fue hair transplantation

Fue Hair Transplant

FUE is the abbreviation of English words Follicular Unit Extraction. Fue hair transplant method has gained its popularity compared to the FUT due to many advantages. Moreover, the ability to transplant hair from the areas despite the back of the head, such as beard, chest made FUE demand to grow rapidly.

What is FUE Hair Transplant?

FUE Hair Transplant is hair grafts transplantation between two ears or other body parts hair that are genetically resistant to shedding. The follicles are extracted one by one and transferred to the hairless area. This method was invented by Dr. Rassman back in 2002, it got very popular together with micro motor technique replacing from the sector the remaining FUT method. FUE is considered as the newest hair transplant method.

FUE is the abbreviation of English words Follicular Unit Extraction. Fue hair transplant method has gained its popularity compared to the FUT due to many advantages. Also, the ability to transplant hair from the areas despite the back of the head, such as beard, chest made FUE method demand to grow rapidly.

We practiced cases when 10.000 grafts were transplanted by the FUE. This, of course, depends on the donor area capacity. The FUT method allows transplant a maximum of 3000-4000 grafts. Very rarely both the FUT and the FUE are applied in combination. For example, when the FUE hair transplant is made, the FUT operation follows in 1-2 days. 10.000 grafts can be implanted to those who have Norwood 6-7.

FUE and Its Advantages

1.5-2 cm X 20-30 cm steps must be cut out of scalp skin on donor area in FUT, then the skin is sewed, which results in significant scars. In FUE hair roots are extracted one by one, there are no cuts and sutures. People quickly switched to the FUE escaping once it was introduced to the sector Today FUE completely replaced FUT method.

In the FUT only nape can serve as donor area while FUE made body hair transplant possible. Chest and beard hair transplant brought FUE method into different level. As a result donor reserve and transit number increased. Suture and linear scars absence made FUE one of the best hair transplant methods.

FUE almost does not hurt after hair transplant surgery. Pain after FUT continues 3-4 days, because head skin is cut and sutured. Moreover, back of the neck area numbness lasts 3-4 months after the operation. In rare cases, it may continue from 6 months to one year. In FUE skin turns to normal in 48 hours.

What are the FUE Hair Transplant Stages?

The only difference between the FUE hair transplant and FUT is graft extraction way.

Period before and after hair transplantation are explained in this article.

  1. Local Anesthesia. Local anesthesia is not a special application for the FUE as it is also implemented at the FUT.
  2. Hair Roots Extraction. This is the major topic on this page.
  3. FUE Hair Transplant (Transplanting the Grafts to Hairless Area). Grafts implant has no connection to the FUE, we already explained it in our article about hair transplant methods. Hair Transplant via the FUE and FUT techniques is similar.

Let us check some FUE method specifications.

How is the FUE Hair Transplant Done?

fue technique

FUE is graft extraction. Back of the head or body hair is used in FUE hair transplant. More information about implanting hair from the beard or hair from other body parts is described on related pages. On this page we will explain FUE hair transplant from the back of the head.

A patient must be positioned face-down or serjeant. Once the grafts are taken from the sides the patient is placed in a lateral decubitus position. Extracting the grafts from a lay-down position is faster but it causes intense bleeding. Thus sitting position results in less bleeding.

First of all, recipient area should be marked with a regular pen. Planning helps to divide the area equally. The divided sections are inflated with saline which is also called an isotonic solution. Skin swelling simplifies hair extraction and prevents root damage. Once the local anesthesia is applied to the area, extraction of the hair grafts can begin.  

2,5x – 4x loupe ratio punches are used during graft extraction. 2,5x – 4x loupe ratio is enough. If the loupes are not used, the grafts can be damaged significantly. Thin punches cut the roots of the hair without the need to suture, and the grafts are extracted one by one. Extracted hair follicles are placed in pine containers called Petri dishes and kept in the cooling containers until the transplantation. The hair grafts should be preserved until implanting in cold temperature at 0,4 degrees Celsius.

FUE Donor Area

It is necessary to have the hair shaved for the FUE hair transplant. The hair length on the donor area should be 1mm at the regular FUE operation; it is called Zero shaving. Normally, around 5000-7000 grafts are extracted from the shaved zone depending on the need and capacity of the donor area.

fue hair transplant

Grafts must be extracted from safe areas. It has strong roots and is rich with anagen. Grafts can also be collected from above ear and occiput. Here hair is thinner and better suits frontal hairline. Roots on the under vertex area have a high loss possibility, which is why they are not used. There is also a risk of hair loss with the parietal ear hair in the future. A very minimum grafts must be collected from these areas. It is very important for young people.

The pen line serves as smooth transition, there is no dense transplantation. To obtain more natural hair the frontal hairline grafts must be single and thin.

FUE punch diameter is a key factor in graft number to collect. Thick punch results in more limited graft extraction and transection rate is considerably high. It leaves bigger skin scars. We prefer 0.7, 0.8, and 0.9 mm diameter punches.

3 Important Rules in the FUE Hair Transplant

  1. FUE Punch Size and Depth Control
  2. Fue Punch Entry Angle
  3. Grafts Number and Donor Capacity

1- FUE Punch Size and Depth Control

Punch entry depth is very important in FUE hair transplant. It does not matter if it is manual or micro motor FUE. When the punch is too long hair roots can be damaged during extraction, it is called dissection. It causes unnecessary graft loss. Patients have different graft sizes; the ideal punch length can be determined and fixed after a few tries. In opposite, if the punch is short, it is difficult to pull out the hair, and this causes destruction too.

2- Fue Punch Entry Angle

It is easy to find the right angle after a first try. A wrong entry angle causes transection – graft destruction. There is a difference between the hair growing angle inside and outside of the skin on the nape area. A well-qualified FUE hair transplant doctor can easily identify proper angles and do hair transplant surgery accordingly. Transection scale (destruction volume) is a percentage relation of defected hair roots to healthy grafts. A 2-10% transaction scale is acceptable according to the international standards. Our transaction rate is 1-2%. This is a result of our experience and skills in FUE hair transplant.

FUE Hair Transplant Tools

FUE has two hair extraction methods, that include various diameter tools called the punches. These punches vary as sharp, round, fish- mouth, serrated, and Dr. Umar’ the U shaped. There are many producers of the punches in the market, their diameter ranges from 0,6 to 1,5 mm. In most cases, 0,7, 0,75, 0,8 and 0,9 mm diameter is suitable for graft extraction. Punch length must be selected according to hair size, this is 3 mm, 3,5 mm, or 4 mm.

a) Manual FUE

manual fue

Hair roots are extracted manually with a thin and sharp punch. There are many different manual punch types in the FUE transplant. Manual FUE extraction is much slower than micro motored. Round and fish mouth punches are used in manual FUE.    

b) FUE Micro Motor

motorized fue

Micro motor is located inside of the punch. This tool with adjustable speed works on electricity. Circling the punch extracts hair grafts faster than the manual. However, if the speed is too high, grafts can be heat and damaged. There is a false belief that the micro-motored FUE punch destructs grafts. Yet, if used correctly in the FUE hair transplant results are great.

c) Robotic Hair Transplant

robotic fue

The USA has been developing a modern computerized hair transplant device. It is manufactured by Artas company. It is not a complete hair transplant machine. The device marks the grafts and only cuts them via rotation. Than these grafts are gathered manually like in the classic approach. Automated hair transplant increases a damage risk of the grafts significantly.  Moreover, the diameter of their punch is generally 1,2 mm, which also reduces the number of healthy grafts. It also leaves notable scars on the skin.

After FUE Hair Transplant (Donor Area)

The donor area starts recovering very fast after FUE hair transplant. If adequate grafts number is homogeneously taken, the donor area re-cures itself in 10 days and FUE hair extraction is not recognizable at all. The picture below shows before and after FUE hair extraction.

Before FUE hair transplant / 1st day after FUE

fue donor area

What FUE Hair Transplant Advantages and Disadvantages?

  • Fue transplant more than 2500 grafts is not healthy to transplant in a single session. Operation can be divided into 2-3 consecutive days when grafts number is big.
  • One session lasts around 5-6 hours.
  • Women completely switched from the FUT to the FUE. FUE offers no shave hair transplant.
  • Fue is the best eyebrow transplant method.
  • FUE beard transplant became irreplaceable. This is because you can select strong grafts in anagen phase (hair in the development) to transplant.
  • The claim that there are no scars after the FUE hair transplant is incorrect. When hair grows in the transplanted area, it covers all operation traces. When the big graft volume is extracted and Hair in donor is short, scars are recognizable.
  • There is no connection between the FUE and pen implanter hair transplant methods. Fue is the type of hair extraction, pen implanter is the hair implantation method. The pen is a new method in our country, thus there is a misunderstanding that it is operated only with the FUE.

FUE Hair Transplant Results

You can check our FUE hair transplant results in Before and After hair transplant section on YouTube, Facebook, and Instagram. Pay attention to natural look and implanted hair density as the main criteria. You can also refer to diverse forums for more information about the FUE. To get more details about Dr. Hakan Doganay’s results please contact us directly.

The FUE Hair Transplant Price

To get the FUE hair transplant cost please mail us or contact via phone 0090 533 247 1990 (available on WhatsApp).

Frequently Asked Questions

What is FUE?

In the past, the skin of the head was cut and transplanted by the FUT method. Today almost nobody is operated by the FUT approach. The FUE technique means extracting grafts one by one without any need for cut or suture which is very beneficial compared to the FUT.

They Say they can Take Limitless Number of Grafts, is it Possible?

This is a piece of completely unprofessional information. Every person has his/her individual donor capacity. If your donor capacity is 3000 grafts and you transplant 6000 grafts, you can destroy the hair roots and will also need additional assistance from a better doctor to correct the donor area

Is it True that the Record for Hair Transplant is 10.000 Grafts?

The statement is encouraging but none of the Professional doctors in the World agrees to make it. If the FUE hair transplant procedure lasts more 5-6 hours, than it is better to divide it into several days. Transplanting of 5000-6000 grafts at once may sound exciting, yet this will not lead to any positive result.

Which One Should I Chose: Sapphire, Gold or Ice FUE?

In the last couple of years, advertisements offer microfue, icefue, goldfue, or similar kind of modern varieties of the FUE hair transplant, they try to draw attention by offering a fake new product. There are no such techniques as microfue, nanofue, fueplus, etc. This is just a word game in promotion, which is aimed to get as much attention as possible. You are better to focus on the specialist who will operate you. It should be a very experienced and trustable doctor.

References
  1. Does the use of implanters affect the quality of FUE grafts?  Hair Transplant Forum International May 2017, 27 (3) 96-99; DOI: https://doi.org/10.33589/27.3.0096  https://www.ishrs-htforum.org/content/27/3/96

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