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Will I regret FUT?


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  • Regular Member

I've consulted with a Dr that best option would be a FUT for me because of the aggressive balding in young age (24). I have one question, do you guys think FUT is the only option for me? If someone gets FUE he wont be able to get skin fade anyways because of dots, with FUT same thing and I will have to have atleast 2mm haircut. I also need to have in consideration that I will keep losing hair. The pics are 1 month without shaving my head, usually I shaved to 0

My donor pics with normal light and flashcam light

 

IMG_2547.thumb.jpg.61c59897b86c8d823a0843910552d0ee.jpgimage.thumb.jpeg.c250e553acb8f416943a98f9b0064b31.jpegIMG_2546.thumb.jpg.d68bbac71a6034bf41066aaa215301fe.jpg

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SoSoz,

In my opinion, it doesn’t make sense to suggest that FUT is best for you because of aggressive balding. Truth be told, hair transplant surgery does nothing to stop the progression of genetic hair loss. So whether you undergo FUT or FUE, hair loss will continue unless you are using non-surgical treatments such as finasteride to help slow down, stop or reverse its progression.  Therefore, if the surgeon is going to suggest FUT over if we, then there has to be another reason why they feel it’s superior.

Now I see that you posted pictures of your crown. Are you losing hair in the front or only the crown? I suggest posting some photos of the frontal zone and your hairline so we can see what that looks like as well.

But in my honest opinion, depending on if you’re losing hair in the frontal area, I wouldn’t even touch the crown at this point since you’re only 24.  I would solely focus on the frontal zone while you potentially take finasteride to slow down or stop the progression of genetic balding.

I should also add that many surgeons will suggest FUT over FUE because they’re not FUE specialists and they’re FUE procedure is not as advanced as another surgeon who has devoted their entire practice to FUE.  Now I don’t know which surgeon told you that FUT is a better option for you however, in my opinion, research both procedures, understand the benefits and limitations of both and consult with multiple surgeons with a proven track record of producing outstanding results consistently.   This should include a few FUE specialists if you are considering FUE as a donor harvesting technique.

If you’re interested in a one on one information session with Dr. Rahal who happens to be an advanced FUE specialist, please send me a private message and I’ll be happy to speak with you further and set this up for you.  

Best wishes,

Rahal Hair Transplant 

Edited by Rahal Hair Transplant

Rahal Hair Transplant Institute - Answers to questions, posts or any comments from this account should not be taken or construed as medical advice.    All comments are the personal opinions of the poster.  

Dr. Rahal is a member of the Coalition of Independent of Hair Restoration Physicians.

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  • Regular Member

Front. I been told we can save more grafts with FUT because I will definitely need another procedure in future.

We wanted to do 2000-2500 grafts FUT for the receding hairline. I do not want to lower it

 

image.png.54f084d258fe1539decfd78398316ce4.png

Edited by SoSoz
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SoSoz,

Every patient is different. One does not necessarily just more grafts via FUT than FUE.  For example, FUT depends largely on scalp elasticity whereas FUE does not.

Also, I know we’ve talked before but remind me if you are currently on finasteride or are considering it? I know I’ve spoken to a number of people and some feel they can’t use it because of side effects, etc.  

But finasteride would be ideal for somebody with aggressive hair loss like you.   Because as of now, it looks like you’ve lost a good amount of hair but you still have a lot remaining. If you can retain or substantially slow down the progression of male pattern baldness, you’d be much better off and wouldn’t need nearly as many grafts over the course of your lifetime.

That said, nonsurgical solutions such as finasteride is a lifelong commitment because if you do benefit from it and decide to stop taking it, you will lose all benefit. Stopping its use could result in a loss of hair maintained by it.

Rahal Hair Transplant

Rahal Hair Transplant Institute - Answers to questions, posts or any comments from this account should not be taken or construed as medical advice.    All comments are the personal opinions of the poster.  

Dr. Rahal is a member of the Coalition of Independent of Hair Restoration Physicians.

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  • Administrators

General consensus is that FUT +FUE gives the most grafts. That said, I’ve seen clinics getting more grafts using FUE alone. If you don’t mind wearing your hair slightly longer, than FUT first does make sense. 


I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice.

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At this point in the game with all the advances in FUE, I’d say it is more a personal choice.

 

Me personally, I’d never go with FUT, as the idea of the scar is unappealing.  But some people have great FUT’s.

 

Research both and go with which type of scar you’re most comfortable living with.

 

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  • Senior Member
2 minutes ago, Fue3361 said:

At this point in the game with all the advances in FUE, I’d say it is more a personal choice.

 

Me personally, I’d never go with FUT, as the idea of the scar is unappealing.  But some people have great FUT’s.

 

Research both and go with which type of scar you’re most comfortable living with.

 

Would agree with this as far as the scarring. Also FUT just seems like a more more "medieval" process involving a much more invasive surgery and recovery time. 

Also someone can correct if I'm wrong but FUT basically requires you have to go back to the Clinic to have the staples removed? This means most people who travel from far away aren't able to go back to the same clinic for the removal?

 

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Your question is complicated and too vague unfortunately. I'll try to break it down as to what I would do. It comes down to 1 question:

  1. Do you have an open ended budget, are willing to travel anywhere, and are willing to potentially wait a year + for surgery?
    • If so, research the best FUE surgeons in the world (they are not in America except for Dr. Konior) and request a consultation.

Having said that, I would still recommend you get an FUT with a North American surgeon vs rolling the dice at a random Turkish clinic if you were absolutely dead set on getting a transplant soon. But do your research on who the best surgeons in North America are, meaning, gather as many user accounts of each doctor, examine the pictures posted on their websites in great detail.

If I was in your shoes, if I was willing to pay USA prices, it would be a no brainer to go to Europe and get an FUE for a comparable price and in my opinion a now superior procedure. 

 

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But guys Imagine this -

Option one: you go get FUE for e.g 4000 grafts and then results are good but donor could be damaged which wont allow for a surgery in future. 

Option two: you start with FUT 2000-3000 grafts, donor is not over harvested, you can get second surgery for 4000 grafts

For me the second option sounds better

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2 minutes ago, asterix0 said:

Your question is complicated and too vague unfortunately. I'll try to break it down as to what I would do. It comes down to 1 question:

  1. Do you have an open ended budget, are willing to travel anywhere, and are willing to potentially wait a year + for surgery?
    • If so, research the best FUE surgeons in the world (they are not in America except for Dr. Konior) and request a consultation.

Having said that, I would still recommend you get an FUT with a North American surgeon vs rolling the dice at a random Turkish clinic if you were absolutely dead set on getting a transplant soon. But do your research on who the best surgeons in North America are, meaning, gather as many user accounts of each doctor, examine the pictures posted on their websites in great detail.

If I was in your shoes, if I was willing to pay USA prices, it would be a no brainer to go to Europe and get an FUE for a comparable price and in my opinion a now superior procedure. 

 

Not going for Turkey, Im from Poland and I am consulting with Dr Saifi since he is based in Poland, people posted results here. He does FUT and FUE, but he done more of FUT and scars are barely visible

Edited by SoSoz
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  • Senior Member
2 minutes ago, SoSoz said:

Not going for Turkey, Im from Poland and I am consulting with Dr Saifi since he is based in Poland, people posted results here. He does FUT and FUE, but he done more of FUT and scars are barely visible

Dr. Saifi is a good choice, yes the FUT scar can turn out good but it can also stretch, I was a high Norwood and considered FUT for this reason to save grafts, but I thought FUT is too risky and if things go wrong and I want to shave my head then I lose out on that option.

Also, for FUT the risk of nerve damage is slightly higher, I don't think the yield % is an advantage anymore over FUE, I mean it is up to you of course in the end but it is my opinion that FUE is the superior choice for most men.

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  • Senior Member

A top notch surgeon should not damage your donor with FUE.

 

FUT scars are also sometimes dependent on patient.  Not everyone heals the same.  
 

FUE at this point has pretty much caught up to FUT on most points.  It’s usually the superior choice (in my opinion).  Even when it comes to maximum grafts, FUT only has a big advantage if you have high scalp laxity (extra skin).

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1 hour ago, asterix0 said:

Dr. Saifi is a good choice, yes the FUT scar can turn out good but it can also stretch, I was a high Norwood and considered FUT for this reason to save grafts, but I thought FUT is too risky and if things go wrong and I want to shave my head then I lose out on that option.

Also, for FUT the risk of nerve damage is slightly higher, I don't think the yield % is an advantage anymore over FUE, I mean it is up to you of course in the end but it is my opinion that FUE is the superior choice for most men.

I can only spend up to 2.2 eur per graft. My budget wont allow me for me since I am still a student. If FUE, I was thinking as well about Dr Christina from HDC Cyprus

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In Europe, I would probably get FUE. European FUE surgeons are better at FUE than FUT. Dr. Christina is an excellent choice.


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.

 

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  • Senior Member
5 hours ago, Rahal Hair Transplant said:

SoSoz,

In my opinion, it doesn’t make sense to suggest that FUT is best for you because of aggressive balding. Truth be told, hair transplant surgery does nothing to stop the progression of genetic hair loss. So whether you undergo FUT or FUE, hair loss will continue unless you are using non-surgical treatments such as finasteride to help slow down, stop or reverse its progression.  Therefore, if the surgeon is going to suggest FUT over if we, then there has to be another reason why they feel it’s superior.

Now I see that you posted pictures of your crown. Are you losing hair in the front or only the crown? I suggest posting some photos of the frontal zone and your hairline so we can see what that looks like as well.

But in my honest opinion, depending on if you’re losing hair in the frontal area, I wouldn’t even touch the crown at this point since you’re only 24.  I would solely focus on the frontal zone while you potentially take finasteride to slow down or stop the progression of genetic balding.

I should also add that many surgeons will suggest FUT over FUE because they’re not FUE specialists and they’re FUE procedure is not as advanced as another surgeon who has devoted their entire practice to FUE.  Now I don’t know which surgeon told you that FUT is a better option for you however, in my opinion, research both procedures, understand the benefits and limitations of both and consult with multiple surgeons with a proven track record of producing outstanding results consistently.   This should include a few FUE specialists if you are considering FUE as a donor harvesting technique.

If you’re interested in a one on one information session with Dr. Rahal who happens to be an advanced FUE specialist, please send me a private message and I’ll be happy to speak with you further and set this up for you.  

Best wishes,

Rahal Hair Transplant 

Dr Rahal and Staff. I was curious about this but if a patient did go full Norwood 7 but spent their focus on just restoring the hairline and mid scalp and leaving the crown how many grafts would one need(if they had a good donor) to make those areas look dense while keeping the crown bald? Would that transplanted hair ever thin or bald out as they age or stay dense for life? Thanks 

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3 hours ago, asterix0 said:

Dr. Saifi is a good choice, yes the FUT scar can turn out good but it can also stretch, I was a high Norwood and considered FUT for this reason to save grafts, but I thought FUT is too risky and if things go wrong and I want to shave my head then I lose out on that option.

Also, for FUT the risk of nerve damage is slightly higher, I don't think the yield % is an advantage anymore over FUE, I mean it is up to you of course in the end but it is my opinion that FUE is the superior choice for most men.

The yield is usually maybe 1-2k max more. That is big but it also leaves you from every shaving short

@Fue3361 do you mean scalp laxity of skin for like heavier people fut may be better long term than someone very skinny?

 

Edited by JoDimaggio22
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  • Regular Member
6 hours ago, SoSoz said:

But guys Imagine this -

Option one: you go get FUE for e.g 4000 grafts and then results are good but donor could be damaged which wont allow for a surgery in future. 

Option two: you start with FUT 2000-3000 grafts, donor is not over harvested, you can get second surgery for 4000 grafts

For me the second option sounds better

I don't think that's how it works. You don't magically get more grafts out of thin air with FUT. It still comes from the same area. Right @Melvin- Moderator?

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  • Valued Contributor

On another note if you are looking to sport skin fades and buzzed looks then surgery may not be for you. All surgery leaves scars despite the procedure. What matters with FUE vs FUT is the doctor who is performing your surgery and not the technique. But today FUE has evolved to the point with world class surgeons that FUE can get you the amount of grafts required as FUT can. It's a personal choice and relies on the skill of the surgeon at the end of the day. The same when it comes to donor management, graft placement/correct angles, etc. All the best!

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2 hours ago, webathon said:

I don't think that's how it works. You don't magically get more grafts out of thin air with FUT. It still comes from the same area. Right @Melvin- Moderator?

Well think of it this way.  If you have a roll of skin on the back of your head, that isn’t really giving you more “visual” area for hair, because it is a roll.  So in theory, if you have extra skin in the donor, cutting it off, then flattening the area; you’re kinda getting “free” grafts, compared to someone with tight skin, that gets an FUT, and has to stretch the skin to closE the scar.

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I think it depends on your personal choice. To me a FUT scar looks great if it’s not done badly and makes you look badass. I think there was a guy in some TV show who had FUT scar and it looked great on him. It’s like a line across back of your head. 

But that’s just me. I would go with FUT if the surgeon offered and allowed more yield. 

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I think you are too young for FUT. Young patients have increased probabilities for a streched FUT Scar on their donor. I would personally not risk with FUT, and i would take medicine finasteride and go to a good FUE clinic so take good care of your donor and take maximum grafts possible from it together with beards.

Edited by Gramatik
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  • Senior Member
16 hours ago, SoSoz said:

I can only spend up to 2.2 eur per graft. My budget wont allow me for me since I am still a student. If FUE, I was thinking as well about Dr Christina from HDC Cyprus

Then I would wait until your budget increases. 

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13 hours ago, webathon said:

I don't think that's how it works. You don't magically get more grafts out of thin air with FUT. It still comes from the same area. Right @Melvin- Moderator?

You don’t magically get more grafts, it really upsets me that some pro-FUT surgeons act like your donor isn’t impacted at all. The biggest difference is that if you have lax skin, you can remove a large number of grafts without any visual disturbance or damage to the donor, aside from the scar. That said, it depends on scalp elasticity. 

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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.

 

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