FUT/S versus FUE technique and Trichophytic Closure | The Hair, Skin & Wellness Clinic

Combined FUE & FUT

 
 

In some patients who have limited donor hair supply, where graft yield needs to be maximized and where the donor supply also needs to be protected for the future, it is often the best policy to combine FUT strip surgery harvesting with FUE technique harvesting to get the best of both worlds. Combining FUT and FUE is beneficial in the following types of cases:

  1. Patients with limited donor supplies and large recipient areas where the maximum number of grafts need to be harvested in order to achieve the best possible aesthetic result, while still protecting the donor area from over-depletion.
  2. Patients where we simply want to harvest a specific number of grafts, e.g. 2500 grafts, but we do not want to be limited by what can be harvested via an FUT strip only. This then enables us to do a relatively conservative FUT strip harvest with regard to the strip width, which allows for minimal wound closure tension and a thin scar line, camouflaged by trichophytic closure. For example, we take a conservative strip width and length that delivers only 1800 grafts, and harvest the balance of 700 grafts via FUE technique. The grafts are harvested in a balanced and even way, protecting the donor area for the future.
  3. Patients with good donor areas who want large amounts of grafts transplanted in one session, e.g. harvesting 5000 grafts or more. This requires a near maximum FUT Strip harvest while still remaining within safe parameters as far as strip width is concerned, because the balance of the grafts can be harvested via FUE technique. Using this approach, half the graft total can be harvested via FUT strip surgery and the other half via FUE technique. It enables a large amount of grafts, but a good balance is maintained by combining FUT and FUE harvests.
 
 

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