Is manual extraction better?

[SoSoz]

Some people claim that manual extraction leaves less scarring and less redness, and that after motorized technique back of the head looks butchered. Is that true? Is it better to consider manual type extraction surgery and pay more money?

[DrMunibAhmad]

No difference. It depends on the hand that used the device or the manual punch. 

[Doron Harati]

I had 3 HTs, 1st experience was horrific by hair mill Arenamed clinic in Turkey, they used motorized punch in brutal aggressive unprofessionally manner that you can imagine, they botched the hell out of my scalp, after I had 2 repair procedures at HDC clinic by Dr. Maras and his team, 1st repair was with manual punch and 2nd with motorized and I'm happy with both repairs, I posted my story on this forum and YouTube.

The important factor is who is your surgeon, manual only is for hard curly hair especially for Afro procedures, requires very delicate and demanding job.

[Melvin- Admin]

Dr. Konior said it best:

“The mostly useless topic of manual versus motorized should be relegated to the trash heap.  It may have held relevance at some point in time, but it means little today.  Patients should also be leery of dogmatic statements made about how an individual conducts his or her practice as the only person who can provide definitive detail as to what is done and how it’s done is the surgeon himself.  The fact is that I use multiple devices for extracting grafts, with the device of choice depending on the situation at hand.  There are days when a motorized technique is best and days when a manual technique is best.  There are days when a straight-wall trephine is best and days when a flared-wall trephine is best.  There are days when a straight-edge trephine is best and days when a serrated-edge trephine is best.  This argument reminds me of guys arguing which is better, a straight-edge screwdriver or a Phillips screwdriver.  Of course the answer is that it depends on the situation at hand.  Also remember, there are some talented surgeons who can use every technology effectively and some who, despite having the best of the best instruments, can’t extract quality grafts on a consistent basis.  When it’s all said and done, it’s not the instrument that matters as much as the surgeon choosing the instrument to use for the situation at hand.  

If you place the world’s finest and most expensive Steinway piano in front of most people, very few would be able to generate a beautiful song.  On the other hand, place one of the world’s top five pianists in front of a Walmart special keyboard and you will probably hear some darn good tunes.”