FUE vs FUHT Strip,
an in-depth comparison of two commonly used hair transplantation techniques now available to men and women with hair loss.
Follicular Damage - Wastage is always a problem with strip excision. Sometimes it is not totally inconceivable to damage or waste up to 30% of the follicles along the sides of the strip where the scalpel cuts deeply and blindly into the skin.
Healing Time - The strip method is considered to be a more involved surgery. It is an invasive procedure which implies an incision of skin, nerves and vascular tissues in the rear occipital area of the scalp. Healing time of the donor can take up to a month or even longer.
Donor Extraction - The strip which is excised from the posterior zone is transferred to the auxiliary staff whose job it is to cut and divide the scalp into follicular units (FU´s) with or without the help of a microscope, depending on the procedures adopted by that clinic
Sutures & Stitches - After having removed the strip for the rear area, the wound must be closed with sutures and stitching. The pulling on this wound is our worst enemy when it comes to leave them undetectable. To help avoid this, we suture at two different levels: the first level is subcutaneous with absorbable material and the second level is external with non-absorbable material which is removed after a minimum period of 2 weeks. The surgical technique is fundamental if we want to avoid permanent scarring, colloids or marks left by staples. However, even though the technique is perfect, there is always the possibility of the above mentioned problems occurring as the surgeon cannot guarantee the end result as he is unable to continually control the care and pulling exercised on the area by the patient before definitive healing occurs.
Versatility - This method prohibits extracting grafts from other areas of the body, depriving the patient of an enormous donor area. There have been scars left in the pubis area from strip procedures, but it would be unthinkable to make incisions in the thorax or limbs to obtain additional hair
Control over # of Grafts - The total number of follicular units harvested with the strip technique depends on the size and follicular density of the skin removed by the surgeon. The number of grafts cannot be determined exactly when surgically removing the strip of skin.
Choice of Follicular Units - When the skin is removed from the rear of the head and placed under the microscope, the units are separated in function of how many hairs each unit contains (1 – 4). This is a disadvantage because we cannot choose which units are best for the recipient area. Designing a front hairline is not the same as adding density to the crown area. With the strip technique we have to use the
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Follicular Damage - One of the major advantages of FUE is the quality of the units which are removed. We have found from our studies in previous years that the quality and strength of the grafts removed are better than those extracted by the strip method. The follicular units are much cleaner when removed one by one then by separating them under the microscope.
Healing Time - FUE technique is commonly referred to as the minimally invasive procedure. It is a micro surgical treatment that inflicts a lot less trauma to the patient. Healing of the donor is fast, in a matter of days or a couple weeks depending on the patient's body chemistry.
Donor Extraction - Each follicular unit is delicately extracted one by one by the surgeon who uses magnifying lenses.
Sutures & Stitches - The extraction points scar over in a few days and are completely undetectable and don’t need any kind of stitching. As the wounds are less than 1 mm, there are no external influences. After 24 hours fibrin will have covered all the extraction points. From 48 – 72 hours, there are no signs of scabbing. After a week there is no sign left of wounding
Versatility - With FUE hair can be harvested from the entire body. Many of our patients have excessive body-hair and are happy to use it to repopulate the scalp. Body hair is used to augment density in the posterior region; it is never used in the front hairline. Many of our patients have body hair with an identical texture and growth pattern as in the scalp. Not everybody is a candidate, but it does increase our possibilities of treatment.
Control over # of Grafts - The exact number of units removed is determined by the surgeon by removing them one-by-one. The number can be easily managed and predicted in advance prior to the procedure.
Choice of Follicular Units - The surgeon selects the units required for the are being repopulated. For a front hairline, he will select mainly those follicular units with 1 or 2 hairs rather than those that have 3 or 4 hairs. On the contrary, when adding density to the parietal or crown area, the units chosen are mainly of 3 or 4 hairs, and always imitating the natural distribution of the hair. This choice is only possible when the units are extracted one by one. Today it is unthinkable to construct a front hairline with 3 or 4 hair follicular units as the result would not be natural