I posted about a couple of brothers having hairline work ,with one recieving temple point reconstuction that consisted of around 150 grafts on each side .
Well speaking to the each brother hes sorry he didnt have some grafts put there also.
I told them about your lunchtime fue {200 grafts] and the possibility of you maybe doing 300 .
Would you be willing to do a fue session thats a little over your usual 200 graft lunchtime offer?

I posted about a couple of brothers having hairline work ,with one recieving temple point reconstuction that consisted of around 150 grafts on each side .
Well speaking to the each brother hes sorry he didnt have some grafts put there also.
I told them about your lunchtime fue {200 grafts] and the possibility of you maybe doing 300 .
Would you be willing to do a fue session thats a little over your usual 200 graft lunchtime offer?

PGP,
Sure. No problem.
Please post a link to the photos. That was very nice of you to think of us.
Dr. Feller

__________________
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

I'm not sure if you know, but we are capable of doing large FUE sessions when they are called for and appropriate.
Here is a patient I did 1,850 FUE grafts on just in the hairline this past monday. It took us just one FULL day to do it.

__________________
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,

The number of FU grafts extracted via FUE is impressive just as are the immediately post op pictures.

I hope you or the patient will come back to show us the finished product when it grows in.

Pat and I have often used you as a prime example of a hair restoration physician that produces high growth yields with FUE while not overselling its benefit.

Because there has been a lot of recent controversy about FUE megasessions, in your professional opinion, can you explain your views on the limitations and potential problems that need to be overcome with FUE? Why might or might not these potential problems prevent megasessions of this magnitude (or higher) from being available to ALL hair transplant patients?

Bill

__________________
Managing Publisher of the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog and the Hair Loss Forum and Social Community

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To learn about how I restored my hair, view my my hair loss website.

Remember, true beauty radiates from within, not from the skin.

I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own.

Thanks for the reply That looks really nice .
Its good to know about going a little over your lunchtime offer ,as far as grafts .
Im also interested after this next scar revision

Dr Feller, as ever the work looks great.

Does this now mean you can safely extract approaching 2000 FUE grafts per day for patients or did this particular patients physiology allow for easier extractions?

Also, you can see from the donor pics just how quickly the extraction sites have healed even during the course of the day. What size of Feller punch was used in this instance?

best wishes

__________________
"Plan for the worst & hope for the best"

Yes Bill,
The number one limitation of FUE are the doctors themselves. Since its introduction to the world circa 2001, FUE has been shunned, ignored, or outright maligned by every strip doctor who saw it as a threat. VERY few embraced the challenge and did the HARD work necessary to achieve any level of proficiency. When I was one of several FUE docs who gave a lecture at an ISHRS meeting in 2003 I could see the absolute hatred being beamed at us from most of the doctors in the audience. They THOUGHT FUE would wreck their livelihood, but what they didn't realize is that it could be an adjunct that would give them and their patients ANOTHER option.

Even to this day MOST doctors shun the procedure. Make NO mistake about it, it's not because of the procedure itself, but rather their aversion to learning how to do it. There are even doctors who CLAIM to perform FUE. It will say it right on their websites, but you will NEVER see any before/after photos. This should be policed and stopped in my opinion because these doctors are engaging in a "bait and switch" scheme and it just confuses the general population.

Then there are doctors that use 1.1 and greater diameter punches and CALL it FUE when in reality it's just the old plug procedure with the wrong name hung on it.

You name it, it's been done. FUE has been over-hyped, understated, and plain lied about. That's the NUMBER ONE problem with FUE today.

After this comes the technical difficulties. FUE will always be at a disadvantage when compared to strip because of the extra forces involved with getting them out of the scalp. Unlike strip grafts, FUE grafts must endure twisting, pulling, and squeezing forces. NO organ likes to be man-handled and follicles are no exception. To minimize these forces I came up with two things. The first is "follicular perforation" (which was included in the authoritative text on HT called Hair Transplantation 4th edition Unger/ Shapiro)- this technique helps to reduce the pulling forces. The second is my patented Feller Punch- this device minimizes twisting forces. Together they make for a powerful combination that has allowed my patients to enjoy high FUE yields.

FUE can only improve if those forces I mentioned are reduced. For this to happen a REVOLUTIONARY new tool must be invented.

I don't believe an FUE surgery, or ANY HT surgery should exceed 12 hours. It's just too much for the patient. Therefore, the proper amount of FUE that should be performed is that amount that can be done SAFELY and RESPONSIBLY within 12 hours in my opinion.

When you read of clinics claiming to do a greater number of grafts it is usually because it was done over more than one day but was CALLED one procedure. This is simply distorting reality to fool the public. Nothing more. This should be policed and stopped as well.

To date, there have been NO revolutionary tools invented for FUE. If there were, none have been registered with the patent office AND those doctors claiming to take the lead in FUE HT have NOT filed patents on any new devices, at least not under their names because I check regularly. That should tell the public something about the over-hyper FUE docs.

If a clinic claims to regularly perform FUE megasessions but refuses to disclose their technique, then I believe the following is actually happening:
1. The clinic is lying to the public and perhaps to the patient about the actual number of grafts given. This also happens in strip surgery but has become limited thanks to internet sites like HTN whereby photos can be posted for all to see. A clinic trying to seriously short change a patient will get busted in minutes. This is a testament to the power of sites like this one and is a very powerful force.
2. The clinic is employing a large number of techs and docs in an effort to BRUTE FORCE the case. This started with a Greek company and their results, as predicted, were pitifully poor. You can't brute force FUE any more than you can brute force a sculpture, a painting, or a poem.
3. The clinic is splitting all follicular units to singles or mostly singles, thereby turning a 2000 graft case into a 3,000 graft case with a commensurate increase in fee.
4. That clinic actually created a revolutionary new FUE tool but the doctor is clinically paranoid which prevents him from enjoying the fame, fortune, and wealth associated with being the one to solve the FUE problems of torsion, traction, and compression

While we would all like to believe #4 is the case, and you can be certain that's what EVERY supposed FUE megasession clinic has tried to imply in their marketing, I WON'T believe it until I see it. If you claim to have a flying carpet you sure better be ready to show it and give me a ride on it or else I'm going to call you a fake.

The bottom line is that FUE is hard work, but it is do-able with moderate to good results WHEN performed responsibly by an HONEST doctor who OWNS his own clinic. For my part I would make a law that required all FUE surgery to be filmed and posted in real time on the web. If that law passed, watch every megasession FUE clinic go belly-up.

__________________
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

PGP,
Thanks.

Gaz,
Yes, he had exceptionally good physiology. I used nothing bigger than a .9mm Feller Punch, but his skin was so good a standard punch would have done the job just as well.

If ALL patient's skin were as good as this, then I would offer 2,000 FUE grafts to all that wanted it, but the sad truth is that most patients are not that lucky, AND there is no way to tell BEFORE hand how his skin will be.

__________________
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,

Thank you for your detailed reply. One thing that I really like about you (besides the fact that you produce first-rate hair transplant results) is that you cut right through the debris and get right to heart of the matter.

I like the fact that your post was well balanced. Not only do some hair restoration clinics oversell the benefits of FUE, but there are still a number of hair restoration physicians animately against it. I personally feel that there are benefits to FUE as it gives the patient an option. The key is selecting the right hair restoration physician.

I have actually called out a few clinics on this. Some even argued semantics with me debating the word "session" over "procedure". Whereas I was able to buy into their definitions - I suggested that their subjects be less ambiguious such by posting a subject such as "3000 grafts in one procedure over 2 sessions over 2 days). Of course - to me, this is the same as stating "2 X 1500 back to back procedures" or "3000 grafts via FUE in two procedures", etc.

I agree. Seeing is believing. This is one of the problems I have with a few of the consultants who post on our forum community. There is a lot of talk but no walk. I am seeing the material that a flying carpet is made of (equivolent: immediately post op pictures) without seeing the carpet fly (final results)!

If you don't mind, I'd like to post this on our Hair Loss Q&A Blog. I will credit you and provide a link back to your physician profile.

Let me know.

Thanks,

Bill

__________________
Managing Publisher of the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog and the Hair Loss Forum and Social Community

View our hair loss articles on Hub Pages

Follow us on Facebook | Twitter | YouTube

Subscribe to our Newsletters | How We Recommend Physicians

-----

To learn about how I restored my hair, view my my hair loss website.

Remember, true beauty radiates from within, not from the skin.

I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own.