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.
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 .
"Thank you for all your help and expertise. I am back in Durban South Africa. I had a good flight with a few close calls with the elderly doing their best to displace my grafts with their hand luggage. Been resting at home today. Still continuing with the saline spray every 30 minutes. I’ve now completed the 5 days of antibiotics and medrone with no sign of any infection and no sign of swelling or bruising. I’ve washed the donor area today with baby shampoo and there was no pain. Tomorrow is dayNishen in UK
"I have just taken a poor photo of myself for you! Don't forget I only had 100 hairs on my head before you came along! It's not a great pic but it will give you an idea of how happy you have made me! "Neil B in UK