In the FUE (=follicular unite extraction) method which was defined by American doctor Wood’s in 1995 for the first time and took part in literature in 2002 by paper of dr. Bernstein, hair grafts are extracted one by one; hairy skin is not cut with surgery scalpel and this area is not sutured. This means a long and apparent scar does not remain on the neck of the patient. In this method, a small 0.5-0.9 mm cut is made on the skin by using “punches” (tubular tools, one end of which is sharp) and hair follicular units are extracted one by one. Although it can be understood that FUT and FUE method basically differ in terms of the extraction method of hair follicles, the results of two operations are different as well.
When we used this method for the first time, people who don’t mind covering of the scars on the neck that occurred as a result of the previous operations and who prefer short hair and don’t reject cutting of their hair were preferred. However, when the method was developed later, the number of hair follicles that could be extracted with FUE operations increased two-three times more than the number that could be extracted with FUT method. Both, thinner and single grafts were obtained because very thin punches were used in extraction of the grafts; and transplantation results become thicker and natural. The only situation that can be regarded as a disadvantage in FUE method is the necessity of shaving short (number 1) of the entire donor area in order to be able to extract hair follicles.
Saçlarının tıraşlanması sosyal ve iş yaşamını olumsuz etkileyebilecek kişiler hariç artık gerekli olmadıkça FUT yöntemini tercih etmiyoruz
FUT method isn’t used unless it is really necessary except for the people whose social and business life can be negatively affected by shaving of their hair. Because more grafts can be extracted, more natural hair transplantation is possible by FUE method. In the past, a numb area on the cut would occur in the 6-12-month period after operation in our patients for whom we practiced FUT method. And the reasons behind that were nerve traumas and recovering period. In FUE method, we don’t observe these conditions and the patients have a painless comfortable time without any edema/swelling or bruising after the operation.
In FUT method, at the stage of preparing grafts on the table by being cut from the hairy skin part, extracted from the neck, some roots could be damaged and the number of healthy grafts could decrease. In FUE method, this problem may be seen even a little while the grafts are being extracted. However, the chance of grafts to be nourished and live is higher because the grafts which are extracted using FUE method are thinner and they involve less epithelium.
The recovery period in the fue technique is much shorter compared to fut technique. Because while the very tiny holes, which are being formed at skin in fue technique, close by contraction in a few days, full recovery of a major cut, formed in fut technique, is a longer process. The tightness, which forms at the neck after the fut technique, may strain the daily head movements of the patient, and gives discomfort. Whereas in fue technique, this is not an issue.