Follicular Unit Excision (FUE), is a method of extracting, or “harvesting,” donor hair in a follicular unit hair transplant procedure. In FUE hair transplant surgery, an instrument is used to make a small, circular incision in the skin around a follicular unit, separating it from the surrounding tissue. The unit is then extracted (pulled) directly from the scalp, leaving a small open hole.
This process is repeated until the hair transplant surgeon has harvested enough follicular units for the planned hair restoration. This process can take one or more hours and in large sessions, may be accomplished over two consecutive days. The donor wounds, approximately 1-mm in size, completely heal over the course of seven to ten days, leaving tiny white scars buried in the hair in the back and sides of the scalp.
This method of donor harvesting, removing follicular units one-by-one directly from the scalp, is what differentiates the FUE hair transplant from a traditional Follicular Unit Transplant (FUT), where the donor hair is removed from the scalp in one thin, long strip and then subsequently dissected into individual follicular units using a stereo-microscope.
Before the grafts are harvested, tiny “recipient sites” are made in the balding area of the scalp using a fine needlepoint instrument. The follicular units are then placed into the recipient sites where they will grow into healthy hair-producing follicles. The creation of recipient sites and the placing of follicular unit grafts are essentially the same in both FUE and FUT procedures. The difference lies in the appearance of the donor area and in the quality and quantity of grafts obtained with each technique.
1. Preparation for the hair transplant
In the initial step of the Hair Transplant Surgery, hair follicles from the back of the head are removed and relocated to the balding areas.
2. Donor area trimmed
Before the surgery is started, the hair in the donor area are trimmed.
3. Donor area prepared for surgery
Once the hair in the donor area are trimmed it is given local anesthesia.
4. Tissue in the donor area removed and the Donor area sutured.
The tissue in the donor area that contains the bald resistant hair follicles is then removed surgically and the donor area is sutured.
5. Combed hair over sutured donor area
The sutures in the donor area are hidden from the patient’s hair that are combed over them. These sutures are removed almost ten days after the hair transplant surgery.
6. Donor tissue trimmed into follicular unit grafts
Microscopes are then used by the surgical technicians to view the donor tissue for dissecting and preparing follicular units hair grafts.
7. Bald recipient area prepared
Once the local anesthesia is given to the patient, the balding recipient area is prepared for the surgical process No trimming/removal of hair is required at the top of the recipient area.
8. Incisions made in the balding areas
Follicular Unit Grafts are placed in the tiny incisions that are made in an irregular pattern in the recipient area.
9. Grafts placed according to their densities
The smallest grafts (one and two) are placed in front of the hairline and three and four (denser than one and two) are placed behind.
10. Immediately after the Hair Transplant Surgery
After the hair transplant surgery, tiny incisions with short hair would be visible on the patients operated area.
11. Closing of the Hair Transplant Surgery
The incision marks heal naturally and the redness in the recipient area vanishes itself within a week.
1) The transplanted hair behaves like natural hair and sheds between two to four weeks of transplant. The roots thereafter start sprouting hair naturally and continue to do so for a lifetime.
2) Use of local anesthesia makes it a painless procedure and the patient can go home the same day.
3) Hair transplant is different from non-surgical hair restoration in which a pre-chosen base is fixed on scalp with dexterity.
4) Hair transplant does not mean you will have a luxurious crop of hair as the result varies from person to person and has also some link with a person’s natural hair quality.
5) Every case of baldness does not have a solution in hair transplantation. It entirely depends on case to case basis.
At Hestanbul we provide every individual patient with an aftercare kit that contains information on how to manage the transplanted hairs for optimal results and to eliminate scarring. In addition to this, our after-care kits include necessary supplies such as shampoos, creams, antibacterial serums and pain-killers; designed exclusively to be gentle on the scalp and the transplanted hairs post an FUE and to shorten healing time.