FUE hair transplant
Follicular unit extraction (FUE) is minimally invasive method of hair transplantation 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.
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 2500–3000 grafts in one 6–8 hour session. Surgery typically consists of 1–2 sessions that are taken place over the course of two days. It is possible to extract up to 5000 grafts during surgery using the FUE method.
The photo report on a hair transplant using FUE method applied to the patient from Ireland
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.
Doctor Akaki Tsilosani examines a donor zone of the patient using the Trichoscope. The purpose of this survey is to define the possibilities of the donor zone of the patient, i. e. quantity of grafts in each square centimeter. This information will allow the surgeon to define quantity of grafts which could be harvested for the subsequent hair transplant.
Then the doctor explains to the patient possible variants of a hair restoration:
Doctor Akaki Tsilosani paints the future hair line of the patient:
After the patient agrees with all conditions, our officer gives him a contract where all details of the future surgery and responsibility of Talizi for successful surgery are specified. Also we guarantee that all transplanted hairs will grow whole life long, otherwise Talizi undertakes to return the sum paid by the patient.
The parties fill the contract:
Doctor Akaki Tsilosani explains everything in detail to the patient and answers all questions:
The contract is assured by signatures of the parties and by the stamp of Talizi:
After that the doctor leaves the line of hair accepted by the patient and 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.
The surgeon prepares the special tool for getting hair gafts by seamless method FUE:
Talizi uses special punches with small diameter (0.75mm) that reduces donor zone trauma but in turn allows to extract grafts with the minimum transsection:
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
The patient lies in consciousness without any unpleasant sensations:
This is how the hair grafts look on the container on the glove of the assistant:
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.
This is how processed and combined on containers grafts look. All containers are put in the Petri dishes filled with a chilled saline solution, and are stored in the refrigerator at temperature of 4 C°. It allows to prevent the processes of warming and dehydration of grafts, leading to their dying.
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
Doctor Akaki Tsilosani shows grafts to the patient and explains how their calculation is conducted:
The calculation of grafts is over! It was extracted:
1-hair grafts — 656;
2-hair grafts — 1021;
3–4-hair grafts — 358;
In total: 2035 grafts containing 3965 hairs.
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.
Personnel switch on TV, now patient has something to do:
All recipient sites are created! Now assistants can get already processed and prepared grafts from the refrigerator and begin their placement.
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.
The surgery finished late at night and we took the patient to the hotel.
Hairs for transplant are extracted from patient’s chest in the form of individual follicular units
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
