FOLLICULAR UNIT EXTRACTION (FUE) HAIR TRANSPLANT

* Budapest, Irén utca 1, 1021 Hungary

HAIR TRANSPLANTATION: Hair transplantation has evolved a long, long way since it began in the early 1950’s. In 1939, a Japanese dermatologist, Dr. Okuda, published a revolutionary method in a Japanese medical journal of using small grafts that was similar to the way hair transplantation is performed today. FUE HAIR TRANSPLANTATION Follicular unit extraction or FUE is a hair transplant technique in which a small round punch (0.8 mm – 1.0 mm) is used to extract follicular units from a patient’s bald resistant donor areas. These follicular units are then transplanted into a patient’s balding areas. Given the time consuming and tedious nature of this procedure a physician is often limited to transplanting 1000-1500 follicular unit grafts in one day. The cost per follicular unit of FUE is also typically twice the cost of the standard follicular unit hair transplant (FUT) procedure in which a strip of donor tissue is removed from the back of the head and trimmed under microscopic magnification into individual follicular units. HOW A FUE HAIR TRANSPLANT IS PERFORMED? During the Follicular Unit Extraction or FUE procedure follicular units are excised one at a time using a tiny 0.8 mm – 1.0 mm punch. Typically the patient’s hair in the donor area where these follicular units are being removed is shaved so that the physician is able to see the patient’s scalp. The follicular units are extracted using a multiple step process. First a small sharp punch outlines the skin around a follicular unit. Then a small dull punch is used to go deeper into the soft tissue surrounding the follicular unit. Since the direction and angle of the follicular units beneath the skin can’t be seen and can often differ from the direction of the hair on the surface, a sharp punch if used below the surface of the skin will most of the time transect or severe the underlying follicular units. Once the underlying follicular units is separated from the surrounding tissues it can then be extracted, often by a forceps gripping the hair above the surface. The small hole left behind after the follicle is extracted then heals over the next few days. This tiny wound contracts as it heals making the resulting round scar smaller and less noticeable. The FUE patient typically ends up with hundreds of small round white scars,if performed correctly, which are normally not detectable to the naked eye once the patient’s hair grows out. WHAT IS FOLLICULAR UNIT EXTRACTION (FUE)? Follicular Unit Extraction (FUE) is a method of obtaining donor hair for Follicular Unit Transplantation (FUT), where individual follicular units are harvested directly from the donor area, without the need for a linear incision. With the FUE technique, a 0.8 mm to 1.0 mm punch is used to make a small circular incision in the skin around the upper part of the follicular unit, which is then extracted directly from the scalp. Follicular Unit Transplantation (FUT) and Follicular Unit Extraction (FUE) are sometimes mistakenly viewed as being two totally different hair transplant procedures. FUE, in fact, is a sub-type FUT where the follicular units are extracted directly from the scalp, rather than being microscopically dissected from a strip that has already been removed. To say it another way, in Follicular Unit Transplantation, individual follicular units can be obtained in one of two ways; either through single strip harvesting and stereomicroscopic dissection, or through FUE. Therefore, when comparisons are made between FUT and FUE, what is really being compared is the way the follicular units are obtained (i.e. strip harvesting and dissection vs. direct extraction). The process in the recipient area is the same. The main advantage of FUE is that it does not cause a linear scar. Therefore it is useful in patients who for one reason or another may in the future want to have their donor area very short. COMPARING FOLLICULAR UNIT EXTRACTION (FUE) TO THE STANDARD STRIP PROCEDURE While the FUE procedure has grown in popularity, largely due to the minimally invasive way in which follicular units are removed, the standard strip excision method is still the most popular hair transplant procedure. The standard strip excision method involves surgically removing a strip of scalp from the bald resistant donor area of the patient. The donor area is then sutured together. These sutures (either stitches or staples) are then removed about 7-10 days after surgery. When the linear incision is fully healed the patient is left with a thin undetectable scar in the back of the head. This scar is typically hard to see once the surrounding hair grows out. Both the FUE and the Strip Excision procedures have advantages and disadvantages: The strip excision procedure is more economical (typically half the price of FUE) and also enables a doctor to move much larger numbers of follicular units /hairs to the balding areas during a given surgical session. However, the donor area after a strip excision surgery will require more time before it is fully healed when compared to the FUE surgery. In addition, the FUE procedure, given its minimally invasive nature, does not produce one long linear scar but rather hundreds of tiny scars in the donor area that are often hard to detect. This has fueled interest in the FUE procedure with patients who are highly concerned about potential visible scarring in the donor area. However, given recent advances and care in donor closure techniques used during strip excision surgery, the linear donor scar created by the strip excision procedure is now often almost undetectable, even upon close examination. Thus concerns about visible scarring in the donor after strip surgery have diminished. This has made the additional cost and time requirements of doing the FUE procedure relatively less appealing.

Location
Budapest (Hungary)
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Why is this treatment done?Hair transplants are done to add more hair to an area on your head that may be thinning or balding. It's done by taking hair from thicker parts of the scalp, or other parts of the body, and grafting it to the thinning or balding section of the scalp.
WHOSE HAIR WILL BE TRANSPLANTED ONTO MY HEAD? DOES THIS WORK LIKE ORGAN TRANSPLANTS WHERE THERE'S A DONOR AND A RECIPIENT?Unlike the case of organ transplants, in a hair transplant you are your own donor. If you received hair, follicle, and tissue from someone else (other than an identical twin), your body would reject them without immune-suppressant drugs. You donate your hair from what are called your donor sites.
WHAT SHOULD I EXPECT DURING MY FIRST CONSULTATION AT PROHAIR TRANSPLANT CLINIC?During your first consultation, the doctor himself, at ProHAIR Transplant Clinic will examine your head thoroughly and take a detailed medical history. Let you know if you are a candidate for hair transplantation or not. If you are not a candidate for hair transplantation, you will be explained the reasons for not being a candidate and also explained the medical treatments that are available for your problems, if applicable. The examination of your head should include the use of an instrument called the “Hair Densitometer”. This measures your hair density and also allows your doctor to properly evaluate the number of hairs in each of your naturally occurring follicular units and the hair loss pattern you may experience over time if it is applicable to your type of hair loss. This instrument compares fine hair to thick ones, measuring the degree of miniaturization of your hair strands caused by shrinking hair follicles, the progressive diminishing of each hair’s diameter and length. The doctor(s) at ProHAIR Transplant Clinic will also explain the entire hair transplant procedure, including which type of procedure will be used for your hair transplant and any associated risks, and tell you what you can expect in the months following the hair transplant procedure.
WHERE ARE MY DONOR SITES?Male pattern hair loss and female pattern hair loss are terms that include the word pattern. That’s because there is a pattern to the hair loss. You’ve probably noticed, especially in men, that no matter how much hair they lost in the front, top, and crown areas of their heads, the sides and backs of their heads retain hair and sometimes a great deal of it. The sides and back are almost not affected by the action of DHT upon their hair follicles. This area of remaining hair is called ‘Horseshoe’ shaped pattern of hair. These areas are the donor sites from which the hair you donate to yourself is removed, along with the follicles and some surrounding tissue.
HOW IS THE DONOR SITE CONCEALED?There are many ways of closing the open wounds created from the removal of the hair and surrounding skin. At ProHAIR Transplant Clinic we use the most up to date methods of concealing the sutures and therefore we use different types of closing materials depending on the patient’s need.
HOW DOES THE DIRECTION IN WHICH YOUR HAIR NATURALLY GROWS AFFECT YOUR HAIR TRANSPLANT?Coarse hair is bulkier and can therefore be transplanted using fewer hairs per follicular units since it gives more coverage of the scalp. Fine hair has less bulb and can give a very natural look but less coverage than coarser hair. Wavy and curly hair lends itself to good visual results in transplantation because a single wavy or curly hair curls on itself and can therefore cover more scalp area than can a straight hair. Curly hair also rises from the scalp and holds its shape, and these factors also give the appearance of greater coverage.
DOES HAIR COLOR OR SKIN COLOR PLAY A ROLE IN HAIR TRANSPLANTATION?The closer your hair color is to your skin color, the better the appearance of the hair’s coverage. African hair is dark and very curly and therefore provides the least contrast against various shades of dark skin, giving the best visual hair transplant results. From a visual point of view, people with dark, straight hair and alight complexion pose the most artistic challenges in hair transplantation because they have the most contrast between their hair and skin shades.
HOW MANY PROCEDURES WILL I NEED?The number of procedures depends upon the extent of your hair loss, the projected hair loss rate, the amount of donor hair you can spare, and other artistic and medical considerations. Men can often have the results they’re looking for in just one or two hair transplant sessions in which thousands of hairs are transplanted in follicular units of one to four hairs each. Women are usually satisfied by one session to achieve proper density. The sessions can last between three to five hours each. Future sessions can follow if necessary, after a minimum of 6 months.
IS THE HAIR TRANSPLANT PROCEDURE PAINFULL?As any surgical procedure, there is small pain or numbing felt, but the pain is less than encountered at the dentist’s office. At ProHAIR Transplant Clinic, we use the most up-to date methods during the whole procedure, including the process of local anesthesia. But keep in mind that hair transplant surgery takes place only under local anesthesia, therefore if a doctor asks or tells you that he performs or will perform hair transplantation under general anesthesia then get out of there as fast as you can because he does not perform hair transplants at all.
FOLLICULAR UNIT EXTRACTION (FUE) HAIR TRANSPLANT
* Budapest, Irén utca 1, 1021 Hungary