Hair Transplantation with FUE (Follicular Unit Extraction)


Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT) are the most important techniques in the hair transplantation world today. 


During FUE harvesting, individual follicular units are extracted directly from the hair restoration patient's donor area one by one. Also at ASMED, a sequential technique for FUE has been refined that allows for the extraction and collection of follicles performed one by one in a sitting position with a manual punch.


Generally, surgeons that are skilled in hand eye coordination, which have good physical stamina and who are familiar with hair anatomy, perform FUE by manual punch. The path of the hair coursing through the skin should be clearly known by surgeon in order to extract perfect grafts. With large numbers of grafts in a single session, the operation becomes more difficult, and the surgeon requires more concentration.


The average speed of extraction is 800-1000 grafts per hour. This speed and proper storage conditions allow us to deal with high numbers of grafts. Extractions performed in a sitting position provide a better view of the donor area, thus allowing for more homogenized extractions.


The FUE harvesting of grafts causes "pit" scarring (small, round, and typically white scars) in the patient's donor area where the grafts have been removed. When compared to FUT scars, FUE scars are so minor and small that with good homogenization during surgery, the patient can even wear a short haircut.


FUE surgeries using the sequential technique and manual punch take longer than surgeries using the other techniques. Additionally, the perfection of this technique requires skill as well as a prolonged learning period in order to achieve a high standard.


The choice of instruments is other factor that affects the extraction quality of the follicles. Some surgeons use 0,6-0,8 mm diameter punches that leave very small scars.


There are some great advantages with FUE. The patient recovery time is
generally quicker than with other methods and post-operative discomfort is
significantly lower than with FUT. FUE also provides better homogenization than
FUT, and this directly affects the natural looking result and the possibility
of wearing a short haircut.

Article by
Istanbul Hair Restoration Surgeon