Accountability Hair Advocates for Better Hair Restorations Part III.

  • Thomas
  • Mar 28, 2019
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Accountability Hair Advocates

 

FUE Continued…

 

Accountability Hair Advocates… Continued from last blog… Because these guys were innocently roped into a situation that will cost them to further have to continue to have hair transplants because they may have lost more hair or worse…. The unnatural hairlines that were low are very unnatural. Case #1 in  point:  We personally worked on a 23 year old that had 3 hair restorations via FUE from this person, and his hair line was very densely low but he lost more hair behind the wall of hair. His donor was extinguished. I could not remove more than 300 grafts from his deplinished donor area. And this was not going to help his situation. Case #2 in point: We performed 3 separate FUE reverse extractions from a very low and dense hairline from the same person that created this disaster. After the third one the patient took off his hat for the first time in 5 years because of shame. He was repaired and was able to use his grafts again but placed more naturally. Case #3 in point. We removed an entire hairline via reverse strip method and 4-0 nylon sutured for less scarring. A meticulous surgery. Unfortunately the man did not let us dissect the grafts and place them back naturally. He was too traumatized and made us throw the tissue out. I could continue to go one with case after case of these types of unfortunate cases.

But let us continue to the best part of what changed the industry and still is changing the industry. It was mentioned before, the Follicular Unit Extraction or FUE. 

Follicular Unit Extraction or FUE began from a small clinic outside of Atlanta, GA. The clinic was a typical strip FUT hair restoration clinic and the doctor during that time period wanted to see if he could re-invent the wheel by re-vamping an old technology. 3 and 4mm circular punch grafts or the dreaded plugs…

Yes, the old plug work was an idea that was abandoned back in the 1990’s after a 2 decade unimpeded disfigurement by way of unnatural plugs and the dolls hair look was often used to describe this work.  But how could this be obtained? 

There was one other individual during that time period, in Australia who had some success in doing a similar procedure with a punch size that was approximately 1.5mm. No one in the rest of the world had attempted this nor did they care to. SO the Atlanta, GA USA doctor flew to Australia to learn his technique. The doctor in Australia decided he was not going to show him anything.  So this doctor flew home empty handed and even more motivated through anger, to learn this procedure. He flew back to Atlanta, and he looked at myself and one other technician, and stated, “We are going to make a new product. ” And that was the beginning of what would be called FUE. This was a long arduous, painstakingly, and time consuming part of my life… well all of us were tied to this clinic and we did not have a social life for the next two years…

   It started by figuring out the technology. First of all, visualizing the follicular unit or the individual grafts with the  naked eye is challenging to most all humans. The one single addition to the new procedure outside of creating a smaller punch was the use of the Zeiss Prism Optical Neuro Surgery Loupes.   This enabled us to extract consistently,  follicular units in their natural state  and unharmed. We did not know of the term transections or transection rate, however these terms became very important over time. A transection in FUE is when a follicle is severed during the extraction phase. The severed follicle can be a part of a two, three or four more more follicle group however the severed ones are either damaged or they are left behind… theoretically to grow back in the donor. We will never know. But the concept here is that there is less follicles transferred to the balding areas. The higher the transection rate, the less hair transfer. 

Another important technological advancement was the punch type and its associated size. At that time period we had started with a biopsy punch of a 1.5mm then a 1.0mm however the punch would dull out withing a couple of extractions and the 1.0mm  punch would have almost 100% transections. To get around this we started looking at other material. Long story short, we settled on a manual extraction tool which consisted of a punch mounted on a 3cc syringe. This was before any motorized FUE tools. The manual extractions went on for a few years as we tackled important efforts in making the procedure viable by lowering transection rates, and increasing efficiency. Eventually, the motorized instruments were created and followed that, a corporation based FUE company and  then Robotic technology.

What happens next in FUE,  was yet again the time for another black eye in this industry…

To be continued…

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