In the most recent issue of the International Society Of Hair Restoration Surgery journal there is an extensive very interesting debate between those who advocate FUT over FUE and those who advocate FUE over FUT.
Many of the salient points discussed I have previously written about here in my blog. I will briefly review a few of the most important points here.
FUE Advantages- less invasive, diffuse dot scarring versus strip scarring with FUT which in most but not all cases allows the patient with FUE to cut the hair down to a #1 or #2 without showing any evidence of scarring, less discomfort post procedure
FUT Advantages- no need to shave the head to harvest the donor hair, ability to harvest more hair in a single day, more donor hair available to harvest throughout the patient’s life (start with FUT and convert to FUE after FUT is no longer possible thus maximizing the donor zone overall), less expensive than FUE
There are many subtleties to the advantages and disadvantages of both of these procedures.
What is most important is that your hair transplant surgeon is proficient in both procedures and offers both procedures to patients.
I prefer to educate my patients as to the benefits and drawbacks of both FUT and FUE and let them choose the procedure that suits them best. I enjoy performing both FUT and FUE and let patient’s know that if everything goes as planned they should have a great result no matter which method they choose.
Here is a patient of mine who received 1532 grafts to the hairline and frontal scalp. I included close up photos of the hairline as well and the patients donor strip scar which is virtually invisible with his short haircut.
The patient is thrilled with his results!
All the best,
Marc Dauer, M.D.
This is the donor zone after the patient had a strip harvest for hair transpant.
Here is a patient who presented to me after undergoing 2 previous procedures with another physician. He was having constant pain in the donor region. On examination his strip scar was raised and 7-9mm wide and in certain spots there were 2 separate scars.
I decided to revise the scar in the context of the patients procedure to increase the density in his hairline.
While I was extracting the old scar I noticed that there were a number of retained nylon sutures in the wound that were left there and had never been removed. These were likely contributing to the pain and poor healing. I removed the retained sutures and revised the scar closing with a triuchopytic closure to get hair to grow through the scar.
I then placed 1003 grafts into the hairline.
The results of the hair transplant and the donor scar revision are shown below.
Here is a patient of mine who I perfumed a hair transplant of 2258 grafts via FUT. The patient has very fine, straight hair, which is the least ideal hair type when trying to maximize cosmetic density, but despite this the results are still significant and the patient is pleased.
The patient also had a previous procedure with another physician and discusses the difference between my procedure and his previous one.
Today I will discuss the difference in hair type for hair transplants. Based on studies 0.1mm increase in the diameter of the hair follicle can add up to 30% increased cosmetic density. This means that the greatest factor affecting cosmetic density is the thickness of the hair follicle. People with coarse hair will have a much better cosmetic result than people with fine hair with the same number of follicles. In addition, curly hair will yield a better cosmetic result than straight hair. Also, the less color contrast between the hair and the scalp (grey hair on light skin versus dark hair on white skin) the better the cosmetic result.
The analogy I typically use it to imagine a forest of trees in front of you. If the trees are thick with large wavy branches you will see through less of the forest than thin trees with small flimsy branches. This is the same with hair. Coarse curly hair will always yield a better cosmetic result than fine straight hair.
This is not to say that people with fine straight hair are not good candidates for the procedure, on the contrary they can be excellent candidates. Prospective hair transplant patients need to know this information in order to prepare themselves for realistic expectation of the outcome of their hair transplant procedure.
Here is a patient of mine who received just over 1100 grafts via FUE to the hairline and frontal scalp. The grafts were extracted manually using a 0.8mm extraction tip.
The grafted region and the donor regions are shown 1 week post procedure and as you can see there is almost no evidence of scarring in the donor region and very little to be seen in the recipient region other than the new transplanted grafts.
All the best,
Marc Dauer, M.D.
This is the recipient region pre FUE hair transplant and 1 week after just over 1100 grafts were placed in the hairline.
This is the donor region immediately post FUE hair transplant and 1 week afterward.
Here is a patient of mine who received a hair transplant from another physician over 10 years ago. The grafts then were placed primarily in the hairline. The patient lost more native hair and presented to me with a thinned out hairline and very little hair in the mid scalp region. I transplanted just over 2000 grafts via FUT to increase the density in the hairline and the mid scalp.
The “after” photos are shown approximately 1 year after the patient’s procedure.
DAUER HAIR RESTORATION
2080 Century Park East Suite 1802
Los Angeles, CA 90067
Phone: (310) 748-2224
Dr. Marc Dauer, MD is a board certified leader in hair restoration, hair transplants, eyebrow restoration for men and women, hair transplants
for scars, and facial hair transplants.
Dr Dauer is experienced with successfully treating and restoring hair loss of the scalp, eyebrows, sideburns, male pattern baldness, female pattern baldness and from scarring. Dr. Dauer is board certified by the American Board Of Hair Restoration Surgery and a member of the prestigious International Society of Hair Restoration Surgery. Dauer Hair Restoration provides hair restoration, FUE and FUT, hair transplants. Los Angeles hair loss treatments, eyebrow transplants, sideburn transplant, treatment for male pattern baldness and female pattern baldness, and
transplantation for scarring. We serve patients from the Los Angeles area including, Santa Monica, West Hollywood, West Los Angeles, Culver City, Brentwood, Bel Air, Beverly Hills, Hollywood, Manhattan Beach,
Redondo Beach, Malibu and beyond. Consider Dr. Dauer for your hair restoration needs.