There was a time when Follicular Unit Excision (FUE) was pit against Follicular Unit Strip Surgery (FUSS). In fact, it was a heavily debated topic on popular hair loss forums such as the hair restoration network. However, it seems that the debate has settled and now hair loss sufferers have turned their attention to the harvesting device for FUE. In this article, we will be going over manual punch devices and micromotor punch devices for FUE and which ones are superior.
Manual Punch For FUE Technically, both micromotor and manual punches used during the follicular unit extraction procedure are handheld devices used to harvest follicular units from the patients donor site. However, a true manual punch is described as a surgical device that is used to excise the grafts without any automated assistance of a motor. Surgeons and technicians puncture the skin with the use of a surgical tool and manually rotate and oscillate the punch in order to free up the graft from the root. This method is employed by several elite hair transplant surgeons in Europe and North America. Micromotor Punch For FUE A micromotor punch is a small electrical punch that can rotate, vibrate and oscillate automatically with the assistance of a motor. This handheld motorized surgical device can extract grafts rapidly and quickly without much surgical fatigue. However, the use of this device remains a heavily debated topic amongst hair transplant surgeons worldwide. Some feel the device can damage surrounding hair follicles by carelessly extracting grafts without being careful. In fact, many surgeons feel that micromotor devices have led to over-harvested donor areas that leave patients exchanging one insecurity for another. That said, many of the world’s leading hair restoration surgeons use micromotor devices in their clinic with consistent patient results. Manual vs Micromotor Many feel that manual FUE punch allows the surgeon to feel the graft as it is being cut from the root. In addition, some hair restoration surgeons feel that using a manual punch slows them down enough to carefully select the best hair for transplantation. However, some surgeons feel that using a manual punch actually causes significant fatigue and may impact the quality of the hair that is being extracted. Many feel that the use of a micromotor can improve their speed and quality by reducing fatigue and improving the health of the grafts, as they are extracted. Conclusion In the end, tools are only as good as the hair transplant doctor using them. Regardless, manual, motor and robotic FUE can be disastrous in the wrong hands. Surgical hair restoration is a personalized procedure that requires an artistic approach to ensure the results are natural and undetectable to the general public. Some of the world’s best hair transplant surgeons use both punches regularly in their practice with great results. The most important factor to consider is not the tool the surgeon is using, but the consistency of the doctors results. If the doctor is performing ultra-refined hair restoration the tool used to harvest the grafts is secondary and insignificant to the patient.
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