anotherbaldguy

No, an experienced tech team able to dissect a strip properly can handle that. Unfortunately it takes a very long time to train such a team and there are fewer and fewer higher quality clinics existing. If you are going to do FUT you should commit to the scar and go for as many grafts as possible yes. I made the same mistake by only doing 2000 grafts for my first FUT when I clearly needed more, but the surgeon I went to argued that the yield was optimal at 2000 grafts. Realistically though do H&W, Eugenix or Hattingen have yield issues when they are routinely performing sessions over 2000 grafts? Of course not, so ultimately i think it's because certain clinics are simply unable to handle higher numbers. Hattingen is one of the few honest/ethical clinics I consulted with. Depends on the amount of grafts taken by FUE. Around 3000 and it's still fine. I just had a strip taken after some bad FUE and the FUT scar currently appears smaller than the FUE scars. But of course this is all patient dependent; you should only consider doing a strip after FUE if your laxity is above average, your remaining donor density is sufficient, you need the grafts, and the patient is fine wearing their hair longer. And ofc the clinic needs to be good enough/ experienced in removing a strip from scar tissue. Physiology matters, but ultimately it's surgeon's skill. That's why you'll notice certain surgeons seem to consistently achieve better FUT scars than others - the exact same as FUE. I've seen a documented case here on the forum where the FUT scar is pencil thin scar after 5 surgeries. This can be true, but the same can be said of FUE surgeons who haven't mastered FUT and dont have the larger tech teams available to be able to support it. Most patients simply don't want the linear scar so the market is simply responding to this. Ideally you'd want a clinic capable of both and to (objectively) be able to take your individual donor characteristics into account. No. FUE causes more scarring than FUT in terms of surface area. One bad FUE session and you can deplete your donor globally meaning you are out of options, whereas one bad FUT session and the scar is still localised. With a bad FUT scar you might have the option to pursue another FUT or conduct a scar revision, or failing that place grafts in the scar while still having the majority of the donor left completely intact. Bad FUE scarring only has the option of BHT or SMP, overall meaning you're looking at obtaining far less graft numbers with FUE alone. FUT is the more serious surgery, but you'll only feel pain in the donor region if the FUT surgeon is incompetent and creates nerve damage or does something else medically negligent. Nerve damage happens with FUE clinics as well For my last surgery I had multiple (elite) clinics try and dissuade me from doing another strip due to my FUE scarring, and if i had listened to them i would only be able to get 2k more out of my donor. After a lot of research and a lot of consults I ultimately ignored their advice and pursued another FUT with an elite clinic ... and due to my extreme laxity I'm now able to get another 7k out of my donor. That's a 5k difference in grafts simply due to pursuing one extraction over the other. Every case is different, so ultimately this stuff all comes down to a patient's individual donor characteristics, what a patient is willing to commit to, and what a specific clinic can achieve. So you really can't be too dogmatic about this.

Had exactly the same experiences with my consults. Dr Path might be one of the most underrated docs on these forums as far as i can tell. He created this technique for FUT called the 'open technique' where you get almost none (if any) transection and due to the limited amount of tissue damage this minimises any scarring as well. It's the same technique Dr Wong uses, but it takes about an extra 45 mins of work and requires more training so most FUT docs aren't willing to do it. If anything I found Dr Path's donor estimate a little too conservative but I think that's just his style. Really helpful. Awesome to hear!

The temple points need about 300 - 500 grafts and are supposed to be composed of fine singles, whereas the crown can take up to 2-3k grafts and should be composed of multis. It's not really a fair comparison, and realistically there isn't really a compromise here ... putting those 500 singles in the crown would make almost no cosmetic difference at all. As long as the hairline has been properly placed then temple point work isn't really necessary, but I just had my temple points fully restored and I cant believe how much of a difference they make already ... moreso than the crown work I done at the same time. Think of someone like Jack Nicholson who has a heavily receded hairline but has always maintained his temple points ... his face is still somehow framed by them. But without them I believe he would appear much more balding. But ofc we each have our preferences.

Had exactly the same experience with my consults. Dr Path might be one of the most underrated HT docs on these forums from I can gather. He created this technique for FUT called the 'open technique' where you get almost none (if any) transection and minimal scarring. It's the same FUT technique Dr Wong uses but it takes about an extra 45 mins of work and requires more training so not many docs are willing to do it. Even Dr C*** who makes these hilarious anti-FUT propaganda videos praised it publicly. If anything I found Dr Path's donor estimate a little too conservative (I ultimately ended up going to Dr Wong instead after a last minute opening) but admittedly my case was difficult and I think that conservatism is just his style. Really helpful otherwise. Awesome to hear! Looking forward to more updates

Thank you so much for this If a patient has extensive FUE scarring, is the final result of the FUT scar usually impacted as well? Does previous FUE scarring impact the quality of the grafts in the strip? It's an absolutely fantastic FUT scar generally.

Would love to see the FUT scar for this case if possible

this was very emotional to read. i wish you the absolute best Gatsby ... youre a lovely guy