Should I get FUT vs FUE? (2 years Finasteride, 1 year minoxidil, no more hair loss)

Question

I am planning on getting an FUE of 2500-3000 grafts this winter. I recently learned that there may be more benefits to an FUT instead of an FUE. I also learned FUE can be performed without shaving the scalp. What are the benefits and risks of pursuing the FUE, and should I be highly considering an FUT instead?

Jae Pak, MD · Answer

With your hair cut, you will not be able to hide FUT (Strip) scar.If you keep your hair short, FUE is a great option.  However all surgeries (even FUE) will leave scarring.
Before thinking about scarring, you should understand what results you can expect with surgery

Kevin Ende, MD · Answer

I would agree with what has been said, that FUE would be best for a patient in your age group with hair the length that you have it in the photos.  The graft count is higher than what would actually fit in your recipient area so I suggest you have another consultation before going through with the procedure.  Be prepared to have another procedure at some point in the future since you are in your 20's

Michael Vories, MD · Answer

The advantage of FUE is that it eliminates the linear donor scar, which allows you to clip your hair shorter in the donor area. The downside to FUE is we need to clip your donor hair (not shaven) in order to perform the extractions. Based on your photos, I believe the estimate is on point for 2000-3000 FUE grafts to fill in the frontal forelock and hairline.

Artur Kierach, MD · Answer

At the beginning I propose to start with the least invasive procedures, so FUE. If in the future it is no longer possible to perform FUE then the last solution (chance) is FUT - with a linear scar on donor area. You are too young for scars.

Matt Tahsini, MD · Answer

Hello and thank you for your question. I think if you’re going to get a hair transplant FUE is best fo you. I would like you to really think long and hard about getting a transplant at your age. You are going to continue to lose hair and at your age you need to be careful as to not deplete your donor area. Please make sure you find a good and honest doctor that will tell you the truth not what you want to hear. Best wishes.Dr. T

Jeffrey Epstein, MD, FACS · Answer

Simply the answer is No to doing FUT on a male patient under the age of 30 in almost every case.  Having performed more than 10,000 FUT procedures and another 4,000 FUE cases, it is important that both options be presented, but that you maintain your options for a short haircut in the future with FUE, assuming  you find a surgeon whom you can trust to perform the procedure correctly, not using "for hire" technicians but rather he/she is actively involved in the surgery.

Neil Verma, HBSc, MD, FCFP - Account Suspended · Answer

At age 24 it is still too early to consider hair transplant surgery. Best to trial medications, topical creams, PRP injections to slow further hair loss.

William Rassman, MD (retired) · Answer

First let me ask how you came up with 2500-3000 grafts?  From the photos, even with fine hair, I would suspect that is 'overshoot' of the actual numbers you need. In our hands, there is no difference between a strip surgery or an FUE surgery.  We do 50% FUE on our patients and have as good a result as the 50% we do the strip procedure on.

Should I get FUT vs FUE? (2 years Finasteride, 1 year minoxidil, no more hair loss)

Answers (8)

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