strip FUHT v/s FUSE/fue (a comparison)
A frequently asked question is about the difference between various HT techniques.
We shall start by discussing the two different techniques used for extraction of hair follicles, viz., strip FUHT and stitchless FUSE/fue.
Both the techniques have their own pros and cons.
In FUHT, a strip of hair bearing scalp is extracted from the donor area.
The strip varies between 1cm to 1.5cm in width.
The strip incision is then closed by dissolvable sutures or surgical staples as shown in the following picture.
The sutures will dissolve and do not have to be removed.
The strip is then dissected into individual follicular unit grafts.
Below is a picture some of the dissected grafts, that are stored in chilled lactated ringer’s fluid till they are transplanted.
These grafts are transplanted into the bald/balding area.
This step is carried out by gently sliding the hair follicular units (or grafts) into pre prepared needle slits.
In FUSE/fue, the follicular units are extracted one by one in a random pattern.
The donor sites are left to heal on their own. There is no need of any closure as the donor sites are very small.
The picture below shows a typical scalp donor area from where the follicular units have been extracted.
A 26 gauge needle, (needle diameter being 0.45mm), is juxtaposed in the picture for sake of comparison.
As can be seen from the picture, the follicular units are extracted in a random pattern, so that no two adjacent units are extracted.
Since, there is no suture/staples, there is no suture scar.
It is possible to buzz cut the hair.
The grafts are inserted into the bald/balding recipient area in the same manner as in strip FUHT.
The picture below shows follicular unit grafts being transplanted into pre prepared slits in the recipient area.
Please let me know if you have any queries and I will try to answer them.