on the right. It was taken yesterday. Dr. harris was a NW6. He is one of the only HT physicians I know that can fully relate to hairloss. He understands this issue, is passionate about it,and is actively working at bettering techniques.

Tommarrow we have another FUE case. A larger case. I will post more graft picture, etc. Is there anything anyone wants to see that I left out concerning our procedure? Ghost readers please log in and ask. I am here for anything about hair transplantation that may puzzle you.

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Hi Hairtech,

Keep up the good work! Can you ask Dr. Harris if he believes that as many grafts can be taken by FUE as strip? Also can you ask if he believes that FUE and strip can be performed in the same set of sessions?

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Ok Marco… I sent him the message. Thanks man…:slight_smile: :smiley:

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Who peformed Dr Harris’s transplant ?
Is that you in the blue scrubs ?
What made you pursue this line of work in particular ?

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Who peformed Dr Harris’s transplant ? His staff many years ago.

Is that you in the blue scrubs ? Yes

What made you pursue this line of work in particular ? Around six years ago I fell into it. Before this, I pulled out eyeballs, bones and other tissues for transplant. Hair was/is still a young science. I became passionate about it once I started working for Dr. Cole and had an impact on the industry.

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» Who peformed Dr Harris’s transplant ? His staff many years ago.
»
» Is that you in the blue scrubs ? Yes
»
» What made you pursue this line of work in particular ? Around six years
» ago I fell into it. Before this, I pulled out eyeballs, bones and other
» tissues for transplant. Hair was/is still a young science. I became
» passionate about it once I started working for Dr. Cole and had an impact
» on the industry.

I envy your hair.
Thanks again for the surgical pics,very interesting.

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Does anyone want to see anything that I might have left out ?

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Marco I hope this answers your question from Dr. Harris himself… I posted it in two threads since it covered two subjects.

"Tom,

Yes, we’ve done it several times. You can maximize the number of grafts in a
single session (done over two days). It’s useful for people from out of town
wanting to minimize trips.

I do think that you can extract just as many grafts as you can remove by strip but I do have a suspicion that you may be able to get more grafts by using a combination of strip and FUE. I think the strip method leaves high density areas above and below the scar that are amenable to FUE. I have many patients who have had 7000-8000 strip grafts and based on their residual donor density I could easily extract several thousand additional grafts if they needed them. The combination of strip and FUE works well in a single setting, the only problem is that if you extract from the potential strip area for the subsequent surgery, your available grafts will decrease. You have to account for this in your surgical plan.

Dr. James Harris"