BHR - Inside Consultation - Poor FUE can destroy a donor! But so can FUT!

[Raphael84]

It is well documented that in the wrong hands, FUE can cause severe damage to the donor area throughout what can be a very large area. Commonly we see the rear occipital area obliterated by doctors or technicians who have no real care about donor management or how they get the grafts, as long as they get them.

Strip(FUT) is traditionally more local and taken from a "safe" zone, usually leaving the remainder of the donor in good condition as the strip takes the entire surface area within a defined zone.
There are risks however of miniaturisation under a scar and also if the strip is cut too high, it can be problematic in becoming exposed as loss progresses and the patient´s crown and lateral humps can drop.

 

[Bigmac]

I have seen similar to this on a few occasions where the patients hair loss has continued over time resulting in an exposed FUT scar and the loss of the transplanted grafts. It’s especially riskier when the patient in not on meds, but some who are maintaining with meds stop for whatever reason and end up needing further surgery if donor permits.
One misconception I hear is that hair loss patterns are stable by a certain age. This is not true for some. Hair loss can accelerate in your 40s, 50s and beyond.

The general safer zone where most strips were routinely took is a smaller surface area than what we see with todays FUE. To get the numbers, expanding the donor area to the max and sometimes having to stray outside is necessary. This is where meds are required to maintain.

I’m pleased Dr Bisanga was able to harvest enough grafts to help this guy.

Thanks for sharing the video.