topccat29 wrote:
Sarak I m a firm believer in walking the walk and not so much in just talking the talk. I judge most of what I hear in regards to anything in actual results. People tend to inflate themselves in many ways but if they can show some type of result which confirms what they are stating then this is the real test.
The results for the last 10 years speak for themselves. A handful of highly skilled doctors who have put the time and effort in achieve the best results and it has not been with robotic systems or neograft type devices but with manual punches.
In fact no one that has these advanced skills with manual punches has opted to select something else which tends to convince me that it is in fact inferior confirming my observation on what the results were showing.
Many of those that have chosen these mechanized devices have in fact dissuaded young men in the past from fue not because it might have been a better option but because they in fact did not have the skill. So what they were doing along with the promoters was doing what was best for them to keep the money flowing and not what was best for the patient.
Some of these same outfits now want you to believe that fue with their mechanized systems is a good choice. The problem is they were telling lies before so that would become a big issue for me as far as credibility is concerned.
Regarding your question on how to offer the procedure to all the patients that are asking for it. You put in the effort and practice day in and day out. Maybe you practice on melons extracting 3000 grafts everyday for a couple of years. Some days extracting nonstop for maybe 16 hours until your fingers start bleeding to see how much you can endure. You do whatever it takes to not have to lie, cheat and steal. You become better then the next guy ¦ ¦ ¦ ¦ ¦ ¦.it takes a little bit of time but it can be done.
Not everybody thinks that way. I mean in this industry you have something like FUE which was brought to market almost 20 years ago. It was called The Woods Technique by the doctor who started to perform it commercially. So what happened some guy comes along and decides he is going to call it FUE and now he believes he invented something by stringing some letters together. You see there is no honor in that, a real man would never do something like that but only a balless wonder in my opinion and that seems to be a big issue in this industry.
Even today as we all know this procedure to be FUE you have those that come along and string some different letters together and believe they have invented something. To me that is a giant red flag.............renaming something is not an invention.
Still there are questions that are unanswered...
Ah! I am not getting biased.. just asking myself right questions and trying to find answers...
1. Lets think what is good for the patient in a different way... As a surgeon we can practice for years on melons & endurance but a patient cant practice for years to sit for long hours.. so what I mean is we have to provide a faster service as expected by the patient.
2. hair transplant like any other surgeries is now evolving. I agree that robotic systems like Artas has a long way to go as far as the adoption is concerned. It may be the future.... The techniques are evolving from FUT > FUE > DHT based FUE > automated HT > Robotic>humanoids can do surgeries in future..ha ha.... I think FUT is surely outdated if I have to choose one technique and invest time to master the technique for my career.
3. What I understood from your reply.. .. Skill is the primary requirement which takes years to develop irrespective of tools.. So if I have to choose a technique to master I wont ever choose FUT as I am a firm believer of minimally invasive technique. When I can see a clear trend of technological advancement in FUE this is my choice... Next is what tools I should use considering I am a starter and there is so much competition around... patients always looking for skilled surgeons... etc... etc.. So question is shall I choose a technique where I am not convinced and choose the tool only on the manual punch or shall I choose something which is at least look convincing to me on theory and may be on practice I can master.
4. Leaders are not followers... I want to lead not follow... may be I can develop my own technique in future who knows !!

I want to look forward and not look back ward... that inspires me .. so....
And thanks for your advise and assure you .. I wont believe unless I see it... Its possible that I may not buy neograft or similar machines now.. but somehow I am not convinced with your reasoning...