FUE FUT
SCAR
No linear scar, puncture scars that allow the patient to wear his hair long (at least 5 mm) Linear scar which requires a hair length of 1 to 2 cm at least
To use on a tense scalp which already has scars from previous FUT surgeries and on patients who heal with difficulty To use ideally on a blank scalp or on a scalp which already has a good-quality FUT scar
Enables to conceal a FUT scar by transplanting grafts into it Enables to remove a previous scar and to replace it by a new one. It is also easy to correct a FUT scar by removing it and/or by transplanting grafts into it with the FUE technique
The healing process of the first FUE can make the harvesting process of the second one more difficult
GENERALITIES
Less painful, healing within a few days Feeling of tension during a few days
No limitation of the exercises during the postoperative period Avoid flexing and stretching of the neck during a few weeks
Indicated for sporty patients
Ideal for young patients whose evolution of hair loss is unknown
Number of transplanted grafts limited to 2000 per day Number of transplanted grafts per day can reach 4000 or more
Enables to select the grafts, for example the thinnest hairs for an anterior line or the thickest for a beard
Uses hair that cannot be used with the FUT technique: hair from the sideboards, from the bottom of the neck, from the chest, from the beard, and so on.
We use the entire donor area, risking to harvest on an area which will reveal unstable in the future Grafts come from the central area whose hair is permanent
A future hair loss can reveal the small puncture scars
QUALITY
The transection rate is pretty high. It varies between 3 and 8% in my own experience, but it can reach up to 25 or 30% by doctors who work without magnification and at an unreasonable speed The transection rate is low, less than 1%
The grafts are more fragile because they is no tissue around the hair follicle. They require a very good quality of placement. The least fault leads to a bad regrowth The grafts are efficiently protected by a layer of tissue that surrounds the hair follicle. The placement is then easier without risking to damage the hair.
The use of sharp punches reduces significantly the number of hairs harvested pro graft. Only the use of bigger punches, or punches which are less aggressive, enables to reach a number of hairs pro graft similar or superior to that obtained with the FUT technique. It is pretty easy to reach a number of hairs per graft varying between 2.2 and 2.5 (provided that the donor area is of good quality.
TECHNICAL DIFFICULTIES
This technique requires a long learning process. The ideal would be that a doctor trains first to the FUT technique and then to the FUE technique. Unfortunately, most young doctors train directly to the FUE practice, which makes the FUT precarious in the future
You do not need to massage in order to prepare the surgery
Requires to shave entirely the donor area and so the whole scalp
As a FUE procedure is long, the price is higher
To obtain a high quantity of grafts, we often need two days of surgery