Are You Trying to Choose Between Follicular Unit Extraction vs. Follicular Unit Transplantation?

How long is a hair transplant surgery?

FUE- Surgery is Longer (as many as 15 hours up to a period of 2 days)

FUT- Surgery varies depending upon the doctor, the staff, the technique and how many surgeries are done at the same time. A surgery could last anywhere from 6 hours to 14 hours. A large clinic may have as many as 20 tech’s who vary in skill and tenure.

How many hairs are moved?

FUE- As little as 200 – 2000 hairs are transplanted 

FUT- It depends on the clinic. Generally doctors charge by the graft not by the hair so there is no real way to know how many hairs are transplanted unless you know the length of the donor tissue.     Is there scarring? or other side effects? Advantages or Disadvantages?

FUE- Donor area could be visibly thinned after transplant. Hair will never grow back in places where follicles were taken leaving empty places in the scalp. Instead of a linear scar the patient will have multiple polka dot miniature scars throughout the donor area.

Your donor area will be compromised during future hair transplants because of fibrotic adhesions. It will be more difficult to obtain non transected follicles due to this donor harvesting technique.

FUT-A small strip is taken from the donor area. Scar results depend on the skill of the surgeon. See a botched hair transplant by a popular South Florida Clinic.

For some people, a scar can be seen with very short hair under a quarter inch in length.

What about the health of the hair follicles?

FUE- Harvesting is done with a punch biopsy instrument or a neograft machine. Harvesting can easily damage follicles by nipping the roots or tearing the follicle. Some patients are not good candidates for FUE.

Doctors should conduct a FOX test to see if healthy follicles can be harvested from each individual. In worst case scenarios, if harvesting fails, the entire procedure could be shut down in mid-surgery due to the lack of healthy follicles. See more about follicle damage.

FUT- With FUT, grafts are separated more than needed into 1,2 or 3 hair grafts. The smaller the graft, the more separation, the longer the surgery and the more chance for follicle damage.

Will the donor area be visible the first day after the procedure?

FUE- Entire donor area is shaved on the day of the procedure leaving it clearly visible until the hair grows back. Multiple 1mm sized holes are left open to heal on their own. The amount of open holes on the back of your head will be based on the number of grafts that were extracted. For example, if you had 500 fue’s extracted, you will have 500 open holes in your donor area.

FUT- Suture line ‘may be hidden’ beneath hair immediately after surgery depending on the skill of the surgeon.

How much density will I get?

FUE- Grafts contain 1 – 3 hairs only. Many follicles may get damaged during harvesting and fail. Density will be sparse.

FUT- Micrografts (1 hair grafts) are used in the frontal hairline and follicular units (2-3 hair grafts) are used behind the frontal hairline. 1-3 hair grafts are not enough to give patients adequate density.

How many surgeries will I need?

FUE- Often more than One Procedure is required. More than One Procedure is required due to the limited amount of tissue that is being harvested. Sometimes as many as 3-5 surgeries may be needed in the same area.

FUT- Often more than One Procedure is required. More than One Procedure is required due to the limited amount of tissue that is being harvested. Sometimes as many as 3-5 surgeries may be needed in the same area.

How long does it take to heal?

FUE- It takes an average of 5-8 days to heal.

FUT- It takes an average of 7-10 days to heal. Depending on surgeon and length of surgery there could be more post operative swelling and numbness.

With FUE extraction the punch biopsy instrument can accidentally damage or destroy follicles by nipping the root. The root can also be torn when pulled out. Less harvested follicles means less hair for your transplant.

Dr. Gunjan points out that follicular unit extraction is an evolution of the old plug style removal.  The removal for a plug was done with a 4mm punch and left an open round scar.  Today follicular unit extraction is a 1mm punch that leaves an open round scar.  Dr. Gunjan is happy to do this procedure if the patient wants this technique but he does feel that very few people benefit from it.  Few doctors would turn down the opportunity to double their revenue for the day with follicular unit extraction.  Dr. Gunjan puts his patients first and offers tremendous value, results and undetectable scars.

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