FUE or FUT? Feriduni or Feller?

[Dr. Ricardo Mejia]

As a person ages, it is possible FUE scars will be seen first because they are done outside the safe donor area. If done properly, the fut line if in the proper donor area will not be seen. In my experience, I have not seen scars stretch with age.

[Yiddo]

As a person ages, it is possible FUE scars will be seen first because they are done outside the safe donor area.

 

Outside the safe donor area ?? I dont think so....Not with a good fue doctor their not. :confused:

Edited December 27, 2012 by Yiddo
missed word

[GNX1]

As a person ages, it is possible FUE scars will be seen first because they are done outside the safe donor area. If done properly, the fut line if in the proper donor area will not be seen. In my experience, I have not seen scars stretch with age.

do you have any evidence to support that or are you just assuming most FUE doctors are taking FUE hairs from outside the donor safe area?

 

cause I have yet to see any FUE results taken from more then a few inches up and are well within the "Safe" donor area.

 

do you specialize in FUE or FUT?

[Dr. Ricardo Mejia]

Most all doctors including myself will take from the safe donor area. However, as you start doing megasessions and trying to transplant 6000 grafts over time, eventually you expand outside the safe area to avoid the scars from blending together. The evidence is supported by presentations .by fue doctors at national meetings. You can also find megasession fue pictures on line showing the fue scars outside the traditional safe donor area. It is generally not an issue until advanced hair loss. In most cases patients have good density already with little risk of advanced hair loss. In that case neither fut or fue would be visible.

[Raj Jayukdht]

What Dr would take grafts out of the safe donor area...whats the point in doing HT, when in years to come they will fall out.

[Yiddo]

Most all doctors including myself will take from the safe donor area. However, as you start doing megasessions and trying to transplant 6000 grafts over time, eventually you expand outside the safe area to avoid the scars from blending together. The evidence is supported by presentations .by fue doctors at national meetings. You can also find megasession fue pictures on line showing the fue scars outside the traditional safe donor area. It is generally not an issue until advanced hair loss. In most cases patients have good density already with little risk of advanced hair loss. In that case neither fut or fue would be visible.

 

I havent seen many cases online with 6000 gr fue, because im pretty sure the average person cant produce that amount to be extracted, but i have seen quite a few 5000 gr, and none that i have seen have been outside the safe zone. As jayukdht points out, what would be the point ?

 

Just to re ask GNX1's question again, what method do you specialise in Fue or Fut ?

[s2thoudriver]

FUE yield vs FUT yield is an old discussion and with the increasing numbers of great FUE results, the argument is ever weakening. I won't repeat everything that has been said already regarding FUE/FUT, as that's what the search function is for.

 

One personal thought i have on this though is.... a FUE megasession of 2,500+ can take up to 12hrs to complete. If you have chosen a reputable clinic where the surgeons do the work, a large chunk of the 12hrs will be taken up by the surgeons as they will be doing the extractions, incisions and placement.

 

Some surgeons might not want to work these long hours, when they can cut a strip out of the back of the scalp with well practiced FUT and hand it over to techs to discect in a lot less time.

 

I feel this is why a lot of surgeons out price their large FUE sessions, to steer patients towards FUT. There seems to be little other reason to do so to me.

 

As always though, it is just an opinion, so don't jump down my neck :rolleyes:

 

Happy chistmas to all and happy growing

 

Rob

[Dr. Ricardo Mejia]

I do both fue and fut. The majority of my cases are fut. In my practice it is more efficient and cost effective do a 2500 to 3500 graft case in one day With FUT. THe 12 hour cases as noted above for fue are long and tiring for both patient and doctor. I can not do as many grafts in one day with the fue than I could with fut. Consequently I personally prefer the FUT method. The primary purpose to FUE is for those patients that prefer to avoid a linear line and are ok doing it in stages with added expense. Other clinics specialize only in fue doing megasessions daily and that is fine if it works for them,

[Dr. Ricardo Mejia]

Yiddo. The point of going outside the safe donor area is to buckshot scatter the grafts all over so they do not coalesce together and become more visible. The more scattered the better the clinical result and less noticeable. To analyze this mathematically, assume for a second an average safe donor zone of 30 cm long by 4 cm wide with a density of 70 follicular units per centimeter squared. This equates to an available donor area of 8400 grafts. The big question is how many extractions per cm squared will your doctor make to scatter the grafts so they are not too close together.

If you extract 100 percent 8400 grafts you will have a large donor area 4 cm wide with no hair

10%. =840 g

20% = 1680 g

30% = 2520 g

40% = 3360 g

50%= 4200 g

 

So patients strictly doing fue who need an average of 4000 grafts over time will have a donor depletion of 50%. This could be quite visible and we like to lessen the percentage of extracted hairs per cm squared with FUE. Hence if you want to lower your percentage to 30%, the only way to do it is to expand your donor area larger than the traditional safe donor area. If you want to prove this point, draw a 1 cm square. Take a ball point pen and see how many punch holes you can make in this area.

[Mickey85]

do you have any evidence to support that or are you just assuming most FUE doctors are taking FUE hairs from outside the donor safe area?

 

cause I have yet to see any FUE results taken from more then a few inches up and are well within the "Safe" donor area.

 

do you specialize in FUE or FUT?

 

 

Dr diep took hair well out of the safe zone for one of his patients but other fue surgeons like lorenzo and feriduni wont go too high out of it. The safe zone is hard to predict unless the doctor is ultra conservative.

[Raj Jayukdht]

I understand what Mejia is saying but if your going out of the safe donor area, them hairs will fall out over years to come, so why have hair transplant. All Dr's should not go out of the safe donor area.

[MAGNUMpi]

In my practice it is more efficient and cost effective do a 2500 to 3500 graft case in one day With FUT. THe 12 hour cases as noted above for fue are long and tiring for both patient and doctor. I can not do as many grafts in one day with the fue than I could with fut. Consequently I personally prefer the FUT method. The primary purpose to FUE is for those patients that prefer to avoid a linear line and are ok doing it in stages with added expense.

 

Thank you Dr. Mejia for your candid response. What in your opinion would be a healthy maximum FUE procedure for one day/session? Would you then advise the patient to wait 8 months for the next stage or do you think the day after is safe to continue a big FUE procedure when trying for maximum yield?

Thanks.

[Steve2468]

All,

 

A belated thanks for all your comments and advice.

 

By way of update, I have decided to book FUE with Dr Feriduni, with the option to change to FUT should Dr Feriduni advise me otherwise. Next available dates were early in June 2013 but I have also booked a consultation (in person) in March 2013 to discuss my options.

 

Thanks again