Gigasessions with Combination of FUT and FUE in Asians

Abstract

Naturalness of the results and reliability of modern grafting technology causes no doubts, but the density of the grown hair as a result of one surgery concerns many surgeons. Everything is perfect in cases when the patient has low class of androgenic alopecia. Problems appear in patients with high classes of male pattern hair loss (V–VII classes by Norwood) with poor donor supply. For obtaining good results, they need huge number of FUs, 6000–12,000 FU transplantation. It’s quite difficult to maximize the donor harvesting. A poor surgical result literally tarnishes hair transplantation—an entire field of medicine. This is the reason why maximizing donor harvesting in hair transplantation (4000 and more grafts) became frequent during the last years. Transplantation of 4000–8000 follicular units (FUs) is intended for the patients with high levels of baldness (Norwood IV–VII classes). Various modifications of the basic technique of follicular unit transplantation (FUT) procedure were proposed recently for the further improvement of the results in patients who need big hair transplant surgery. We have elaborated our own technique of combination of FUT with the follicular unit extraction (FUE) on the both sides of the FUT wound in order to decrease the tension of the scalp when closing the big wound after strip excision. This technique significantly expands the number of grafts that might be transplanted in patients with average and low scalp laxity.