I believe there is a room for unshaven FUE (UFUE) in certain scenarios, but understanding the implications is of paramount importance for the patient.
The basic mechanics of FUE dictates that the surgeon has good access to the donor area in order to pick the healthiest follicles and in my opinion this is limited when operating on long hair. Hence I prefer to shave my patient donor area.
Furthermore I would be concerned about transection rate as well as the healing process, as in my opinion the scalp heals much better with short hair.
The main advantages of UFUE (Unshaven FUE) is that the patient can potentially hide the transplanted hair with existing hair. However I would recommend the patient to discuss in detail with the doctor performing the UFUE restoration procedure what the transection rates is compared to traditional FUE and the number of grafts that they can extract as opposed to traditional FUE.
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