Question: How come some people are good candidates for FUE and others are recommended for FUT?
Answer: FUE and FUT are both highly innovative techniques in hair restoration surgery. However, not everyone is a good candidate for one or the other, and it’s important that the hair transplant surgeon determine this at the consultation. For someone who is a good candidate for FUT, it may be that they need a certain number of grafts that can be better achieved with follicular unit transplantation (FUT). A good candidate for FUE most likely needs the optimal number of grafts for that technique and if the patient has a desire to wear their hair very short. The technique used by the surgeon all depends on the individual patient.
Differences Between FUE & FUT
There are some major differences between FUE and FUT. In Follicular Unit Extraction (FUE), the grafts are extracted individually from the back of the scalp using a punch incision. With Follicular Unit Transplantation, a strip of skin is removed from the back of the scalp and then sutured. Then the grafts are dissected into follicular units containing anywhere from one to four hairs per graft, and then transplanted to the front of the scalp. FUE is typically ideal for smaller sessions and for those patients who want to keep their hair very short, since the punch hole incisions are such small holes that when they heal, they are virtually undetectable. FUT is ideal for larger sessions where the patient requires more follicular units to achieve maximum density. The linear scar on the back of the scalp is all that remains and is covered by existing hair as the scar heals and the hair grows back on the scalp. At our hair transplant clinic, we use double-edged trichophytic closure for this technique, also called trichophytic strip harvest. This type of closure allows the hair to grow into the wound as it heals, rendering strip harvesting as invisible or nearly invisible. During the consultation, our hair transplant surgeon will go over all of these steps with the patient about their techniques, specialties and what they plan to do for the patient.