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Afro-Carribean Hair with FUE

By Dr Raghu Reddy

There are unique qualities of Afro-caribbean hair that makes it extremely challenging for us to perform hair restoration on clients seeking FUE.

For starters, unlike Asian or Caucasian hair follicles, Afro-caribbean hair follicles are curly and have certain unique features. On the positive side, this curliness offers great results with fewer follicles but it also poses a few challenges.

Instrumentation used in FUE Hair Restoration is traditionally a sharp straight instrument. This makes it extremely difficult to manoeuvre the punch beneath the skin, wherein the visibility is nil. Hence historically patients of Afro-Caribbean origin seeking FUE were discouraged to do so because of the high levels of transection associated with extraction of follicles using traditional FUE restoration techniques.

Follicles extracted from a Caucasian male
Follicles extracted from an Afro-Caribbean male

As illustrated from the pictures above, using improved techniques of the 3G FUE hair restoration technique, we have overcome the difficulties associated with extraction of follicles of patients of Afro-Carribean origin.

The second difficulty arises whilst placing them. The grafts are fairly chubby and hence a lot of improvisations have to be made whilst replacing the grafts. I prefer to use a Choi implanter as I believe there is less trauma associated with replacing the grafts using choi implanters over using forceps.

The third issue is achieving density. Generally I've found that achieving respectable density is a bit of an issue in Afro-caribbean clients as popping seems to be an issue. I usually counsel them extensively about this and either advise them to spread the surgery over 48 hours or recommend a top up session in 12 months to achieve dense packing.

The last but not least issue is scarring. Due to certain characteristics of Afro-caribbean skin, clients have to be counselled extensively about hypertrophic and keloid scarring. I usually perform a test extraction on my patients before offering them an extensive surgery. However, with meticulous attention we have minimised scarring and have numerous examples whereby scarring with 3G FUE has been minimised compared to traditional techniques.

This client had a traditional FUE 12 months ago and I performed an FUE on him recently. The scarring at the back is from the old surgery. We extracted hair mainly below the occipital notch. The picture taken a few weeks after, clearly illustrates lack of visible scarring at the back following extraction of 600 follicles using 3G FUE .

What our customers say

"A very big thank you. I am finding it hard to believe the hairline I have this morning! You and your team did a fabulous job, and a man of my age really shouldn’t be so excited.... It was also illuminating to see how well your teamed worked together, they certainly appear to be a happy, cohesive and very professional, they all treated one another with such respect. Equally importantly, they made me feel that my needs were paramount. Well done on creating that spirit. I very much look forward to seeing you again soon. By the way, it was an unexpected pleasure to see and speak with Kriste again. Please give her my best wishes. Thank you again"

Graham in UK

"Please pass my great thanks onto Umah; Marta, Shriva and David for taking such great care of me over the last 2 days. I was made to feel very special and very relaxed - 2 things I did not expect to feel during the procedure. The sense of humour, comradery and above all professionalism of your team shone through throughout the 2 days I had the pleasure of being in your company. If I was constructing a team, I couldn't hope to achieve a better dynamic than the one I saw between you all - I was almost sad to say goodbye! I'll pop in this side of Christmas to let you photograph the maturing results. It was a real pleasure to spend time with you all."

Patrick in UK
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