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Gabreille Nelson Mukhia

How prominent are the scars on the donor after a hair transplantation procedure? FUE

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According to our experience, there will always be microscopic scarring on the donor area after grafts have been harvested. They will not be obvious but if the hair on the donor area is kept quite short (trimmed or shaved) then the collective absence of hair will outline the empty area. Even in the beard area when used for donor grafts, a two or three day stubble can reveal a thinner density on the extracted parts. 

What are your views on this?

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In my experience, scars are visible at a zero guard in around 95% of patients, that percentage drops to 50% with a #1 guard and 25% with a #2 guard. 

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The scarring also depends on the size of the punch used to perform the FUE procedure as well as the the patients skin type and color.

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37 minutes ago, Dr. Glenn Charles said:

The scarring also depends on the size of the punch used to perform the FUE procedure as well as the the patients skin type and color.

Great points, 

The larger the punch, the more visible the scars. Also, dark hair and light skin shows more scarring, as opposed to light hair and light skin or dark hair and dark skin.

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Surgeon's skill is also a massive deciding factor.

I've had 2 FUE surgeries; one undertaken by an inexperienced part time doctor, the other by a 30 year master of the industry. Both used exactly the same sized motorised punch model.

I currently keep my donor hair region at 2cm, but when I comb it side to side or upwards i can easily see all the extractions scars made by the inexperienced doctor. On the other hand I cannot for the life of me see any of the extractions made by the experienced surgeon. 

10 hours ago, Gabreille Nelson Mukhia said:

if the hair on the donor area is kept quite short (trimmed or shaved) then the collective absence of hair will outline the empty area. 

If what you mean here refers to the extraction pattern, then I'd agree with you s I've experienced that as well. If the donor isn't approached in a homogenous fashion it can draw attention to FUE extractions by the "collective absence' of hair, meaning a patient has to keep their hair longer to make things look more normal. 

 

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All of what you guys said is correct. Especially the experience of the doctor is so important. Tool size , and of course it's a real benifit for the patient to have very good healing ability. All of these factors put together is a recipe for success. Miss one of these and the patient is in trouble.

At least hair will cover the scarring on the head to disguise the scarring. But what about scarring after beard extractions ?  This is really risky for the patient.  If one dosent want to have stubble or facial hair , scarring in this area can be absoutely defestating to live with .  So its a huge decision on choosing a doctor and their experience  to get right. Get it wrong and we really do get it wrong. In this case the patient will have no option but to grow hair to disguise the  scarring.

Here is a few pictures after my own HT. Thankfully I'm very happy with the outcome. This one is from my bead extractions, as they dont get talked about at all.  Punch used under the jawline was 0.75mm.  

Paddy

IMG_9338.JPG

20200416_090149.jpg

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Thanks for the photo update @paddyirishman. As always, a picture speaks more than the words. It will be great if few more hair loss patients can share their post-op scalp or beard area photos on a shaved, trimmed styles on this thread. This is something I look forward to know as a potential HT candidate.

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17 hours ago, Gabreille Nelson Mukhia said:

According to our experience, there will always be microscopic scarring on the donor area after grafts have been harvested. They will not be obvious but if the hair on the donor area is kept quite short (trimmed or shaved) then the collective absence of hair will outline the empty area. Even in the beard area when used for donor grafts, a two or three day stubble can reveal a thinner density on the extracted parts. 

What are your views on this?

Hi Nelson, what minimum length do you typically advise Eugenix patients to keep their donors? I know in the past it has been stated your clinic uses .9-.95 punches for the majority of patients.

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4 hours ago, HTHope said:

Hi Nelson, what minimum length do you typically advise Eugenix patients to keep their donors? I know in the past it has been stated your clinic uses .9-.95 punches for the majority of patients.

We normally recommend that the patients keep their hair at least an inch long or two to three cms on the donor area. If the patient has a very thin donor then he would be advised to keep at least 3 to 4 cms long hair. This would ensure that there would be no visibility of the area where the hair has been taken from.

We have a lot of patients who have kept a fade cut hairstyle also. The sides and the back are smaller in length and the top is of good length.

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