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written by Dr. Thomas Whitfield DPhil

Hair Transplants: FUE vs. Strip (an in-depth discussion)

In this article, we plan on providing a little bit more detail about the advantages and disadvantages of these two common procedures.

Surgery

FUE Surgery: Minimally invasive. Follicles are extracted individually, leaving many tiny extraction sites. These follicles are re-inserted into the recipient area. Shorter recovery time.

Strip Surgery: Moderately invasive. A large incision is made and a long strip of hair-bearing tissue is completely removed. Follicles are dissected individually from this strip and re-inserted into the recipient area. Longer recovery time.

Cost

FUE Costs: 5-10 dollars per graft.
Strip Costs: 3-5 dollars per graft.

Donor Appearance

FUE Scarring: Thousands of tiny white dots interspersed throughout the donor area.

Strip Scarring: One long, thin linear scar that spans from ear to ear in a U-shaped pattern.

Other Considerations

FUE surgeries generally lead to higher transaction rates and, thus, lower yields. Although some surgeons claim that FUE surgeries actually have lower rates of transaction, this has yet to be demonstrably proven.
Strip surgery necessitates significant donor laxity (ability of scalp skin to stretch after strip removal). Without significant laxity, bald surface area can actually increase once a strip is removed and the scalp stretches to accommodate sutures.

New Developments

FUE: Mega-sessions (3,000 grafts or more) are becoming increasingly popular, although the feasibility of an efficient FUE mega-session is still under scrutiny. Body hair transplantation is now an option for individuals with limited donor resources since individual follicles can be extracted from any area of the body (legs, chest, etc).

Strip: The trichophytic closure method allows hairs to grow through scar tissue, reducing the appearance of strip scars. The use of ACell MatriStem Extra-Cellular Matrix products is also being investigated to reduce the appearance strip scars.

Notable Doctors

FUE: Dr. John P. Cole, Dr. A. Mutallip Keser, Dr. Bijan Feriduni, Dr. Christian Bisanga

Strip: Dr. Victor Hasson, Dr. Jerry Wong, Dr. H. Rahal, Dr. Alan Feller

Keep in mind, the decision to undergo hair transplantation surgery is a big one. Customers are advised to do a considerable amount of research and planning before embarking on a long-term treatment plan that includes surgical hair restoration.

Dr. Whitfield answers your questions.

question: Mr. Whitfield, to be honest, even after reading the information in your E-Course, I’m just too afraid to get a hair transplant. They are really expensive and the results are inconsistent. I’m looking for treatments that aren’t as physically traumatizing. How safe are TRX2™ products? Can they provide similar results?

Appreciate your feedback, Thomas S.


answer: Hi Thomas. Cool name. Your reticence is understandable. We are confident that our products will be able to give customers visible and satisfying results. Of course, we would never release anything to the public that we did not believe to be 100% safe and effective.

We have an on going program of pre-clinical and clinical research to learn more about the molecular mechanisms behind hair loss and how to mitigate its effects.


Send your questions to AskTom@trx2.com.
For more questions and answers, go to FAQ

Thomas F.A. Whitfield, DPhil, is an internationally recognized expert on potassium ion channels, former scientist of the University of Oxford's Department of Biochemistry and member of TRX2's Scientific Advisory Board.