Which one should I get Fue or Strip? (photos)
Doctor Answers 12
FUE or Strip
Which is better Strip of FUE
19 is young
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Focus on results unless the scar bothers you.
into thinking it is the best surgery. FUE still leaves scars
Many doctors push FUE or Neograft or ARTAS claiming "no scar" or "minimally invasive".
Many doctors dissuade patients from strip surgery asking "why would you want a big scar".
I was an engineer working with Dr. Rassman in 1998 (before I became a doctor) . My work involved a concept of
a robot which would use a special optical sighting system to align the hairs for an automated FUE. This work
became U.S. Patent 6572625 that we licensed to the ARTAS robot. Similar technology from our U.S. Patents are
used in the NeoGraft. I perform FUE in my practice with my hybrid FUE instruments, ARTAS, or even NeoGraft.
My point is that I am very familiar with the FUE, ARTAS, NeoGraft, and all forms of harvesting hair
Your focus of surgery should be on RESULTS. Not how a doctor takes out the grafts. From a donor scarring
perspective, you keep your hair LONG (in the photos) so scarring from both surgery should not be an issue.
Choose FUE if you ever want to shave your head one day.
It's more important for you to stop progressive hair loss. Any type of transplant won't stop you from losing more hair
As someone who has lost so much hair at a young age, you have to think about what you would look like if hair loss continues years from now. Your hair transplant area is limited and therefore your donor area cannot meet the amount of hair needed to cover the scalp.
Currently in the United States, finasteride and minoxidil are the two drugs used for male pattern hair loss. Finasteride is a drug that is taken orally. It essentially affects DHT or dihydrotestosterone sensitive hair follicles. If your hairs are DHT sensitive, you will respond to finasteride. However, many people are concerned about the long-term sexual side effects or dysfunction from taking finasteride. In our practice, most men who come in are not interested in taking finasteride. Topical minoxidil is not going to stop the progression of hair loss. It can prolong the appearance of thinning hair on the scalp so it looks like there is more hair, but it will not reverse hair thinning.
In our practice I would offer you Hair Regeneration, a method that we developed using a combination of extracellular matrix (ECM) and platelet-rich plasma (PRP) to stop and reverse hair thinning wherever there is existing hair. This is very different from what is currently the standard of care for hair loss. For most male pattern hair loss patients, they learn about hair transplant and then they look for the best possible transplant. But understand that no matter how old you are, hair transplant is a limited and temporary solution because you will progressively lose hair. Many people don’t even consider transplant because they don’t want a pluggy look. A majority of hair transplant patients with visible plugs used to have more hair, but problem was that the hair thinned and caused the hair plugs to become obvious.
In our practice, we do a microscopic evaluation of the scalp and identify the potential hair that can thicken from Hair Regeneration. We can determine how much they would benefit from Hair Regeneration. We had patients who are very advanced in their hair loss and we have been absolutely impressed by the amount of hair volume they achieved in spite of how far along they were. We believe strongly that as long as there is potential, there is opportunity to get improvement with Hair Regeneration. We are able to show the benefit of Hair Regeneration as outweighing the benefits of hair transplant in terms of volume of hair. Our strategy is to do first Hair Regeneration even if they are a candidate for transplant, allow 18 months to transpire, and then see where they are at. With this onetime treatment, the benefit lasts for at least 3 to 5 years. When you choose a transplant, you can be more strategic, efficient, and effective with the grafts because remember, you only have a limited donor area.
I am very hesitant to transplant someone this young. I would rather do Hair Regeneration, wait it out, watch and see if there’s any progression and then consider a transplant if appropriate, understanding what the limitations are. So I hope that this guides you in your journey of treating your hair loss. I hope that was helpful, I wish you the best of luck, and thank you for your question.
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