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INTERNATIONAL SOCIETY OF HAIR RESTORATION SURGERY

F.U.E. Technique F.U.E. Technique - CETA

FUE technique

Differences between FUE and Strip technique

Follicular unit extraction (FUE), is one of two primary methods of obtaining follicular units. The other method is called follicular unit transplant (FUT) or strip surgery. This technique uses a blade to cut out a strip of scalp tissue from the back and/or sides of the head; this strip is then “slivered” into small pieces which are further divided into the individual follicular units (natural groupings of hairs) using a microscope, although the are not cut exactly as they are naturally on the scalp, dividing this strip in bigger or smaller follicular units if necessary, obtaining a less natural result. The surgeon then carefully sews or staples the wound, aiming to achieve the smallest linear scar, if possible. In FUE harvesting, individual follicular units are extracted directly from the hair restoration patient's donor area, ideally one at a time.

Advantages of FUE technique:

  • There are no scars due to a non-incision procedure
  • There is no post-operative period, because the technique is non-invasive, and the patients can return quickly to their activities
  • We can keep on removing the patient´s follicles without leaving predefined periods of time between interventions
  • The patient can decide the number of follicles to extract or remove in a given time.
  • All the procedure is developed by a physician.

The disadvantages of FUE technique:

  • It is clear that there is no perfect method, and the F.U.E.-CETA technique, has two drawbacks mentioned below:
  • Massive grafts of 3000 or 4000 follicles cannot be carried out in only one day, and two sessions are necessary (it might be possible, but it would be exhausting for the patient and for the medical staff). In CETA we have decided to perform sessions of a maximum of 12 hours or a maximum of 2000 follicles, being able to carry out the necessary sessions in the successive days: (4000 in two days or 5000 in three days)
  • The method is somewhat more expensive than the Strip technique (mainly due to a longer intervention time and the manual procedure).

Advantages of Strip technique:

  • Larger surgeries in one day: although this seems to be an advantage, the real thing is that sometimes, in order to get to a big amount of follicles, it is necessary to obtain more than one strip, leaving a greater scarring area, or instead of that, the follicular units are divided in smaller ones, and 1 hair units are trasplanted all over the balding area, so the final result is less natural.
  • Prices: this technique is cheaper due to the shorter time of procedure and the use of assistants during the cutting and transplant phases.

Disadvantages of Strip technique:

  • Linear scar on the donor area
  • The area used to obtained the strip has limits, and if it is not a good donor area, there will be low density final result.
  • The physicians only obtain the strip and sews the scar. The rest of the procedure is done by assistant staff.
Differences in terms of maximum results between the Strip and F.U.E. technique Differences on time between Strip and F.U.E. Differences on the presence of scar. Possibility of extraction from other areas Differences on the control of the Transplanted Follicles number Differences on the surgical quality control Differences on the post-operative recovery Difference on the post-operative suture Difference on the FUs extraction Differences on the surgical technique Differences on follicular damage Differences in procedures
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