Wars have been fought over it and hair transplants have to come a long way in the years so that no one would know you had ever suffered from male pattern baldness or female hair thinning. Hair transplants have come a long way since the early days of strip harvesting to the modern Follicular Unit Extraction (FUE) technique.
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In this essay, we cover the milestone of hair transplantation techniques developments with a focus on changes from strip harvesting to FUE and how these transformations have ultimately influenced patient’s results and satisfaction.
Hair Transplantation in Early Years
Hair transplantation is an old concept that can be traced back to the beginning of the 19th century – when a Japanese dermatologist Dr. S Ishii performed hair grafts on scarring alopecia in the facial region. It wasn’t until the 1950s did hair transplantation receive validity of work by Dr. Norman Orentreich. Orentreich was the first to propose this concept: hair plugs (in which larger types of grafts were moved from a donor site to areas of baldness). Strip harvesting (or ‘strip method’) – The donor site is certainly cut out and then separated or “trimmed” directly into smaller grafts before being implanted to the male-pattern-barren region.
The problem, as it always does with hair restoration surgery methods, was that while strip harvesting quickly set the standard for what could be accomplished in this field there were definite limitations to using such an invasive technique. Such a procedure would often leave visible scars and an unnatural look because of the large, popcorn style grafts. This often led to an overly fabricated, “doll-like” appearance in many patients where refinement was sought after the need for a well-thought out approach.
The Beginning of Follicular Unit Transplantation (FUT)
The methods had developed, as did the hair transplantation technology. The 90s saw the arrival of Follicular Unit Transplantation (FUT) or, more commonly known as strip harvesting. This technique essentially improved upon the earlier plug grafting style by utilizing smaller density naturally occurring hair groups. FUT required a strip of skin to be removed from the donor area, only these days instead of large plugs being used, they would cut down that piece into small groups usually 1-4 follicles. The last part is processing those little grafts with the recipient site, making it a more natural and beautiful outcome.
FUT was an advancement over the previous methods. Using smaller grafts with FUE allows for a ration hairline more easily, and makes the scarring much less obvious. Nevertheless, the procedure was marked by downsides as well – a long scar over their donor site and extended recovery time compared to newer approaches.
The Rise of the Follicular Unit Extraction (FUE)
As an alternative to FUT, the late 2000’s saw the emergence of a new technique called Follicular Unit Extraction (FUE) which has proven popular due in no small part to its lack of visible scarring. The strip harvest method reduced that devastation some, but FUE revolutionized the field by allowing hair to be extracted with a minimally invasive procedure. FUE: Rather than taking a strip of skin, follicular units are extracted directly from the donor area one by one with a particular punch tool.
FUE OR FUT The Benefits of Follicular units extraction. FUE, first of all: As it was responsible for no more linear incision this method leaves minimal scarring. That way, patients end up with a more natural hairline and recover faster. In addition, FUE makes it possible to harvest hair follicles from areas outside the head such as the beard and chest. This also reduces the chance of complications which are not an uncommon occurrence with strip harvesting such as infection and wound healing problems.
Comparing FUT and FUE
FUT and FUE have their pros and cons. FUT is occasionally preferred for the cases in which thousands of grafts can give more yield achieved over a single session. Nevertheless, all patients might worry about the linear scar and a recovery period that could be longer.
Instead, FUEs minimal invasion and scarring makes it a popular choice for many. It has a specific advantage for those that like shorter haircuts or who simply do not want to have the classic visible scars. But FUE? It is a bit more timely, and might take several sessions for density to be achieved.
Future Trends and Innovations
This is an exciting time in the hair transplant industry as it is indeed quite futuristic. New technologies, such as Robotic Assisted Hair Transplant and PRP could provide even more precise and effective forms of treatment. These improvements are designed to greater the accuracy of graft harvesting, better hair yield results and continue to reduce downtime.
Conclusion
The journey from strip harvesting to Follicular Unit Extraction (FUE) is a reflection of the advancements and evolution of hair transplant techniques. Each has brought us one step closer to the natural and improved results we have today that patients are satisfied with. Knowing a bit about the history and evolution of these procedures can assist individuals in their choice for hair restoration.
Hair transplantation will improve further with the introduction of new methods and advances in technology as it has continued to provide better options for those looking to restore their hair while restoring confidence. Patients can move through the hair restoration process equipped with knowledge and hope, understanding all that has gone into their procedure of choice to get them where they are in the industry.
