Prior to FUE method, many different techniques have been experimented since the 1800s. These studies have never succeeded because of lack of intelligence and technology. In the 1900s newer methods have been started to develop in the USA and Japan. Baldness, one of the most aesthetic concerns amongst men, can be solved nowadays thanks to the well developed methods and highly experienced medical doctors. FUE technique which is the milestone of hair transplant plays a big role in providing successful results.
FUE (Follicular Unit Extraction)
FUE technique involves extracting the healthy hair graft with its tissue on and transferring it to the bald area. In one hair graft, there can be 1 or even 4-5 hair strands. FUE hair transplant method provides a permanent result. Provided that it is performed with a professional planning and highly experienced team, it permanently solves the alopecia. As a result, the implanted hairs will be growing for a lifetime.
FUE Hair Transplant Procedure
FUE hair transplantation consists of 3 basic stages. In order to achieve a successful and
natural result after the operation, all three stages must be applied by an
experienced hair transplant team. The operation should be
performed under the supervision of a specialist doctor. FUE hair transplantation stages
are as follows:
- Step: Extraction (harvest) of the grafts from donor area
- Step: Canal (incision) opening in the recipient area
- Step: Implantation of the grafts in the canals
1st Step: Extraction
Harvesting of the grafts can be performed with two different techniques as FUE and FUT. Follicular Unit Extraction, which means the removal of the grafts one by one. In FUT method the hair grafts are removed as a whole strip of skin.
In this method, the extracted grafts are preserved in a special solution in order to keep them biologically alive. In this solution they can survive around 3-5 hours.
2nd Step: Opening of Canals
Canals are small incisions in which the extracted grafts are placed. These canals have nearly 0,1mm bigger diameter of the punches that are used to extract the grafts from the donor area. There are 3 types of incisions:
Lateral Slit
It is performed with special metal blades. The incisions are made in a small angle and provide a natural look.
Percutaneous
Performed with special micro needles. It is harder to perform than lateral slit. Does not provide a significant advantage in terms of natural look and density.
Sapphire FUE
It is similar to Lateral Slit method. The incisions are made with specially designed and produced sapphire blades rather than metal blades. These sapphire blades are smoother and thinner, which provide a better healing and less traumatic.
3rd Step: Implantation
Implantation is the 3rd and last step, in which the implanted grafts are placed into the already-made incisions one by one.
FUT (Follicular Unit Transplant)
Prior to FUE technique, FUT (Follicular Unit Transplantation) used to be performed. It involves the extraction of a strip of skin from the donor area. This strip of skin is divided and cut into small hair grafts. The advantage of this method is that nearly 100% of the extracted grafts are transplanted successfully. However it is not easy to achieve higher numbers of grafts with this method. Furthermore, it is concerning for most people that this method leaves a big scar in the donor area as a result of the removal of a big strip of skin.
To this day some medical doctors still prefer this technique. Especially for Afro hair type, some experts use FUT technique to extract the grafts successfully because FUE method may damage the curly hair root while extracting.
In this technique, it is essential to extract the follicle by cutting deep into the hair root in order to remove it without damaging. In FUE method there are 2 different ways of extracting the hair follicle such as Manual FUE and with Micromotor FUE.
Manual FUE
In the early 2000s, Follicular Unit Extraction method was first performed with manual method. In this method, a punch with 1mm diameter is used to extract the hair by cutting around the hair tissue manually. As it takes so much time to remove the hair follicles manually one by one, hair transplant specialists started to use micromotor devices. Manual FUE is still utilised in some cases.
What are the advantages and disadvantages of the Manual FUE method?
Since punches with an average diameter of 1mm are used in the Manual FUE method, the grafts are extracted from the donor area without any damage. However, this situation may cause some people to have scars in the donor area. It is difficult to get a high number of grafts. In some cases at least 2 sessions of hair transplant is required because of the low number of grafts. It is also a much more costly operation.
Micromotor FUE
When a patient has a wide recipient area, higher number of grafts is needed to provide a coverage. Micromotor devices with a 0,5mm diameter that can rotate very fast have been developed in order to extract more grafts in a short period of time. Nowadays most of the hair transplant procedures are performed by utilising this micromotor device.
What are the advantages and disadvantages of FUE hair transplantation with a micromotor?
Since very small punches are used in micromotors, there is almost no scar in the donor area with the correct planning of the operation. Many more grafts can be taken in a short time compared to the manual method. If the micromotor is used by inexperienced staff, it is inevitable to damage the hair grafts while extracting them. Misusage can lead to permanent damages to the donor area.
FUE Hair Transplant Comparison
FUE hair transplantation technique is the most used method today. The reason why it is so widely used is that the maximum number of grafts can reach 7000. Very successful results are obtained with the FUE hair transplantation technique, which is suitable for almost every norwood scale. You can examine the comparison of FUE hair transplantation method with other hair transplantation methods below.
FUE Hair Transplant vs FUT Hair Transplant
In the comparison table below, FUE hair transplantation and FUT hair transplantation techniques are compared. The factors affecting the patient's choice of hair transplantation method were taken into consideration.
Subjects | FUE | FUT |
---|---|---|
Cost | Affordable | Expensive |
Stitch | Not Required | Required |
Pain after operation | No | High |
Scar on Donor Area | No | Yes |
Scar on Implanted Area | Unnoticeable | Low |
Recovery time of Donor Area | 1 Week | 2 Weeks |
Recovery time of Implanted Area | 7 Days | 10 Days |
Bleeding | Low | High |
Transplant Between Existing Hair | Yes | No |
Maximum grafts in one session | 7000 grafts | 3000 grafts |
Shaving/Trimming | Yes | No |
FUE Hair Transplant vs Sapphire FUE Hair Transplant
In the comparison table below, FUE hair transplantation and Sapphire
FUE hair transplantation techniques are compared. The factors affecting
the
patient's choice of hair transplantation method were taken into consideration.
Subjects | FUE | Sapphire FUE |
---|---|---|
Cost | Affordable | Affordable |
Stitch | Not Required | Not Required |
Pain after operation | No | No |
Scar on Donor Area | No | No |
Scar on Implanted Area | Low | Unnoticeable |
Recovery time of Donor Area | 1 Week | 1 Week |
Recovery time of Implanted Area | 7 Days | 5 Days |
Bleeding | Low | Lowest |
Transplant Between Existing Hair | Yes | Yes |
Maximum grafts in one session | 7000 grafts | 7000 grafts |
Shaving/Trimming | Yes | Yes |
FUE Hair Transplant vs DHI Hair Transplant
In the comparison table below, FUE hair transplantation and DHI hair
transplantation techniques are compared. The factors affecting the
patient's
choice of hair transplantation method were taken into consideration.
Subjects | FUE | DHI |
---|---|---|
Cost | Affordable | Expensive |
Stitch | Not Required | Not Required |
Pain after operation | No | No |
Scar on Donor Area | No | No |
Scar on Implanted Area | Low | Unnoticeable |
Recovery time of Donor Area | 1 Week | 1 Week |
Recovery time of Implanted Area | 7 Days | 4 Days |
Bleeding | Low | Lowest |
Transplant Between Existing Hair | Yes | Yes (Easier) |
Maximum grafts in one session | 7000 grafts | 2500 grafts |
Shaving/Trimming | Yes | No |