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Dr. Karadeniz - 4604 Grafts FUT+FUE COMBO


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41 year old patient had a previous 3000 grafts FUE procedure at another clinic that did not give the expected yield. The donor density was significantly reduced due to the previous procedure. A 4604 grafts FUT+FUE combined procedure was performed.

 

A 25x2 cm strip was excised and the wound closed with single layer staples using trichophytic.

 

A 0.8 mm motorised sharp punch was used for FUE.

 

Graft distribution:

FUT 1:210 2:1457 3:1135 Total:2852

FUE 1:492 2:820 3:440 Total:1752

Total 1:702 2:2277 3:1575 Total:4604

 

Photos were taken before, immediately after and 6 months after surgery.

 

BEFORE

 

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IMMEDIATELY AFTER

 

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6 MONTHS POSTOP

 

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Ali Emre Karadeniz, MD (Dr. K)

AEK Hair Institute

Istanbul, Turkey

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  • Senior Member

Thank you David, Sadbuttrue, Mick50, Johnboy71, Cant Decide for your input.

 

I believe there are some situations when the Combo may be valuable. These may be;

1. When the donor capacity is reduced due to previous surgery. Due to pervious strip surgery, there may be little skin laxity to get a strip that is adequate and/or due to pervious FUE the donor density may be reduced.

 

2. Very high demand of grafts to achieve an acceptable coverage in high Norwoods. Although I now tend to prefer a large strip (4000-5000 grafts) to start with and leave FUE for later sessions.

 

3. When the patient comes in for FUE while asking for a scar repair. If a patient has a previous strip scar and comes in for a second procedure (usually FUE), I mention the possibility of a combo, which could improve the scar and give additional grafts at the same time; instead of doing only FUE and having to use some grafts on the scar.

Ali Emre Karadeniz, MD (Dr. K)

AEK Hair Institute

Istanbul, Turkey

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