RecedingTide

The original hairline done with the other clinic was too low but nice job adding density to improve things.

No respect for the safe zone. This is only ok if those grafts outside the safe zone go into the crown or bridge.

Nah. You can see the extraction box with some coalescing of the scarring. Could be the punches or could be his physiology or a bit of both.

Exceptional result. No hair worries ever again.

Let me play devil’s advocate… While the recipient looks great the donor does not. It shouldn’t look like this after only 1800 grafts.

In fairness, I think you probably did have a bit of shock loss up to 6 months. It look much better in the 2nd set of photos. You may actually have 2000-2500 left. That would help a lot. Good luck.

I happen to believe that under certain circumstances you can get almost as many from FUE as FUT lifetime. These caveats are that the candidate must not have any retrograde alopecia and must have good physiology in terms of wound healing. No one seems to mention that 10-15% of your hairs are in the resting or telogen phase at any given time. What happens to these with FUT?

@Legend007 you absolutely should expect to make 70. If we get deep into our 80s and 90s we can expect senile alopecia to eat our hair. There will definitely be pretty good solutions against senile alopecia when you get that old, if you get that old. If you expect to make it to 70, you will also be expecting to make it to 100 when you're 70, given the advances that are anticipated in the medical world in the next few decades.

I'm not sure if you had permanent shock loss in the donor around the occipital ridge but if I'm honest I think it looks thinner than I would expect after 3915 FUE extractions. Becareful with further transplants. I think 500 singles in the hairline and then 1000 multis in the midscalp to the vertex transition point. You could consider SMP to the crown and donor. I don't think you should push it further than that as you could have the moth eaten alopecia areata look. Just my 2 cents.

Thanks for starting this topic. However I think your assumptions and calculations are a little off. It is very much case by case but the donor area of a norwood 6 is usually roughly similar to the area of bald scalp. A norwood 6 donor could be 8cm x 32cm or 256cm2. Untouched average density of approx. 85FU/cm2 in donor. This gives a 21760FU. 50% would equal 10880 grafts. I think that's probably a little much but taking 40% would be 8704. I have a large head and I have a norwood 6 pattern. I have had 6572 FU transplanted by FUE. I have at least 2500 more that can be transplanted and I can cut my hair to a bare blade and I can hardly make out the extractions. I have been very fortunate however. Numbers wise, I have probably only depleted my donor by a third. Skill of the team and good healing physiology are important of course. In short I think you're under selling FUE slightly. I understand that some people will make the argument that the best hair from 5-7cm from the napeline and FUT can get it all. This of course is a consideration for weaker donors.

You will lose all hair in a norwood 6 pattern and you will need 8000 FUE lifetime. Fortunately Feriduni can get you there. You only had about 5300 so you'll need the same size procedure again, with 1600 in the crown as it opens and another 1000 in the midscalp. It's just the maths of it unfortunately as you won't keep much native hair. It will work out I think.

Completely irresponsible. Only way you can justify this is if the guy is 50 or he doesn't have mpb.

As far as I am aware it's not a policy set in stone but it is his preference for a number of reasons. He mentioned this in a video a year or two ago I believe. It was on one of the European forums but might be up on youtube. It's not in English btw. Ok, think of it this way from the doctor's perspective; you have a 25 year old man who is adamant on getting a HT. He is norwood 3 but his family history indicates he may have extensive loss if the future. Now of course you could just turn the case down but you're pretty sure if you don't offer it he will go elsewhere where he may end up getting FUT. How about 2500 FUE or 2500 FUT (and the scar that comes with it)? Which do you believe is better for the patient? Which would you rather have in this situation if it's one or the other? Which provides more options for the future? Not that we should always practice defensive medicine but which route is less likely to come back and bite us 10 years down the road (as the doctor I mean). These are all questions you have to answer for yourself as YMMV but I personally can see the doctor's perspective on this issue. In truth, younger than 30 is never an ideal age for anyone to have a transplant (don't let anyone tell you otherwise) but just think about the ramifications of doing so since nowadays this demographic makes up a large proportion of prospective patients. Clearly FUT provides great results in the right hands but FUE gives a young man an option he would not otherwise have. Both have roles. Both can be awesome, one is right for one person, the other for another. If the market is demanding FUE, well then clinics will evolve and attempt to master it. However, if we have a spate of unhappy FUE patients (like we did 10 years ago) public opinion will swing back towards FUT. Both will be around for some time to come.

Dr. Feriduni is doing 95% FUE these days. He doesn't like to offer FUT to anyone under 30 unless they already have a strip scar. He has transitioned his practice to almost entirely FUE the last 3 years. That being said, clearly FUT still has a role for a 50 year old norwood 5 or 6 who wants to get as much hair as possible now and move on with life.

So you are saying you can't target multi-haired grafts with FUE than FUT? I happen to believe both procedures have a place and I think both have their own distinct advantages. Please give your anti-FUE tirade a rest. It's becoming tiresome. What about when you cut the strip? I suppose you'll have us believe you don't transect or damage a single hair and that no follicles in the telogen phase end up in the bin either with strip? I actually mentioned that one of the advantages of strip is that you get that sweet spot of donor hair where the hair calibre is most coarse. However you decide to continue your anti-FUE propaganda war by disagreeing with me when I say you can cherry pick multi-hair units with FUE...So according to you Dr. Feller, you cannot target multi-hair units with FUE? It is so transparent what your sole purpose is on the forums these days. I think it is a short sighted approach but hey if that business model works for you then enjoy it.