There are a lot of misconceptions about FUE Hair Transplants. This stems from a lack of understanding of the concepts involved in FUE. In the strip surgery (FUT), a strip of hair bearing skin is disected from the back of the scalp and then individual grafts are trimmed and transferred to the receipet area of the scalp.
Main issues that are generally overlooked when counselling patients for a strip surgery are:
After the strip is disected, it is generally passed on to a team of technicians who trim the strip into individual grafts. During the process of trimming there is an unknown entity that comes into play. That is the skill and motivation of the technician. Hence it is a known fact that surgeons that have consistent teams achieve far better results than someone that relies on freelance technicians. Whilst exploring an option of a strip surgery, it is advisable for the patient to meet the team or get to know the team that will be operating.
It is well known fact that strip surgery can produce significant scarring in the donor area, when performed by untrained hands. A simple test a patient can perform is to pinch the back of the scalp to check for signs of laxity. If the client is known to have a tight scalp the chances of poor scarring with a strip surgery increases exponentially.
Historically strip surgery has been promoted as a surgery that has better outcomes because of the presence of galar fat at the bottom of the grafts. Whilst it might offer better leverage for the technicians whilst replacing the grafts, studies have shown that the growth of grafts is not dependant on the presence of the galar fat. With improvements in extraction and placement of grafts by FUE, the outcomes are much better than with a strip surgery.
During the process of extraction of follicles using a strip surgery, the number of follicles per graft is significantly less compared to that extracted by FUE. This is because most of the grafts that are extracted with a strip surgery have follicles containing single and double hairs. Whereas with a FUE, the surgeon has complete control over the grafts and he can pick and choose the ones that give maximum benefit to the client.
There is a common misconception that FUE leads to pitting scarring. Though it is a fact that badly performed FUE can lead to visible “dot” like marks on the back of the scalp; with improvements in FUE and with the use of Acell, the chances of visible scarring is negligible and by following certain protocols and extraction there is evidence to suggest that the scarring is almost invisible.
"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
"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