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FUE Punch Size & Donor Management (Hair Transplant)

posted by hairtech_ E-mail, Denver, CO, 05.03.2008, 20:16

A very good point indeed Marco. Except what is the expanding needle concept?

Blunt dissection does a good job with splay. And Harris has shown that.

Bisanga has shown good results with his 0.75mm punch and it being sharp only.

But you bring up a good point about transections at the dermal layer. Does it matter? Not if the follicle is left intact and left behind. I don't know if anyone can really prove anything about this with the exception of this study by which Bisanga might have a point that a larger tool could provide a MORE potential for damage to a peripherally transected graft as apposed to using a smaller diameter to encompass the follicle only.

Now the argument is that a FUE using a smaller punch WILL also provide a certain amount of transectioning... more so than the blunt technique IMO, however I have to say that Bisanga has been able to show ample growth in fairly large FUE cases using the small punch. Why?

He has also shown several nice donor areas. The whole purpose of FUE was to create an alternative to a strip and to have less scarring in the mean time. Not may clinics have been able to show both good growth as well as a reduced scarring potential. Bisanga is one of the only one that has. Why?

Probably this study shows a part of WHY.

---
Hairtech

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