FUE Hair Transplantation

  • Best Results10-12 months+
  • Treatment Recovery3-8 days
  • Procedure Time4-8 hours
  • Skin SpecialistDermatologist
  • Duration of ResultsYears+
  • AnaestheticBlocks, sedation
  • Back to Work3-7 days
  • Cost$$$-$$$$$

FUE Hair Transplantation

FUE or follicular unit extraction hair transplantation is a procedure that transfers hair follicles to thin or bald areas. A local anaesthetic is injected into the donor area of the scalp and then the desired number of hairs are extracted one by one from it. They are carefully harvested in a pattern to minimize the visual decrease of density in the donor area. These follicles are then transferred to the target sites of lower hair density. This new form of hair transplantation gives a natural appearance, indistinguishable from normal hair. 

FactsFacts on FUE Hair Transplantation

  • This procedure is a low downtime method of effectively treating hair loss
  • Tiny 0.8 to 1.1 mm harvests are removed from the donor area
  • These follicles are then transferred to thinning & bald areas
  • Ideally you should be on medical therapy to slow down hair loss
  • Scarring is minimal compared to older ‘strips’ & hair plugs
  • In most cases we can expect significant improvement within a few months
  • By extracting one follicular unit at a time, hair transplantations can achieve a natural outcome

Where are hair follicles taken from?

The majority of men will have a good source of hair follicles in the occipital region of the scalp (back of scalp). This area is resistant to hair loss & acts as a good source of hair follicles.

FUE can also harvest hair from the beard & body areas. The majority of hair surgeons would prefer the scalp before other areas as there are more terminal hair follicles.

What are the differences between FUE & FUT hair transplantation?

Both FUE & FUT (Follicular unit transplantation) procedures yield similar results, however the difference is how the hairs are extracted from the donor site.

With FUE, each hair follicle is harvested & placed individually. FUT involves the removal of a strip of scalp from the donor area. This section of scalp is then dissected, & individual hairs are harvested. FUT used to be the transplantation procedure of choice from the 1990 to early 2000’s however the vast majority of hair transplants in the current climate are FUE. With FUT transplantation, the donor area takes much longer to heal & results in a linear (line scar). Put simply, FUE leaves less scar tissue & enables a more homogenous growth in the donor area.

How many sessions will I require?

1-3. It depends on many factors including your age, degree of thinning, progression of hair loss & expectations. Some patients receive a hair transplant in the late 20s, then revisit their surgeon a decade later for a second procedure.

Your dermatologist will give you a guide as to the projected number of follicular grafts as well as guide you as to the obtainable coverage.

How are donor follicles harvested?

Donor follicles are harvested by hand, under local anaesthesia. We use specialised instruments measuring 0.8 to 1.2 mm in diameter to meticulously remove individual hair follicles. These follicles are then grouped into one, two, or three hair units.

Careful dissection of hair follicles keeps our transaction rates below 3.8%.

Davin’s Viewpoint on FUE Hair Transplants

The follicular unit extraction procedure accounts for the vast majority of hair transplant procedures. There are many FUE variations including full shave FUE, partial shave, strip shaven donor sites as well as minimal cut & no cut procedures. Shaving with a blade 0 allows for fast extractions of large areas, whilst no-shave techniques add 10-40% more time. Recipient or replanting of hair can be done via microslits or a Choi implanter.

I will discuss two important points in the context of FUE, firstly the need for a conservative hairline in younger patients & secondly the importance of medical therapy before, & after FUE.

The hairline defines hair transplantation. There are many variations as to how to reconstruct this area. We consider age, donor density, current state of the recipient site, racial & ethnicity of the patient as well as facial shape. It is also important to listen to the patient’s expectations. Our team of dermatologists will guide you as to the most suitable design, based on the above factors.

It is important to stabilize the hair loss with medical therapy. The two most powerful drugs are minoxidil & finasteride. This combination can stabilize hair loss in over 90% of cases, especially important in the younger age group. Be guided by your dermatologists as there are pros & cons of oral versus topical therapy.

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