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posted by BHRClinic , Brussels, Belgium, 22.12.2007, 14:51

ť ť ť An interesting aspect is the patient is so happy with the donor
ť healing
ť ť he
ť ť ť is reluctant to tempt fate and maybe impair the good work; so his
ť next
ť ť ť procedure will be FUE; so he gets the best of both; maximum hair
ť within
ť ť ť his limits from FUT, a neat closure even with short hair unnoticeable
ť ť to
ť ť ť the majority unless scrutinised and then FUE to increase his coverage
ť ť over
ť ť ť the crown.
ť ť
ť ť Is there a problem with using the strip and FUE in a single procedure.
ť ť Thanks
ť
ť Hi marco,
ť
ť When this patient came to us we mused over the various options available;
ť initially we were looking at getting around 4000 from the strip and maybe
ť 2000 from FUE in the same procedure; but his hair characteristics allowed
ť 6000 from the strip the patient decided to leave it there and wait for the
ť regrowth.
ť
ť There is no problem combining the two techniques in "one session" if the
ť maximum potential wants to be achieved in minimum time, this would still
ť allow for another pass of FUT or FUE in the future; that said most prefer
ť to opt for one and then assess their future later. I posted a 3334 FUT
ť earlier on Hairsite, and the second procedure was just that 2000 FUT and
ť 500 FUE.Obviously care has to be taken when combining techniques, a safe
ť distance has to be kept between the suture line and the FUE extraction but
ť it is perfectly possible to do without causing excessive trauma to the
ť scalp, the patient or the grafts.
ť
ť Where we do find a great need of combining the techniques is in the case
ť of repairs and generally bad cases. The donor is severely impaired or the
ť positioning of the scars is counter productive to another large strip so
ť FUE is also used to maximise the graft numbers. This has the benefit to
ť use the FUT and FUE grafts in specific areas of the scalp to ensure
ť maximum yield. For example ridging and cobblestoning can lower the yield
ť because of the damage caused by incorrect slit making or placement; for
ť this you want strong grafts and as FUT grafts generally have more tissue
ť surrounding them they have a greater chance of a better yield.

It was pointed out that why have strip when FUE is available; as a clinic that does both techniques we are in a position to advise the better technique to meet the persons needs; if it was money orientated we could have said FUE to him from day one. The point is and contrary to much that is written FUE may not have given this patient 6000 grafts without over harvesting his donor area, and ironically causing more scarring than he has now. Even if he has the ability to safely harvest 6000 via FUE it would certainly have not been prudent to do it in one procedure. If FUE only was chosen and assuming he had the donor to reach 6000 without over harvesting that would be him tapped out, with no options for the crown. I will look at his file and do the maths to see what the FUE possibilities where prior to the op.

BHRClinic is located in BRUSSELS, BELGIUM and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

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

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Complete thread:

5928 One Session FUT 0-9 BHR Clinic, Dr Bisanga - BHRClinic, 19.12.2007, 08:42 (Hair Transplant)
- why call it FUT this is strip - HanginInThere, 19.12.2007, 17:14
  - why call it FUT this is strip - coolguy, 19.12.2007, 17:58
    - why call it FUT this is strip - HanginInThere, 19.12.2007, 18:40
      - Because FUT = Strip - BHRClinic, 19.12.2007, 18:54
      - why call it FUT this is strip - jotronic, 19.12.2007, 18:59
        why call it FUT this is strip - marco, 19.12.2007, 19:30
        why call it FUT this is strip - BHRClinic, 19.12.2007, 20:10
        why call it FUT this is strip - mwinston, 19.12.2007, 20:22
        why call it FUT this is strip - BHRClinic, 19.12.2007, 20:46
        why call it FUT this is strip - HanginInThere, 19.12.2007, 21:21
        why call it FUT this is strip - Hooray for Hair, 20.12.2007, 05:57
        why call it FUT this is strip - helpmeout, 19.12.2007, 21:46
        longer hair picture - BHRClinic, 20.12.2007, 07:08
        longer hair picture - marco, 20.12.2007, 07:41
        longer hair picture - boris342002, 20.12.2007, 11:25
        holy moly scars! - dreamster, 20.12.2007, 14:42
        holy moly scars! - stitchmeup, 21.12.2007, 11:57
        holy moly scars! - HanginInThere, 21.12.2007, 12:10
        holy moly scars! - boris342002, 21.12.2007, 13:20
        ever done research? - vic, 21.12.2007, 15:16
        ever done research? - Mr. Frodo, 21.12.2007, 16:37
        ever done research? - HanginInThere, 21.12.2007, 16:52
        ever done research? - vic, 21.12.2007, 17:12
        ever done research? - HanginInThere, 21.12.2007, 17:17
        ever done research? - vic, 21.12.2007, 17:59
        ever done research? - HanginInThere, 21.12.2007, 18:01
        ever done research? - jotronic, 21.12.2007, 19:29
        ever done research? - HanginInThere, 21.12.2007, 23:03
        ever done research? - jotronic, 21.12.2007, 23:28
        ever done research? - HanginInThere, 22.12.2007, 00:58
        ever done research? - abcxyz, 22.12.2007, 01:11
        ever done research? - jotronic, 22.12.2007, 04:13
        ever done research? - HanginInThere, 22.12.2007, 04:21
        ever done research? - jotronic, 22.12.2007, 05:10
        ever done research? - BHRClinic, 22.12.2007, 04:46
        to BHR - marco, 22.12.2007, 07:02
        And finally came Don Jotronic: - boris342002, 22.12.2007, 13:58
        And finally came Don Jotronic: - Amilcar, 22.12.2007, 14:02
        And finally came Don Jotronic: - HanginInThere, 22.12.2007, 14:23
        And finally came Don Jotronic: - marco, 22.12.2007, 15:16
        And finally came Don Jotronic: - HanginInThere, 22.12.2007, 15:52
        to BHR - BHRClinic, 22.12.2007, 14:40
        to BHR - BHRClinic, 22.12.2007, 14:51
        to BHR - marco, 22.12.2007, 15:12
        to BHR - johnp, 22.12.2007, 15:59
        to BHR - boris342002, 22.12.2007, 16:48
        to BHR - HanginInThere, 22.12.2007, 18:25
        to BHR - BHRClinic, 23.12.2007, 12:25
        to BHR - JeepGuy, 24.12.2007, 04:00
        to BHR - JonnyE, 31.12.2007, 00:41