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posted by BHRClinic Homepage E-mail, Brussels, Belgium, 22.12.2007, 14:40

» » An interesting aspect is the patient is so happy with the donor healing
» he
» » is reluctant to tempt fate and maybe impair the good work; so his next
» » procedure will be FUE; so he gets the best of both; maximum hair within
» » his limits from FUT, a neat closure even with short hair unnoticeable
» to
» » the majority unless scrutinised and then FUE to increase his coverage
» over
» » the crown.
»
» Is there a problem with using the strip and FUE in a single procedure.
» Thanks

Hi marco,

When this patient came to us we mused over the various options available; initially we were looking at getting around 4000 from the strip and maybe 2000 from FUE in the same procedure; but his hair characteristics allowed 6000 from the strip the patient decided to leave it there and wait for the regrowth.

There is no problem combining the two techniques in "one session" if the maximum potential wants to be achieved in minimum time, this would still allow for another pass of FUT or FUE in the future; that said most prefer to opt for one and then assess their future later. I posted a 3334 FUT earlier on Hairsite, and the second procedure was just that 2000 FUT and 500 FUE.Obviously care has to be taken when combining techniques, a safe distance has to be kept between the suture line and the FUE extraction but it is perfectly possible to do without causing excessive trauma to the scalp, the patient or the grafts.

Where we do find a great need of combining the techniques is in the case of repairs and generally bad cases. The donor is severely impaired or the positioning of the scars is counter productive to another large strip so FUE is also used to maximise the graft numbers. This has the benefit to use the FUT and FUE grafts in specific areas of the scalp to ensure maximum yield. For example ridging and cobblestoning can lower the yield because of the damage caused by incorrect slit making or placement; for this you want strong grafts and as FUT grafts generally have more tissue surrounding them they have a greater chance of a better yield.

---
Philb
BHR Clinic
info@bhrclinic.com
www.bhrclinic.com

 

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