Hair Loss - Fue punch size from Dr. Cole's study

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Fue punch size from Dr. Cole's study (Hair Transplant)

posted by CIT E-mail, 04.10.2007, 10:25

» This is a good example of a patient (white hair with white skin) who would
» not get white dotting--at least not visible. The reason is simple, no
» contrast between the areas of hair and the areas of extraction, or absence
» of hair.
»
» That cannot be said of other patients with darker complexion and/or hair
» in the donor. The absence of hair will leave contrast to the naked eye and
» create the infamous white dotting. Again, it might not be true scarring, or
» any different whether 0.75 or 1.00 mm punch is used, but simply the
» contrast created by the absence of hair at various locations whereas the
» surroundings have hair.
»
» Natural thinning occurs in a pattern that usually does not create absence
» of hair contrast. However, donor harvesting cannot emulate nature's
» thinning it seems so far, since so many FUE-ed donors have this white
» dotting issue. The punch size is really psychological for most cases. The
» real issue is the unnatural pattern or contrast created by absence of
» hair, rather than any scarring. That is the improvement that is needed in
» the industry, to emulate natural thinning rather than geometrical
» discernible white gaps in space of dark background.
»
» If you take a virgin scalp donor, then use photoshoot to eliminate 3-4000
» single hairs, you will see that there will be white dotting. Does it mean
» that the patient had scarring because of photoediting? No, simply there is
» now white gaps in a dark background, that, simply, sticks out. Nothing to
» do about it other than grafting in those to break that pattern, or make it
» naturally thin as in normal thinning.
We performed on this patient more than 1300+ FIT grafts from the scalp and 1000+ body FIT grafts from the chest. These follow-up photos are completely shaved unlike his pre-operative photos. The patient has a very thin donor area and some scars on his donor over the back of his head. It is nearly impossible to take grafts with a strip procedure. This patient's only solution was to do a follicular isolation technique procedure with his body hair. Fortunately, he had a viable source of chest hair to add coverage to his scalp. His healing very well after just approx. 45 days and is expected to be better in weeks to come.

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My advice is not medical advice


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