FUE Hair Transplant

FUE Hair Transplant

Hair transplant is a beautiful and creative procedure as much about craftsmanship and design as it is about microsurgery. Every case is different and a successful result depends on the patient’s demands and wishes and they are being understood and carried out by the doctor. Therefore the surgeon has to be not only a skilled surgeon but an artist, a creative with a sense of design as well.


In FUE (FOLLICULAR UNIT EXTRACTION) method individual follicular unit containing 1 to 4 hairs are removed (extracted) using tiny punches of between 0.6mm to 1mm in diameter from the donor area. Each follicle is then placed into the recipient sites in the balding area of scalp using fine needle point instrument. In these recipient sites, these hair follicles grow into healthy hair. This procedure is done under local anesthesia. After transplantation, these hair will continues to grow for life time, they can be shampooed, groomed and require normal hair cut. The small openings left behind after follicle unit extraction, heals in few days and result will be scar less skin.

Planning for FUE

Before the procedure one must think of the long term planning to achieve the best result. There are many factors, which has to be consider when planning hair restoration, age, degree of thinning, rate of loss, hair characteristics, donor density, scalp laxity, styling preferences and your long term goals and expectations.

  • Which areas will be planted?
  • How many grafts will be planted to the patient?
  • How many sessions will be conducted?
  • Where in the planting areas grafts to be planted whether single double or triple?
  • Where the hair line will begin?
  • Whether there is a need for another doctor’s opinion?
  • The groups of patients at risk are (agitated patients, history of drug allergy, those who have cardiovascular disease, diabetics) . For those who require regular treatment it is important to have a physician consultation

    Advantage of FUE

    • No stitches
    • No infection to skin
    • No linear visible scar
    • Painless
    • No tightness in donor area
    • Less tenderness over donor area
    • Blood loss is minimal
    • Decreased healing time in the donor area
    • No limitations on strenuous exercise after the procedure
    • Less post-op discomfort in the donor area
    • Useful for repairing donor scars that cannot be excised
    • Provides an alternative when the scalp is too tight for a strip excision.

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Hair transplantation is really about relocating (transplanting) the bald resistant hair follicles from the back of the head to the balding areas on the top of the head. This process works for a lifetime because the hair follicles taken from the back of the head are genetically resistant to baldness, regardless of where they are relocated to.

Hair transplantation, when done right, can be so natural that even your hair stylist will not know that you've had it done. But the skill and techniques of hair transplant surgeons does vary widely, as do their results. It's important to choose the right procedure and clinic to assure that you will get completely natural results.

A typical session of between 1,500 to 3,000 grafts normally involves a full day of surgery on an out patient basis. Most patients will arrive in the morning and will have their procedure completed by late afternoon.

Patients are given local anesthesia in the donor and recipient areas. Most patients find that once the anesthesia is given that they feel no pain or discomfort during the surgery. Following surgery patients will typically feel some amount of soreness and numbness, with some mild discomfort. Most patients are pleasantly surprised by how minimal the discomfort from the surgical procedure is.

The amount of grafts you will need ultimately depends on your degree of hair loss, now and in the future, and on how full you desire your hair to be.

With today’s very refined micro hair transplantation procedure the incisions are very small and less invasive than past procedures. This results in more rapid healing. Most patients feel fine within a day or two following surgery, although some numbness and mild soreness can be expected for several days following surgery.

Immediately following surgery a patient’s recipient area is typically pink with scabs forming around the micro incisions. These hundreds of tiny incisions will heal rapidly within a week to ten days.

During the first few days after the surgery a person’s hair transplants will be noticeable if there is no previous hair to mask these temporary scabs. However, most patients feel comfortable being in public without wearing a hat within 5 to 7 days following surgery.

Once the transplanted hair grows out the results should look entirely natural, even under close examination.

Normally it takes between three to five months following surgery before the transplanted hair follicles begin to grow new hair. The transplanted hair grows in very thin initially and gradually grows thicker and fuller over time. After one year a patient’s transplanted hair will be fully mature and will continue to grow for a life time.

Since the hair follicles that are transplanted to the balding areas are genetically resistant to going bald, they will continue to grow for a life time – just as if they had been left in the bald resistant donor area.

Many patients can return to their daily routines within 1 to 2 days, as long as they don't do anything too strenuous. Avoid rigorous exercise until the donor sutures are removed — generally after 10 to 12 days.

MD Ilter has refined the Follicular Unit Extraction (FUE) technique and developed FUE IM. Instead of using instruments that are 1 mm in diameter, we use tools that are 0.5 – 0.75 mm. This leads to faster healing times and a dramatically reduced risk of visible scarring. 

 Thanks to the refined technique of FUE IM, more than 99 % of grafts will be transplanted intact. FUE IM also includes more exact incisions that allow denser placement.

The methods are similar, but FUE IM is an improvement over the original FUE technique. FUE IM involves tools that are 0.5 -0.75 mm in diameter, whereas traditional FUE tools measure 1 mm. Aside from denser placement, FUE IM shortens the healing time and further reduces the risk of visible scarring. Additionally, FUE IM more or less ensures that all transplanted grafts will remain intact.

The list below shows you the difference between FUE IM and FUT/Strip.

The transplant procedure

FUT/Strip : The STRIP method has been used for many years. It involves removing a strip of skin from the back of the head (the donor area) using a scalpel. After removal, the gap at the back of the head is stitched back together. The strip of skin from the donor area is divided into grafts. Serious clinics will perform this stage using a microscope, as the grafts should be divided to contain one, two or three follicles. Unfortunately this is not always the case, which leads to unnatural-looking hair and dissatisfied patients.

FUE IM : FUE is an advanced technique for extracting hair follicles done entirely without a scalpel or stitches. The hair follicles are removed one by one from a donor area with the help of powerful magnification and special microsurgical instruments that are less than a millimeter in size. FUE IM is very patient-friendly thanks to its minimally invasive nature. The grafts are always small due to the micro instruments and the method regularly leads to a natural look.

FUT/Strip : The patient must avoid physical activity for at least 30 days after the day of surgery.

FUE IM : The patient can participate actively in sports without restriction after a week.

FUT/Strip : When a strip of donor skin is removed with a scalpel, a number of hair follicles will be damaged. However, powerful microscopes, the right instruments and a skilled surgeon will help minimize the damage.

FUE IM : Our method at the Ilter Clinic does not usually damage any follicles during the operation itself.

FUT/Strip : The number of hair follicles extracted partly depends on the size of the strip of skin removed and partly on the density of the hair follicles within the strip.

FUE IM : With FUE IM, the doctor can determine precisely how many grafts are needed and transplant exactly the desired number to the recipient area.

A follicular unit is the size of the graft and the number of hairs the graft holds. Through 30 years of work developing hair transplant techniques, it is possible to have very small follicular units. Originally transplants involved large grafts, but now with modern hair transplant methods, such as FUE, it is possible to have one, two or three hairs in each graft.

FUE makes it possible to transplant individual hair follicles without a scalpel, without the excision of a strip of skin and without the need for stitches.

The hair is selected from a donor area, for example the back of the head or the body, and extracted under local anesthetic. The grafts are then removed one by one with each graft encapsulated in a small cylinder of skin.

The surgeon then makes tiny incisions in the recipient area and determines the thickness and direction of the new hair. The grafts are then inserted, again under local anesthetic.

The transplant looks entirely natural and the new hair is as strong and healthy as it was before being transplanted.

Normally we transplant 500-3,000 grafts per day, which are equivalent to about 1,000-6,000 hairs.

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