Hair transplant is one of the most popular cosmetic treatment in India today. worst part is most people are being MISGUIDED by some doctors about FUT just because they cant perform good surgical closure such as a plastic surgeon

1. Dr. HARSH Amin

2. 
The old (FUT, strip) and the young (FUE)
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2 Main Techniques

3. 
How we harvest the grafts
(BUT it makes ALL the difference!)
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The only difference?

4. How I approach my decision:
(as a Hair Transplant Surgeon)
 I do NOT want a visible scar (in case I
want I shaved look)
 I do NOT want the “strip pain”
 I do NOT want transected nerves-
numbness, cut vessels-bleeding or
stitches
 I do NOT want a lengthy down-time
from the gym
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5. How I would have
approached it
(if I were not a surgeon)
 Newer Technique
 No Pain
 No Stitches
 Less time till next session
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(THIS IS HOW OUR PATIENTS MAKE A CHOICE!!!!)

6. 
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Winner…FUE! (in both situations)

7. 
FUE drawbacks
( the ones I know as a surgeon…)
1. Donor area shaving
2. Larger scar surface (Not scar less but scar spreading)
3. Blind technique
4. Lower survival rate
5. Scared donor area left behind
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8. 
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1.Donor area shaving

9. 
2. Larger scar surface. But, how
much larger?
2 FUE sessions - 4,700 FUs
Wound length FUE
2πR=2 X 3.14 X 0.5=3.14mm X 4,700FUs=
14,800mm = 14.8meters!
Wound surface FUE
πR2=3.14 X 0.52=0.785mm2
0.785 X 4,700= 3,690mm2 = 6cm Χ 6cm
1 FUT - 4700 hairs
(Equivalent to 26cm X 1.6cm strip )
Wound length strip
=520mm= 50-52cm
Wound surface strip
= 26 X 16 mm = 416 mm2
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10. 
Not scar-less but scar spreading…
14.8m = 4 stories building
3,690mm2 = 6cm Χ 6cm =a currency note
folded exactly in half!
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11. 
3. Blind technique
FUE
Blind technique
Strip FUT
All steps are under high
magnification vision
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12. 
4. Lower survival rate
FUE is promising in
theory…
…but some grafts won’t
make it at the end…
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13. 
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4. Lower survival rate. Why?
FUE grafts have less of water due to harvesting techniques

14. 
After an FUT session
5. Scarred donor area is left behind
Donor area can be easily
re-harvested after FUT
Future FUE or FUT sessions
are very hard after FUE
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15. 
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6. Exceeds safe zone

16. 
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So, what have We learned…

17. 
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Lesson 1
 I THOUGHT: ‘‘There
will be no visible scar,
 I can even have a
shaved look if I want
to…’’
1st FUE session 1200
FUs,
0.8-1.0mm manual
punch

18. 
So GOODBYE shaved look…
Hair had to be >5mm to cover my older FUE scars
But then again, that length would cover a good strip scar as well!
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19. 
Lesson 2
I THOUGHT: ‘‘There are
no complications…’’
 Graft extraction is not
always successful…
 In grown hairs, multiple
cysts for weeks!
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20. 
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Lesson 3
 I THOUGHT: ‘‘No
transected nerves-
numbness…’’
 Numbness is very “touchy”
for >3 months!
 (WHOLE occipital area vs just
on the strip scar edges)

21. 
The RIGHT criteria MUST be STRICTLY MEDICAL!
Maximum graft survival
 All steps under direct vision
 Shorter session duration
 Easier for the surgeon (and patient)
 One session, even one pass!
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22. 
 Only for limited lifetime needs (<1500FUs)
 ONLY if FUT is impossible or contraindicated or if patient
insists!
 for exhausted “safe” donor area / for “rock rigid” donor
area
 for Scars, hairline refinement, eyelashes, eyebrows, etc.
 Ehler-Danlos syndrome (or similar)
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My (re-evaluated) FUE indications

23. ADORN
Cosmetic Surgery | LASER | Hair Transplant clinic
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