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Close-up of a fine surgical tip

Hair transplant technique

Sapphire FUE

An FUE procedure in which channels are opened with sapphire-tipped blades; graft extraction and implantation are the same as in FUE.

Sapphire FUE is an application of FUE in which fine tips made from sapphire are used instead of steel ones during the channel-opening step. Extracting grafts from the donor area and placing them into the channels is the same as in classic FUE. The smooth, sharp surface of sapphire blades may help channels to be opened small and clean; the blade size is chosen according to graft size.

From consultation to month 12

The process, step by step

The process, step by step
Notes on the consultation desk
Step 01

Consultation

The doctor examines your scalp and donor area with a dermatoscope; hair calibre and follicular unit structure also influence the blade size to be used. Whether sapphire FUE is suitable is determined at this examination.

Consultation room
Step 02

Planning

The hairline is drawn and the recipient areas are defined. The direction, angle and spacing of the channels are planned to follow the natural direction of growth; blade size is chosen based on graft samples.

Tray of sterile surgical instruments
Step 03

Procedure day

Grafts are extracted using FUE. Channels are then opened with sapphire blades at the planned angle and direction, and the grafts are implanted one by one with forceps.

Neck pillow and white pillow
Step 04

The first 10 days

The first wash is done at the clinic the following day. The scabs come away within about 7–10 days. During this period it is important to follow the instructions on hats, sleeping position and washing.

Hair texture catching the light
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

Sapphire FUE

Procedure day

  1. Transfer from the hotel and welcome
  2. Blood tests, consent and a talk with the doctor
  3. Drawing the hairline and photographic records
  4. Local anaesthesia and FUE graft extraction
  5. Lunch break
  6. Channel opening with sapphire blades and implantation
  7. Dressing and transfer to the hotel
Explore the procedure day

Technical summary

Anaesthesia
Local anaesthesia
Channel opening
Sapphire-tipped blades, chosen according to graft size
Procedure time
Approximately 6–8 hours, depending on graft count
Shaving
Usually required
Time at the clinic
Return to the hotel the same day

What you should know

  • The sapphire blade is a choice of instrument for the channel-opening step; on its own it does not determine the outcome.
  • Swelling and redness may appear in the first few days.
  • The recipient area should not be touched and should be protected from friction for the first 10 days.
  • Tell your doctor about any medication you take and any chronic conditions.

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

Is sapphire FUE a different method from FUE?
No. Graft extraction and implantation are the same; the difference is the material of the blade used to open the channels.
Does a sapphire blade shorten recovery?
Small, clean channels may support healing; however, recovery time depends on skin type, graft count and aftercare. It is not possible to give a personal timeframe without an examination.
Is shaving required for sapphire FUE?
In most plans the donor and recipient areas are shaved. For small areas, partial shaving options can be discussed with your doctor.

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