If you have been considering a hair transplant surgery for some time now, you are most likely to have come across the FUE and FUT procedures, respectively. When it comes to FUE Vs FUT Hair Transplant, both the options are excellent and can help you achieve desired results. However, it is crucial to understand each of the process in detail to make a better decision.
FUE or Follicular Unit Extraction process involves harvesting a larger number of hair follicular units from the donor site as compared to FUT. This maximizes the total availability of grafts. Additionally, the surgeon will make cuts for individual follicular units separately to ensure that the scars after the surgery are minor and less noticeable. Next, transplantation of the extracted follicles takes place to the balding spots. The procedure can be long and at times, the surgeon could split it into multiple sessions.
FUT or Follicular Unit Transplantation process involves extraction of the donor strip with the help of a scalpel from the donor site. This donor site would usually be an area on the back and sides of the scalp. After extracting the strip, the surgeon would split it into individual grafts, comparably smaller than the follicular units. Next, the specialist will transplant small groups of follicles or individual units to the recipient areas. The process would most likely leave a linear scar, the width of which is unpredictable prior to the surgery.
As the major advantage of FUE, it does not leave a linear scar and comparatively heals faster.
When it comes to Hair Transplant procedure through FUT or FUE, the surgeon makes small incisions in the thinning areas as soon as the follicular grafts are ready. The surgeon would then begin to strategically place the grafts individually with precision depending on the number of hairs in each follicle. This step enhances the density and naturalness of the recipient area. Additionally, it also maximizes the coverage on the scalp, which is crucial for the re-creation of the hairline.
The availability of grafts can vary from person to person but there is a limited extractable amount possible in both the procedures. Still, in FUE, the number of possible grafts is usually higher as compared to FUT.
Hence, for people who are not comfortable with some noticeable scarring, Follicular Unit Extraction would be a better choice. Here are more differences:
At the end of the day, the decision would be yours depending on the insight your surgeon provides. The expert would help you by judging the classification of hair loss, the quantity, and quality of donor hair and the size of thinning spot. A technique most suitable for one patient might not suit the other and hence one needs to make an informed decision.
It is therefore wise to visit an experienced and efficiently trained surgeon in both the procedures and can provide you with an unbiased opinion for your betterment. This is where the experienced hair specialists at Darling Buds would prove fruitful to your cause.
No It does not!
If we consider the fact that we can harvest up to 40% of the donor scalp over 2-3 sessions using FUE technique, a strip area which would yield an average 2500 grafts will yield around 1200 FUE grafts over 2-3 FUE sessions. So there is an availability of 40% more grafts from the area of the strip as compared to if we were to harvest that area of the strip only over 2-3 sessions (N.B.-not the whole scalp)
A fact that is not known to many people is that the strip scar can actually increase the area of the crown by downward displacement as the skin stretches and moves down somewhat when it is stitched. This area of expansion of the crown may be as great as 40% the area of the strip. The additional grafts that we may have been able to harvest with FUT would be used in the long term to cover this area which has developed not genetically but iatrogenically.
So the increased number of grafts we got by the strip technique is countered by a similar increase in the area of baldness.
Therefore it is an illogical and fallacious presumption that we get more grafts from FUT.
It is false to assume that in FUT we are utilising the extra loose skin in the harvesting. The loose skin is there for a purpose. You need it for neck flexion.
After all you can not offer cosmesis at the cost of body function!
FUE has a long learning curve longer than that of the traditional FUT procedure. FUE requires long hours of patient learning under high magnification. Once you take up FUE as a profession, you are married to it since it requires the whole day to accomplish if the doctor is doing the harvesting himself. Most doctors cannot-
FUT is currently the gold standard of surgical hair restoration. FUE is different from it only in the manner of harvesting. In the former, as strip of skin as wide as 2 cm at times and as long as the number of grafts needed is take whereas in the latter minute punches are used to individually extract follicles either manually or mechanically and with or without the assistance of a robot.
The above 5 have no place of rebuttal by even the most die-hard FUT surgeon. This is the reason only these differences have been stated. All other stated advantages of FUE over FUT are fictional and market driven.
FUE is the harvesting of follicular units using refined miniscule punches which may range in size from 0.65-0.85 mm in internal diameter. The system used may be motorised or robotic. Manual FUE is waning in popularity due to slow pace of the procedure allowing just 500-800 grafts harvested in an 8 hour session. It is only the harvesting that is different in FUE, remaining procedure remains mostly the same.
Young surgeons falling to propaganda of companies selling their wares. There is a common misconception that some machines do all the work which is absolutely unfounded and spread by unethical companies. The complications are going to arise from a large number of FUE surgeons who are untrained and rely on these machines. It shall take another 2 years for establishing a standard of care in FUE technique.
All patients who are candidates for FUT are candidates for FUE.
However, FUE has widened the horizon of surgical hair restoration by allowing the surgeon to look beyond the traditional donor sites.
Golden Harvest refers to Anagen Selective Harvest.
Anagen Selective FUE grows better hair. The hair in FUT which are in regression phases have a high chance of going into dormancy after the surgical assault. Hence the density obtained after FUT is less than after the Golden Harvest procedure. of FUE in which only hairs in the anagen phase are selected.
FUT surgeons have always since the past one decade put forth their vociferous points of view about poor yield. If you state a lie a thousand times, it takes control of your rational senses and creates a doubt in the mind of the surgical hair restoration researcher, the potential FUE client. The most respected surgeons in hair restoration surgery are still FUT surgeons. This is because they have been trading their wares for a longer span of time; FUE surgeons on the contrary have been in FUE practice only the duration of the existence of the technique and that is not too long ago. It is mostly junior surgeons who started doing FUE full time around 5-10 years back. A handful of surgeons like me who were FUT (strip) surgeons before, converted full time to FUE, taking the Big Leap of Faith. So as a community we are relatively new.
The reason such jaded arguments are finding ground in the hair loss domain is not long to seek- it is due to the fact that FUE is a demanding speciality where the surgeon has to spend most of his time with the patient. I know very few surgeons like me do the harvesting and other important parts of the FUE procedure themselves, not leaving it to the technicians. No-one who has a running practice would like to risk it by taking the Big Switch. So to stay relevant, one has to argue the advantages of your own technique and the chief argument that will hurt is that ‘FUE gives poor yield’.
I would like to counter this misconception thus-
Does this decrease the permanent zone from which permanent grafts are taken for FUE?
How then can we argue that FUT gives greater yield? Answers to these questions are only common sense!
We started doing the Combo technique in 2009 and called it FLUTE technique then. It was under the mistaken surmise that a combination technique will give more grafts. Many doctors in Brazil and India have built there practice today around this so called new 'innovation' because they are non full time hair transplant surgeons and do not have the long hours to spare for an FUE only technique; and also they are not FUE surgeons. We did a study a few years back on our previous Combo method patients and found that the technique increases graft requirements significantly. The FUT scar also gets twice as wider since scar contraction of FUE exerts a pull on the scar above and below it, thereby widening it considerably.
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