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secrecy , hypocricy , and videotape (Hair Transplant)

posted by Dr. Feller Homepage, Great Neck, NY, 20.05.2008, 19:26

Franklin, I think you and I are on the same page. You absolutely could not have gotten better FUE surgery in 2002-2003 than Dr. Woods for the amount of work you needed. Without question that is true. I would say Dr. Woods only lost his lead in late 2004 when FUE cases of 400 or so were becoming routine.

The irony here is that I happen to agree with Dr. Woods that FUE surgery really should not exceed about 500 grafts per sitting. Dr. Campbell actually told me that herself at a meeting in NYC when I was starting my own “self imposed residency” in FUE years ago. I subsequently found out on my own that 500 was indeed the max I could do before getting tired, so it confirmed Dr. Woods public position and Dr. Campbell’s friendly advice she gave in private. That’s why I’m so confident and vocal about that being about the max FUE that should be done in a sitting.

As the number of grafts taken via FUE increases, the percentage of grafts actually growing decreases. That is readily evident through the photos posted on the internet over the years. And it doesn’t matter if the surgery is spread out over several days. The best grafts are going to be taken on that first day. As the days wear on, the premium pickings get less and less. That’s why you will see so many large FUE cases invading and even crossing the fringes of what we would call “acceptable” donor area.

COMPARISON BETWEEN TOP FUE DOC AND TOP STRIP DOC:
If all things are equal. Top FUE doc vs. Top Strip doc in a 2,000 graft procedure. Yes, most of the time the strip procedure will look better because of a better yield and fewer injured grafts. Just compare the results of each from any patient who has posted results on the web.

All patients should be informed as to the extra risk of lower yields due to the 3 detrimental FUE forces: 1. Torsion 2. Traction 3. Compression.

STRIP TRANSECTION VS. FUE TRANSECTION:
One is visible, the other is not.

There is no question that strip grafts undergo far fewer destructive forces than FUE grafts. The number of grafts actually transected during STRIP removal is negligible in even mediocre hands because the pressure wave in front of the scalpel pushes them away. Besides this, unlike FUE surgery, transected grafts in strip surgery are VISIBLE as obviously cut follicles, and therefore not transplanted. Such is NOT the case for FUE where a graft can be FUNCTIONALLY transected, but not actually cut in half, and therefore wrongly planted.

DIFFERENCE B/W LARGE AND SMALL FUE CASES:
The smaller the FUE case, the less difference a lower yield will make. If you implant 500 FUE grafts and there is a 20% loss due to FUE trauma forces, then the final result won’t look that bad as 400 growing grafts out of 500 will still produce a beneficial cosmetic change that may elicit a “wow” response. BUT, if 20% of 2,000 FUE grafts don’t grow, you are looking at a loss of 400 grafts, and that IS significant. Having only 1,600 out of 2,000 grafts grow is a deficiency the eye will definitely catch. No question about it.

For some people, that is an acceptable trade off. But that should only be for people who have been INFORMED that the chances for lower yields are greater with FUE than STRIP and why: 1. Torsion 2. Traction 3. Compression


Dr. Feller is located in GREAT NECK, NY and he is available to meet: NO

---
Feller Medical, PC
Great Neck, NY
http://www.fellermedical.com

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