Dr. HARSH Amin

The old (FUT, strip) and the young (FUE)

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2 Main Techniques

How we harvest the grafts (BUT it makes ALL the difference!)

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The only difference?

How I approach my decision: (as a Hair Transplant Surgeon)

I do NOT want a visible scar (in case I want I shaved look)

I do NOT want the “strip pain”

I do NOT want transected nerves-numbness, cut vessels-bleeding or stitches

I do NOT want a lengthy down-time from the gym

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How I would have approached it (if I were not a surgeon)

Newer Technique No Pain No Stitches Less time till next session

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(THIS IS HOW OUR PATIENTS MAKE A CHOICE!!!!)

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Winner…FUE! (in both situations)

FUE drawbacks ( the ones I know as a surgeon…)

1. Donor area shaving 2. Larger scar surface (Not scar less but scar spreading)

3. Blind technique

4. Lower survival rate 5. Scared donor area left behind

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1.Donor area shaving

2. Larger scar surface. But, how much larger?

2 FUE sessions - 4,700 FUs Wound length FUE 2πR=2 X 3.14 X 0.5=3.14mm X 4,700FUs= 14,800mm = 14.8meters! Wound surface FUE πR2=3.14 X 0.52=0.785mm2 0.785 X 4,700= 3,690mm2 = 6cm Χ 6cm

1 FUT - 4700 hairs (Equivalent to 26cm X 1.6cm strip ) Wound length strip =520mm= 50-52cm Wound surface strip = 26 X 16 mm = 416 mm2

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Not scar-less but scar spreading…

14.8m = 4 stories building 3,690mm2 = 6cm Χ 6cm =a currency note folded exactly in half!

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3. Blind technique

FUE Blind technique

Strip FUT All steps are under high

magnification vision

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4. Lower survival rate

FUE is promising in theory…

…but some grafts won’t make it at the end…

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4. Lower survival rate. Why?

FUE grafts have less of water due to harvesting techniques

After an FUT session

5. Scarred donor area is left behind

Donor area can be easily re-harvested after FUT

Future FUE or FUT sessions are very hard after FUE

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6. Exceeds safe zone

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So, what have We learned…

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Lesson 1

I THOUGHT: ‘‘There will be no visible scar,

I can even have a shaved look if I want to…’’

1st FUE session 1200 FUs,

0.8-1.0mm manual punch

So GOODBYE shaved look…

Hair had to be >5mm to cover my older FUE scars

But then again, that length would cover a good strip scar as well!

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Lesson 2

I THOUGHT: ‘‘There are

no complications…’’

Graft extraction is not always successful…

In grown hairs, multiple cysts for weeks!

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Lesson 3

I THOUGHT: ‘‘No transected nerves-numbness…’’

Numbness is very “touchy” for >3 months!

(WHOLE occipital area vs just on the strip scar edges)

The RIGHT criteria MUST be STRICTLY MEDICAL!

Maximum graft survival

All steps under direct vision Shorter session duration Easier for the surgeon (and patient) One session, even one pass!

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Only for limited lifetime needs (<1500FUs)

ONLY if FUT is impossible or contraindicated or if patient insists!

for exhausted “safe” donor area / for “rock rigid” donor area

for Scars, hairline refinement, eyelashes, eyebrows, etc. Ehler-Danlos syndrome (or similar)

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My (re-evaluated) FUE indications

ADORN Cosmetic Surgery | LASER | Hair Transplant clinic

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