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It is not a solution for rectifying wide bald areas like Norwood VI or even IV. It is a good option for rectifying or covering smaller areas.
This method involves extracting single follicular units from the back portion of the scalp (donor area) and transplanting them on to bald area (recipient area).
These follicels should be extracted from the permanent hair bearing zone only. Follicles which are extracted very near to the crown or mape of neck may go into baldness if the donor area is still susceptible for balding.
As this is a blind technique, it involves lot of wastage that may vary from 5-30% depending upon the case and donor hair characteristics. These follicles are extracted using a punch. There are several types of punches for extracting FU s but the sizes of punches are very important. Generally sizes less than 1mm are preferred.
Combining FUT & FUE in the same patient on the same day if all the donor parameters permit.
As always, more no. of grafts give better coverage and appearance after the growth of hair, it is a good idea to combine both the techniques to extract more no. of grafts. In a best suitable case, by FUT one can extract up-to 4000 FU s amounting to 6000-7000 individual hair follicles and 1000 FU s by FUE method amounting to 2000-2500 individual hair follicles.
Total together comes around 5000 FU s amounting to 8000-9000 individual hair follicles. Hence, in a single go one can expect good result even with one session covering around 100-130 sq.cms area if implanted at an average density of 40 FU per sq.cm. in general, in an average case one can expect around 3000-4000 FUs. This is a costly affair as the surgeon has to spend more time on a single patient with high precision and concentration.
Though FUE doesn’t leave a linear scar like FUT, it leaves tiny scars at the donor site in some patients giving mottled appearance when closely shaved. It is better not to be called as a SCARLESS procedure. Usually it is done at centers, which have very few surgical assistants and moderate infrastructure. |
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