1. Removal of the hairs from the donor area
Phase 1 – Summary No blades or scalpels are used in FUE Hair Transplantation. The follicles are removed using topical anesthesia, without needles. The donor follicles to be transplanted (‘grafts’) usually consisting of one or a few hairs and their follicles, are removed using a needle. There is very little bleeding, no need to stitch the wound, and no visible scar formation. After treatment, the small wounds left by the needle can easily be covered by the surrounding hair.
2. Preparation of the donor hairs for transplantation
Phase 2 – Summary The process of dissecting or separating the follicles is not necessary under FUE Hair Transplantation. Soon after the donor hairs are extracted by the needle, they are ready to be transplanted to the balding areas. There is no further or unnecessary intervention by the human hands. No artificial groupings of individual follicles or risk of additional transection of the follicles during the dissecting process.
3. Preparation of the recipient area
Phase 3 – Summary In FUE Hair Transplantation, the recipient area is not cut with a knife or punched as in traditional procedure. Only a micro opening the size of a needle tip is required on the recipient site.
The surgery is less traumatic for the patient so a small amount of anesthetic will be sufficient. The anesthetic is administered without syringe or needles and hence less pain is inflicted on the
patient. A 23 gauge needle (or sometimes 21 gauge), the same size as the one that is used to extract the donor hairs, is used to make micro incisions in the skin where the grafts are then inserted
individually. The grafts fit very well into the micro incisions made by the needle. They heal very quickly without leaving a visible scar. The patient is never asked to have bandages wrapped around
his head after the surgery.
4. Implantation of the grafts
Phase 4 – Summary
Pros: minimally invasive and the least traumatic to the patient. No knife, no scalpel, no stitches, no linear scar. Fast healing time. Selective harvesting is possible.
Doctors can select the 1, 2, 3, or even 4 hairs grafts in the process depending on the requirements of the patients. The donor scars are more easily camouflaged and blend in with existing hair. With FUE, doctors can also perform Body Hair Transplant BHT using donor from body hair.
Cons: generally more expensive than Strip technique, can be twice as expensive or more. Very few doctors perform FUE nowadays. Hard to find a truly qualified FUE surgeon.
The technique is difficult to learn and very tedious for the doctor to perform. Not possible to extract the maximum follicles possible from the donor using FUE. Donor scars can sometimes appear as white dots. Lastly, it’s strongly recommended that patient does consult with certified board of hair restoration surgeons only.