FUT VS. FUE hair restoration

Safe Donor Area
Typical pattern of FUE extractions

Why we prefer FUT for most patients

There are two methods of harvesting grafts from the donor area. In the traditional technique, follicular unit transplantation (FUT), also referred to as “strip surgery”, a strip is surgically removed from the back of the scalp and sutured closed. The result is a thin scar in the back of the scalp which is usually easily hidden with average length hair (3 guard or longer). The alternative is FUE, which stands for follicular unit extraction (or excision). Many patients assume that because FUE is the newer technique, it must be better. It is important to understand that there are pros and cons to each technique.

One of the most important issues to consider is the best way to use the donor area. This issue is often overlooked and seldom explained to patients considering FUE. The whole idea of a hair transplant is to take hair from the back and sides of the scalp which is genetically programmed to not go bald, and transplant this hair to the desired area where it will grow permanently. However, this zone is not the entire width of the back and sides; it is a band in the middle referred to as the ‘Safe Donor Area’. Hair follicles above and below this area may be prone to balding later in life. Some patients who underwent large or repeated sessions of FUE have wondered why their grafts seem to get thinner over the years. This is because the further away from the Safe Donor Area that the grafts are taken from, the more DHT sensitivity they will have and therefore may be prone to balding over the years. In contrast, the strip in FUT procedures is taken from the heart of the Safe Donor Area.

Another advantage of FUT is that we do not have to shave the scalp in order to perform the procedure. Most FUT patients can return to work and social activities within 7-10 days with minimal noticeability. The majority of FUE clinics require that the scalp is shaved in order to perform the extractions. There are a small number of clinics offering ‘Unshaved FUE’ but this adds to the expense of the procedure and generally the number of grafts that can be performed in these types of procedures is limited.

One advantage of FUE is that after a week, the sites have healed up and the grafts are securely anchored so full workouts may resume. We ask our FUT patients to gradually return to physical activity in the second week and to be cautious for a couple of months with any motions (e.g. sit ups, presses) where tucking chin to chest my place tension on the incision.

Overall, we feel that the majority of patients are better served with FUT. On the rare occasion where the FUT scar is wider than expected, we can perform a small FUE procedure to put grafts in the scar. We now perform FUE for small fill ins and repair situations. If you have done your research and have decided you prefer FUE, there are many clinics which specialize in this; as always, do your research before selecting which clinic to where to go for your hair transplant.

testimonials

Christopher Lee
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Dr Cooley and his staff are absolute professionals. From the very beginning they made every step of the process easy. Having doctor Cooley involved In every step of the Process including the grafting process truly speak to the quality of this business. Thanks so much for the hard work!
Ryan
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Incredible hospitality by the entire staff. Dr. Cooley and his team really are true masters of their craft. I would highly recommend Cooley Hair Center if your seeking hair restoration as a option. Not to mention all the non surgical options that they provide. Just to throw this out there.. I originally opted for a 1200 graft procedure and come to find out Dr. Cooley ended up implanting an additional 250 grafts at no charge. Thanks again guys!
Les Reece
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My experience with Dr. Cooley and his staff was excellent. I had my first procedure almost two years ago and will be getting a second one very soon. He takes the time to listen to his patients and then makes recommendations based on what he thinks will look best. Everyone on his staff that I have dealt with was very friendly and helpful. If you are considering hair restoration there is no one better to do it.
Joe Tillman
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I've got nearly 15 years of experience in the hair transplant industry and currently I seek out and review hair transplant clinics as an independent patient educator. You can Google my name to see that I'm not a random reviewer. I have a lot lot of experience in this industry and I know what I'm talking about.
Mike Clague
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Cooley by name, cool by nature. Very professional practice. All staff are excellent and focussed 100% on you. All after care is explained deeply. Dr Cooley and Brandi stayed back late to ensure I got an excellent result. I can not fault the experience so far. I highly recommend Dr Cooley to any one considering a HT. Do your research, he is definitely top 5 in the world. Remember this is is your face, you wear it every day. Thank you to all.
B T
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I have seen Dr Cooley for several hair transplant sessions and I can say with my experience from a few other hair transplant Dr's I have done sugery with that they don't even come close to Dr Cooley's work. This Dr is very professional and he takes pride in his work. I would love to do another surgery with him I just don't know if I have enough donor area left. Go see him you will not be disappointed I can say this with certainty!
Dave itisme
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Had a transplant with Dr Cooley in 2016. Best money I ever spent. He changed my life. I cannot recommend him enough.
Sameer Arora
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The most down to earth guy with amazing bedside manners and in depth knowledge of the subject. He is not somebody who will show off his expertise and as they say action speaks louder than words. If you want a genuinely skilled physician whose only goal to take care of patients in the honest possible way, he is the man. Great experience. Thank you Dr Cooley.
jay cee
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My experience with Dr. Cooley and his staff has been simply amazing....bottom-line excellent. I had my procedure done about 4 weeks ago, and he has been responsive every single time I asked questions throughout my initial healing period. During the procedure, Dr Cooley and his staff were unbelievable patient, professional and went above & beyond.
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If you are interested in the latest in hair restoration procedures, then consider PRP treatments from Cooley Hair Center. Dr. Cooley has directly contributed towards the research on this emerging treatment method and is proud to offer it to his hair loss patients. To learn more about PRP therapy or to book an appointment, call us today at 704-542-1601.