At the ISHRS 33rd World Congress in Berlin, a new Masterclass format will be introduced—two in-depth sessions daily over three days, each offering 60-minute deep dives into specialized topics.
We’re thrilled to share that Drs. Konstantinos Anastassakis and Akaki Tsilosani will lead the Masterclass: “Combination FUE & FUT.”
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Watch Masterclass Intro Video
Summary Notes for Master Class Intro Video
Intro discussion on the upcoming Combination FUE + FUT Master Class at the ISHRS 33rd World Congress in Berlin
Introduction:
Dr. Sam Lam, Chair of the ISHRS 33rd World Congress, previews the Combination FUE + FUT Masterclass with Drs. Akaki Tsilosani and Konstantinos Anastassakis. The discussion focuses on evolving philosophies, case selection, and advanced techniques for combining both methods, particularly in complex cases involving poor donor supply or high-grade androgenic alopecia.
Key Discussion Points:
[00:00:00] Setting the Stage: Combining FUE + FUT
Dr. Lam opens the session by highlighting the format of the new master classes—two sessions daily over three days—and introduces the topic of combining FUE and FUT, with an emphasis on when and why this approach may be beneficial.
Dr. Tsilosani advocates for the combination approach in advanced, complex cases (Norwood 6–7, poor donor density, low scalp laxity), citing its ability to maximize graft yield while minimizing donor area complications.
[00:00:26] Strategic Indications for Combination Surgery
Dr. Tsilosani emphasizes that combining techniques should be reserved for high-demand cases. He explains the limitations of each method—FUT risks white scarring due to tension; high-volume FUE risks donor over-harvesting.
[00:03:26] Diverging Philosophies: Strategic FUE vs. Combination Approach
Dr. Anastassakis outlines his evolving approach. While he formerly supported combination surgery, he now prefers staged FUE sessions based on long-term outcomes and improved graft survival. He introduces a clinical algorithm that factors in both medical and societal indications.
[00:06:58] Technical Advances and Preview of Berlin Content
Dr. Anastassakis highlights the evolution of FUE devices and techniques, stating that newer tools allow for more efficient graft harvesting with less trauma. He also notes the potential for donor area depletion even with improved FUE methods.
Dr. Tsilosani presents an innovative mathematical model for reducing tension in FUT incisions using FUE—an approach that will be explored in-depth at the master class. Dr. Lam underscores the value of showing both contrasting philosophies for attendees to evaluate.
Conclusion:
This session preview offers a nuanced look at the rationale, indications, and advanced strategies behind combining FUE and FUT in challenging cases. With differing perspectives from two leading surgeons, attendees will gain valuable insights into how to tailor surgical plans for maximum graft survival and long-term success.
Don’t miss the full Combination FUE + FUT Master Class at the ISHRS 33rd World Congress in Berlin, Germany, October 23–25, 2025.