Who Should Not Have The FUE Procedure?

(Please note that we do not perform FUE procedures. We perform the latest FUT technique exclusively. The FUE related pictures below are for illustrative purposes only and do not represent our work or patients.)

  1. Patients with Curly Hair

Curly hair is not only curly on the outside; it is also curly inside the scalp. The size for an FUE punch is between 0.8 mm to 1 mm, which is smaller than the size of the curve of grafts. In addition, the follicles of curly hair are always open apart, as shown in the photo below.  The hair direction indicated on the outside does not give any indication to the follicular direction.

 It is impossible not to damage the hair follicle with FUE punches. 

Curly hair scalp

curly hair scalp

The follicles are always open apart and in a different direction.

curly hair

Straight hair scalp

straight hair scalp

Straight hair is much coarser and even straight within the scalp.

We are using the new generation of hair transplant technique-NHT Method Blunt Donor Strip Harvesting Technique. Using this method every strip is almost perfect even for curly hair.

straight hair graft
  1. Patients with Very Limited Donor Size

The photos below show an excellent example of a patient with a limited donor size. The male patient only has a 5 cm wide donor size left. The safe zone is only 3 cm wide at the center. 

I used FUT to harvest 1.2 cm wide, 30 cm long for the donor skin.  I could harvest the donor strip from the safe zone easily. 

Comparing the before and after photos, you cannot see any difference in his donor area after the FUT procedure. Another two photos show his recipient site before and after the surgery. In the case of FUT, the scar width is only 1 to 2 mm, which is only 8 to 16% scar on donor skin, so the donor hair density exhibits very minimal change. 

However, if FUE had been used in this case, 1.2 cm of punch scars would have existed among 3cm wide safe zones for the same amount of hair. It would mean 40% of the safe size would have had no hair and looked extremely thin and strange. The impact is especially noticeable in the donor area.

Before FUT Surgery-Donor Site

After FUT Surgery-Donor site

Before FUT Surgery

After FUT Surgery

  1. Patients with Grey Hair

The color of the hair is the same as scalp tissue. Therefore, It is difficult to see during the punch process. The photo shows black hair (dyed), but gray hair within the tissue, which cannot be dyed, is invisible. 

Punch size bigger than 1mm is not recommended. (The scar would be too big.)

Microscopy is available for FUT surgery; it allows follicles to be seen more easily. Furthermore, the graft size can be cut bigger to reduce the chance of transaction, and the hair will not look pluggy. 

gray hair
  1. Patients with Fade Haircuts

FUE needs to harvest hair from a large area in order to avoid the look of thinning hair at the donor site. A fade haircut requires shaving of a large area of the hair, which will expose the bottom of a hundred scars related to FUE. In contrast, FUT can harvest hair at the higher part of the head. In this way, no matter how short the patient likes to shave their hair, the scars related to FUT will be almost undetectable. See VIDEO.

  1. Patients Who Started To Lose Hair In Their Early Twenties 

Early age hair loss always indicates more hair loss in the future. FUE cannot use donors as effectively as FUT.  Therefore, in the case of FUE, the risk of running out of donors is a much more significant issue. We all know permanent hair is limited and we need to use it wisely. 

FUE provides little to no advantage to the following types of patients.

 

  1. Female Patients

 

Female patients almost never shave their hair entirely, so linear or punch scars do not matter. However, FUE has to shave a big area of the donor site, and it will take a year or longer to grow back the same length of hair at this site.

 

  1. Patients Who Had FUT Before 

The main reason for FUE is to prevent linear scarring. If the patient has a linear scar already, additional punches from an FUE procedure will not make it disappear. Furthermore, don’t forget FUE cannot use donors as effectively as FUT.