One of the common questions I get asked during my consultations is the difference in graft counts between a FUT and FUE Hair Transplant. It is a well documented fact that FUE yields grafts with more hair than FUT as the surgeon has access to a wider choice of grafts in FUE and hence can pick and choose the grafts necessary to achieve good surgical outcomes.
On average, the yield of FUT grafts is 1.5 to 2.3 hair per graft. Whereas the yield with FUE can vary between 1.7 – 3.2 hair per graft.
Whilst it is accepted that there is a fair amount of standardization with FUT grafts, FUE graft yield can swing wildly, based on the experience of the surgeon and also the difficulty involved in extraction.
In my experience, during my early years of performing FUE Hair Restoration, my average yield was between 1.9 to 2.4 hair per graft. However, more recently, my average graft yield has been 2.6 to 3.2 hair per graft. I would like to consider that the increase in the yield has been partly to improve my technique, whereby the partial transection of grafts has been minimized significantly. However I believe my patient qualification has improved significantly, leading to improvement in quality of grafts being extracted.
One commonly used example in hair restoration surgery is associating hair restoration surgery to gardening. Lets imagine a scenario whereby we are populating the recipient area with plants from the donor area. One could use a lot of twigs to populate the recipient area or use a few twigs and a lot of trees to create the illusion of a thicker garden.
There are numerous advantages of having grafts with a higher yield both for the patient and the surgeon:
The Disadvantage is that the dissection of the chunky grafts into finer grafts is entirely dependent on the skill of the technicians and hence the surgical outcomes are dependent on the skills of the technicians involved, much like FUT surgery.
Though I have tried to jot down a list of things, I firmly believe the future of FUE lies away from automation and I am convinced that with a bit of experience and a lot of application, most surgeons will be able to extract grafts averaging around 3 hair per graft, thereby offering a significant advantage to the patients.
|FUE Size||Percent (%)||Number of Hairs|
For every thousand grafts, a client can expect 1900 hair, yielding an average of 1.9 hair per graft
|FUE Size||Percent (%)||Number of Hairs|
For every thousand grafts, a client can expect 3200 hair, yielding 3.2 hair per graft.
I believe high yield is only possible in the most experienced of surgeons and the yield of grafts in inexperienced hands can be significantly lower and the transection and wastage of grafts can be significantly lower.
By glancing at the above examples, it is imperative that surgical outcomes are dependent on the experience and skills of the surgeon. Hence, any potential client should exercise due diligence before selecting a surgeon for performing their FUE.
Below are numerous examples of good quality extraction, yielding high number of multiple hair grafts:
"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
"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