Follicular Unit Extraction

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FUE Hair Transplant

FUE Hair Transplant Method

Follicular unit extraction is a new modification of standard follicular unit transplantation. The planting of follicular units into the recipient area is identical in both techniques and, thus, both offer transplant growth without “plugginess”.

The difference is found in the method of harvesting the hair from the donor area. Instead of excising a strip of hair, suturing the area together, and then dissecting the follicular units underneath a microscope, the follicular units in the FUE method are removed from the scalp individually, one by one. Therefore, there is no wound to be stitched and there is no need for microscopes.

The follicular units are removed by placing a 1 mm punch around a single follicular unit and cutting a small circle through the skin around that follicular unit. The follicular unit is then grasped and gently pulled away from the loose connective tissue surrounding it underneath the skin.

Once it is removed, no further preparation is necessary. It is ready for implanting. The small hole left behind is left to heal in by itself which it does over one to two weeks. This process is repeated hundreds of times until the desired number of follicular units are obtained. Rather than having a white, linear scar as with standard follicular unit transplantation, the patient is left with numerous 1 mm round white scars.

Proponents claim the advantage is less noticeable scarring and no tightness of the scalp (because no tissue has been brought together and sutured as in standard follicular unit transplantation).

Although good in theory, follicular unit extraction does have some major drawbacks. One of the greatest is that not every patient scalp is amenable to follicular unit extraction. In these patients, the follicular unit tends to tear while it is being teased out of the skin. Damaged follicular units will not grow as well, if at all. Frequently, a test procedure is recommended to check whether the patient’s follicular units remain intact during extraction.

Another major problem is that is difficult to perform large sessions. The extractions are slow and tedious. Patients desiring large sessions may have to return multiple days rather than a single day as during standard follicular unit transplantation. (unlike the DHI hair transplant technique which is performed the same day)

The capacity for long term growth is a theoretical concern. During extractions, the follicular units are gently torn from the underlying tissues. The deepest component of the connective tissue beneath the follicles tends to be absent in these grafts. Its absence could possibly lead to weakening of the follicular unit over time.

Since this is a new technique, hair transplant surgeons cannot be sure of the long term results. Finally, patients must understand that they will get scars in the donor area either way. Follicular unit extraction leads to hundreds or thousands of tiny round scars in the back of the scalp. Whether that is preferable to a linear scar is debatable.

This would particularly affect:

  • Patients with limited donor material remaining due to tightness of the scalp,
  • Patients who tend to heal with wide scars after suturing,
  • Patients with loss of eyebrow or moustache hair that require follicular units of a particular size,
  • Patients in the military who must keep their hair in the donor area very short.

Conclusion

It is our opinion that standard follicular unit transplantation used to be useful, however the DHI technique and the FUE technique are far superior with a similar cost, so in essence, patients are getting better treatment, better results for the same price.

Patient Testimonials

Aside from achieving fantastic results, we believe that keeping in touch with our patients before, during and after their hair transplantation procedure is paramount – it helps to keep our patients feeling calm and in control. We’re always on hand to provide guidance, support and aftercare advice. Time and again, our patients tell us that this is what sets us apart from other clinics.

You can read our great reviews of FUE hair transplants over on Google and TrustPilot

Samantha Mccallum
Samantha Mccallum
25 June 2024
My experience with Harley Street Hair Transplant has been fantastic straight from my first communication on 27/04/24 which was about my eyebrow hair transplant with the amazingly lovely Sara (Lead Patient Advisor). Was only 3 days later my free consultation via video call with the amazing Doctor Mohammed Ditta. Dr Ditta has a great energy and shows his compassion and confidence on helping me to get the confidence back from total eyebrow hair loss, which I never deemed possible. He was very informative of the procedure that was being held in Manchester clinic and putting me at ease by answering all my questions. So as of 20/06/24 I am now on day 5 post op and it has been a journey. Sara has been with me every step of the way answering all questions, checking in on me regularly and supporting me through this process. Day of procedure was so settling that I didn’t have time to be over thinking. The very cheerful warm welcoming lady at the front of house on entry to then being greeted by harley street hair transplant director Yannis who is great, he was funny, welcoming and just so caring, being supportive throughout the whole procedure popping in checking on me and even helping me exit building after procedure which to me is a company of kindness. Dr Ditta in person was fantastic with warm energy and patience he explained everything in detail ensuring my comfort throughout the procedure and his two lovely girls on his team were amazing. He ensured I had an understanding of the after care process to ensure best results and ensuring support from the company if anything is needed. Still having regular communication ensuring my recovery is still going well, which is it!! Confident in my eyebrow hair transplant journey!
G fitmarp
G fitmarp
24 June 2024
Great clinic with friendly and experienced team. I wanted my surgery done in the UK and found the clinic on Google. Process started with virtual consultations with patient advisor and then with the surgeon. FULL costs were given up front, with good finance options available. On the day I designed a new hairline with the surgeon and ended up getting about 1600 grafts iirc, which was good value for money. Clear pre- and post-op instructions given and recovery has gone as expected. Now waiting patiently for regrowth :)
Julie Burhnam
Julie Burhnam
12 June 2024
If anyone is thinking big having this procedure done I would highly recommend it to be done here. I’m so excited to see the new hair growth starting and it’s only 3 mths since the procedure. The surgeon was absolutely first class and the after care is amazing. Regular check ups and in between checks you can pick the phone up and speak to them even if it’s just for reassurance.
anthony page
anthony page
10 June 2024
I visited the clinic near Manchester a little over a month ago and have been very happy with the service to date. It's too early to see the results yet but I am pretty optimistic as it all went to plan. The engagement before, during and after was faultless. Quick responses to any queries and good after care/follow up. The day itself, as expected, is quite long and be prepared for possible swelling after. The first few days after it were a little rough, but that was explained to me before hand. That said, i was up and out and about by day 3 and worked from home OK throughout all of it. The surgery itself went well and I was very impressed with Dr Tetiana and her team, they helped a long day go as best as can be expected, worked hard and were good company throughout. Sara has also followed up regularly since. Very happy to recommend and good luck!
patrick boyd
patrick boyd
13 April 2024
Very happy with the process so far. With a busy schedule I wasn’t too sure about taking 2 weeks of work but we managed to get the procedure booked within a month or so of my initial consultation so I was able to plan around it all easily. The team were very helpful in assessing my aims and suitability for the procedure and answered all my questions and concerns. They also offered the use of a facility in Manchester which I preferred so I wouldn’t have to use public transport post procedure. The procedure itself was a little uncomfortable at the start but I understand this is completely normal until the numbing kicks in. Both Dr Ditta and the two technicians were very experienced and comforting during the procedure. They handled my complications easily and I knew I was in safe hands. I had initially been looking at 1900 grafts but when we sat down to design my hairline more grafts were needed and I had a healthy donor area so we upped it to 2500 grafts at no additional cost. Currently on day 12 post procedure but the scabs came off on day 10 ahead of schedule, my aftercare routine was explained clearly and I was given everything I needed. My advice to anyone considering a transplant is that the procedure itself and the day after are a little rough but worth it. It’s definitely a big factor knowing your surgeon is experienced and you’re in good hands. I’ve recommended the team to friends of mine who are considering the procedure and would encourage people to use the team at the Harley Street Hair Transplant Clinics.
Sav fandi
Sav fandi
12 March 2024
I was a bit nervous before the procedure but it was a very comfortable environment there. I was well taken care of and the results now are incredible! Many thanks to the team!
James D
James D
18 February 2024
Would highly recommend. Everyone I had the pleasure of dealing with was so friendly and helpful. I had help with travel and accommodation and i was so well looked after before, during and after the procedure. I'm very thankful and now just waiting for the results.
WatchTheHorison
WatchTheHorison
30 August 2023
Welcoming staff. Nurse and doctor was lovely. No issues parking and coffee while you wait.
Mazza Ellerton
Mazza Ellerton
23 August 2023
Great experience. Made to feel really comfortable throughout the whole day and would highly recommend
Tom Francis
Tom Francis
23 August 2023
If you are thinking about it - go for it! Looked after, day went smoothly and worth it - let’s wait and see for the progress.

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