My personal goal for FUE is to make the results the same as strip surgery. To achieve this I believe the work has to be "clean looking" from start to finish. In fact "ultra-refined" may be articulated as "clean and tight" work, I'm just adapting it to FUE.

When I perform FUE I make sure to put each and every extraction under the microscope to make sure they are in good conidition and to trim away any excess tissue. Excess tissue, usually eptidermis, requires the slit sizes to be larger and makes the skin prone to irritation so I feel it is best to trim the grafts down to minimum epidermis and dermis.

This patient had an excellent donor area with many multi-haired (3,4,5) follicular units. The problem was that his grafts were so large that had I attempted to implant them into the recipient area I would not have been able to achieve as high a density as I would like. So we divided his multihair grafs down to single hair grafts and packed them tightly into the recipient area.

The goal was to match the density of the surrounding hair to fill in the obvious gap. My feeling is that he will hold onto his forelock for a few years, but despite this, I planted his transplants in such a way as to cover the forelock area should he lose it sooner.

As with many FUE patients his goal is to keep his hair short and shave his head.

We packed 1,250 FUE into the frontal area.

Here are his photos before, during, and three days after his procedure hours before he boarded a plane for home.

Note how the donor area holes, which were made with a 1mm Feller Punch, contracted and closed on their own.













[IMG]

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Feller Medical, PC
Great Neck, NY

Dr. Alan Feller is a member of the Coalition of Independent Hair Restoration Physicians

Providing Hair Transplants and Platelet Rich Plasma (PRP) Treatments

Dr. Feller, when examining the grafts extracted via FUE. do you often have reason to reject them and discard them?
By being extra careful like this, would you say that graft yield with FUE matches, or comes close to matching, that which you can achieve with strip?

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I represent Dr Rahal. I can be contacted for advice and to arrange consultations.

Dr. Rahal is a member of the Coalition of Independent Hair Restoration Physicians

Hello Matt,
Thankfully I don't "often" have reason to reject FUE grafts, but every one of them must be inspected under the microscope and nearly everyone needs to be trimmed as excess tissue is usually present.

I think being extra careful does improve yields, dramatically in some cases, but there is still very much an "x-factor" associated with FUE. I still tell my patients that I don't expect FUE yields to match Strip yields, but that doesn't mean they never do or that they often do. As in all surgery it's best to give the patient the education needed to make up their own mind.
For myself I probably wouldn't bother with a strip if the surgery were only 1000 grafts or less. If however I needed more than 1000 grafts I would still opt for strip surgery.

Thank you for your comments. Best to Dr. R.

Dr. F

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Feller Medical, PC
Great Neck, NY

Dr. Alan Feller is a member of the Coalition of Independent Hair Restoration Physicians

Providing Hair Transplants and Platelet Rich Plasma (PRP) Treatments

Dr Feller, great documentation as always. One question I have. You explain that due to dense packing issues with the grafts containing more hairs, you divide these down to single hairs. In this 1250 graft procedure, do each of these single hairs count as a graft, or is the graft count pre seperation?

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My Hair Loss Website - Hair Transplant with Dr. Rahal

In this particular case we could not leave his follicular units together because he would have looked very stalky or pluggy that way. To get the homogeneous coverage we needed he had to be cut to pure singles. We would have done this whether it was a strip or FUE and it is usually very very effective.

1,250 grafts, in this particular case, is AFTER separation and preparation, just like strip surgery. In most cases, however, there is parity or near parity as the average number of single hair grafts is about 20-25% and the rest are two and three hair grafts just as in a strip procedure.

Dr. F

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Feller Medical, PC
Great Neck, NY

Dr. Alan Feller is a member of the Coalition of Independent Hair Restoration Physicians

Providing Hair Transplants and Platelet Rich Plasma (PRP) Treatments

Impeccable post-op presentation, as expected. Looks like the density throughout the recipient area will be relatively consistent with his surrounding native hair, too.

I'm a big proponent of using only singles anywhere even remotely near the hairline after experiencing firsthand the damage that even some double-hair grafts can do. And I have pretty fine hair, so I can imagine how artificial the more offending larger units might look in someone with thicker caliber locks. Definitely the right thing to do rather than taking the lazy way out.

Great job.

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All opinions are my own and my advice should not constitute as medical advice.

View my My Hair Loss Website

Dr Feller,

The more i see of your FUE work, the more i begin to appreciate the work that you have put in to this area of transplantation during the past few years.

Mick

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Patient coordinator for Drs. Bessam and Nilofer of the Farjo Clinic in England

Right on target youngsuccess.Thank you.

And thank you Mick, I appreciate the kudo's.

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Feller Medical, PC
Great Neck, NY

Dr. Alan Feller is a member of the Coalition of Independent Hair Restoration Physicians

Providing Hair Transplants and Platelet Rich Plasma (PRP) Treatments

Looks like clean work, as always, Dr. Feller. I look forward to seeing the results in the coming months.

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My Hair Loss Website - Hair Transplant with Dr. Hasson

Hello all, the above pictures are of my FUE treatment done by Dr Feller on the 13th November 2009.

I would like to share my experience with anybody who is thinking of getting HT done and which surgeon to go with.
As I am based in London, I naturally wanted to try and get a HT done in the UK. I am 26 years old and the front of my hair was thinning, this affected my confidence when going out and talking to people. I thoroughly researched the web and found several clinic in London. To be honest a lot of them had differing opinions and types of HT to be carried out. However, after coming to find this forum I got a better insight as to the results attained by these clinics, I lost faith as I had no real customer interaction with the clinics or there so called 'sale reps'.
Searching this forum I kept coming across Dr Feller and how reputable he was, so I thought I'd research him a bit more.... I came to know that I did not come across any negative feedback with Dr Feller but the ever growing success of his HT treatments. One major factor in me obviously choosing Dr Feller was the support I had from Spex based here in the UK. He was not a sales man or anything but just someone who offered unbiased views on HT and places to get treatment done from. Spex was very informative and helpful, as he always gave me the pros and cons of getting a HT done and the types of HT available. I sent him some photos and within a day or two I got DR Fellers opinion. I researched a bit more on this forum and I decided to go with DR FEller. His reputation, success and Spex's help was the factor which made me decide to go with them.

The whole experience was very smooth and convenient. I booked into the 'Andrew Hotel' which was a 10 min drive to the surgery of DR FEllers.
On the day of the surgery I met up with Dr Feller, he re confirmed what type of treatment would be right and the amount of grafts going to be placed and where. Dr Feller as described by Spex is very very down to earth and a cool guy. He not only takes interest in his work in great detail but also you as the patient...he offers a bespoke service to the patients needs.

the surgery to my surprise was not painful at all, as they numb the back and the front of your head accordingly with multiple little injection pricks which didn't feel that bad. After that its over to the docs to carry out there treatment.

all in all, the FUE surgery was a success as you can tell from my pictures above and going forward I will submit new photos to show you my progress. Spex is a great guy, he offers a lot of help when and how you need it. Dr Feller is amazing and so is his staff, they regularly gave me updates as to the procedure and always checked if I was ok.

I think Dr Feller is one of the best HT surgeons around, I am proof he is a legend and you wont regret it if you go to see him along with Spex's help.

thanks

Bally