Compare FUT and FUE

Harvesting Techniques - Dr Rassman

FUT and FUE Compare

FUT    FUE    FUT-FUE Combine

Patients always ask me, "Doc, should I have FUE or FUT ?"

One must remember that both FUT and FUE involve surgery. Those considering a hair transplant should therefore consult a hair transplant surgeon to learn about the advantages and disadvantages of these 2 methods. It is important to find a surgeon able to provide both techniques according to needs. Too often the opinion provided is bias as nowadays more than 50% of hair transplant surgeons know nothing about FUT. For the sake of covering their incapabilities they just bad-mouth FUT. Obviously they as doctors fail to observe the best interests of their patients.

Current trend worldwhile is FUE, as more inexperienced surgeons want to engage Hair Transplant as part of their services. Reason is simply that FUE requires less training, manpower, and facility. We maintain our view that both FUT and FUE techniques have advantages and disadvantages. The choice would depend on many factors as well as the wish of the patients.

Technique FUT FUE
Good Candidate Most are good candidates except those prone to have keloid or hypertrophic scar •   High donor density
•   Low hair-skin color contrast
•   Very tight scalp
•   Wants to keep hair very short
Unit for Transplant Single or Double Follicular Unit Single Follicular Unit
Harvesting Technique A measured strip of hair-bearing skin is excised. The wound is closed with clips or suture The follicle is punched out one by one using a 0.8-1.2 mm diameter sharp metal punch
Covered Area Medium to large area of baldness Small to medium area of baldness
Size of Graft 0.8 - 1.8 mm in diameter
Chubby Graft with abundant fat
0.8 - 1.2 mm in diameter
Skinny Graft with Minimal Fat
Number of grafts Average 1,800 to 2,400 per session, up to 5,000 grafts in selected cases. Average 1,200 to 1,500 per session, up to 2,500 grafts in selected cases.
Use of Permanent hair 95 % Use 75 % Use
Quality of Grafts Grafts are removed under direct vision, thus less transection and better quality of grafts.
Grafts can be cut to different sizes to meet different requirements.
Grafts are blindly extracted with greater risk for transection and less fat, thus more susceptible to trauma and dehydration.
Overall extracted grafts contain more 3-hairs and have a higher graft-hair ratio
Growth rate 80- 90 % growth rate 70-85 % growth rate
Manpower Required 6 Staff Minimal 2 - 3 Staff
Use of Microscopy Mandatory Recommended
Surgical Risk Comparatively low with experienced surgeon Comparatively higher :
•   Longer surgery hour
•   More Anesthetic injection required
•   Beware of inexperienced surgeon
Infection Rate 0.2 -1 % 0.2 -1 %
Pain Less pain during surgery; more pain at donor wound the next few days More discomfort during procedure due to long operating hours. Less pain at donor wound on the next few days
Removal of Stitches Yes, after 5-7 Days No Need
Shaving No Need to Shave Need to shave
Scar Width of linear scar 1-4mm, covered if hair is worn 1cm long Hundreds to thousands dispersed small white circular scars on close inspection
Thinning at donor area No Obvious if large amount of grafts are extracted
Scar Revision in Future Easy, with SMP or grafting into scar More difficult. Only option is SMP
Number of Sessions Can achieve good result just in one session May need more than one session to achieve the same result.
FUT - The Next Day
FUE - The Next Day

FUE has to shave the whole docor area, so it may longer to resume normal duty in case the patient does not want their colleagues to know they have a hair transplant. FUT would not have this problem as the incision is well covered by hair. That is why FUT is more welcomed by professionals who have a tight schedule.