Follicular unit extraction (FUE) is minimally invasive method of hair transplant when individual FU's are removed directly from donor area without slits and sutures. Main advantage of FUE method is that it is always performed without leaving any linear scar on the donor area.
The surgeon extracts each graft separately with a specialized punch 0.75-1.0 mm in diameter that does not leave scars as the strip method can.
The use of this method is recommended for I–V Norwood classes. FUE is also highly suited to posttraumatic and post-burn scars as well as the restoration of eyebrows and eyelashes.
In cases where the donor area has insufficient stock for a full strip transplant, the FUE method allows harvesting of additional grafts from different parts of body (chest, feet, back, etc.)
Using the FUE method in our clinic it is possible to transplant up to 4000 grafts in one 6–8 hour session. Today we are performing small FUE sessions - up to 1500 grafts without cutting hair.
Below are represented the photos of the whole process of the hair restoration of the patient from Ireland since face-to-face consultation till the evening when surgery was finished.
You can also watch FUE hair transplantation video from initial consultation till end of operation
The doctor explains to the patient possible variants of a hair restoration:
Doctor Akaki Tsilosani paints the future hair line of the patient:
After that the doctor makes some photos for archive of Talizi:
Patient hairs trimmed up to 2.0mm necessary for FUE procedure
After that the doctor carries more detailed investigation of the scalp of the patient using the Folliscope. This inspection will help to establish an average quantity of hairs in each FU, a ratio of growing and having rest hairs in phases anagen/telogen, the percent of the healthy and miniaturized hairs, and also will allow to define precisely borders of area of hair genetically steady against the baldness as with FUE as much as possible big donor area is required.
Upon completion of all necessary procedures the patient is dressed in a special clothes and get in the operational room:
Local anaesthesia is carried out. The patient feels only a few first pricks. The whole rest process is absolutely painless.
Preparation is finished and now surgery begins:
The surgeon isolates a part of skin around the hair graft that releases graft and gives a chance to the assistant to extract it:
The assistant takes isolated graft using special micro forceps that allow to process it very carefully:
The assistant collects grafts on a special container moistened with chilled saline solution that prevents dehydration and the subsequent problems with survival rate of grafts:
Grafts are extracted in a such manner not to harm the donor area. The surgeon extracts every 6–8 FU
All extracted grafts pass the check and processing by assistants under stereo-microscopes. Only undamaged grafts without transection will be counted up and transplanted. Follicules which have been transected during getting by the surgeon, continue to grow in donor area as the hair root remains there.
The process of grafts getting is over. Now the patient rises for 5-minute rest, then he will sit on a special armchair where the surgeon will begin the process of making recipient sites
On display shown counted recipient sites. Now, when the surgeon knows, how many and what kind of grafts were extracted, he will precisely make the necessary quantity of recipient sites for each type of graft.
Each assistant takes container and begins grafts placement in the precreated recipient sites
The wide experience of assistants allows them to process grafts very carefully without damaging them
The patient is happy with the operation
Doctor Akaki Tsilosani gives to the patient recommendations for the night. It is important to be careful and not to influence physically on recipient area.
Hairs for transplant are extracted from patient’s chest in the form of individual follicular units
You can also watch video of body hair transplantation with FUE
Surgeon prepares for the process of FUE from the chest and makes anaesthesia:
Surgeon extracts hair follicles from the chest of the patient with special punch which rotates and isolates hair grafts from the skin:
Assistants harvest isolated hair grafts and place on hair container on the left hand:
Two surgeons and two assistants work together to speed up the process:
The chest of the patient immediately after FUE
All harvested grafts will be checked by assistants under microscopes to be sure that only undamaged grafts will be transplanted