Thu 15 Nov 2012
In a recent forum post about a follicular unit extraction (FUE) hair transplant he did, Dr. Lindsey stated, “… I personally did 3000 FUE punches in order to get 2600 grafts…” Three thousand FUE punches to get 2600 grafts? Is that right? Four hundred grafts sounds like a big number to lose.
Good question! It depends on how you count “lost”. When doing a FUE, you are placing a cylindrical punch around a cluster of hairs, incising the epidermis and dermis, and then lifting out the cluster gently, so that the fatty attachments to the bottom of the root bulb avulse without; A: damaging the fragile root itself or, B: the fatty tissue actually holds the roots in the scalp and all you extract is rootless hair shafts. It’s harder than it sounds. Hence, FUE costs more and is more variable in results than strip (FUT).
On one hand, you could certainly say that you “lost” 400 grafts because you pull out 400 or so rootless hair shafts that won’t grow and need to be discarded and you also made a 0.9mm hole in the scalp that will take only 5 days or so to heal with virtually no visible scar. But, in fact, you didn’t lose anything except an opportunity to make fewer punch sites on the head. Because the root remained and was not extracted, those hairs will grow back with the next cycle of hair growth.