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Laboratory microscope

Hair transplant technique

FUE Hair Transplant

A technique in which grafts are extracted one by one from the donor area and placed into opened channels; often used for larger areas.

FUE (Follicular Unit Extraction) is a method of extracting follicular units — the natural groupings of one to four hairs in which follicles grow — one at a time, usually from the back and sides of the head. The extracted grafts are then placed into channels opened in advance in the recipient area where hair has been lost. Because it does not leave a linear scar in the donor area and can be planned over larger areas, FUE hair transplant is today one of the most widely used techniques.

From consultation to month 12

The process, step by step

The process, step by step
Dermatoscope
Step 01

Consultation

The photos you sent for your online assessment are complemented by a dermatoscopic examination at the clinic. The doctor assesses donor density, hair calibre and how the hair loss is likely to progress; this examination determines whether FUE is suitable for you.

Drawing on a tablet
Step 02

Planning

The hairline is drawn with a marker to suit your age and facial proportions, and reviewed with you. The recipient areas and estimated graft count are noted, with the long-term capacity of the donor area kept in mind.

Surgical team in masks and caps at work
Step 03

Procedure day

After local anaesthesia, grafts are extracted one by one with a micromotor and fine punch tips and held in saline solution. Channels are then opened in the recipient area and the grafts are implanted with attention to direction and angle.

Shower head with lukewarm running water
Step 04

The first 10 days

The check-up and first wash take place at the clinic the following day. Washing continues over the next days according to your written instructions; the scabs usually soften and come away around days 7–10. Protecting the recipient area during this period is important.

Macro image of hair strands
Step 05

12 months

The scabs come away in the first weeks; between months 1 and 3 some of the transplanted hairs may shed temporarily. New growth generally begins after month 3–4 and becomes noticeable around month 6; for most people the final appearance is assessed at around 12 months. Timings vary from person to person.

Explore the recovery timeline

FUE Hair Transplant

Procedure day

  1. Transfer from the hotel, arrival and welcome at the clinic
  2. Blood tests, consent forms and a final talk with the doctor
  3. Drawing the hairline, photographic records and shaving
  4. Local anaesthesia and graft extraction
  5. Lunch break and rest
  6. Channel opening and graft implantation
  7. Dressing, aftercare instructions and transfer to the hotel
Explore the procedure day

Technical summary

Anaesthesia
Local anaesthesia
Procedure time
Approximately 6–8 hours, depending on graft count
Shaving
Usually required in the donor and recipient areas
Time at the clinic
Return to the hotel the same day
Return to daily life
For desk-based work, generally within a few days; as advised by the doctor

What you should know

  • Temporary swelling of the forehead and around the eyes may appear in the first few days.
  • The donor area may be tender and red for a few days.
  • Temporary shedding of some transplanted hairs in the first months (shock loss) can be part of the process.
  • You should inform your doctor in advance about smoking and any blood-thinning medication.

Comparison

FUE, sapphire FUE and DHI: where do they differ?

In all three techniques, grafts are extracted individually from the donor area. The difference lies in how the channels are opened in the recipient area and how the grafts are implanted.

—FUESapphire FUEDHI
Graft extractionOne by one, with a micromotor and fine punchSame as FUESame as FUE
Channel openingIn advance, with a steel blade or needleIn advance, with a sapphire bladeNo separate channels; opened and implanted with an implanter pen
ImplantationWith forceps into pre-opened channelsWith forceps into pre-opened channelsDirectly with the pen, with angle and depth adjusted
Often preferred forLarger areas, a high graft requirement in one sessionLarger areas, closely spaced channel planningHairline, thinning areas, unshaven options
ShavingUsually requiredUsually requiredPartial or unshaven where suitable
Procedure time6–8 hours, depending on graft count6–8 hours, depending on graft count7–9 hours, depending on graft count

This table is for general information. The doctor decides which technique to use after the examination; some plans combine techniques.

FAQ

Questions about this procedure

What will I feel during FUE?
The procedure is performed under local anaesthesia. There may be a brief stinging sensation while the anaesthetic is given; what is felt afterwards varies from person to person. Your doctor will explain this in detail at your consultation.
How many grafts will I need?
The number of grafts depends on the size of the recipient area, the target density and donor capacity. The estimator in the simulation gives only an approximate range; the exact number is determined at the examination.
Will there be marks in the donor area?
With FUE, grafts are extracted individually, so no linear scar is formed; tiny dot-like marks may be noticeable on close inspection when the hair is cut very short. This depends on skin type and the number of grafts extracted.

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