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 .
"I'm sure it stil continues to get thicker.. Can't thank you enough totally changed my life!! I am grateful to you each time I look in the mirror... Also what you did in the crown has worked, I don't worry about that anymore, stil take the propecia each day. Every blog I read about not seeing results for 6 months etc none of that was true, I maybe was lucky I don't think I really shed any of the hairs but I have noticed the last couple of months it's got thicker!! All this after 8 months!!!!!"Hairloss Patient in UK
"Just a quick note to say thanks for the training. I have performed hair transplants for the past 8 years and now I understand why You are such a sought after surgeon. Your understanding of the science, attention to detail and the way your team handles the grafts is impeccable. I shall put all my new skills to practice. Looking forward to meet up at the next BAHRS."Dr Ash Dutta, Newcastle in UK