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Old 03-25-2008, 09:17 AM
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Can somebody please give me a short explanation as to the difference between the two and which one should be used for what?

Thanks
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Old 03-25-2008, 12:05 PM
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5000 or 1,750 FUE in one day?? Different techniques??

But basically FUE is where the ever-delicate follicles are individually extracted; in FUT a "strip" of your scalp from your donor area is excised, and then repaired using tricophytic closure. In the right hands, FUE leaves less visible scarring (which isn't to say FUT leaves very noticeable scarring), and a quicker recovery time. However, there is generally a higher yield in FUT, and you can safely extract a much larger number of grafts in a given session. It's also much less expensive, as FUE is more labor intensive.
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Old 03-25-2008, 12:48 PM
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Quote:
Originally posted by thanatopsis_awry:
5000 or 1,750 FUE in one day?? Different techniques??

However, there is generally a higher yield in FUT,.
This is a blunt statement. In the right hands both procedures produce equal yield, period.
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Old 03-25-2008, 01:12 PM
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"there is generally a higher yield in FUT"

I don't really see how you could adamantly disagree with that statement, which also included "and you can safely extract a much larger number of grafts in a given session".

You say: "In the right hands both procedures produce equal yield, period."

Even if that is true in a vacuum, and applies to each and every patient -- and saying ", period" isn't a debateable statement -- are you not agreeing that session size, a huge factor for any prospective patient, plays a role in a FUE yield? If I remember aright, even within your clinic's claims, your sessions top out at around ~3k...?

Henceforth, FUT yields are "generally higher" than FUE in a session, which encapsulates sessions ranging from ~200 to ~8k. I suppose you could debate the semantics of "generally", but when the most important, and clearly wavering factor with FUE yield is the size of the session, I think it is a pretty fitting description.

I do agree that what I said was a blunt statement; but I would also say that it is accurate.
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Old 03-25-2008, 01:19 PM
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Yes, we average a maximum session size of about 3000 grafts, unsplit.
Guess what, most strip surgery average .... about 2500-3500 grafts, split.
Yes, I know you have the exeptions, but that is not the rule.

I was more thinking about yield in terms of % of regrowth however, I guess in this case you would agree with me.
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Old 03-25-2008, 01:59 PM
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Interesting. Can you elaborate on the FUT splitting (of other clinics) and the unsplitting at yours? What is the "exchange rate", approximately -- 3k (unsplit) at yours would be equal to _____...

I do agree with you that FUE yield in the right hands can be excellent, and just as high as strip; and your clinic(s) are on the vanguard. Your clinic also makes claims -- and I'm not saying that they are incorrect -- that are phenominal, when compared to most other FUE docs. So I believe that until a clinic -- perhaps yours, I hope -- provides comprehensive and compelling evidence regarding ~2500-3k sessions, that to say FUE yields are "generally weaker" is an accurate statement, all things considered.

But, I'm not saying that FUE yield is absolutely weaker than FUT in and of itself -- rather, that it generally becomes more difficult to consistently maintain the greater AND greater you go for in a single session, no? And that at a certain point, especially for certain people, you simply can't safely reach a certain level of extraction because of the nature of the procedure. I remember you mentioning in a recent thread that sometimes you have to split sessions up because certain individuals are more receptive to the procedure.
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*A Follicles Dying Wish To Clinics*

1 top-down, 1 portrait, 1 side-shot, 1 hairline....4 photos. No flash.

Follicles have asked for centuries, in ten languages, as many times so as to confuse a mathematician.

Enough is enough! Give me documentation or give me death!
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Old 03-26-2008, 10:11 AM
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Bart,

Quote:
This is a blunt statement. In the right hands both procedures produce equal yield, period.
Though I appreciate your enthusiasm about FUE and the possibility of FUE megasessions for all, you have to understand that the MAJORITY of reputable hair transplant surgeons, YES, even FUE surgeons believe that hair growth yield is less and sometimes substantially less with FUE than with FUT.

I enjoy your enthusiasm for FUE tremendously but you have yet to admit the potential problems with FUE let alone how your clinic has overcome them. In my opinion, those who only discuss the benefits without every discussing the risks are not benefiting the patient.

Perhaps one of your physicians can discuss the technical details of FUE surgery and how they've overcome the risks in order to produce high growth yield for ALL FUE patients.

I admit however, that your clinic does appear to be producing some high quality results.

Quote:
...Guess what, most strip surgery average .... about 2500-3500 grafts, split.
What are you considering splitting grafts? Though it is true that almost all physicians will occasionally split grafts to create more singles for the hairline, I disagree emphatically with your above statement or at least its implication. Where are you getting your statistics on this? Please explain.

Regards,

Bill
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Old 03-27-2008, 12:51 PM
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Bill,
Here is a list of surgeons that I know disagree with most points made in the article 'potential problems with FUE'
Dr. Ilter
Dr. De Reys

here is a list of surgeons that I believe/suspect will most likely will disagree with the article :
dr. Cole
Dr. Woods
dr. Hussain
dr. Armani

Please notice that all of the docs mentioned are FUE experts, not offering strip, or not offering strip anymore.

Furthermore notice that all of the above use different techniques, or at least claim to use different tools - technique - routines ...
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Old 03-27-2008, 12:55 PM
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From my visits to several advanced surgical courses during the ISHRS I know that strip grafts average 2,0 hair per grafts.

When we extract grafts using FUE, for example 2000 grafts we average 2,3 hairs per graft.

2000*2,3 = 4600 hairs for FUE grafts
2000*2,0 = 4000 hairs for strip grafts

That is more than 10% difference.
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Old 03-27-2008, 04:12 PM
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Bart,

I'd like to hear some of these physicians dispute to the points made in the discussion.

Perhaps you can ask your physicians to offer their input from a technical perspective.

But until I can hear a valid technical argument as to why there exist NO "potential problems with FUE", I will remain skeptical of anyone who discusses only its benefits.

Bill
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