Date post: | 19-Aug-2015 |
Category: |
Healthcare |
Upload: | harsh-amin |
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How I approach my decision: (as a Hair Transplant Surgeon)
I do NOT want a visible scar (in case I want I shaved look)
I do NOT want the “strip pain”
I do NOT want transected nerves-numbness, cut vessels-bleeding or stitches
I do NOT want a lengthy down-time from the gym
www.adorn-ME.com
How I would have approached it (if I were not a surgeon)
Newer Technique No Pain No Stitches Less time till next session
www.adorn-ME.com
(THIS IS HOW OUR PATIENTS MAKE A CHOICE!!!!)
FUE drawbacks ( the ones I know as a surgeon…)
1. Donor area shaving 2. Larger scar surface (Not scar less but scar spreading)
3. Blind technique
4. Lower survival rate 5. Scared donor area left behind
www.adorn-ME.com
2. Larger scar surface. But, how much larger?
2 FUE sessions - 4,700 FUs Wound length FUE 2πR=2 X 3.14 X 0.5=3.14mm X 4,700FUs= 14,800mm = 14.8meters! Wound surface FUE πR2=3.14 X 0.52=0.785mm2 0.785 X 4,700= 3,690mm2 = 6cm Χ 6cm
1 FUT - 4700 hairs (Equivalent to 26cm X 1.6cm strip ) Wound length strip =520mm= 50-52cm Wound surface strip = 26 X 16 mm = 416 mm2
www.adorn-ME.com
Not scar-less but scar spreading…
14.8m = 4 stories building 3,690mm2 = 6cm Χ 6cm =a currency note folded exactly in half!
www.adorn-ME.com
3. Blind technique
FUE Blind technique
Strip FUT All steps are under high
magnification vision
www.adorn-ME.com
4. Lower survival rate
FUE is promising in theory…
…but some grafts won’t make it at the end…
www.adorn-ME.com
www.adorn-ME.com
4. Lower survival rate. Why?
FUE grafts have less of water due to harvesting techniques
After an FUT session
5. Scarred donor area is left behind
Donor area can be easily re-harvested after FUT
Future FUE or FUT sessions are very hard after FUE
www.adorn-ME.com
www.adorn-ME.com
Lesson 1
I THOUGHT: ‘‘There will be no visible scar,
I can even have a shaved look if I want to…’’
1st FUE session 1200 FUs,
0.8-1.0mm manual punch
So GOODBYE shaved look…
Hair had to be >5mm to cover my older FUE scars
But then again, that length would cover a good strip scar as well!
www.adorn-ME.com
Lesson 2
I THOUGHT: ‘‘There are
no complications…’’
Graft extraction is not always successful…
In grown hairs, multiple cysts for weeks!
www.adorn-ME.com
www.adorn-ME.com
Lesson 3
I THOUGHT: ‘‘No transected nerves-numbness…’’
Numbness is very “touchy” for >3 months!
(WHOLE occipital area vs just on the strip scar edges)
The RIGHT criteria MUST be STRICTLY MEDICAL!
Maximum graft survival
All steps under direct vision Shorter session duration Easier for the surgeon (and patient) One session, even one pass!
www.adorn-ME.com
Only for limited lifetime needs (<1500FUs)
ONLY if FUT is impossible or contraindicated or if patient insists!
for exhausted “safe” donor area / for “rock rigid” donor area
for Scars, hairline refinement, eyelashes, eyebrows, etc. Ehler-Danlos syndrome (or similar)
www.adorn-ME.com
My (re-evaluated) FUE indications