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FUT vs. FUE Graft Survival: A Side-via way of means of-Side Study of three Patients Undergoing a Routine 2,000+ Graft Hair Transplantation

David Josephitis and Ron Shapiro

Hair Transplant Forum International September 2018, 28 (five) 179-182; DOI:

ArticleFigures & DataInfo & Metrics PDF

David Josephitis, DO, FISHRS (Drjosephitis@shapiromedical.com)

Minneapolis, Minnesota, USA

Ron Shapiro, MD, FISHRS

Minneapolis, Minnesota, USA

INTRODUCTION

While each affected person is unique, the purpose of hair transplantation is the identical: to offer herbal and dense insurance withinside the recipient place, whilst taking proper care of the donor region. Graft yield (survival) is one of the primary determinants of density and insurance. Since the mid-1990s, follicular unit transplantation (FUT) has been the “gold standard” for acquiring grafts. With the usage of microscopic follicular unit dissection of the excised strip, possible grafts with low transection quotes and excessive yield are constantly received.

 

An opportunity to the FUT technique, follicular unit excision (FUE), which makes use of micro-punches in preference to a linear strip, has been growing for the reason that early 2000s. Patient issues approximately the linear strip scars and societal tendencies closer to shorter-cropped hairstyles caused the development of this technique of donor harvesting.

 

Unfortunately withinside the early years, FUE consequences had been now no longer as proper as FUT consequences, in particular with appreciate to density and insurance. This become likely because of a couple of elements. First, the brand new technical talent had to carry out the “blind” punch of FUE become hard to research and took a long term to master. For a few years, there certainly become a loss of skilled and professional physicians working towards the approach. In addition, the grafts produced with FUE tended to have better transection quotes, had been thin and denuded of defensive tissue, and had been concern to multiplied forceps trauma in the course of extraction of tethered grafts. Many felt FUE grafts had been greater “fragile” than FUT grafts because of those diverse traumas and, therefore, possessed a more hazard of bad survival.1

 

However, over the years, the FUE approach has been changed and advanced. Transection quotes have decreased, grafts have greater tissue, and forceps extraction is gentler. The survival charge of FUE grafts has advanced and lots of sense the charge is now much like that of FUT grafts.2,three However, controversy nonetheless exists. Is it regarded for a truth that FUE and FUT graft survival (and the consequences produced therefrom) are truly same? This is an essential query due to the fact many physicians have stopped imparting the FUT technique altogether, and maximum new physicians coming into the sphere are gaining knowledge of and imparting FUE handiest.

 

Only some research exist that evaluate the general survival of FUE vs FUT grafts. Most of the research had been small, container research, operating in an remoted place with only some hundred grafts.four Grafts in small research like those are normally located and dealt with very cautious and don’t correctly replicate the surroundings of a actual case. This ought to reduce the distinction determined among the 2 strategies which can arise in the course of a larger, complete surgical operation. The use of a widespread case below regular occasions might also additionally higher elucidate any shortcomings in a single approach over the opposite. The wide variety of grafts finished, and day out of the frame, handling, and putting grafts, is probably greater reflective of the situations that exist in the course of a real complete surgical operation.

 

This have a look at become designed to evaluate the general hair yield and next beauty end result of the 2 strategies facet-via way of means of-facet, withinside the identical affected person, in the course of a larger-scale, widespread case.

 

STUDY DESIGN

Patient selection

Three male sufferers among the a long time of 35 and 60 years had been enrolled withinside the have a look at. All of the sufferers had been Norwood Class V or more and none had earlier hair transplantation. The the front 1/2 of in their scalps had been absolutely without hair to permit a clean “canvas” for the have a look at (Figure 1). No sufferers had been on hair loss preventative medicinal drugs.

 

FIGURE 1.

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FIGURE 1.

All sufferers had been Norwood Class V or more.

 

Recipient webweb page design

A recipient have a look at place become selected that covered the hairline and the front 0.33 of the balding place (Figure 2). This place become divided in 1/2 of on the midline sagitally and an identical quantity of incisions had been made on each aspects. The wide variety of incisions made in every 1/2 of become about 1,000 for a complete of approximately 2,000 withinside the overall have a look at place. The proper 1/2 of become delegated for FUT grafts and the left 1/2 of for FUE grafts. All have a look at incisions had been made previous to donor harvesting with precut blades at a density of 30 in step with cm2. For consistency, the incisions had been first of all made with the help of a premade ink sample the use of a template stamp created via way of means of Paco Jimenez. A 0.7mm blade become used for 1-hair grafts and a 0.9mm blade become used for each the 2- and three-hair grafts. The sector simply in the back of the have a look at place become reserved for the more grafts received over the 2,000 wished for the have a look at.

 

FIGURE 2.

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FIGURE 2.

Recipient have a look at place

 

Three pairs of tattooed have a look at bins, one on both facet of the midline, had been created in the have a look at place. These bins had been surrounded via way of means of recipient incisions, in preference to an remoted area. The concept become to location the bins in an surroundings greater standard of a complete surgical operation. The bins created covered the subsequent:

 

A pair of 1 × 2cm (2cm2) bins located on each aspects of the midline barely in the back of the hairline for the location of 2-hair grafts. These bins could incorporate 60 grafts every.

 

A 2d pair of 1 × 2cm (2cm2) bins on each aspects of the midline, barely posterior to the primary pair, for the location of three-hair grafts. These bins could additionally incorporate 60 grafts every.

 

A very last pair of 1 × 1 (1cm2) bins barely posterior to the second one pair for the location of 1-hair grafts. These bins could incorporate handiest 30 grafts every.

 

Donor harvesting design

The donor place become divided in 1/2 of on the posterior midline (Figure three). The proper 1/2 of of the donor place become harvested with the FUT (strip) approach withinside the middle of the secure place (stage of occipital notch). The identical health practitioner with 20+ years of FUT revel in eliminated the strip in all three cases. The identical technicians with 15+ years of FUT revel in microscopically dissected the strip into 1-, 2-, and three-hair grafts.

 

FIGURE three.

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FIGURE three.

Donor place divided: proper 1/2 of, FUT; left 1/2 of, FUE

 

Immediately after the strip incision become closed, the affected person’s left 1/2 of of the donor place become harvested with the FUE approach. The prolonged secure place defined via way of means of Cole become used. The WAW Hybrid Punch gadget become used. The identi

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15 Years experience in hair transplantation. Professional medical hair restoration. #wecare


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Hair Transplantation by Turkey Hair Expert


Turkey Hair Expert provides high quality and safe hair transplant in Turkey at its contracted premier clinic, using the most advanced techniques and technologies. With a patient-centric and ethical approach, Turkey Hair Expert offers high-quality hair transplantation in Turkey with its experienced doctors and medical team.

For 3 years we have been chosen as the best hair transplant clinic in Istanbul (2016-2017-2018). Since our foundation we have dedicated all our knowledge and skills to hair transplantation, becoming true leaders in the sector.

As Turkey Hair Expert we are proud to offer competence and professionalism to patients from all over the world, who choose the experience of Dr.Emine Karabash, Dr.Mustafa Yilmaz and the highly qualified team of professionals.

Our Team

A team of professionals dedicated to your well-being. Hair transplantation is an art: it requires solid knowledge, undeniable technical expertise and an artistic eye. But your stay doesn't end with your hair transplant session. The administrative team welcomes you and remains at your disposal throughout the day to make sure you have a good time, in complete confidence and relaxation.The team in operation has an experience of at least 5 years and maximum 15 years.


Mustafa Yilmaz


My vision of hair transplantation is totally in line with this perspective: to be at the service of regained well-being through effective techniques that give natural results. The hair, in women of course, but in men, it is the force of life, it is the finery. Losing them is truly an injury, a trauma. It’s terrible!

Also, I enjoy listening to my patients and never judging them. I am then able to give them the best advice and allow them to regain their self-confidence.

I naturally surrounded myself with a caring, expert and extremely rigorous team in its field to be sure to offer men and women who suffer from baldness solutions that work, without ever ignoring safety and reliability.

The used techniques depend on Dr. Mustafa Yilmaz decision after doing the medical diagnosis, Choi Pen / DHI - Sapphire - Micro FUE are used normally in our operations.

Emine Karabash


I started dermatology almost 15 years ago now and thanks to my encounters with other dermatologists, I quickly turned to medical aesthetics.

More and more women and men want to feel good about their hair, and when this is the case, one gains confidence in oneself, in everyday life, in social life and in work.

I have also always remained "classic", in this movement that is now called the "Soft touch", namely to privilege discretion, elegance, and of course, naturalness. Not ostentatious! I prefer to repair what is damaged, rather than change or modify.

The used techniques depend on Dr Emine’s decision after doing the medical diagnosis, Choi Pen / DHI - Sapphire - Micro FUE are used normally in our operations.

Ayshe Yalchin


She is the one who sees you in consultation and who makes the diagnosis. On D-Day, Ayse. starts the procedure with local anesthesia in your donor area. She is present throughout your intervention, ensuring its perfect completion, with the support of her team of experts.

Testimonial


At first I had some nerves surrounding the procedure, however, these were soon gone when reassured by the professional staff. So much so I came back for a second hair transplant. The procedure was painless and was completed on the same day, allowing for visible results with minimal scarring.

 

- James Elliott -

 

I came to Turkey Hair Expert clinic for hair transplant. From the start to finish everything was very professional. I received great service. The experience was outstanding.

 

- Allen Jones -

 

I recently underwent a hair transplant with Turkey Hair Expert and the care and attention that I received were outstanding. They cover everything for you and booked everything but the flights. They are all extremely friendly and make you feel welcome from start to finish. Definitely, recommend.

 

- Wayne Bennett -

 

I travelled to Turkey for a hair transplant with Turkey Hair Expert and was blown away by the facilities and the caring staff that were there upon my arrival. The result I am beginning to see are amazing and have fully restored my confidence. Definitely my top recommendation.

 

- Angar Safi -

 

I found out about the services provided by Turkey Hair Expert through a friend who had previously had the procedure done with them. I found the service to be highly professional with high-quality results, I would recommend this service to anyone.

 

- Oliver Lewis -

 

Turkey Hair Expert has helped to make the hair transplant more affordable to those who need them and the staff are amazing. They are on hand every step of the way and will answer any questions that you may have. – Definitely, recommend this service to all.

 

- Darren Thomas -

 

I came to Turkey to have a hair transplant with Turkey Hair Expert. I had a large number of graphs done and the time flew by. The process was seamless with an extremely high level of care. I highly recommend this service to all. Thanks, Longevita.

 

- Leon Hazlewood -

 

The overall experience with Turkey Hair Expert has exceeded my expectations. The surgery was painless and undergone in a professional manor and the results are outstanding. Extremely happy!

 

- David Miller -

 

I could not be happier with the results of my FUE hair transplant. The experience was outstanding and the accommodation, as well as the overall location, was beautiful. Definitely, use this service for a hair transplant!

 

- Kirk Trow -

 

I am absolutely satisfied with the procedure and the outcome visible so far. The communication and consultation with Turkey Hair Expert was very friendly and clear from the beginning to the end.

 

- Kevin Johnson-

 

Great experience. Staff is friendly and professional. Everything was taken care of from the moment we arrived at the airport till the day we left. Highly recommend!

 

- Joshua Hunter-

 

Very good experience with Turkey Hair Expert. Extremely well organised, professional and helpful. Couldn’t recommend them more if you’re thinking about hair and beard transplant.

 

- Nick Roth-

 

Before & After


Hair Transplantation & Methods


DHI Hair Transplant

The DHI hair transplantation method, which is called direct hair implant, is performed by implanting the follicles using a special tool with fine-tipped needles.

DHI Hair Transplant

The DHI hair transplantation method, which is called direct hair implant, is performed by implanting the follicles using a special tool with fine-tipped needles.

While performing this process, there is no incision or stitch scar at all. The purpose of this transplantation method is to minimize the time that the hair follicles stay outside and place the follicles with a good density and continuously.

Fue Hair Transplant

With the FUE method (Follicular Unit Extraction), the hair follicles are taken one by one with a special micro-motor and the aid of local anesthesia.

FUE Hair Transplant

With the FUE method (Follicular Unit Extraction), the hair follicles are taken one by one with a special micro-motor and the aid of local anesthesia; grafts are repositioned afterwards in the bald areas, according to the angle and the natural direction of hair growth.

Generally the donor area (the area from which the follicles are taken) is the back of the head. Since the nape follicles are genetically stronger and more resistant to shedding, this region is preferred as a donor area. However, if the area is not dense enough, grafts are collected from other parts of the body.

Sapphire Fue Hair Transplant

Although the Sapphire Fue hair transplantation method is not much different from other transplantation methods.

Sapphire Fue Hair Transplant

Although the Sapphire Fue hair transplantation method is not much different from other transplantation methods, with this technique the micro channels are opened by fine tips of sapphire, a precious stone.

On the contrary, in classical fue, the process is performed by metal slit. Likewise, after the follicles are taken one by one from the donor area, they are carefully placed according to the direction and angle of the hair.

Beard and Mustache

Beard and mustache transplantation is a procedure designed for those with a loss of beard or mustache.

Beard and mustache transplantation

Beard and mustache transplantation is a procedure designed for those with a loss of beard or mustache. Beard and mustache are an important part of a man’s appearance, as much as their hair.

This method is recommended in cases of hair loss caused by the testosterone hormone, for those with thinning beard hair wishing to have a bushy beard. It is possible to get a healthy and natural look of the beard by undergoing a beard transplant operation.

FUE Titanium Technique



   FUE Titanium Technique


  Lifetime warranty letter


  Free Transfers


  Complimentary 3 nights / 4 days, hotel accommodation incl. breakfast


  Translator


   Blood Tests


  Washing and Control


  Medications box after the operation


  Plasma injection


  Checking the grafts using a Microscope device


  Local Anesthesia for painless operation process


  Laser Therapy


  Ice grafts feeding device


  Treatment and vitamin box

Sapphire FUE Technique



   Sapphire FUE Technique


  Lifetime warranty letter


  Free Transfers


  Complimentary 3 nights / 4 days, hotel accommodation incl. breakfast


  Translator


   Blood Tests


  Washing and Control


  Medications box after the operation


  Plasma injection


  Checking the grafts using a Microscope device


  Local Anesthesia for painless operation process


  Laser Therapy


  Ice grafts feeding device


  Treatment and vitamin box

DHI Technique



   DHI Technique


  Lifetime warranty letter


  Free Transfers


  Complimentary 3 nights / 4 days, hotel accommodation incl. breakfast


  Translator


   Blood Tests


  Washing and Control


  Medications box after the operation


  Plasma injection


  Checking the grafts using a Microscope device


  Local Anesthesia for painless operation process


  Laser Therapy


  Ice grafts feeding device


  Treatment and vitamin box

  Get a free online consultation
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