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Let\'s discuss the advantages of FUE, CIT and Strip (FUT)


#1

Below is a patient who had 4 follicular unit transplant (strip) sessions performed before coming to our clinic in Jan 08’. The patients goals went from totally restoring the hair loss via strip to repairing strip scarring and thicken the crown via CIT.

When a patient has a strip performed, the overall surface area of the donor area is decreased. The advantage to strip method is that you will receive more individual hairs in a session. With strip, grafts are often times fractionated during the procedure. This means that you may end up paying the FUE price per graft in the end. A disadvantage with strip is the inability to wear a short hair style.

FUE maximizes the entire donor area for harvesting, allows you to wear a short hair style, but initially costs more per graft at most clinics. The harvested grafts are extracted based on the demand of the recipient area and placed intact. Also remember that CIT, our form of FUE, is a harvesting technology whereby follicular groups can be “cherry-picked” by the physician to yield consistent quality results.

Many individuals can benefit from a combination of FUE & FUT if the advantages and disadvantages of each procedure are considered beforehand. There is no such thing as a guarantee of a totally scarless hair transplant procedure. Some patients heal better than others. The benefits of each procedure must be weighed in consideration of specific goals in hair restoration.

Patient


#2

With FUE will we get small dots (slight scaring) or not?

If a person was to lose more hair then decided to shave their head or even prefered a shaved head,would we then see small dots,slight scaring.

I’m asking this as I have taken to shaving my head,as I do not like thinning hair or the frontal loss I have.I actually think it looks good,but I hate the fact that I have not much hair(shadow)at the front.

Yes I’ve given up on waiting for HM!


#3

"The advantage to strip method is that you will
receive more individual hairs in a session. With strip, grafts are often
times fractionated during the procedure. This means that you may end up
paying the FUE price per graft in the end. "

What exactly does that mean?


#4

» With FUE will we get small dots (slight scaring) or not?
»
» If a person was to lose more hair then decided to shave their head or even
» prefered a shaved head,would we then see small dots,slight scaring.
»
» I’m asking this as I have taken to shaving my head,as I do not like
» thinning hair or the frontal loss I have.I actually think it looks
» good,but I hate the fact that I have not much hair(shadow)at the front.
»
» Yes I’ve given up on waiting for HM!

Hi,

There is no guarantee that dotting will occur. I have attached photos of various patients who have received CIT. You will see that the donor areas are all different in each unique case. You may also be able to see a slight decrease of density on the donor area in the attached photos.

No two donors are actually the same and each patient heals differently. The associated scarring will not always be visible to the naked eye as the extractions on the scalp are very shallow. Under high magnification, even these patients will show the absence of hair. Also keep in mind that after hair is taken, the blood supply is decreased on the area. The area may even become slightly lighter but no one can predict how visible these areas will be.







My advice is not medical advice


#5

Thank you for the information.I actually got the right point over,as the answer was what I wanted to know - I appreciate the bother you went to - Cheers!


#6

Often the following reasons are used to discourage people from seeking FUE:

-Larger sessions not possible
-Shaving both donor and recipient area mandatory for larger FUE sessions
-Costs

At Prohairclinic we constantly seek ways to make FUE better and more affordable.
Our response to the above issues :

-3000 grafts over 2 days is not a problem on 95% of all virgin heads, regardless of donor area laxity.
-Currently there is no alternative, shaving is mandatory for larger sessions. Having said that, giga sessions also require shaving of the recipient area … your head will look very funny this way as well
-Costs is now comparable with strip surgery

What is needed in the near future ?
A lot more docs doing FUE only. It does require great skill to offer high quality FUE on ANY patient, regardless of hair characteristics.


Consultant for Prohairclinic Belgium
FUE only institute since 2004
Specialized in FUE megasessions


#7

» "The advantage to strip method is that you will
» receive more individual hairs in a session. With strip, grafts are often
» times fractionated during the procedure. This means that you may end up
» paying the FUE price per graft in the end. "
»
» What exactly does that mean?

I believe it’s something about paying for hairs extracted or paying for grafts implanted.


#8

In strip surgery, the grafts are made by cutting the strip into pieces. Natural follicular units of 1 to 4 hairs may be dissected to single-hair grafts and you are charged based on that number. In FUE, the follicular unit is extracted and placed as a whole. Therefore, you will be charged per graft that could be 1 to 4 hairs, whereas in strip, you could get screwed by a surgeon chopping up a natural follicular unit into unnatural single-hair grafts. This is a common practice by unscrupulous surgeons. I have heard of this also being done by FUE surgeons, which is sad. The bottom line is that if, in strip, all FU’s were cut into single-hair grafts, the result would likely be unnatural and would also result in costs comparable to FUE.


#9

» Often the following reasons are used to discourage people from seeking
» FUE:
»
» -Larger sessions not possible
» -Shaving both donor and recipient area mandatory for larger FUE sessions
» -Costs
»
»
» At Prohairclinic we constantly seek ways to make FUE better and more
» affordable.
» Our response to the above issues :
»
» -3000 grafts over 2 days is not a problem on 95% of all virgin heads,
» regardless of donor area laxity.
» -Currently there is no alternative, shaving is mandatory for larger
» sessions. Having said that, giga sessions also require shaving of the
» recipient area … your head will look very funny this way as well
» -Costs is now comparable with strip surgery
»
» What is needed in the near future ?
» A lot more docs doing FUE only. It does require great skill to offer high
» quality FUE on ANY patient, regardless of hair characteristics.
»
» —
» Consultant for Prohairclinic Belgium
» FUE only institute since 2004
» Specialized in FUE megasessions

bverotti - Any chance you can give an opinion on fUE dots,slight scaring.Heres my original question

With FUE will we get small dots (slight scaring) or not?

If a person was to lose more hair then decided to shave their head or even prefered a shaved head,would we then see small dots,slight scaring.

I’m asking this as I have taken to shaving my head,as I do not like thinning hair or the frontal loss I have.I actually think it looks good,but I hate the fact that I have not much hair(shadow)at the front.

bverotti,I’m in europe,so your close to me.I haven’t made my mind up really on what I’m going to do,but I would appreciate your opinion.Thanks in advance.


#10

» » Often the following reasons are used to discourage people from seeking
» » FUE:
» »
» » -Larger sessions not possible
» » -Shaving both donor and recipient area mandatory for larger FUE
» sessions
» » -Costs
» »
» »
» » At Prohairclinic we constantly seek ways to make FUE better and more
» » affordable.
» » Our response to the above issues :
» »
» » -3000 grafts over 2 days is not a problem on 95% of all virgin heads,
» » regardless of donor area laxity.
» » -Currently there is no alternative, shaving is mandatory for larger
» » sessions. Having said that, giga sessions also require shaving of the
» » recipient area … your head will look very funny this way as well
» » -Costs is now comparable with strip surgery
» »
» » What is needed in the near future ?
» » A lot more docs doing FUE only. It does require great skill to offer
» high
» » quality FUE on ANY patient, regardless of hair characteristics.
» »
» » —
» » Consultant for Prohairclinic Belgium
» » FUE only institute since 2004
» » Specialized in FUE megasessions
»
» bverotti - Any chance you can give an opinion on fUE dots,slight
» scaring.Heres my original question
»
» With FUE will we get small dots (slight scaring) or not?
»
» If a person was to lose more hair then decided to shave their head or even
» prefered a shaved head,would we then see small dots,slight scaring.
»
» I’m asking this as I have taken to shaving my head,as I do not like
» thinning hair or the frontal loss I have.I actually think it looks
» good,but I hate the fact that I have not much hair(shadow)at the front.
»
» bverotti,I’m in europe,so your close to me.I haven’t made my mind up
» really on what I’m going to do,but I would appreciate your opinion.Thanks
» in advance.

I have seen white dots with any size of instrument, although smaller instruments leave smaller white dots. FUE is not magic, by no means.

Does everybody have white dots ?
No, definately not, I would say a minority. Why do some get white dots ? Frankly I have no idea.

Just as an example : I had 2300 FUE done with 1 mm instrument and had no white dots. I have seen some patients treated with 0,6 mm and had white dots.

Another issue is the amount of grafts removed from the donor area and the usage of the donor area. Each FUE session should be done using the maximum donor area size.
If one removed 4000 or more grafts, you can not expect that there will be absolutely no trace if shaven to the bone. At some point there will be visible signs at zero hairlenght, period.

However remember,
At shaved to the bone lenght any FUE will outrun ANY strip scar from ANY distance.


Consultant for Prohairclinic Belgium
FUE only institute since 2004
Specialized in FUE megasessions


#11

» » » Often the following reasons are used to discourage people from seeking
» » » FUE:
» » »
» » » -Larger sessions not possible
» » » -Shaving both donor and recipient area mandatory for larger FUE
» » sessions
» » » -Costs
» » »
» » »
» » » At Prohairclinic we constantly seek ways to make FUE better and more
» » » affordable.
» » » Our response to the above issues :
» » »
» » » -3000 grafts over 2 days is not a problem on 95% of all virgin heads,
» » » regardless of donor area laxity.
» » » -Currently there is no alternative, shaving is mandatory for larger
» » » sessions. Having said that, giga sessions also require shaving of
» the
» » » recipient area … your head will look very funny this way as well
» » » -Costs is now comparable with strip surgery
» » »
» » » What is needed in the near future ?
» » » A lot more docs doing FUE only. It does require great skill to offer
» » high
» » » quality FUE on ANY patient, regardless of hair characteristics.
» » »
» » » —
» » » Consultant for Prohairclinic Belgium
» » » FUE only institute since 2004
» » » Specialized in FUE megasessions
» »
» » bverotti - Any chance you can give an opinion on fUE dots,slight
» » scaring.Heres my original question
» »
» » With FUE will we get small dots (slight scaring) or not?
» »
» » If a person was to lose more hair then decided to shave their head or
» even
» » prefered a shaved head,would we then see small dots,slight scaring.
» »
» » I’m asking this as I have taken to shaving my head,as I do not like
» » thinning hair or the frontal loss I have.I actually think it looks
» » good,but I hate the fact that I have not much hair(shadow)at the front.
» »
» » bverotti,I’m in europe,so your close to me.I haven’t made my mind up
» » really on what I’m going to do,but I would appreciate your
» opinion.Thanks
» » in advance.
»
» I have seen white dots with any size of instrument, although smaller
» instruments leave smaller white dots. FUE is not magic, by no means.
»
» Does everybody have white dots ?
» No, definately not, I would say a minority. Why do some get white dots ?
» Frankly I have no idea.
»
» Just as an example : I had 2300 FUE done with 1 mm instrument and had no
» white dots. I have seen some patients treated with 0,6 mm and had white
» dots.
»
» Another issue is the amount of grafts removed from the donor area and the
» usage of the donor area. Each FUE session should be done using the
» maximum donor area size.
» If one removed 4000 or more grafts, you can not expect that there will be
» absolutely no trace if shaven to the bone. At some point there will be
» visible signs at zero hairlenght, period.
»
» However remember,
» At shaved to the bone lenght any FUE will outrun ANY strip scar from ANY
» distance.

Thanks for getting back to me on this - Cheers!


#12

» "The advantage to strip method is that you will
» receive more individual hairs in a session. With strip, grafts are often
» times fractionated during the procedure. This means that you may end up
» paying the FUE price per graft in the end. "
»
» What exactly does that mean?

It means that it is not rare for a strip patient to pay for the harvested grafts more than once. The grafts taken from the donor strip are dissected to be used again on the same recipeint area.


#13

There is no guarantee that dotting will occur.

I do not think anybody is looking for a guarantee that dotting WILL occur :slight_smile:

Obviously there are a number of factors in whether you will end up with this and there can be no guarantees - but one of the key factors is clearly punch size.


#14

»
» It means that it is not rare for a strip patient to pay for the harvested
» grafts more than once. The grafts taken from the donor strip are dissected
» to be used again on the same recipeint area.

Very true, I could not agree more.:slight_smile:


#15

» There is no guarantee that dotting will occur.
»
» I do not think anybody is looking for a guarantee that dotting WILL occur
» :slight_smile:
»
» Obviously there are a number of factors in whether you will end up with
» this and there can be no guarantees - but one of the key factors is
» clearly punch size.

I agree with this, it seems to get it to the least you have to be using below 0.9mm otherwise it increases


#16

» » There is no guarantee that dotting will occur.
» »
» » I do not think anybody is looking for a guarantee that dotting WILL
» occur
» » :slight_smile:
» »
» » Obviously there are a number of factors in whether you will end up with
» » this and there can be no guarantees - but one of the key factors is
» » clearly punch size.
»
» I agree with this, it seems to get it to the least you have to be using
» below 0.9mm otherwise it increases

What is interesting is that many individuals focus on just one factor instead of all of the key factors. Not all FUE surgeons have publicized the subject of instrument size in-depth. A start would be to use a larger and smaller instrument on the same patient, then study the results after 6 months or more. The healing of a donor can take several months as the scalp remodels itself.