Robotic Hair Transplants & Hair Restoration
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Hair Transplant

September 29th, 2015

Dr. Wolfeld answers a common question on which type of hair transplant procedure — FUT (strip harvesting) or FUE (follicular unit extraction) — is recommended for a second surgical procedure.

Here is a more detailed summary of the video:

Dr. Wolfeld: When a patient is having a second or third hair transplant procedure, it is very important to perform a really thorough examination of this patient. In someone who has had a previous FUT procedure with a scar along the posterior sides of his scalp, it is important to examine the scar, and if it’s a fine scar that has healed very well then it is possible to perform another FUT procedure.

It’s also very dependent on the laxity [or looseness] of the patient’s scalp. There needs to be enough laxity in order to be able to excise, or remove, the old scar, and in order to excise the scar with a width of a strip that would allow adequate hair to be able to be harvested, to be able to be transplanted. However, if a patient’s scalp is very tight, which would not allow a second strip or a third strip to be able to be harvested, then the most reasonable approach for another procedure would be an FUE.

In an FUE procedure, a strip is not removed or harvested from a patient’s scalp. The way it is performed is that the patient’s scalp is shaved and the follicular units are extracted. And this is done by the ARTAS robotic hair transplant system, which is what we use in our office.

So, once again, the factors involved in whether or not a second or third procedure can be done via FUT or FUE depend upon the donor hair supply that is present, the tension on the scalp and how the previous scars have healed, and all these can be very well assessed in a consultation examination in the office prior to your procedure.

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