Hair Restoration: FUT vs. FUE
What is Hair Restoration?
A hair restoration is a surgical procedure in which hair is moved from the back of the scalp, where it is permanent (donor area), to areas that are thinning or bald on the front, top, or crown of the scalp (recipient area). Once transplanted, the hair will continue to grow for a person’s lifetime.
What is Follicular Unit Transplantation (FUT)?
FUT, sometimes know as “strip harvesting” has been the standard in hair restoration for the past two decades. In FUT, after the patient’s scalp is numbed, the doctor removes a thin strip of tissue from the back of the scalp. The donor strip is then separated into thousands of individual follicular units using precise stereo-microscopic dissection techniques. The donor site is closed with sutures, leaving a horizontal scar on the back of the scalp that will be easily covered as hair grows over it. As the follicular unit grafts are being prepared, the doctor makes tiny slits in the scalp (recipient sites), into which the grafts are placed. If well executed, FUT offers reliable results, giving the patient new hairs that look completely natural.
What is Follicular Unit Extraction (FUE)?
FUE is a new method of extracting, or “harvesting,” follicular units one-by-one directly from the scalp. In FUE, an instrument is used to make small, circular incisions in the skin around follicular units, separating them from the surrounding tissue. The follicular unit is then extracted directly from the scalp, leaving a small open hole that heals with a barely visible white mark, instead of the long horizontal scar seen in FUT. This method of donor harvesting is what differentiates the FUE procedure from FUT, where the donor hair is removed in a long strip that is dissected into individual follicular units using a microscope. The creation of recipient sites and the placing of follicular unit grafts are essentially the same in both FUE and FUT procedures.
Should I Choose FUT or FUE?
In general, FUT yields the most donor hair. Therefore, the procedure is best suited for more extensive hair loss and in patients where the main concern is the maximum use of one’s donor supply. The hair is maximized because of the precise nature of stereo-microscopic dissection and the fact that all the hair is harvested from “sweet spot” of the permanent zone where the hair is most dense and stable. A limitation of FUT is that it leaves a line scar in the donor area. With normal styling this is easily covered with hair, but it precludes someone from wearing his or her hair very short.
FUE is more appropriate for patients who would like to keep their hair very short or who cannot forego strenuous activities in the post-op period. In general, younger patients who need to keep their styling options flexible choose FUE, whereas those who desire the most coverage opt for FUT.
Am I a Candidate for a Hair Restoration Procedure?
The best way to find out is to be evaluated by a hair restoration physician. The answer will depend on the cause of your hair loss, your age, the stability of your donor supply, how extensive you hair loss is, your expectations and a number of other important factors. If you are a good candidate, whether you choose FUT or FUE, you will look younger with your new permanent, completely natural hair, with the entire procedure finished in one day.
Baseball Hall of Famer Mike Schmidt talks about recovering from skin cancer, Click here to read the full article
Tinea Pedis – Athlete’s Foot
By: Laura Collins, DCNP
Having trouble with your feet? You may be one of the many people who are experiencing a common skin issue called Tinea Pedis, or Athlete’s Foot. This problem refers to a fungal infection of the skin that can occur in between the toes, or on the bottom of the foot. Unfortunately this infection is extremely common, seen mainly in young to middle-aged men, however women can also be affected. Trichophyton rubrum, a fungus, is the most common culprit and causes an inflammatory response in the skin after infection. The symptoms of infection can include scaling, fissures, itching, redness, and most notably, maceration (a white mushy like appearance of the skin) in between the toes. Sometimes an odor may be present.
There are many potential sources of infection, however having moist feet tends to be a great risk factor. Prevention of the infection consists mainly of keeping the skin of the feet and toes as dry as possible. This can be achieved by applying powders such as Zeasorb-AF, which is over-the-counter, to maintain a dry environment. Other preventive measures include gentle washing and drying of the feet daily as well as wearing flip flops in moist public environments (such as in locker rooms or near swimming pools and showers) to minimize exposure.
If you think you have Tinea Pedis, or another rash of the feet, and the over-the-counter remedies aren’t working, it is best to come into the clinic where your provider can evaluate and treat you with something more effective. Certain conditions, such as eczema and psoriasis, among other things, can also look very much like Athlete’s foot. Sometimes, if the skin barrier is compromised, a secondary bacterial infection can occur. Your provider will assess your feet and may consider performing a test in the office to look for fungal elements and/or bacteria. Treatment of Tinea Pedis is typically topical however, in advanced cases, oral anti-fungal agents or antibiotics may be employed as needed. If left untreated, severe cases may spread to infect the toenails, which are significantly more difficult to treat.
Healthy Scalp, Healthy Skin
By: Brandice Brazell, MMS, PA-C
Maintaining healthy skin year-round is essential to one’s overall health. With cooler temperatures quickly approaching, we must not forget a healthy scalp is part of this equation. Have you recently noticed white flakes on your shoulders or shirt collar? Have you dealt with “dandruff” for most of your adult life? Is your over-the-counter shampoo no longer keeping the flakes at bay?
This condition is clinically known as seborrheic dermatitis and occurs within 2-5% of the population. Adults tend to experience seasonal remissions and exacerbations and are precipitated by stress, fatigue, and climate changes. It is a chronic, superficial, inflammatory disease and may be related to the presence of the oil-loving yeast Pityrosporum ovale. It is commonly found on the scalp, ears, eyebrows, lips, chest, and folds of the cheeks. The scaling often has a greasy appearance and may be very itchy. Scratching, of course, only aggravates the condition as it compromises the skin barrier and leaves the skin open to potential bacterial infections.
Topical corticosteroids may be initially used to reduce the inflammation and redness associated with this condition but may permit yeast overgrowth when used for long periods of time. Thus, antifungal medications are the mainstay of treatments. They are now offered in a variety of forms such as creams, gels and shampoos to best suit the needs of the patient. Anti-dandruff shampoos and soaps containing zinc pyrithione (ZNP) or selenium sulfide (Selsun) can be equally effective, especially for maintenance after flares. Resolution is not immediate, but with consistent treatment you can once again feel confident about your skin, scalp, and hair.
From the Skin Cancer Foundation on skin cancer and golfers comes the following statistics:
PGA Tour Pro Biran Davis has already had several skin cancers... read his story
Cosmetic Procedures for Men
More than 1 million men chose to have some type of cosmetic procedure last year and the numbers continue to increase. Men are choosing to make improvements in their appearances not only to feel better but also to maintain a competitive edge in the work place and the job market. Minimally invasive procedures have seen some of the biggest increases including:
Botox is one of the easiest pick me ups with no downtime and with the best “bang for the buck”. A few units of Botox can help you look younger and more relaxed and no one will know that you have had anything done. Our practice has seen an increase not only in the above procedures but also in hair restoration, laser procedures for blood vessels, CoolSculpting for stubborn fat areas, and treatment of brown spots. A consult with one of our board certified dermatologists can determine what options are best for you.