Follicular unit extraction

FUE (FOLLICULAR UNIT EXTRACTION)

WHAT IS FUE?

FUE(Follicular unit extraction) is a hair graft harvesting technique popularized in the last fifteen years. Each follicular unit is isolated individually using a sharp metal tube, called a ‘punch’. The punch can be rotated to pass through the skin surface manually or by installing it on a powered device; the latter enabling an easier extraction.

Punch sizes should be chosen according to each patient’s follicle characteristics. A punch internal diameter varies from 0.8 to 1.2mm.

FUE

Some clinics offer very high graft numbers to attract patients whereas others believe much smaller numbers are safer. Most clinics that offer 5000, 6000, 7000 grafts know that the patients will never be able to find out the real graft number. In reality, 2000 grafts is considered a large number in FUE by the scientific world if adjacent follicular units are not to be removed. In patients with a very good donor area 3000 grafts may be possible and extracting 4000-5000 grafts almost always means violating the safety zone. When very high graft numbers are extracted using FUE, some of the grafts are actually harvested from the nonpermanent areas, which means that these grafts will actually be lost in a couple of years.

ADVANTAGES OF FUE:

  • No linear scar(no scalpel, no stitches)
  • Faster recovery time compared to other methods
  • Least painful procedure
  • Fewer complications than the “Strip” method
  • Shortest recovery and post-operative healing time
  • Can yield high graft counts, even on tight scalps
  • Minimal risk of bleeding, and pain from damaged nerves  More client satisfaction

COMPLICATION

Pin point scars
Donor area has increased risk of hair fall
Necrosis of donor region
Cyst formation/ buried graft

PROCEDURE SUMMARY

Duration: 2 to 6 hours (depends number of graft)

Anesthesia: local

Hospital stay: daycare procedure

Back to work:  after 4 to 5 days

post operative care: for 14 days

Result: permanent

BEFORE

AFTER