One of the main decisions an individual must make is which kind of hair transplant procedure to use: FUT/Strip or FUE. In Follicular Unit Transplantation (FUT/Strip), an extended, slender sliver of tissue is taken off the donor area in the back and side of the head and the individual follicular units are taken off that remove via stereo-microscopic dissection. The wound ends are then closed down leaving an individual, generally fine scar tissue. In Follicular Unit Extraction (FUE) head of hair is gathered through small round incisions on the considerably larger section of the donor zone departing tiny, round, white scars.
FUE procedures have become ever more popular with the introduction of new handheld devices and especially because the advantages of the ARTAS Robotic Hair Transplant System, but FUT or “Remove” techniques still provide positive results and are the “standard bearer” by many doctors. Upon this site, we will explore the professionals and downsides of FUT/Remove vs FUE at length. We use the conditions FUT/Remove and FUT interchangeably.
The main good thing about Follicular Product Transplantation (FUT/Remove) is the fact it typically (however, not always) provides highest amount of hair. Whenever a patient’s main aim is to attain maximum fullness from the scalp restoration, FUT is highly recommended. There are multiple reasons for this, like the detail of stereo-microscopic dissection and the capability to successfully harvest from a far more select section of the donor zone.
The main features of Follicular Unit Removal (FUE) is that it doesn’t leave the scarring that is usually involved in a FUT which is ideal for patients who wish to have their hair short. It is also ideal as there is a much faster healing time as opposed to an FUT. FUE is also mentioned when there can be an increased threat of a widened scar tissue or when head laxity (looseness) will not permit a remove excision. The individual may sometimes choose FUE only to steer clear of the stigma of the linear donor scar tissue though it would be easily hidden in their hair.
Graft Quality: FUT vs. FUE
In both steps, it’s imperative to transplant high-quality follicular unit grafts to gain the maximum cosmetic advantage of the hair restoration. Top quality grafts are ones that are extracted from the most everlasting area of the donor area, are undamaged and that have a protective level of tissue round the follicles. The protecting dermis reduces mechanised damage during insertion and from drying out when the grafts are outside of your body.
In FUT, the donor strip to be removed is first taken off the head and then, using dissecting stereo-microscopes, the follicular items are carefully isolated with the protective tissue undamaged. This technique typically produces high-quality grafts, in particular when medical assistants are thoroughly been trained in stereo-microscopic dissection.
In FUE, the medical expert extracts follicular items from the donor area individually. There exists some threat of transecting (clipping) the follicular systems through the harvesting because only top of the area of the follicle can be instantly visualized. The path of the hair roots below the top of skin can only be estimated. Because of this, follicular units will be harmed or stripped of these protective level during FUE than with FUT.
If the doctor does not slice deeply enough in to the skin area, the follicular device may be extracted with no important lower part of the follicle and it might not exactly make it through the transplant. These factors can bring about lower quality or destroyed grafts, making them more delicate and at the mercy of poor growth.
With Robotic FUE transplant technology, the grade of grafts in FUE is way better and more steady in comparison to manual FUE techniques therefore this important difference between FUT and FUE methods is reduced.
Utilizing Donor Head of hair: FUT vs. FUE
Another difference between FUT and FUE is the percentage of follicular models that are gathered from the mid-portion of the donor area. Follicular models at the exterior sides of the donor area will be lost as time passes because of the development of the balding process, but those from the mid-portion of the donor area tend to be tolerant to balding.
In FUT, the donor remove is taken off the mid-portion of the long lasting area, whereas in FUE, follicular products are gathered from a much broader region to secure a sufficient amount of grafts. This helps it be much more likely that, in FUE, a few of the follicular products could possibly be lost to the balding process as time passes.
In FUE, the doctor is merely in a position to harvest about one from every five follicles in confirmed area or 20% (this compares with 100% using FUT/Strip). As a result of this, the doctor may be lured to harvest head of hair from the top and lower margins of the donor area to possess sufficient hair for the transplant. In doing this, they associated risk the head of hair being of low quality or non-permanent. If too much hair is taken off the mid-portion of the everlasting area, a visibly thinned donor area may be direct result, and pretty pointless.
In FUE the wounds, although small, are kept open to recover, going out of hundreds to a large number of tiny scars. However is not readily obvious, this scarring distorts adjacent follicular devices and makes following sessions more challenging. This is yet another factor that restricts the full total available donor resource in FUE. In FUT, the scarring is consolidated into a unitary series – even after multiple types of procedures.
Although new techniques and instrumentation significantly reduce the amount of transection and harm during the removal process, the shortcoming to fully gain access to the mid-portion of the long lasting area in a scalp transplant process still limits the quantity of head of hair available with FUE. This presents a significant drawback of FUE since a restricted donor source is the key factor that helps prevent a complete head of hair recovery in many patients, specifically those with modest to advanced balding.
Can the Same Person Have Both FUT and FUE?
Yes. FUT can be utilized first to increase the produce of the original procedure(s), but in subsequent trainings, the scalp could become too tight to execute further FUT/remove techniques or the donor scar tissue could become wider than predicted. In the ex – case, the doctor can change to FUE for succeeding sessions. Within the latter, the plastic surgeon might use FUE to harvest follicular items and then implant them in to the widened scar tissue, camouflaging it.
If FUE is conducted first and the produce is leaner than what the physician deems acceptable, the individual may consider moving over to FUT either for the rest of that process or in following surgeries.
Must I See an FUT or an FUE Specialist?
Both FUT and FUE are great techniques, nevertheless they have different specialized medical indications. To provide the best look after patients, hair repair physicians must have experience in both methods, plus they should offer both in their routines.