Suture technology was improved
During the 1990s, we performed thousands of strip operations, and refined our technology gradually. We eventually learned that it was better to take a little less wide strip and thus be able to sew the wound together without having to undermine the skin edges several centimeters. At the same time, the technology was developed to separate out hair follicles, the game became minimal. Our suture technique was also improved, during FUT's last year at the clinic, we ensured that hair follicles from the upper wound edge could shoot down their hairs in the future scar line - "Trichophytic Closure".
But we noticed that more and more of our patients requested the FUE method, and then we saw a dramatic shift to the latter method's advantage in just a few months. We can still take out a strip, but reserve the method for situations when you already have a full scar after previous surgery. At the right conditions one can hope for a thinner one, and this is usually the first priority, not to get a large harvest of grafts.
One should also keep in mind that some patients get wide scars, regardless of surgical technique. We have had patients with very elastic neck skin several times, the surgery has been going smoothly, you have had great hopes for an almost invisible scar. And so the patient has instead shown a generally smooth, perhaps 7-8 mm wide, hairless strip. If you then cut it out and stitched it together again, the result has usually been the same. The wound healing cannot always be controlled or predicted.