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Grafts size

  • Thread starter Sabine-Prohairclinic
  • Start date
Sabine-Prohairclinic

Sabine-Prohairclinic

FUE hair transplantation - SMP
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#1
A few words about the graft length. In most individuals the graft length is virtually constant. This allows for precise depth control during FUE procedures.
However there are quite some differences between the graft length among people.
Here we have a picture of €˜standard €™ grafts, most frequently found. Usually these grafts are about 4 to 5 mm measured from the bulb to the skin surface.
 

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Sabine-Prohairclinic

Sabine-Prohairclinic

FUE hair transplantation - SMP
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#2
Here we have a graft of 7 mm in length.

The extremes that we have come across so far is 2 mm and 9 mm (we do not have pictures unfortunately)
 

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Bigmac

Bigmac

Administrator
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#3
Thanks Sabine for those examples.

Do you get patients where the grafts are all at varying depths and if so how do you overcome this.Is it just a case of the HT taking a longer time to complete or would this patient not be a candidate.

Cheers bm.
 
Nervousnelly

Nervousnelly

The Coolest Member
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#4
Very interesting. How do you learn the length? Is it not until you extract? If so then how do you know what depth to extract or do you typically just do deeper just to be safe? What about special "tools" created for FUE? Do they take this into account?

NN
 
Prohairclinic

Prohairclinic

Prohairclinic FUE and SMP
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#5
Let me just quickly add a few words since Sabine and the Prohairteam have departed to Hungary today in order to give FUE training to new FUE docs.

Graft length is determined at the very beginning of the session, along with the angle.
On the same patient the graft length does not change by any significant factor. So after doing some trials extractions the extractor knows the lenght of the graft and can adjust the tool. This is a very simple trick, but important to know.
The angle does change on patient heads. The angle can change in different areas, or in the worst case every FU has a different direction. The latter is more difficult and requires the doc to be able to concentrate for long hours at a time.
Some docs can run a maraton, others can barely run down the street. Being in good shape is as important to an FUE practisionar as is to a formula 1 pilot ... its all about concentration. Dr. Ilter always used the following sentence during the training 'the angle is your friend'

BTW, we dont use any special tools, nor are we thinking of building. Why change a winning configuration ?

Most of the 'special' FUE tools are hype IMHO.

BArt
 
Bigmac

Bigmac

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#6
Thanks Bart for that.

Sabine off to Hungary,hope she takes a bat with her.

>C>::
 
D

drmwamba

Valued member
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#7
Depht control is key factor in FUE /FIt and angulation.

In FIT ,patient position allows us to check evrytime the angulation and avoid us to work blindly or just by guessing.

For depht control,you can not risk to go very deep.Sabine shows straight follicular unit.Don't forget you may have a splay ie the bottom of the follicle can be wider than the top and if you go to deep ,you will damage the grafts.Otherwise you need a bigger size punch.If you use small punch you need to stop before the widening point.

And as bart say ,at the beginning you need to adjust your tool with some trials grafts.and during the procedure ,after a certain amount you need to double check to avoid bad surprises.The way we perform our FIT,every 100 or maximum 200 grafts we do a control by extracting those grafts .It gives us a sense on what to do next.And we will place those grafts at the same time as we are punching a new set of them.(And this because of the way we positioned our patient ).


 
Bigmac

Bigmac

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#8
Sounds like a good approach Dr Mwamba planting the grafts after every 100 or so extractions while taking the next batch out.

Thanks bm.
 
timuk

timuk

My member is cooler than NN's
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#9
Very interesting subject and one I have never thought of..

Just shows we sre are all very individual.. even down to the depth of our follicles..

Its great that we have some good surgeons / techs on here to give us an insight into all aspects of HT's

Thank you

Tim
 
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