One of the most common hair transplant-related questions were are asked is: should a patient start with FUT surgery or FUE surgery?
While both techniques have merit and have their place, patients with uncertain levels of hair loss, patients requiring work in critical regions of the scalp (like the hairline), and those who may want or require multiple procedures over their lifetime are likely best served by starting with FUT and moving to FUE at a later day. Beginning with the FUT technique not only provides patients with the best quality grafts, the best growth rates, and the highest number of grafts available in a sitting, but starting with FUT and moving to FUE after a patient can no longer have FUT harvests is the ONLY want to maximize the number of lifetime grafts available and efficiently utilize the donor area.
In this presentation, we share the case of a patient who took this recommended path: he started with FUT for his first two surgeries and then switched to FUE for his final -- and much smaller -- procedure. By doing this, he used the best grafts for his most important procedures, minimized damage in the donor, and ensured he would be able to do multiple procedures.
Here are a few teaser "before and after" images of his case:
And here is his detailed presentation video. In the video, I share information about both his cases -- including video of his surgeries, his scar, and his results -- and further explain why most patients are probably best served by starting with FUT and then utilizing FUE.
With so much information available online, many patients just starting to research hair transplant surgery find themselves overwhelmed and unsure where to begin. To help those new to the hair transplant process, I put together a video highlighting one patient's hair transplant "journey" from day 0 all the way through month 6. While the video does not address every aspect of the process, it does touch on the "highlights" most patients are curious about. These include: the steps of surgery itself and what to expect the day of surgery; the immediate recovery process; when patients can return to work; what the transplant will look like while it is healing; and when patients will see growth and results.
Great case. This will make such a world of difference for this young woman. It's fantastic she agreed to appear in the video with you too. I think it is always comforting for future patients to see "real people" in these videos.
Thanks for sharing. I hope you will share his progress once it matures.
I have heard this from light-haired patients before: "we never see results online from blonde or light brown haired guys!"
I think they believe it is because you cannot achieve good hair transplant results with finer, softer, lighter hair. However, I disagree with this. There are challenges to working with this type of hair. You need to make some decisions to create real density in the hairline; you must be able to pack these typically smaller follicles tight into recipient incisions made with small, custom blades; and you must have a staff comfortable working with this type of hair. When you understand and work with these factors, the results can be great.
A consultation for a hair transplant procedure is an extremely important event. But what should you know before undergoing a consultation? What is a consultation really about? What should you look out for as a patient? And, do you think you can actually see a live surgery during your consult?
Watch this video from Dr. Feller of Feller & Bloxham Medical to find out:
We typically recommend patients wait 10-14 days before returning to work. At this point, the staples are removed and the patient can get a trim to clean everything up and create a uniform appearance for their return to "normal life."
I hope this helps. And, again, thank you for the kind words.
I just wanted to take this opportunity to acknowledge Erik Cavagnulo at Ahead Ink.
I have interacted with a number of SMP clinics over the years and have yet to find one I trust as much as Ahead Ink. Not only is Erik's work second-to-none, but he is very honest and ethical. He does not try to "oversell" what he can offer with SMP, nor will he push SMP on a patient who is not right for the procedure. We see a lot of new SMP clinics "popping up" now-a-days, and we, as hair transplant doctors, also see a lot of inappropriate and highly questionable SMP work. With all the noise out there and with so many people trying to quickly get into the SMP field, it is comforting to have someone like Ahead Ink we can refer our patients to for their SMP wants.
Curious as to how a hair transplant works or how a hair transplant doctor may handle a specific case? If so, you may be interested in this surgical "walk-through" video where I take the viewer through the case of a young patient who had 5,300 grafts performed over two sessions at our NY clinic. In the video, I discuss the approach to his case; the surgeries themselves; how he returned back to "normal life" 10 days after surgery; and his long-term goals.
I hope you find this video informative and helpful in your own hair transplant journey:
Dr. Richard Powell of Ft. Lauderdale, Florida was kind enough to spend a few days with us at the clinic in NY last week. During his visit, he sat down with Dr. Feller and discussed his previous career as an Emergency Medicine doctor (which he is still board certified in) and his current career as a Hair Transplant doctor. A very interesting assessment of both, and one that is worth a watch:
Unfortunately, not all patients clean in this manner. I completely understand the hesitation too: they are understandably afraid that cleaning too hard will somehow disrupt the grafts or make the results worse in the end. The reality, in my experience, is the opposite: the better you clean the quicker things "cool down" and heal, and the quicker the recovery period is over and you can get on to anticipating results.
I think you bring up a very good point when regard to hairlines started "too" low and what to do about it. I frequently see patients from other clinics where the hairline was started a good amount lower than I would have started it, but not low enough where it would be unethical to simply improve upon it as you did here. I find that it is most often better to try and improve the density and appearance of the current hairline opposed to removing grafts and re-starting it at a more appropriate level -- which I believe often leaves very prominent visible scarring that patients are not happy with.
What is your rule for "packing it out" versus doing some removal and trying to start it at a more appropriate level?
Regardless, the approach worked beautifully here and the patient looks excellent. A truly envious hairline.