Over the last 6 years I think there are about 4 4000+ scalp
fue alone that I can think of.
It is not because you dont see these sessions that they dont exist. Our clinic alone has had much much more than 4 4000+ FUE patients.
» FUE heals by secondary intention alone and that means that the thinning of
» the scalp must be more noticeable than by strip.
True, eventually you will run into thinning with FUE. The question is “how much % can you take before it will start thinning at normal 1+ cm hairlength”. Obviously there arent 2 patients alike and all numbers vary.
From our experience up to now we dont see cosmetic visible thinning up to about 5000 FUE grafts on the average patient.
If you look on hairsite you will find some posts we made with examples of 4000 or 5000+ FUE donor pictures.
» There is a compound problem of the scars from heavy duty FUE that changes
» the dermis and direction of underlying follicles.
No, this is absolutely false. Our dr. does not find that FUE changes the direction of the underlying follicles. In fact, strip surgery is the number one procedure that changes the direction of the underlying follicles due to enourmous tension than is caused by closing the gaping wound.
» FUE can and does KILL surrounding follicles except in the very best of
» hands. That is far more damage than strip.
If you count the blood vessels, healthy tissue, nerves … that is discarded during a strip operation than you understand why strip is causing FAR more damage. Also it is untrue that FUE kills surrounding follicles provided FUE is performed correctly and with small instruments.
» Adjacent FUs cannot be harvested and that reduces the numbers to 25% of
» the total with more limited choice of ideal follicles when going for a
» larger session.
Not true. Adjacent follicles can be harvest, there is no technical limitation. The limitation is to be discussed with the patient in such that he needs to be aware that crossing the 25-30% limit will cause thinning effect on short hair styles (1-5 mm).
Another consideration why FUE is superior to Strip :
As you know often there are minituarized follicles in the donor area. During a strip surgery they will be used whereas with FUE the doc can select to remove the healthy grafts.
I can understand that people preffered a 1 strip giga session to have all done in 1 procedure. The reality now is that only a handfull clinics worldwide can pull off giga strip sessions. Furthermore giga strip sessions are really an exception and most people will not be able to benefit from then.
On the other hand most patient will be able to benefit from FUE megassesion. Again, up to now there are only a handfull institutes worldwide that can pull of these kind of sessions.