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Follicular Unit Extraction (FUE) Discuss and share your photos, experiences and results related to the Follicular Unit Extraction (FUE) hair transplant procedure, including its advantages, disadvantages and who is an ideal candidate.

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Old 09-05-2012, 09:26 AM
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Default Guard 1 with FUE?

Hey guys,

Was just wondering before if the notion of being able to shave down to a guard 1 after an FUE procedure is correct or not? Obviously it would count on the amount of grafts so let's say something like a 2,000 graft procedure? Could it pass as seamless on a low guard 1 given average density? Would there be a notable difference before and after?
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Old 09-05-2012, 11:12 AM
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At first your scalp will be red and you can experience some shock loss in that area, but it's not drastic. After several weeks you would look ok going down to a level 1 in the donor area. Once the skin has healed properly you will not notice a difference in your appearance in the donor area even though it is thinner than it was previously. You may see small white dots in the areas that have been extracted and those heal better over time, but even at a 1 guard it's difficult to notice.
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Old 09-05-2012, 11:14 AM
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Some FUE patients are able to shave to a 1 guard but not all will have this option. Much will depend on how you heal and the size of the punch used. Count on being able to shave to a #2 and anything shorter is a bonus.
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Old 09-05-2012, 12:12 PM
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Janna,

In Dr.Lorenzo's videos it is seen that fue can be used with the buzz cut with no clipper grade. Also many other fue doctors say that if the patient ok with the white dots in the donor area, fue can be used with shortest haircuts. What is your opinion about this?
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Old 09-05-2012, 12:30 PM
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Azazelgs, i too have seen the Lorenzo videos that you speak of. However my sentiments are that the 'look' of a zero guard after fue is not seamless. I was thinking a one guard would suffice however the general consensus is that even that due is not 100%. Especially after X amoubnt of grafts.
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Old 09-05-2012, 12:32 PM
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Mickey,

I mean there is some white dots in donor areas but recipent seems ok , do you mean donor or recipent???
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Old 09-05-2012, 01:22 PM
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Donor The recipient results from fue seem the same as FUT to me providing the yield is the same. Im just curious as to whether the white dots and lack of folicles would be evident at a grade 1 buzz.
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Old 09-05-2012, 05:08 PM
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I can grade mine down to a one which I did for about 6 months post op.
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Old 09-06-2012, 02:01 PM
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Quote:
Originally Posted by azazelgs View Post
Janna,

In Dr.Lorenzo's videos it is seen that fue can be used with the buzz cut with no clipper grade. Also many other fue doctors say that if the patient ok with the white dots in the donor area, fue can be used with shortest haircuts. What is your opinion about this?
With anyone's fue technique, you can have the patients shave down with a zero guard. But at what point can you not see any white dots? Most patients will have some form of white dotting with a zero guard.

Dr. Lorenzo took two patients to the ISHRS conference in Boston couple years ago. After everyone got to see his patients' results on top, he shaved his patients' heads down with a zero guard to show the donor area. You could see white dots but the patients themselves were not bothered by them. So it comes down to the individual patients whether it's bothersome or not.
I personally don't like the white dots as it looks unnatural - just the same as strip scars (in a different way)- it's not normally present on non transplanted patients. The patient has to assume the white dots will be present with a zero and #1 guard before he goes ahead with surgery. How short you can buzz your head afterwards without seeing any white dots will depend on how well you heal and what size punches were used.
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Old 09-07-2012, 03:09 AM
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Janna, with all the fue cases you have personally inspected, if you look hard enough can you see remnants of the scarring on a guard 1(on average)?
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