PaulB79

Dr. Feller,

 

If in the future, you suspect someone in particular covertly representing a clinic (recommended here or not), please send me a private email and we will investigate this. We have investigated "Sethicles" and while he may speak boldly about Dr. Bhatti, I see no evidence that he is employed or represents him or the clinic in any way. Furthermore, I removed one of your posts that he is somehow "profiteering" for Dr. Bhatti as this is inappropriate.

 

 

Dr Feller

There definitely is a question as to what you wrote because Bill deleted one of your posts about Sethticles. So unless anyone saved it we now have to rely on the memories of those who read it. It's very hard to believe you weren't implying Sethicles was a representative for Dr Bhatti. I question your honesty for now claiming otherwise.

Paul

EDIT: OK so Dr Bloxham has just deleted his above reply. Anyway, I still think the mFUE donor scars are slightly bigger. With longer hair I guess it wouldn't matter but for shaving down close I think FUE wins. Just my opinion.

Bill's mFUE questions:

 

1. Approximately how large are the mini-strips that are being harvested? How wide and how long?

 

It depends. Don't you love that answer? I never specified a size of the punch grafts we take with the elliptical punch because it's not round, so the only way to fairly compare it to a round punch would be to compute the surface area. I don't know if anyone here has ever tried to calculate the surface area of an ellipse -- I hadn't -- but it's not fun.

 

The circular punches range in size. Just like traditional FUE punches do. They are several millimeters in diameter. We are still trying different ones to find that "sweet spot" where we maximize grafts and minimize scarring. Dr Lindsey found his initially, but then he started experimenting with the elliptical punches more.

 

However, we are using round punches for the two larger mFUE procedures we have coming up.

 

2. How will these wounds be closed? Will sutures or staples be used?

 

Initially, we used staples and Dr Lindsey used sutures. What we found was that the scarring we got from the staple punctures was actually more significant that the mFUE scar, so we're going to use sutures for the time being. However, there are still numerous ways to close the sites and we will see what is best in time. For now, it seems like sutures.

 

3. How far apart will each mini-strip be taken from one another?

 

It depends on how many we take. They are still very small, so they really don't have to be very far apart. The beauty of the mFUE graft size, however, is that they will be more spread out which means less connection of subdermal scarring under the scalp. This is confluence of scar tissue is what causes issues during secondary procedures in traditional FUE procedures.

 

However, I think the absolutely minimum distance we would leave between each punch site would be the width of the punch IE: punch of X mm, then a space of X mm, then another punch of X mm.

 

4. Is there any formula or science to the strategic placement of the strips?

 

We're designing a grid to mark out the donor region. This will help us do several things: 1) place the punches appropriate distances apart; 2) designate the areas of virgin scalp we did not harvest from so we can use this during future procedures; 3) allow us to figure out EXACTLY how we will close the punch sites (vertical, horizontal, at a 45 degree angle, etc) so the scarring blends with the natural direction of the hairs and is minimized.

 

5. While a single linear scar is eliminated during mFUE, wouldn't a bunch of mini linear scars replace a single large one?

 

It's diffuse, non-linear scarring throughout the donor the same as we see in FUE. See below:

 

6. Do you have any photos to date that you can show of the donor area immediately after surgery and/or when it's completely healed/matured?

 

Yes:

 

Here is an example of the wounds closed right after

 

 

This comes from Dr Lindsey. Generally, the punches would be more spread out, but he was doing this for a specific reason in this case (scar repair via mFUE).

 

Here is an example of them healing:

 

 

And here are some matured results:

 

 

 

 

 

Skip to 3:19 in this video to see Dr Lindsey comb through the patient's post mFUE donor shaved to a 2:

 

 

Skip to 3:42 in this video to watch Dr. Lindsey remove an mFUE graft and discuss the procedure as he does so:

 

 

Another procedural mFUE video from Dr Lindsey:

 

 

Note: he's using the largest elliptical punch we considered in these videos.

Hello People. I've been lurking for a while and figure it's time to post as I have a question.

Dr Bloxham,

Isn't it a bit disingenuous to describe the mFUE scarring depicted above as equal to FUE scarring? The mFUE donor scars are clearly bigger than individual FUE donor scars!

Thank you.

Paul