FUE verses Strip Harvesting

[Follicle Death Row]

It's a wig lol. No just kidding. The lighting is low (dodgey to say the least) if he has in fact had that many by FUE. Is he wearing concealer? Maybe the donor looks even more ravaged in real life. Rubbish photos for the most part but here's his journal detailing the process. The back looks too thin relative to the sides in my opinion. Too many grafts on hairline density (he's negative norwood now lol). I imagine top down in good lighting isn't so flattering. However this case may serve to show what the donor might look like extracting so many. Have a look at journal 9. Seems to be the truest reflection of what he has in reality. Food for thought.

http://*************/hair-loss/person...al-pj-442.html

[Follicle Death Row]

I thought I read somewhere that Dr. Bernstein is not having great results with Acell but I think that was with strip closure. I know he's investigating a number of things. Perhaps most interestingly he's looking at multiplication by transection. I still don't know if Dr. Gho and the Hair Science Institute are getting the results with Hair Stem Cell Transplantation in practice that they are reported to. Almost seems too good to be true. However the scientific literature backs up the phenomenon but I guess the real question is with what consistency and efficacy in practice. I suppose after Dr. Bernstein's investigation we'll know better.

[Follicle Death Row]

Time to resurrect this thread. More important than the total number of FUs available by FUE is the number of hairs. Also some discussion on the area of donor we can harvest should be interesting.

Here's a fascinating article by Dr. Cole on donor areas, density and what can be extracted.

http://www.forhair.com/Articles/Hair...ng.htm#content

Interestingly for the first 3000 FUs extracted by FUE the average number of hairs per FU is 2.9 as the surgeon can cherry pick the best grafts. Thus a 3000 FUE grafts (Dr. Rahal and Dr. Feriduni have performed such numbers in a FUE megasession) can produce 8700 hairs. Compare this to a FUT strip of 3000 which produces about 6000 hairs.

If 50% extraction by FUE over time is possible (I think 35 to 40% seems more realistic in practice but maybe I'm wrong) then Dr. Cole says the range for caucasians is 5513-12058 FUs and the mean is 8321. Seems like a lot to me.

Just a note about this paper. Since Dr. Cole wrote this we know that London Lad has had more than 11200 in 2 strips and still has more donor.

I also came across a fascinating case recently and I would be really keen to hear Dr. DeYarman's thoughts on it. This Dr. Rahal patient has had just over 3000 FUE into a small area up front. I could not believe this. The only way to justify this is to say that yes, 7000-8000 FUE is possible, or they will need to undergo strip in the future or finasteride can maintain indefinitely. You'll actually have to google Dr. Rahal 3000 FUE to find this case as I won't be allowed to link to the site because it's the HTN. Were 3000 FUE really transplanted?

This seems extremely aggressive to me but if the numbers can be harvested in the future or a lot of native hair can be maintained then it will be an incredible result. Dr. Rahal has worked with Dr. AA FUE let's call him, albeit back in the FUT days but I still think that Dr. Rahal won't merely put 3000 in such a small area to make the patient happy. He wouldn't be a member of the IAHRS otherwise. I think this could be a mega result as Dr. Rahal's skill is incredible.

Thanks for your time guys. Thoughts anyone?

[Follicle Death Row]

Not sure if you'll see this Dr. Yarman but here's a case where a man was headed towards norwood 7. Now I would never pursue HT if I thought I was going to go this bald but in this case the man has had 11770 FUE over 4 procedures! Have a look at the donor shaved down after 10,000 FUE at 2 minutes. Looks very good if you ask me. It appears that with an 0.8mm extraction tool getting up to 50% of the donor without destroying the appearance of the donor area is possible. If you have the financial resources and a good surgeon well versed in FUE I can't see why people would go strip nowadays. I believe the doc is Dr. Jose Lorenzo based in Madrid.

http://www.youtube.com/user/injertoc...25/kjoHgkzKsXw

Any thoughts?

[Dr James DeYarman]

Excellent work. How do you know the size punch the Doctor used? I wish they would give more details on how the procedure is performed and how many grafts they are able to extract in one day and the method used. It appears that he uses a Choi implanter for inserting the grafts. FDR- Good find.

[Follicle Death Row]

I believe Dr. Lorenzo is using Dr. Cole's extraction tool now. There's loads of demonstrations of Dr. Lorenzo extracting FUs. I see that he's a member of the ISHRS but I don't think he's a member of the IAHRS.

Here's the 0.8mm punch vid:
http://www.youtube.com/user/injertoc.../1/H5g7pKwR0fQ

Another thing I like is they show loads of examples with donors shaved down after 4000, 5000, 6000 etc. All are remarkably clean.

Europeans are so against FUT. Everyone wants FUE and there's no doubt the surgeons are getting better. It seems Dr. Lorenzo only does FUE.


Here's an 8448FU example and you can see the donor shaved after over 6000 at about 3:40:
http://www.youtube.com/user/injertoc.../1/H5g7pKwR0fQ


Another guy with 8054FU and the donor shaved dowwn after about 6200 at about 1:40:
http://www.youtube.com/user/injertoc...55/OJoW-AAZw0c


I particularly like this last one in terms of results for what looks like a diffuse thinner:
http://www.youtube.com/user/injertoc...48/TZx7eEIodjM


I'm convinced comparable numbers to strip are possible with FUE if the extraction tool is small enough not to compromise the adjacent follicular units to the ones extracted.

Finally here's the doc giving a nice demo of FUE harvesting:
http://www.youtube.com/user/injertoc...96/Gn3-FBZj3q0


Very impressive. One of the first things you learn in medical school is the old 'do no harm' mantra. FUE gets far closer to this than FUT.

[Follicle Death Row]

Originally Posted by Dr James DeYarman

Excellent work. How do you know the size punch the Doctor used? I wish they would give more details on how the procedure is performed and how many grafts they are able to extract in one day and the method used. It appears that he uses a Choi implanter for inserting the grafts. FDR- Good find.

I've seen they have detailed session sizes of 4000 and they appear to be remarkably clean. I know Dr. Feriduni blew people away when he started doing 3000 FUE megasessions but 4000 is the biggest I've ever heard of. Dr. Rahal is able to do 3000 in a day too.

Looking back over the forums I'm well aware that certain clinics started doing massive FUE sessions of 3000-3500 back around 2005 and some of the results were awful.

There seems to be some quality FUE megasessions being offered now though by a good few surgeons. Actually I recently saw a thread where Dr. Feller and Dr. Feriduni were talking about FUE and they agreed that for the young patient FUE is the way to go because they can still shave down to a one.

Keep backing FUE doc. I think you'll be on the winning side in the long run.

[Follicle Death Row]

Yes he uses an implanter pen.

http://www.youtube.com/user/injertoc.../4/HFqtgJzD7QE

Seems it works well for him. Towards the end he does an example of 80FU/cm2.

[ejj]

oh man ! that implanter pen looks scary ! especially after seeing Dr Woods video " death of a follicle "... those grafts must be " well tuff " to stand that sort of treatment !

I had the Choi implanter used on me a few years ago .. zero growth ...

ejj

[Follicle Death Row]

Originally Posted by ejj

oh man ! that implanter pen looks scary ! especially after seeing Dr Woods video " death of a follicle "... those grafts must be " well tuff " to stand that sort of treatment !

I had the Choi implanter used on me a few years ago .. zero growth ...

ejj

Sorry to hear about that. Yeah it looks pretty rough alright. I don't know how he's getting the results. I looked it up once I found out about the implanter pen and he presented how to use the technique at the ISHRS in 2007. Supposedly the grafts can be messed up if they're loaded incorrectly. Think I'd prefer the usual way but I think there's some great examples there showing what can be taken from the donor.

8000 FUE? No problem from what I've seen there. That's very reassuring. There's a case that Dr. Rahal did recently where he did just over 3000 FUE and the patient still has 5000+ left. Can't wait to see his result.