Why is transection not spoken about anymore

[smokeybacon]

Anyone comment obviously but especially clinics would be good. Transection always used to be spoken about being important and need to be watched. Some clinics used it as reasons for keeping the graft numbers down, but generally to make a better transplant and don´t damage the donor area. It´s hardly ever spoken about now, is there a reason? Especially with larger FUE sessions becoming normal it seems even more important. Can clinics especially chime in and say how they manage this problem and what´s a good transection % nowadays. Is it factored into how many grafts are quoted for instance?

 

[hopeful]

Can I ask what Transection is ??

 

[Prohairclinic]

Transections are much less of an issue than back in the early days.
Now we have advanced punch design that in itself brings down transection rates to well below 5%.
Secondly, there are a lot of experienced FUE practioners that are sharing their knowledge and skills, nothing like the early days where everybody had to kinda figur it out themselves.

And, obviously a tool is only as good as the hand that guides it. This means that even with the newest instruments and a bad planning you still can get bad results.

Therefore, go to established clinics with loads and loads of experience (not only the dr. but also the technical staff).
Going to specialised FUE clinics with a good online record and loads of examples by patients and themselves will give you a good idea.

Don't get trapped in the hype marketing gimmics than some clinics are using.

 

[Bigmac]

This link explains about it.

What is a fue transection rate?

When browsing your website I see the word "transection rate" mentioned many times as a key benefit in your fue hair transplant procedure, what does it mean?

www.forhair.com

 

[smokeybacon]

Thanks Prohair. I remember % numbers a few years ago being stated below 5%. But, I get your point more information is being provided so more are getting better. I get the impression every doctor is moving away from using manual punches now and using drills instead, some have technicians doing the work. So, is a manual punch going to reduce the risk more than a drill do you think? on average I mean not in the best or worst hands.

 

[Techno1]

When grafts are removed from a donor site and transplanted to a recipient site, they should be intact. Grafts are made up of layers of cells that provide specialized functions necessary for growth. FUE punches are hollow cylindrical tubes that are designed to cut the skin and tissue that surrounds the graft.
Transection occurs when the circular punch fails to completely enclose the the whole follicular unit and cuts off a part of it. Transection can also occur when it is pulled out with forceps, parts of the follicular unit can tear off. The damaged follicle may be useless if transplanted, they usually fail to thrive or survive!
Magnification plays a big part, checking grafts for damage before placing is something that some clinics do not implement!

 

[Searching4truth]

When grafts are removed from a donor site and transplanted to a recipient site, they should be intact. Grafts are made up of layers of cells that provide specialized functions necessary for growth. FUE punches are hollow cylindrical tubes that are designed to cut the skin and tissue that surrounds the graft.
Transection occurs when the circular punch fails to completely enclose the the whole follicular unit and cuts off a part of it. Transection can also occur when it is pulled out with forceps, parts of the follicular unit can tear off. The damaged follicle may be useless if transplanted, they usually fail to thrive or survive!
Magnification plays a big part, checking grafts for damage before placing is something that some clinics do not implement!

Can transection affect native hair follicles?

 

[Bobbins]

As my grafts were extracted an assessment was made (on a scale) rating the quantity of tissue surrounding the graft. The aim was to pay close attention to the quality of the graft and ensure the transection rate was minimised.

 

[MPBsucks1234]

When I had my first FUE with Dr feriduni I asked him what the transection rate and he simply said 'low'. Fast forward 10 years with Dr Farjo and he said FUE had come such as long way that he rates it better then strip, he said be believed in some cases growth rate of FUE was possibly as low as 70% due to lack of connective tissue, this may not even take into account transection but it goes to show with such advancement in technology with top clinics it is not talked about as much as it was 10 plus years ago.

 

[Kevboy]

Can transection affect native hair follicles?

Will depend on skill levels and punch sizes.

 

[Dr Arvind]

Thanks Prohair. I remember % numbers a few years ago being stated below 5%. But, I get your point more information is being provided so more are getting better. I get the impression every doctor is moving away from using manual punches now and using drills instead, some have technicians doing the work. So, is a manual punch going to reduce the risk more than a drill do you think? on average I mean not in the best or worst hands.

I agree with BHR/ Prohairclinic's answer.

As to manual versus mechanized punches, the manual is more prone to transection (more so in the mobile beard and body donor areas and hair low in the scalp donor areas).
Regards,
Dr Capt Arvind Poswal

 

[Bobbins]

I agree with BHR/ Prohairclinic's answer.

As to manual versus mechanized punches, the manual is more prone to transection (more so in the mobile beard and body donor areas and hair low in the scalp donor areas).
Regards,
Dr Capt Arvind Poswal

Why is that? Id always thought manual punches cause less damage to the donor area.

 

[Dr Arvind]

Why is that? Id always thought manual punches cause less damage to the donor area.

The torsion created in the skin increases transection when using manual punches.

 

[Bobbins]

The torsion created in the skin increases transection when using manual punches.

Interesting - I'd read other reports which said that automatic punches caused more torsion (and heat) compared to manual.
I guess that without studies that make a direct comparison it's hard to know which is more effective.
Id expect surgeon skill to be more influential when performing the procedure manually.