FUE - Maximum No. of grafts in single session ?
Doctor Answers 6
Maximum FUE sessions.
In my opinion it comes down to the patient's donor characteristics, the efficiency of the team, age of the patient.
Grafts ideally need to get back in the body as soon as possible after taking them out. A big FUE case can take a lot longer than strip- meaning grafts are out of fhd body longer and survival is likely less. The team can be more fatigued wirh huge sessions and quality of work drops.
Survival of grafts in FUE is less than strip. Also with sessions beyond 3000, it is very likely that the surgeon is taking grafts from an area that might undergo thinning in the future. (ie too high).
If you compare the outcome of two 2500 graft procedures done one year apart to one 5000 graft procedure, you'll likely see far superior results in option 1.
What is possible for maximum FUE is different that what is normal or safe. More is not always the best.
The maximum number of grafts
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Maximum ammount of grafts
The maximum number of grafts that may be extracted from the donor in one session depends on several factors: donor capacity, calculated density, density, caliber and number of hairs per follicle. These factors are calculated from all parts of the donor area (parietal, temporal and occipital) and are combined in what I call Coverage Value. Other factors must also be taken into consideration such as DUPA, miniaturization and future hair loss in the donor area. (Most people experience up to 25% progressive hair loss over their lifetime, therefore the idea that there is a “safe donor area” is a misconception). All these factors must be considered in order to maximize density and homogenization. It is my professional opinion that the average donor capacity has risen to from 6,000-10,000 grafts. This is due to improved techniques and instrumentation as well as expertise on the part of the hair surgeon who is well trained and experienced in FU.
I began practicing the FUE technique using the manual punch (which I still use exclusively) in 2004 and have since that time, performed surgery in over 1000 cases with over 5000 grafts in a single session. (A session constitutes 2 days of surgery with this graft number). The maximum number of grafts that I have been able to extract in a single session is 6,500, however, I have performed surgery on 12 patients with a 10,000-graft extraction over several sessions.
Earlier on, from 2000-2007 I performed the FUT technique as well as the FUE technique and at that time, I accepted the common opinion that the regrowth rate using FUT was greater than that of FUE. Since 2007, I have determined that this to be untrue. I have witnessed amazing growth rates in FUE in my own practice that equal and surpass those of FUT. The key is the experience of the FUE surgeon.