Regular Member Sparky00 Posted May 23, 2018 Regular Member Share Posted May 23, 2018 How does an FUE surgeon know if he is taking 1s 2s or 3s when he extracts the hair please? I assume he just has to go on sight? When a surgeon is refining a hairline he should only take 1s and maybe some 2s but without microscopes via FUT I'm confused how they know. Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted May 23, 2018 Administrators Share Posted May 23, 2018 Surgeons have high magnification glasses that show the follicular unit (fu) in their natural grouping. However, there are cases where one follicle appears as a 1 but maybe a 2 fu due to one follicle going in to the resting phase. I would say for the most part this is not an issue, but a majority of physicians still examine the fu grafts under a microscope to make sure there are no dormant follicles in the fu’s. I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice. Check out my final hair transplant and topical dutasteride journey: View my thread Topical dutasteride journey Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog. Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube. Link to comment Share on other sites More sharing options...
Regular Member Sparky00 Posted May 23, 2018 Author Regular Member Share Posted May 23, 2018 But is this magnification done at the time of extraction you mean? I will be getting singles placed along my hairline and I'm curious how my surgeon will know. Link to comment Share on other sites More sharing options...
Regular Member secondtryuser Posted May 23, 2018 Regular Member Share Posted May 23, 2018 Magnification is done both at extraction (so they group all 1s together, all 2s together etc) and implantation. Obviously, it would have to be, as otherwise they wouldn't have to carefully examine each graft before implanting, which wouldn't work as there are usually thousands to get through. Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted May 23, 2018 Administrators Share Posted May 23, 2018 The surgeons have high magnification glasses on while extracting so they see the groupings of the fu’s. I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice. Check out my final hair transplant and topical dutasteride journey: View my thread Topical dutasteride journey Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog. Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube. Link to comment Share on other sites More sharing options...
Senior Member harryforreal Posted May 23, 2018 Senior Member Share Posted May 23, 2018 Magnification is done both at extraction (so they group all 1s together, all 2s together etc) and implantation. That is an assumption that I would not bet on. Tell your doctor that you want the grafts examined microscopically during extraction and prior to implantation. I had numerous doubles placed in my hairline during an FUE procedure. Link to comment Share on other sites More sharing options...
Senior Member mattj Posted May 24, 2018 Senior Member Share Posted May 24, 2018 The extracted follicles should be examined under microscope and this is where the equipment used for FUT surgery comes in. Some clinics that sprang up only doing FUE don't have the microscopes. They'll still be using magnification during the procedure, but might not be sorting and counting the grafts under more powerful microscopes. Note that when we post results, we have a graft breakdown - a tally of how many singles, doubles, triples and quadruples there were. There might be some dormant hairs within a follicular unit, but the number will be low. I am a patient and representative of Dr Rahal. My FUE Procedure With Dr Rahal - Awesome Hairline Result I can be contacted for advice: matt@rahalhairline.com Link to comment Share on other sites More sharing options...
Regular Member secondtryuser Posted May 24, 2018 Regular Member Share Posted May 24, 2018 That is an assumption that I would not bet on. Tell your doctor that you want the grafts examined microscopically during extraction and prior to implantation. I had numerous doubles placed in my hairline during an FUE procedure. I'm talking about the procedure generally (which also mirrors my own). Of course, practices will vary, but in answering a general question we can't account for all possibilities. If people are overly concerned wit this, they'd need to discuss it with their surgeon. Having said that, I think I'm right in thinking that in natural, non-transplanted hairlines, there will be a mixing singles, doubles etc (but singles dominate), so the odd triple in the hairline shouldn't look too bad, so long as there are mostly singles. Link to comment Share on other sites More sharing options...
Regular Member Sparky00 Posted May 24, 2018 Author Regular Member Share Posted May 24, 2018 I'm getting confused. Can a doctor see a hair is a single or a double before he punches it? Or are you saying he punches random grafts and then the y sort them? If the latter how will the doctor be able to extract singles for the hairline? Link to comment Share on other sites More sharing options...
Senior Member gillenator Posted May 25, 2018 Senior Member Share Posted May 25, 2018 Approximately 10% of the scalp is in the dormant phase so the margin for error is small. Gillenator Independent Patient Advocate I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice, but are my own views which you read at your own risk. Supporting Physicians: Dr. Robert Dorin: The Hairloss Doctors in New York, NY Link to comment Share on other sites More sharing options...
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