» What benefit does extracting a 7 hair graft give the patient especially if
» it needs to be dissected? How big was the punch that was used to extract
» this graft and is it really worth the potential scarring of the patient
» just to show that it can be done. Any increase in density from 2/7 hair
» grafts is going to be neglible so why take the risk?
» It’s almost like see what I can do, at the expense of the patient, but
» please correct me if I am wrong. I am far from an expert and just using
» basic logic.
First, one cannot necessarily determine the size of the graft that is being removed simply by looking on the surface. This is because all the hairs exit from one or two orifices and combine together.; this is how hairs exit the scalp in natural groups. The ability to extract intact follicular groups is one the primary advantages to CIT because we are able to achieve better coverage with fewer grafts.
I didn’t state that this group would necessarily be broken down into smaller parts although it is possible to do so. Alternatively, one could leave the group intact and relocate it to the top of the scalp (again it would never go along the hairline and probably wouldn’t work in the crown). It all depends on the purpose of the graft and the needs of the individual patient. Once again, this is a natural follicular group and there is absolutely nothing wrong with relocating this group intact to the recipient area in the appropriate situation.
It is good that you brought up your concerns about fractionating this group because this is exactly what happens with every strip procedure that is performed. Obviously natural follicular groups consisting of 5 or more hairs do not only occur in FUE cases. They occur in all patients, but with strip patients, the follicular groups are broken into smaller pieces resulting in patients paying two or more times for the same follicular group. This same 7-hair follicular group could be removed via a tiny incision or it could be taken out with an incision that is over 1 cm in width, over 1 cm in depth, and over 30 cm in length. Clearly the second option is going to leave the worse scarring.