Video- Advantages of Follicular Unit Extraction techniques
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Strip harvesting and FUE are both acceptable techniques for harvesting donor grafts. Each technique of course has its pros and cons like any other treatment.
If you are looking at the two treatments from a cost perspective. The strip method is more cost friendly and you get excellent results.
If you are considering the scar issue. FUE is the better option. While the linear scar that comes with the strip procedure can be made very minimal the FUE still prevails with offering almost a scar free procedure.
FUE has a few other advantages such as 1) if you want to wear your hair short in the back and not have to worry about a scar, 2) or if you want to take hair form other hair barring areas such as the arm or leg. Moreover, the strip methods comes with its advantages as well. Some surgeons believe that handling the grafts from FUE damages the follicle and the strip method is more robust and prevents this. Either way you should have a fantastic result from hair transplant, it is just deciding which method is right for you.
References:
https://www.ishrs.org/hair-articles.htm
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This state of the art machine has taken a very tedious and imprecise procedure and made it very efficient and exact. The ARTAS Robot Hair Transplant can generated about 500 follicular unit grafts per hour, translating to about 2,000 grafts per session.
Most importantly, the transection rate is about eight percent, so it is producing a very high quality harvest. Restoration Robotics has carried out several studies using the ARTAS Robot Hair Transplant, which show transection rates using the automated robotic device average eight percent as compared to 20-30 percent transection rates with manual FUE. Perhaps the greatest asset here is that all the complex and imprecise decisions made by the physician in regards to follicle angles, locations, etc. are now computed by complex computer algorithms, eliminating so much of the guess work in manual FUE.
Mark A Bishara, M.D., P.A. Medical Director
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The ARTAS system is a computer assisted system that utilizes image guidance to improve the quality of harvesting the hair follicles.
This machine is capable of solving many of the technical problems that come with the manual FUE technique. Guided by a physician, the robot is able to identify and harvest follicular units and then store them until they are implanted into the patients recipient area using the manual technique.
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Mark A Bishara, M.D., P.A. Medical Director
Bishara Cosmetic Surgery and Hair Restoration
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In the Robotic Hair Transplant ARTAS system patient is prepared by being seated comfortably in the semi-prone position in a specially designed chair, the patient’s hair being cut down to about 1mm in length and a skin tensioner placed on the scalp.
The proprietary skin tensioner improves precision and control of the incision depth. It also has fiduciary markings that, when used in the ARTAS Robotic Hair Transplant procedure, allow the imaging system to track patient placement and movement.
The robotic arm is positioned overhead. The physician and only one staff member are required to perform this procedure. The imaging system constantly scans the patient’s scalp and identifies groups of one to three hairs or follicular units. It automatically targets follicular units for harvesting based on configurable input and extracts follicles in random and undetectable patterns at a frequency determined by the physician. Then the follicular units are presently implanted by hand by the surgeon and staff member after a small slit is made in the recipient areas.
Mark A Bishara, M.D., P.A. Medical Director
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Typical pattern baldness is something both men and women struggle with and we have our parents and ancestors to thank for it. Your hormones and what’s in your DNA cause baldness. Enzymes in our body react with hormones and cause the follicles in the scalp to shrink and stop growing new hair. Hair on the sides and back of the head isn’t vulnerable to pattern baldness and will typically grow for the duration of a persons life. We use these areas “donor areas” to extract from and move to the top of the head or balding areas “recipient site”. There are two different methods in which donor hair can be harvested: Follicular Unit Transfer (strip harvesting) and Follicular Unit Extraction.
In strip harvesting we take a strip of the scalp from the donor area and then suture the area back together. The strip of scalp is then cut into small pieces of hair follicles that have one to four hairs per graft. Holes are then placed in the recipient area and the grafts are placed in the holes in a natural but random pattern. The patient will be left with almost no visible scar on the back of the head and is typically hard to see once the surrounding hair grows out and conceals it.
Follicular Unit Extraction (FUE) is a procedure that uses a punch method to extract the hairs from the donor area. The head is first shaven and a local anesthetic is used to numb the head. The FUE surrounds the hair follicle and punches the follicle loose so it can be easily extracted from the head. The small holes left behind start to heal immediately and continue to disappear over the next few days. Tiny holes are then placed in the recipient area using a microscope and the hair follicles are planted.
The scalp takes about 3 to 5 days to heal and you should not attempt to resume normal activities for 48 hours to prevent the transplanted hair from falling out. The majority of the hair shafts in the follicle will fall out, don’t be alarmed. After a few months new hair will begin to grow from the relocated follicles. It takes about two days for the transplanted hair to settle permanently into the recipient sites. Small scabs will develop were the grafts were inserted so do not pick them or it will cause the hair follicle to dislodge. The scabs will fall off within 10-14 days. Re-growth is expected to occur within 3 months. It can take up to 6 to 10 months to see full regrowth.
Hair transplant is a major component of hair restoration. With the supporting medical management using 5% minoxidil (Rogaine) and finesteride (Propecia), 97% of androgenetic hair loss can be stopped and regrowth of hair can be seen in the large majority of these patients. Stop by for a In-Office or Virtual Consultation or visit us via internet consult to see if you are a potential candidate for hair restoration or a hair transplant procedure.
This information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX
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Cosmetic Surgeon Dr. Mark A. Bishara, M.D., serving Fort Worth, Arlington, and the surrounding area.
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