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S.A.F. E. Scribe Vs Neograft

- Follicular Unit Extraction -

Follicular unit extraction (FUE), also known as follicular transfer (FT), is a minimally invasive method of obtaining follicular units, naturally occurring groups of one to four hairs, for hair transplantation. In FUE harvesting, individual follicular units are extracted directly from the hair restoration patient's donor area, ideally one at a time. The follicular units are the basic building blocks of follicular unit transplantation (FUT).

S.A.F.E. Scribe Vs. Neograft

Safe scribe Advantage means better patient results

  • - Higher Graft Yield
  • - More natural, safe manner of harvest
  • - Ergonomic design supports surgeon perormance
  • - No complicated technology breakdown
  • - Much lower transection rates
      (Follicles cut and damaged during the procedure that fail to grow after transplantation.)

You may have seen recent media reports that have erroneously talked about a "new" hair transplant procedure called Neograft. The fact is, Neograft is not a new procedure, it is a surgical tool that assists a surgeon in performing the Follicular Unit Extraction (FUE) procedure. Currently, there are two different surgical instruments that can be used independently to perform this function during a F.U.E. procedure: The S.A.F.E. Scribe and Neograft. So what's the difference? Which one offers the most advantages to the patient?

The NHC Surgical Team, lead by Chief of Surgery Dr. Barry R. Weiss, carefully researched and tested both the S.A.F.E. Scribe and Neograft . Both were carefully and rigorously evaluated "hands on" under exacting surgical conditions at NHC. After this evaluation, the NHC transplant team chose to exclusively utilize the S.A.F.E. Scribe for F.U.E. procedures because of numerous patient advantages.

Foremost, the S.A.F.E. Scribe has a higher graft yield. This means that a much higher percentage of hair grafts are undamaged and will thrive after transplanted. One reason for this higher unprecedented yield is the S.A.F.E. Scribe unique method for harvesting grafts. Neograft pulls all grafts at the beginning of the procedure, requiring the grafts to "sit" potentially for hours in a man-made storage chemical solution. The S.AF.E. Scribe on the other hand, allows the surgeon the ability to "scribe", meaning harvest each graft as it is needed for immediate transplantation in the balding area. This allows the NHC Surgeon to harvest the graft to be transplanted in a more natural and safe manner.

Also, the compact and ergonomic design of the S.A.F.E. Scribe makes it easier and more efficient for the surgeon to use throughout the procedure. In addition, the S.A.F.E. Scribe has no complicated technology break down, which leaves the patient and the surgical team stranded.

With the numerous advantages of the S.A.F.E. Scribe, why do some doctors choose Neograft? Well, an important factor is that the S.A.F.E. System was developed to be used by experienced hair transplant surgeons. As is the case at NHC, surgeons using the S.A.F.E. Scribe tend to be surgeons who exclusively perform hair transplants. Neograft, on the other hand, was designed so that it could be used by less experienced doctors. Many doctors using Neograft have just recently added hair transplants to their practices.

Exclusive Interview:


Q and A with James A. Harris, M.D., F.A.C.S.
Creator of the S.A.F.E. Scribe

NHC: Thank you Dr. Harris for talking with us. What should patients know about the difference between your S.A.F.E. Scribe and Neograft?

Dr. Harris: It's my pleasure to answer your very important questions. The primary difference between the two systems is the type of dissecting tip each one uses. The Neograft device is nothing but a rotational sharp punch system that is no different than any other rotational sharp dissection system developed in the last 30 years prior to the advent of the S.A.F.E. Scribe. It is general knowledge that when using a sharp punch system, you must limit the depth of dissection to a very superficial level because you dramatically risk follicle transection (follicles cut and damaged during the procedure that fail to grow after transplantation) the deeper you insert the punch. It's a double edge sword….If you limit the depth of dissection to prevent transection, you also don't separate the follicular unit from the skin very well and you must use excessive pressure to remove the grafts, this can cause crushing damage to the follicles.

The S.A.F.E. System is the only system to use something other than a sharp punch. It utilizes a dull surface that gently separates the follicles from surrounding skin. The main advantage is that the dull leading edge allows a deeper dissection depth which means that less pressure is required to remove the grafts which translates to less trauma and better growth. A second factor is that the dull surface is less likely to cut or transect hair follicles. This means better growth and most importantly, better patient results. The much touted "enhancements" of the Neograft System, the vacuum graft extraction and the implantation modules, are rarely used as, they tend to dry the grafts, increase graft trauma, and increase out of the body time. Teams that use the Neograft System have told me that they rarely use these "features". Probably a wise idea.

NHC: Well, in advertisements the Neograft is touted as new and advanced. Is it?

Dr. Harris: The product was developed approximately 20 years ago and was never very well received because of the problems mentioned above. It is only after receiving a new name and big budget for marketing did it seem to gain some acceptance.

NHC: What about results? What is the difference between the S.A.F.E Scribe System and Neograft in terms of transection?

Dr. Harris: In hundreds of patients, I have an average transection rate of less than 8 percent. This includes body hair

F.U.E. and African American patients (widely known to be the most difficult hair type to extract).

A physician known for endorsing the Neograft System presented a study at an international meeting for hair restoration specialists and stated that people, experienced in using that system, had an average transection rate above 25 percent…that's one of out of four follicles that were damaged. This is a significant amount of loss of a non-renewable resource. Just yesterday, I trained a physician new to F.U.E. and S.A.F.E. Scribe…his transection rate was less than ten percent or less than one in ten follicles were damaged. This lower follicle damage rate translates directly to better patient outcomes, which is really the most important consideration and the primary reason the S.A.F.E. Scribe was developed.

NHC: Thank you, Dr. Harris.


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