Hair loss is a common concern for many individuals, and advancements in medical technology have given rise to various hair transplant techniques. Among these techniques, Follicular Unit Transplantation (FUT) and Follicular Unit Extraction (FUE) are two widely discussed methods. In this article, we will delve into the world of hair restoration surgery, with a specific focus on the crucial aspect of the donor area. We will explore the key differences between FUT and FUE and how they relate to maximizing donor hair.
Watch the video below where Dr. David Josephitis gives expert insights on strategies and advice in maximizing the donor area.
Understanding the Donor Area
Before diving into the intricacies of FUT and FUE, it’s essential to grasp the concept of the donor area. The donor area is the region at the back of the head where hair grafts are harvested for transplantation into areas experiencing hair loss. This area serves as the primary source of healthy hair follicles for the transplant procedure.
FUT: The Old Dinosaur?
FUT, or Follicular Unit Transplantation, has been a cornerstone of hair restoration for years. This technique involves creating a linear incision in the donor area, removing a strip of tissue containing hair follicles, and dissecting these grafts for placement in the recipient area. While FUT has proven effective, one notable concern is the presence of a linear scar in the donor area.
FUE: The New and Popular Kid on the Block
Follicular Unit Extraction (FUE) has gained significant popularity in recent years. It offers a minimally invasive approach by extracting individual hair follicles directly from the donor area without the need for a strip incision. However, it’s important to note that FUE typically requires shaving the hair in the donor area for optimal graft access.
Maximizing Donor Hair: A Key Concern
Dr. David Josephitis, an experienced practitioner at Shapiro Medical Group in Minneapolis, Minnesota, and his colleague, Dr. Ron Shapiro, have dedicated their efforts to researching and optimizing the donor area. Their goal is to maximize the amount of donor hair available for patients, as most individuals desire more hair than they naturally possess.
The Quest for More Grafts
On average, individuals have between six and eight thousand grafts in the back of their heads. While this may sound like a substantial number, it’s important to consider that most hair loss patients have only about a thousand grafts left on their entire head when they start thinking about a hair transplant. This significant difference underscores the impact of hair loss on individuals before they seek hair transplant solutions.
Tailoring Techniques to Patient Needs
The choice between FUT and FUE depends on several factors, including the patient’s age, the severity of hair loss, and personal preferences.
- For Younger Patients: Dr. Josephitis recommends that younger patients with minimal hair loss who prefer shorter haircuts and are concerned about linear scars might find FUE to be an attractive option.
- Patients with Long Hair: Individuals with long hair who do not wish to shave their donor area can explore FUT as a suitable alternative. This is more suitable for women.
- Extensive Hair Loss: Patients experiencing extensive hair loss, categorized as Norwood six or seven, may derive the greatest benefit from a combination of both FUT and FUE techniques over time.
The Power of Combining FUE and FUT
Dr. Josephitis and Dr. Shapiro’s research has unveiled a fascinating possibility: combining FUT and FUE procedures over time can yield an additional two to three thousand grafts. This innovative combination approach can provide a profound increase in available hair for those who require it.
A Personalized Approach
The decision between FUT and FUE should be based on a thorough consultation with a qualified surgeon. Each patient’s unique circumstances, preferences, and long-term hair restoration goals must be carefully considered.
For a consultation with a hair restoration surgeon, access our Find A Doctor tool where you can search for an ISHRS member by location.
Planning for the Future of Your Hair Loss
Hair loss is a dynamic process, and many patients may require multiple surgeries over their lifetime. Engaging in open and honest discussions with your surgeon is crucial to plan for the future. Understanding how many grafts you might need over time can help you decide whether FUT, FUE or a combination of both techniques aligns with your hair restoration journey.
In conclusion, the choice between FUT and FUE is not a one-size-fits-all scenario. It requires careful consideration of individual factors and consultation with an experienced surgeon. By taking the time to explore your options and plan for the future, you can embark on a hair transplant journey that meets your specific needs and expectations while maximizing the potential of your donor area.
For a consultation with a hair restoration surgeon, access our Find A Doctor tool where you can search for an ISHRS member by location.
He is a Diplomate of the American Board of Hair Restoration Surgery (ABHRS) and the American Board of Internal Medicine, and he is a member of the ISHRS. Dr. Josephitis has practiced the art and science of hair transplantation in the U.S. for several years, having trained with and worked alongside some of the industry’s most experienced, well-regarded physicians. He has honed his surgical skills in microscopic follicular unit transplantation and follicular unit extraction and comes by his “artist’s eye” naturally. Following his internal medicine residency at St. Joseph’s Hospital and Medical Center in Phoenix, Arizona, Dr. Josephitis completed a sanctioned fellowship in hair transplantation surgery. He has lectured and performed hair restoration procedures for several ISHRS live surgery workshops.