What is the Graft Transection Rate Associated with Follicular Unit Extraction (FUE) Hair Transplantation?
This question, asked by a member of our hair loss social community and discussion forums, was answered by Coalition hair transplant surgeon Dr. Carlos Wesley:
I’m looking to undergo Follicular Unit Extraction (FUE), but I was wondering what sort of follicular unit graft transection rates are associated with the procedure? Does it matter what size extraction punch is used? Will a bigger punch decrease transection, but increase FUE scarring?
Dr. Carlos Wesley:
Follicle transection rates depend on the patient characteristics as well as the inner diameter of the punch.
Among the field’s most experienced practitioners of FUE, transection rates range from 2% to 8.5% for the 1-mm punch and from 3% to 10% using the 0.75-mm punch. A 1-mm punch can exact an average graft of 2.5 hairs/graft, while a 0.75-mm punch yields approximately 2.1 hairs per graft.
I think most of us in the fied agree that punches of 1mm or larger can result in visually unacceptable donor area scarring.
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Blake – aka Future_HT_Doc
Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum
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Technorati Tags: hair loss, hair transplant, Follicular Unit Extraction, FUE, follicular unit graft
January 23, 2017 @ 9:14 am
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YOU WILL NOT KNOW HOW MUCH HE implanted AFTER YOUVE SEEN IT GROWN BACK, I SHOULD HAVE CHOSEN A DECENT WESTERN EUROPE CLINIC ..THESE EASTERN EUROPE HAIR TRANSPLANT WILL RIP YOU OFF THEY ADVERTISE CHEAP JUST TO ATTRACT WESTERNERS, ITS TRUE NOT ALL OF THEM ARE ALIKE. BUT WILL YOU KNOW??
BEWARE… NOT A FRIENDLY DOCTOr, THE SLEEPING TABLE TO OPERATE ON IS HORRIBLE, MY NECK WAS KILLING ME THRUOUT THE PROCEDURE AND HE WILL GET MAD EACH TIME I ASK FOR ME TO STRECH MY NECK
WHAT A HORIBLE EXPERIENCE..
THE 2 WOMAN IMPLANTING MY HAIR WAS tired ALL THE WAY .. LOOKS LIKE AMATEUR ON PRACTICE TO BE HONEST..
THEY LOOK LIKE THEY THEY PRAYING fOR THE IMPLANT TO BE OVER…
Dr sikos GEZA EXTRACT THE HAIR THEN HE LATER SEND ME IN ANOTHER ROOM WITH 2 WOMAN TO IMPLANT, BECAUSE HE HAS OTHER PATIENT BOOK AT THE SAMETIME… SO I DNT KNOW HOW EXPERIENCE THESE LADIES ARE
ONE IMPLANTED On my RIGHT CHEEK AND THE OTHER ON MY LEFT CHEEK AT THE SAME TIME
When finished implanted my 2 side of face was not even alike, i had to tell them its not symetrical…..
PLEASE FOR YOUR OWN GOOD CHOOSE A CLINIC THATS WORTH YOUR MONEY…
THE CLINIC IS IN A BIULDING UPSTAIRS QUIT SCARY.. NO BANNERS
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BEWARE… PLEASE FOR YOUR OWN SAKE….
January 29, 2013 @ 7:34 pm
Transection rate could vary by FUE surgery quite widely. I would say though transection rate depends on several factors of scalp characteristics ( skin thickness,softness-hardness, elasticity or rigidity of the subcutaneous tissues, hair shaft diameter, texture,lenght, diversity of follicular units /narrow or wide units/etc.)and some technical details (etc. manual -power assisted, punch material, method of pulling after graft separation) but surgeon’s overall experience counts the best. According to the given circumstances the technique which fits perfect to the particular case shall be choosen at the beginning of the surgery. It means that we need to find out which size of punch is suitable (I use not less than 0.8 and not more than 0.9) do we need sharp or duller punch, what is the speed of the motor, what power do we need to apply and last but not least what is the depth we should work with. If our decision is right ,transection rate will remain under 5%, most of the cases less than 3%. This number can be kept even with 2500-3000 grafts in 3 hours. Please keep in mind that transection rate is a figure of what percentage of grafts (which were targeted) are not extracted succesfully and not the number of grafts transplanted in vain. In normal cases all the extracted and transplanted grafts are viable.
Scar formation at the donor site is known to be very similar by all type of punches unless it is less that 1 mm in inner diameter.
dr.Geza Sikos,
Sikos Hair Transplant Clinic Budapest, Hungary