What would you recommend; Strip method vs. FUE technique for hair transplant?
Doctor Answers 11
Fue vs strip technique for hair transplantation
I have been doing hair transplantation for thirteen years and in the process, I also became the patient more than once. I have had the strip technique done on me and I have performed multitudes of strip techniques on others. I have also had the Artas technique done on me, and I have performed numerous Artas procedures on patients. Here are some reasons I prefer FUE by Artas over the strip method:
1. The healing process for the donor site in the strip method is much longer than the Artas.
2. The donor site pain after the strip procedure lasts about two weeks and can remain tender for about a month. Everytime you bend your neck forward, you will be reminded of the donor site for the first month. In contrast, the donor site of the Artas procedures is much less painful, needs no stitching, and by one month, the sites are hard to find even with the naked eye.
3. About the quality of the grafts, I find the grafts very hardy and healthy when using the Artas.
4. In the strip technique, a large sliver of skin is removed from the back of the scalp. The strip is sliced into individual grafts for placement. In this process, many grafts are damaged, bisected, or otherwise deemed as not usable. These will be discarded. This is a big waist and those follicles are gone for good, and remember you only have a finite number of hair follicles. In contrast, if the Artas transcects any hair follicle, that is done upon punching the scalp, and the top of the follicle will be removed. However, the hair bulb (the areas important for hair regrowth) is still in your scalp and that hair will regrow. So with Artas, there is less permanent damage to the follicles.
5. About regrowth of the follicles, once hair is removed in total, that hair follicle will not grow in the donor site. However the one millimeter punch used to extract the hairs leaves such a small hole that once healed it is not detectable by the naked eye.
I hope my opinion helped.
Why FUT Hair Transplant For One Person, FUE For Another?
Fue or Fut
We can not say that Fue method is better than Fut or the opposite. Both methods have advantages and disadvantages . Fue method can be used for small balding areas . For wide balding areas I prefer to combine Fue and Fut methods in order to be able to extract high amount of grafts and to cover larger portions of balding area . For anybody that has little knowledge of the hair transplant industry, the similarities between the names of FUE and FUT might be misleading. In reality, both are very different forms of treatment and while some individuals will have the luxury of casting a decision based on their own research and personal preference, others will have to let their own circumstances dictate which procedure they utilise. In summarising the procedures, it can be concluded that FUE is certainly the option for those individuals who might consider a shorter hair style in the future, if they are not planning one immediately. FUT on the other hand is a more general form of treatment and is designed for those patients that would rather have better quality hair – even if it means keeping it that bit longer to hide the nasty scarring that can occur with the treatment.All the best
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Strip Method vs. FUE
FUE for Women - ARTAS Disadvantages
FUE quality used to be inferior to a traditional strip, but it has improved significantly in the last few years. We do both strip and FUE in our practice, but most women do not feel the need to use a FUE since they are never shaving their head and having a linear scar on the back is not a big issue for them.
In terms of density of the recipient area and hair regrowth, but methods can produce the same result. In FUE grafts are harvested in a scattered fashion so it won't show a pattern at all even if you get a very short hair cut or shave your scalp.
ARTAS is a new method of harvesting hair from donor area, but until now it has not been able to minimize the size of its punches to what we can use manually (0.6, 0.7, 0.8). Those larger punch sizes may cause increased risk of hypo-pigmentation in donor. Large punch sizes can also damage the neighboring hair in donor area when hair density is very high.
FUE vs. Strip Method
NeoGraft technique and device rather than ARTAS. The NeoGraft device permits one to do smaller graft extractions, and the risk of post-procedure donor site dyschromia (or funny appearing loss of pigment) is much lower. I am hearing that with ARTAS, some patients are developing hypopigmentation or pallor at the donor graft sites. We do not see this with NeoGraft. I favor FUE for faster, better healing with the same natural result.
Re: Strip Versus FUE for Hair Transplant
With strip surgery, hair grafts can only be extracted from the donor safe regions on the lower part of the scalp or the sides. However, this is where hair tends to grow the thickest. Using these follicles may not produce the most natural looking results, particularly in areas like the hairline edge where hair is naturally much finer.
Neither method will necessarily produce better growth than the other. Yield will mostly depend on how the follicles were selected and handled. This requires experience and skill on behalf of the surgeon. Therefore, it would be most important to carefully evaluate the past work of doctors you are considering.
The strip will leave scar and FEU not
Hair transplant technique should be determined on a individualized basis.
I am an engineer
My point is that I am very familiar with the FUE, ARTAS, NeoGraft, and all forms of harvesting hair follicles.
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".
The focus should be on RESULTS. Not how a doctor takes out the grafts.
In terms of graft quality between FUE (ARTAS, Neograft) versus Strip, the Strip harvested grafts are generally better (which means better results). The exceptions are the doctors with unskilled staff, then the ARTAS grafts will be better.
From a donor scarring perspective, if you are ever going to shave your head or cut your hair really short, you should probably get the FUE. That is it. If a "line scar" scares you, then get the FUE. Just remember a 4000 graft FUE scar is like having a collective open wound hole the size of a baseball on the back of the head. There is nothing minimally invasive about that. I also perform Scalp MicroPigmentation (SMP) and fix horrible FUE scars routinely. These is nothing "scarless" about FUE. I have performed surgery on Dr. Rassman and his family members using the strip technique. The linear scar on Dr. Rassman is a pencil thin line you probably will have a hard time finding. The point is, a strip surgery scar is not as terrible as the Internet makes it out to be.
The focus should be on Results.
A bad hair transplant result from FUE or Strip is like Herpes. You'll carry it with you for life.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.