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All FUE related posts

 

Many thanks doctors for providing help to all of us!! Your blog is very interesting.

How many grafts it is possible to extract from a caucasian male with an average donor supply over the course of his life? Does it make a difference whether it is a FUE or strip? 9,000?

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Generally there are around 6,000 to 10,000, but it is depending on many factors, including race, ethnicity, scalp laxity, and hair density. We have transplanted as high as 10,000 grafts in a few of our patients over several surgeries. Others we max out at 6,000. Every patient is different.

The second part of your question was answered here — Can You Get More Grafts from Strip or FUE Over a Lifetime?

Tags: hair transplant, hairloss, hair loss, grafts, surgery

 

Hi Dr. Rassman,

I want to thank you for developing the new FUE technique that does not require shaving the donor area. I am wondering if this technique has been tried and tested on African Americans given the curly nature of their hair. When I came for my FUE, I actually had to keep indoors and avoid contact with the general public.

I would certainly consider this technique for future transplants if it works for African Americans.

Thanks

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I have not tested or tried the long hair FUE procedure (mini FUE, mFUE) on the kinky hair character of African-Americans. I do not see any barriers for the technique itself as we have been doing this type of surgery (FUE) on African-Americans for many years.

The difficulties of performing FUE on kinky hair should be the same with the hair long or short. In general, FUE on kinky hair is difficult for the obvious reason that the hair turns into a ‘screw’ shape below the scalp skin.

Tags: follicular unit extraction, fue, hair transplant, african hair

 

Many thanks doctors for providing help to all of us!! Your blog is very interesting.

How many grafts it is possible to extract from a caucasian male with an average donor supply over the course of his life? Does it make a difference whether it is a FUE or strip? 9,000?

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This is a debate among many hair transplant doctors themselves. In my opinion, you would get the most number of grafts and hairs with the strip procedure over a lifetime to make an overall cosmetic difference. FUE (follicular unit extraction) grafts can sometimes have less hairs per graft than those harvested using the strip method. So over a lifetime FUE grafts may produce less coverage.

For maximum harvest in a theoretical scenario, you would maximize the grafts with the strip then use the FUE method when the donor area is more limited.

Tags: hair transplant, techniques, fue, strip surgery

 

For those that didn’t see our announcement last week, check it out here — Breakthrough FUE Announcement by the New Hair Institute.

Below is a one minute video of our new technique for doing follicular unit extraction (FUE) that allows you to keep the donor hair long. We are averaging about 300 grafts per hour. Some patients are more difficult than others, so our hourly extraction ranges from 200-500 grafts per hour, depending upon the patient. With a traditional FUE when we do not have to deal with the long hair, our speed goes up considerably.

We use a specialized instrument that we have created for all of our FUE procedures and it has worked well for us for quite some time. So you might ask, “What is the difference between the standard FUE and the mini-FUE?” Simply put… we will not have to shave your donor area, as no haircut is required to get to the donor grafts. You can go back to work the very next day without the potential of anyone seeing a shaved area at the back of the head. What is mini about this procedure? It is smaller than our usual FUE so we call it a ‘mini’ procedure (mini-FUE).

All of the benefits of FUE without the downside of the social disruption. As you look at the video, note that the grafts are coming out with a long hair, so you see that no shave was done. Contact us at NewHair.com to schedule a consultation.

Watch the clip below (caution – surgical content):

Tags: fue, follicular unit extraction, hair transplant, hairloss, hair loss

 

In our constant efforts to improve the Follicular Unit Extraction (FUE) experience, we’ve figured out a way to perform FUE without shaving the donor area! We call this procedure a mini-FUE (mFUE). One of the great drawbacks to FUE has been the social disruptions that shaving the side and back of the head causes in people undergoing this procedure. Many patients choose to stay away from social engagements until the hair grows out (enough to hide the donor wounds made by the FUE technique on the donor area). Having long hair in front and on the top of the head with a shaved back of the head draws attention, and people wonder why you have this crazy haircut. It is hard to keep a secret.

We have developed and tested the use of FUE harvesting without shaving the donor area, which allows us to go directly into the donor area where we extract the FUE grafts. We advise the patient to wash the back of their head the next morning, then combing it, apply whatever products to hold the hair, and then go on with your day. With FUE, there are no restrictions with regard to exercise or lifting weights within 36 hours of the procedure and if a patient wants to run a marathon, we will not stop them.

At this time, we are limiting the size of these sessions to no more than 300 grafts per session and are introducing this technique at a cost of $3000. With careful planning, the patient can come back as often as they wish, adding 300 grafts each time. This technique works well for people needing small amounts of hair, for example: (a) advancing the hairline, (b) filling in a hairline, (c) filling in areas where further hair loss progressed, (d) touch-up as needed. We do not recommend large session, long hair FUE procedures at this time.

Call our office today at 800-NEW-HAIR to arrange a consultation!

Tags: follicular unit extraction, fue, mini-fue, mfue, hair transplant, hairloss, hair loss

 

Hi Doc,

I had a large FUE session 8 months ago with a reputable surgeon consisting of just under 3000 grafts with good results so far.

FUE is a hot topic these days and I would like to know what is the largest FUE session you have carried out on one person?

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We did a surgery of 2800 follicular unit extraction (FUE) grafts in a single, very tedious session. We don’t routinely perform FUE procedures of this size.

Tags: follicular unit extraction, fue, hair transplant

 

Dear Dr Rassman, please excuse my question if it is stupid. I’m not medically trained!

What is normally discussed is the movement of hair follicles *from* the donor site *to* the recipient site. And this inevitably leaves some form of scarring in the donor area. But is it technically possible (in FUE) to also implant skin *from* the recipient area *to* the donor area, in such a manner to “eliminate” scarring? i.e. for every follicle the surgeon would swap tissues A and B, where A would be the tissue originally at the recipient site, and B the tissue originally at the donor site.

I’m sure this would be more costly for the patient, buy I’m wondering: has this ever been tested? And would it eliminate scarring?

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A number of years ago, a well-known doctor preached that small punch extractions of scars would produce “mini-scalp reductions”. It never worked. This sounds like what you are asking about, and if one removes scar from a scarred area, you just get scar to replace it. Not such a good idea.

By the way, there are no stupid questions. Your question reflects an inquiring mind.

Tags: fue, scarring, surgery, hair transplant

 


I am a 60 yo male. I’ve had multiple transplants via the strip method, most recently 2years ago. I’m pretty pleased with the results, but there is an area on the top toward the front where my hair is thinner than surrounding areas. It does not involve the hairline.

My surgeon told me I had exhausted the donor site after the last surgery. My ballpark guess is that 100-200 grafts would make a big difference.

1. Am I a candidate for FUE given my history?
2. If so, are 100-200 grafts a realistic expectation?
3. Do patients on Coumadin have to stop it prior to FUE surgery?

Thank you

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You might be a candidate for 200 graft FUE style, but we would have to evaluate you first. Each case is unique.

If you are on Coumadin (warfarin), I would consider still doing a limited FUE procedure, but you will almost certainly have some more bleeding than normal. This has to be discussed one-on-one with either Dr. Pak or myself.

Tags: fue, coumadin, hair transplant, donor area

 

Snippet from the press release —

Restoration Robotics, Inc., a privately-held medical device company, today announced its revolutionary ARTAS(R) System received CE Mark Certificate (Conformite Europeenne) to market in the European Union. The ARTAS System is the first physician controlled, computer assisted technology that allows harvesting individual follicular units directly from the scalp. This minimally invasive solution utilizes sophisticated digital mapping and precision robotics to deliver permanent and natural looking results.

“Receiving the CE Mark for Europe is a major milestone that indicates our FDA-cleared solution also meets the quality and safety standards required by the international healthcare marketplace,” said Jim McCollum, President and Chief Executive Officer, Restoration Robotics, Inc. “We have seen strong interest in bringing the ARTAS System to Europe, and we can now move forward with our expansion plans.”

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Source — Restoration Robotics’ Revolutionary ARTAS System Receives CE Mark to Treat Hair Loss

Tags: artas®, restoration robotics, fue robot, hair transplant, hairloss, hair loss

 

Hi Doc,

I had a FUE done with 3000 grafts exactly 8 days ago (photo attached).

My concern is that there seems to have been a lot of scabbing or crusting (what is the difference between the two anyway?).

The scabbing/crusting started coming off in places near the restored hairline and it now looks like a river delta (i.e. lines where there is no hair/crusting/scabbing with pockets of crust/scab/hair).

Is this normal? Or is it due to trauma (e.g. scratching) or bad surgery? I know when I am awake, I do not touch the area (I have worn a bandana lightly from the day after the surgery, but only for a few days and first 2 nights). Sometimes at night, I inadvertently brush my hand against the recipient area and wake up.

My doctor advised me to start washing once a day from Day 2 onwards with a spray bottle with a mixture of baby shampoo and water (and rinsing with plain water from the spray bottle) which I have done.

Should I be trying to get rid of the scabs/crusts with light finger pressure when shampooing or should I wait for the 10th day before trying any of this? It is difficult to see the hair due to the black scabs/crusts, but the transplanted hair is there.

Thanks!

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The crusting is very bad, which means that your management of your scabs was not good. We rarely, if ever, see this degree of crusting. How is the scabbing in the donor area at the back of your scalp?

Be very careful not to rush to take these crusts off. Use a shampoo and leave it on for 10 minutes and then gently, very gently rub in the shampoo. The crusts will slowly loosen and eventually they will come off. Give it another 10 days and hopefully the problem will be gone.

The scabbing/crusting (interchangeable words) is pretty intense, but hopefully there is no problem with the grafts because of it. Of course, follow up with your surgeon if you are concerned.

Tags: hair transplant, aftercare, hairloss, hair loss, surgery, crust, scab

 

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