Professional Beauty

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A market leader for cosmetic surgery in Europe

FUT via FUE

drsaifi

Dr Marwan Saifi

Strip harvesting FUT produces a linear scar. The appearance of the donor strip scar can be a significant concern for patients who wish to wear their hair very short. The vast majority of patients who undergo strip harvesting have minimal scars that are easily concealed by the hair above the scar. And in many instances the scar may not be evident at all except on careful inspection. There are, however, some patients who have scars that have widened. In some instances the apparent widened appearance of a scar may actually be due to damage to follicles along the incision line during harvesting rather than true scarring.
Judicious planning on our part, can largely diminish the problems associated with strip scars. By limiting the width of the strip to be taken and avoiding tension on the wound, we can minimize the donor scar (please find attached photos of my patients 7 months after the FUT procedure, with normal hair length and with shaved hair).
The use of the trichophytic method of closure for strip harvesting can also be extremely helpful in improving the appearance of the strip harvest scar. As noted above closing under minimal or no tension can help to avoid the widening of a scar. This allows hair to camouflage the scar and the hair growing through the scar can limit the stretching.
There are patients such as those with Ehlers Danlos syndrome, who because of alterations in collagen deposition, are prone to widened scars and poor wound healing. There is little that can be done to prevent such scars in these patients. The circular scars produced by FUE may suffer the same fate and be stretched in these patients.

The primary rationale for the use of FUE is that a linear scar is avoided. Several proponents of FUE market the procedure as a technique that does not involve cutting, is less invasive and does not result in scars (i.e., “scarless”). While a linear scar is not created with FUE, circular scars are created.

Although a linear scar is not produced with FUE, scars are created and evidenced by virtue of the fact that hypopigmented or hyperpigmented "dots" may be visible when the hair is cut very short. These “dots” may be a scar reaction or actual post inflammatory pigment changes, particularly in darker skinned individuals.

Anyway, at my clinic we perform both techniques FUT and FUE equally well, so when the patient is a good candidate for either technique, I usually leave it to the patient to decide, it will depend on the patient's budget and how much he or she is willing to spend. The recovery time after either technique is almost the same. In case of FUE the hair on the back of the head has to be shaved. In case of the FUT there is no need to shave.