Today I will show a patient of mine who received 1653 grafts via FUE using the SAFE system motorized manual punch with the .9mm hand piece. This patient was experiencing his hair loss primarily in the frontal scalp and this is where the majority of the grafts were placed. I believe the SAFE system which utilizes the blunt tip technology to extract the donor grafts in the best motorized piece of equipment for harvesting grafts via FUE. I also believe that the .9mm punch tip is ideal for extracting intact healthy grafts, while causing the least amount of scarring. Most punches for FUE are 1mm or larger, including the new ARTAS robot which only uses a 1mm punch at present. the difference between .9mm and 1mm may not seem like much, but when you multiply 1500 or 1600 times .1mm it adds up to a significant amount of increased scarring with the larger punch tip. In this patient I also used ACell which is an extracellular matrix (ECM) a natural biological material that can be implanted at the site of an injury or damaged tissue in order to stimulate healing. The graft stimulates the body’s own cells to form new tissue specific to that site (a process referred to as “Auto-cloning”). Therefore, instead of the body producing scar tissue, the body heals by remodeling with new tissue. I mixed the grafts to be implanted with ACell and saline and then at the end of the case I placed all the ACell and saline over the donor region and over the grafted region. The patient reported a minimal amount of crusting after the procedure both in the recipient and donor regions, and quick healing. The photos you will see show the patient immediately pre procedure and then then 7 days later. I will also be charting this patient’s progress throughout the next year with both photos and video. More to follow.
All the best,
Marc Dauer, M.D.