Cos its much easier to do
He cuts a strip sews u back up then the techs do most of the work
Hi
@Philw, I have to take up your point about FUT being much easier. I appreciate you had FUT, but to take your experience out of the equation for a moment. FUT holds more steps and requires some different skills to FUE. In some ways, it is unfair to compare. They each have pros and cons. For the sake of it, if we take as read that both techniques are being performed to a high standard.
FUT is a more surgically orientated procedure to perform. The measurement of the strip is taking into consideration the number of grafts required against the skin laxity and natural characteristics of the skin to heal. As a result, some may be better to take a longer but thinner width. A skilled Dr can extend the strip length and width to maximise the graft numbers and still allow for a clean closure.
While the strip is being removed. Every precaution is taken to minimise the transaction of the hair units around the perimeter of the strip. This can mean carefully cutting around some outlying hair units while trying to maintain a defined edge. The depth is also an important consideration. Too deep going into the fatty tissue and potentially causing issues with the closure and long-term healing. Because of this, it takes time to release the tissue. It´s not simply cut a line and off, or should not be anyway. Closure methods can vary. It´s not a simple task to neatly and with precision close the wound. Often an inner suture helps release much of the pressure on the outer. Taking into consideration the tightness of the tissue under the skin compared to the surface. With neat, tight, and parallel suturing, again takes time. This can be helped or hampered by the natural skin properties.
You are correct, technicians do play an important role in FUT. FUE the units are already divided and still need checking and cleaning. But FUT the hair units have to be separated from the main strip. Under magnification, it can be slow and needs very good hand-eye coordination from the techs. Slithering each unit, and cleaning them ready to be placed. Every care not to cut or damage the units. They get handled a great deal, transection could be an issue if this area of the procedure is not performed to a very high standard. It is often a slow aspect of the procedure while they are being readied. Often the dr oversees as they want to check how much tissue is being left on the graft. This is important as it has to work with the Dr's recipient sites. Some may prefer very lean grafts while others are more "chunky". As a result, the techs need to work as a good team, with each understanding of the process. It all has to move efficiently along to maintain the well-being of the patient and the graft survival for the result. But, I would not say easier, for sure different, with some different demands to FUE.
