Advantages and Disadvantages of the Current Practice of FUE
- No permanent linear scar
- Comfortable healing process
- Decreased healing time
- Fewer limits on post-op activity
- Viable alternative if decreased scalp laxity
- Useful if limited number of grafts are needed (e.g. eyebrows)
- Good of patient is a poor healer
- Ideal to repair donor scar that cannot be effectively excised
- Able to “cherry pick” most desirable size and caliber FU.
- Good if patient prefers to wear their hair < 2 mm.
- Fewer permanent hairs transplanted for equal number of hairs in larger (2000+ FU) sessions due to harvesting outside of the safe donor region
- Variable follicle transection (2-10%)
- Small punctate scars
- Time consuming
- Costs more, labor, etc
- Patient has to cut hair very short
- Scarring of donor area may make subsequent FUE sessions more difficult
- Limited candidates (not ideal for white or curly hair)
- Grafts slightly more fragile and subject to trauma during placing since they often lack the protective dermis and fat of miscroscopically-dissected FUs.