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.
"Just a quick note to thank you once again for the superb FUE procedure I received at your artistic hands last year! I feel ten years younger and bless you every day! You are the Van Gogh of hair procedures and I salute you."Sir Warren (Gladiator, Ace) in UK
Just thought I would give a breif summary of my recent FUE with Dr Raghu Reddy and his excellent team at the Private Clinic, London. Over the course of two days I had ~2000 grafts implanted by Dr Reddy's 3G FUE technique. I chose Dr Reddy based on his comparative amazing yields and results with relatively few grafts compared to the commonly discussed other 'top FUE surgeons". First off his team are all pro's and have been working together for years to refine this minimally invasive FUE technique. They were personably, relaxed, funny, and above all caring, profession, and meticulous. I always read that people get experience pain, discomfort, and swelling during and post op. I have to say that with Dr Reddy's technique I have experienced zero pain or swelling both during and post op. The operation finished yesterday and I feel absolutely normal. Not a spot of swelling or even a head ache. It's obvious after doing research on the FUE procedures conducted by the regarded 'best FUE doctors', that Dr Reddy's 3G FUE stands out as being both innovative and geared towards optimal results. He uses specialized techniques to create an extremely non invasive yet high yielding technique, which I am sure he would be more than willing to discuss with anyone interested. In regards to my case, I apparently had really strong, healthy, and "big" grafts (so lots with 3 and 4 hairs). We chose a hairline hat reflects my age (31) and the fact that I have never had sharp temple points. Plus I was strongly advised against having points worked on as many cases are seen where transplanting to this region looks very odd in years to come where further recession occurs. Plus I have a big head so had lots of baldy to cover I am very happy with my results thus far and I am predicted to have a great result due to graft condition and density. One thing worth mentioning is that is became obvious that Dr Reddy's skills are not only recognized by international patients (there was talk of people coming in from all over the world during my visit), but also he is held in high esteem by the other 'best' FUE surgeons discussed on this site, and from what I gathered some of these surgeons .Hairloss Patient in UK