In the cases where the opening is big, such as Norwood 5-7, the number of hair bulbs in the nape may not be enough to cover all the open site, and in this case, both the FUT and FUE operations may be performed on the patient at the same time. Despite the fact that the goal is to harvest as much grafts as possible from the patient, when this method is used, it is obvious that it will leave a long scar in the nape.  In addition, it is possible to harvest more grafts with FUE operations in expert and experienced hands, compared to the hair transplantations called combined or hybrid where both methods are applied. This is why I never use this method anymore.