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Graft survival

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Haircules

Member
Hi, does anyone know what is the average percentage for graft survival after a Ht, and what the reasons are for losing any. Thanks.
 
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hibman

valued member
I think around 95 plus in strip and maybe 90 plus with Fue.
 
H

hibman

valued member
From what I understand is that when a FUE graft is extracted not all the sub cutaneous tissue is attached the the follicle, some may be left behind. A bit like pulling a plant out the ground, some of the roots may be left behind but if it is dug out with surrounding soil the roots are intact and stand a better chance of surviving.

 
H

Haircules

Member
Good way of explaining it. Would it be better then to use a larger punch or would this cause scarring.
 
Westcoaster

Westcoaster

member
A larger punch will harvest more tissue reducing the risk of transection to the graft but there is the greater risk of scarring.
Assuming it's a skilled doctor with experienced technicians the yield shout be in the vicinity of 90 % or greater.
 
topccat29

topccat29

29 year HT veteran
Yes larger punches transect surrounding follicular units under the skin where the damage being done can €™t be seen until much later. Most of this is evident from history and evaluating the results of different clinics over the years. Many have ended up with decimated donor areas as a result of these larger punches which is often mistaken as shock loss when very often it is permanent damage.

There is kind of a balance that needs to be met with just the right size punch for each follicular unit and knowing exactly how far that punch needs to be go as far a depth and of course the angle at least this has been my observation from what I have read and what I have seen. Yes the money to be made is in the numbers with something like robotics where many can adopt the technology but that one size punch does not necessarily mean it €™s better. It €™s just easier to promote and make money. When promoting one always does better going with the numbers and this is why you see promoters often drawn to promoting something that might not be the best.


Can anyone perform this procedure? It €™s been out for almost 20 years now and history shows that only a handful have been able to master the skill. Nothing that I say or anyone else for that matter can change that fact. The history and the body of work of that handful of doctors has been established and it €™s easy to research but one needs to sometimes go past the front page.


Some of the best in the business have spent years just watching the procedure being performed day in and day out. Mirror neurons in the brain fire off just as if one were performing the procedure themselves without actually doing it or causing any damage. There is a huge difference between doing that and attending a weekend fue event where one then learns a technique and practices on real people hoping to become better.


This firing of mirror neurons is also the same reason why there have been a couple of technicians over the years although not doctors they have been able to perform the extraction process much better than the majority of those that were actually doctors and have achieved a very high rate of graft survival without damaging the donor area.

Observation what does it take for someone that is actually licensed doctor to work as a tech for years €¦ €¦ €¦.maybe economic necessity but more importantly no ego €¦ €¦ €¦ €¦.just my opinion though. Many that tried in the past to master fue simply had egos that might have been too big and so seeing something being done a few times and then trying to put it into practice for the most part results in failure and a lot of damage along the way meaning poor graft survival. This partly explains why there are so few that have mastered the skill while also having a body of work that has been built over an extended amount of time. And also why so many have repeated the mantra of poor yield over the last decade.


Often times showcase results matter very little and it's these little things that most fail to see that matter more.





 
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