Op. Dr. Barış Çin

What is F-U-E and how does it work?

F-U-E (Follicular Unit Extraction) is a technique used in hair transplantation. In this technique, the hair follicles are taken one by one and placed in the planted area. The process usually includes these steps:

Determination of Donor Area: The donor area where healthy and permanent hair follicles are located is determined. The donor area is usually the hairy areas on the back of the neck or on the sides.

Local Anesthesia: Local anesthesia is applied to the donor area and the recipient area. This ensures that the procedure is done painlessly.

Removal of Hair Follicles: F-U-E procedure is performed by removing hair follicles one by one with microsurgical instruments. At this stage, the hair follicles are carefully removed using a special instrument (usually a micromotor or manual instrument).

Preparation of the Recipient Area: Holes or channels are opened in the area where the hair will be transplanted. This step is meticulously performed to ensure planting at the correct angle and density.

Transplantation of Hair Follicles: The extracted hair follicles are placed in carefully prepared recipient areas. This process is done by paying attention to the right angle and natural hair growth direction.

Healing Process: After the F-U-E procedure, small crusts and redness may occur in the areas where the hair is transplanted and removed. The healing process is usually completed within a few weeks and the hair starts to grow naturally.

The F-U-E technique is considered a less invasive option in the hair transplant procedure and generally offers a faster recovery time. It is also a preferred technique because the scars are minimal. However, the F-U-E technique may not be suitable for everyone and another technique may be recommended depending on the individual situation of the hair transplant candidate. Therefore, it is important to consult with a hair transplant specialist.

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How is the F-U-E technique different from other hair transplant techniques?

The F-U-E technique has some important differences from other hair transplant techniques. Here are some features that distinguish the F-U-E technique from other hair transplant techniques:

Graft Retrieval Method: In the F-U-E technique, hair follicles are taken from the donor area one by one, while in some other techniques, hair strips are cut and removed (for example, the FUT technique). While no sutures or scars are formed in the F-U-E technique, a scar is usually left in the FUT technique.

Scar and Healing Process: The F-U-E technique is a less invasive method because the grafts are taken one by one. This makes the healing process faster and scars are usually minimal. With other techniques, usually a longer healing period and obvious scars may occur.

Processing Time: F-U-E technique may take longer than other techniques. Because removing the follicles one by one is a time-consuming process. In other techniques, such as the FUT technique, cutting the hair strip can occur more quickly.

Hair Transplant Density: The F-U-E technique allows to work more precisely in the area to be transplanted. Planting grafts one by one provides more control to achieve natural-looking results. In other techniques, the transplantation of grafts can be done more limited and in groups.

Donor Area Competence: The F-U-E technique offers the flexibility to use the hair follicles in the donor area in a larger area. Because each follicle is removed one by one, the requirement that the donor area be homogeneous is less important. In other techniques, the donor area may be more limited and homogeneous hair quality may be a requirement.

The F-U-E technique is a method chosen by considering the individual situation, hair quality and preferences of the hair transplant candidate. Each hair transplant technique has advantages and disadvantages, so it is important to consult with a hair transplant specialist to determine the most appropriate method.

What kind of surgical procedure is the F-U-E technique?

The F-U-E (Follicular Unit Extraction) technique is considered a surgical procedure. The procedure involves removing hair follicles and placing them in the area to be transplanted. Here are some features of the F-U-E technique as a surgical procedure:

Local Anesthesia: F-U-E procedure is performed under local anesthesia. Local anesthesia is used to numb the donor area and the recipient area. This ensures that the procedure is done painlessly. General anesthesia is not required.

Graft Removal: The main stage of the F-U-E procedure is the removal of hair follicles one by one. This procedure requires making small incisions on the scalp. A special tool (micromotor or manual tool) is used to remove the grafts.

Preparation of Recipient Area: The area to be transplanted is prepared by opening holes or channels. This step is important to ensure that the grafts are planted at the correct angle and density. Opening the channels is also a surgical procedure.

Graft Transplantation: The extracted hair follicles are placed in carefully prepared recipient areas. This step also requires a surgical procedure and attention is paid to the correct angle, natural hair growth direction and density.

Healing Process: After the F-U-E procedure, small crusts, redness and mild swelling may occur in the areas where the hair is transplanted and removed. The healing process may take several weeks due to the nature of the surgical procedure.

The F-U-E technique is considered less invasive than some other hair transplant techniques. However, it is important to remember that it is still a surgical procedure. It is important that the procedure is performed under the control of an experienced hair transplant specialist and in a suitable medical environment. In addition, since it is a surgical procedure, it is necessary to consider the potential risks and the healing process.

Does FUE technique require general anesthesia?

No, the FUE (Follicular Unit Extraction) technique does not require general anesthesia. The FUE procedure is performed under local anesthesia. Local anesthesia is used to numb the donor area (the area where healthy hair follicles are located) and the recipient area (the area where the hair will be implanted).

Local anesthesia allows for temporary numbness of the nerves in the hair transplant area. This minimizes any pain or discomfort during the procedure. Local anesthesia is typically administered through injections.

Using local anesthesia in the FUE technique allows the patient to remain conscious. In other words, the patient is awake and able to communicate during the procedure. This facilitates communication between the surgical team and the patient, as well as making it easier for the patient to change positions if needed.

General anesthesia is a type of anesthesia where the patient is completely unconscious during the procedure. General anesthesia is not necessary for the FUE technique because the procedure can be performed under local anesthesia. Local anesthesia can be a safer option and minimizes the potential risks associated with general anesthesia.

However, in some rare cases or upon specific requests, there may be situations where the patient prefers to be under general anesthesia. In such cases, the hair transplant team, working in collaboration with an anesthesiologist, can evaluate the option of general anesthesia.

In conclusion, the FUE technique typically uses local anesthesia and does not require general anesthesia. However, each patient is unique, and the hair transplant specialist will determine the most appropriate anesthesia method based on the patient’s condition and preferences.

How is hair transplantation performed with FUE? What is the step-by-step process?

Hair transplantation performed using the FUE (Follicular Unit Extraction) technique follows a process that includes the following steps:

  1. Donor Area Identification: In the first step, the donor area, which contains healthy and permanent hair follicles, is identified. Usually, the back or sides of the scalp with hair are selected as the donor area.

  2. Local Anesthesia: The donor area and the recipient area (the area where hair transplantation will be done) are numbed with local anesthesia. This ensures a painless procedure.

  3. Extraction of Grafts: Hair follicles are individually extracted from the donor area using microsurgical tools. During this stage, a specialized tool (typically a micro motor or manual tool) is used to carefully remove the hair follicles. Minimal incisions or punctures are made during the extraction of grafts.

  4. Preparation of the Recipient Area: Tiny incisions or channels are made in the recipient area where the hair will be transplanted. This step is carried out with precision to ensure proper angle and density of transplantation.

  5. Implantation of Grafts: The extracted hair follicles are meticulously placed into the prepared recipient areas. During the implantation process, the correct angle, natural hair growth direction, and density are taken into consideration. This ensures the hair achieves a natural and aesthetic appearance.

  6. Healing Process: After the FUE procedure, small scabs and redness may occur in the transplanted and donor areas. The healing process is usually completed within a few weeks, and the hair starts to grow naturally.

The FUE procedure can be performed in a single session or multiple sessions, depending on the patient’s degree of hair loss, hair transplantation goals, and the condition of the donor area.

Each step is performed meticulously by an experienced hair transplantation specialist and their team. The FUE technique requires attention to detail and precision to achieve natural results. Therefore, it is important to trust the expertise of the professional performing the procedure.

Do hair transplants performed using the FUE technique look natural?

Yes, hair transplants performed with the FUE (Follicular Unit Extraction) technique generally have a natural and aesthetic appearance. There are several reasons for this:

Precise Implantation of Grafts: In the FUE technique, hair follicles are individually extracted and carefully placed in the recipient area. This is done with consideration for the natural growth direction, angle, and density of the transplanted hair. Specialists pay attention to aesthetic details during hair transplantation and place grafts in alignment with the natural hairline.

Micro Size of Grafts: The grafts used in the FUE technique are typically individual hair follicles. This allows for a finer and more natural appearance of the transplanted hair. The micro size of the grafts contributes to a natural hair look in the transplanted area.

Selection of the Donor Area: In the FUE technique, donor hair is usually taken from the back or sides of the scalp. These areas generally contain permanent hair and are genetically more resistant to hair loss. The quality and natural appearance of the donor hair are crucial factors that affect the outcome of the transplantation.

Healing Process: The healing process after the FUE procedure allows the transplanted hair to grow more naturally. During the healing process, scabbing and redness may occur, but these temporary side effects diminish over time. The transplanted hair grows naturally and develops according to the hair growth cycle.

When these factors come together, hair transplanted using the FUE technique generally provides a natural, permanent, and aesthetic appearance. However, the results can vary depending on the individual’s current hair condition, the quality of the donor area, and personal factors. Collaborating with a skilled hair transplant specialist is important to achieve the desired results.

How many grafts can be transplanted with the FUE technique?

The number of grafts that can be transplanted using the FUE (Follicular Unit Extraction) technique varies depending on the quality of the individual’s donor area, hair transplantation goals, and the experience of the surgical team. The number of grafts is determined based on hair density, coverage area, and desired results.

Generally, in one session with the FUE technique, between 1,000 and 4,000 hair follicle grafts can be transplanted. This number typically corresponds to an average of approximately 2,000 – 3,000 hair strands. However, in some cases, fewer or more grafts may be transplanted.

The width of the donor area, hair follicle density, and overall health condition are factors that influence the number of grafts that can be transplanted. For example, individuals with a limited donor area may have a lower number of grafts available for transplantation. Additionally, the size of the transplant area and the individual’s existing hair condition can also affect the number of grafts.

When planning a hair transplant, the experience and expertise of the surgical team are also important. A skilled hair transplant team has experience in properly evaluating the donor area, effectively harvesting grafts, and performing the transplantation at the correct angle and density.

In conclusion, the number of grafts that can be transplanted with the FUE technique varies depending on individual factors. After evaluating the patient’s condition, a hair transplant specialist can determine the most appropriate number of grafts and create a personalized hair transplant plan.

How long can the FUE technique take?

The duration of a hair transplantation procedure performed using the FUE (Follicular Unit Extraction) technique can vary depending on several factors. These factors can include:

Number of Grafts: The duration of the procedure depends on the number of grafts to be transplanted. If a larger number of grafts are to be transplanted, the procedure may take longer. Typically, transplantations ranging from 1,000 to 4,000 grafts can be completed in one session.

Hair Length: The length of the hair can also impact the duration of the procedure. Extracting and placing grafts may be quicker for individuals with short hair, while separating and transplanting grafts for individuals with long hair may take more time.

Condition of the Donor Area: The condition of the donor area, where the hair follicles are harvested, can affect the procedure’s duration. A higher density of hair in the donor area and easy accessibility can expedite the extraction process.

Experience of the Surgical Team: The experience of the surgical team performing the procedure can also influence the duration. An experienced team can complete the procedure more efficiently and quickly.

In general, a hair transplantation procedure performed using the FUE technique can take anywhere from a few hours to several days. Smaller-scale transplantations are usually completed within a few hours, while larger-scale transplantations may require multiple sessions or take longer.

The duration of the procedure is determined based on the patient’s needs, extent of hair loss, and preferences. After evaluating the patient’s condition, a hair transplantation specialist can provide more specific information regarding the duration of the procedure.

How is the recovery process after the FUE procedure? How long can it take?

The recovery process after the FUE (Follicular Unit Extraction) procedure generally ranges from a few weeks to a few months. It takes some time for the recovery process to complete and for the results to fully manifest. Here are some points to consider after the procedure:

First Few Days: In the first few days following the FUE procedure, there may be redness, scabbing, and mild swelling in the donor and recipient areas. This is normal and typically subsides within a few days. Your doctor may provide recommendations and prescribe medications to minimize discomfort during this period.

First Week: During the first week, scabbing and redness may persist. The transplanted hair may experience slight shedding, which is a normal process. Physical activities should be limited, and heavy exercises should be avoided during this week.

First Month: During the first month, the transplanted hair may experience further shedding. However, this shedding is temporary and new hair growth usually begins within a few months. It is important to avoid sun exposure and protect the scalp during this period.

First Few Months: In the first few months, the expectation is for new hair to start growing in the transplanted areas. This process occurs slowly and gradually. The new hair will grow in accordance with the natural hair growth cycle.

First Six Months to One Year: Between the first six months and one year, the hair will continue to thicken and develop. The results become more apparent during this period, and the transplanted hair achieves a natural and permanent appearance.

The recovery process can vary from person to person, and individual experiences may differ slightly during this period. The recovery duration depends on factors such as overall health condition, individual body response, and surgical techniques.

Your hair transplantation specialist will provide you with post-operative care instructions and schedule follow-up appointments. It is important to follow your doctor’s recommendations during the recovery process and attend regular check-ups.

Is the FUE procedure painful? Do I need to use painkillers?

The FUE (Follicular Unit Extraction) procedure is typically performed under local anesthesia, so the sensation of pain during the procedure is generally minimal. Local anesthesia provides regional numbness during the extraction of hair follicles from the donor area and the transplantation process.

The most common sensation that may be felt during the procedure is a needle pricking sensation when the anesthesia is administered. However, this sensation usually lasts for a few seconds, and then the procedure area becomes numb.

After the FUE procedure, there may be mild discomfort, tightness, or sensitivity in the treated areas. This discomfort is typically mild and can be managed with painkillers. Your doctor may recommend suitable painkillers or mild analgesics to provide post-procedure relief.

While the FUE procedure is generally associated with minimal pain, each individual’s pain threshold and experience may vary. Some individuals may experience mild discomfort during or after the procedure, while others may feel little to no pain. Anesthesia and painkillers are used to minimize possible discomfort during and after the procedure.

Your hair transplantation specialist will explain in detail what to expect during and after the procedure. They will also guide you on appropriate pain management strategies.

Do visible scars remain in the areas where hair is transplanted after FUE?

After the FUE (Follicular Unit Extraction) procedure, there may be minimal scars in the areas where hair is transplanted, but these scars are typically small and can diminish with the healing process, often becoming barely noticeable.

The FUE procedure involves the extraction of individual hair follicles from the donor area. Micro-incisions or specialized tools called punches are used during this process. These tools create small-sized incisions typically ranging from 0.6 mm to 1.0 mm in diameter.

The size and distribution of the incisions depend on the skill of the performing surgeon. An experienced surgeon aims to minimize scars by creating small incisions. The incisions in the transplanted area heal over time and can appear as tiny white dots. These dots usually become less prominent as the hair grows.

Additionally, the post-procedure healing process can also affect scar formation. During the healing process, the skin rejuvenates and recovers, leading to a reduction in scars over time. The healing process can vary from person to person but is generally completed within a few weeks to a few months.

It is important to note that scar formation can vary depending on an individual’s skin structure and healing ability. In some individuals, the scars may become nearly invisible, while in others, they may be more noticeable. Factors such as skin color, skin type, genetic factors, and proper care, along with the experience of the surgical team, can also influence scar formation.

Your hair transplantation specialist can provide post-procedure care instructions and recommendations to minimize scars. Additionally, careful pre-planning of the transplant area and meticulous execution of the procedure can help minimize scar formation.

How should post-care be done after FUE?

Following an appropriate care routine after FUE (Follicular Unit Extraction) can support the healing process and help you achieve the best results. Here are recommended care steps for post-FUE hair transplantation:

Initial Days:

It is advised not to wash your hair for the first 48 hours after the procedure. During this time, it is important to prevent water contact with the treated areas.

You may be given a bandage or a special cap to wear after the procedure. The purpose is to protect the treated areas and reduce the risk of infection. Follow your doctor’s instructions regarding this.

During the first few days, avoid direct sunlight and excessive physical activities.

Healing Process:

Keeping the scalp clean during the healing process is important. You can gently wash the treated areas using a shampoo recommended by your doctor during the healing process.

Avoid excessive friction or trauma to the treated areas. Instead of a towel, use a soft cloth to gently pat your hair dry.

During the healing process, use a hat or sunscreen products to protect the treated areas from direct sunlight.

It is important to avoid smoking, consuming alcoholic beverages, and engaging in other habits that negatively affect your health during the healing process.

First Weeks:

During the first weeks, you should avoid excessive physical activities, heavy sports, and exercises. These can potentially damage the hair follicles or affect the healing process.

Use medications as prescribed by your doctor. These may include painkillers, antibiotics, or other medications.

Avoid any trauma to the treated areas such as touching or scratching them during the first few weeks.

These recommendations serve as a general care guideline, and each individual’s condition may vary. It is important to follow your doctor’s specific care instructions and recommendations. If you have any concerns or issues during the healing process, it is important to consult your doctor.

What activities should be avoided after FUE?

After FUE (Follicular Unit Extraction) procedure, it is recommended to avoid certain activities to support the healing process and preserve the health of the transplanted areas. Here are the activities that are not advised after FUE:

Excessive Physical Activities: For a certain period after the procedure, you should avoid excessive physical activities. Intense sports, weightlifting, running, and other vigorous exercises can increase blood flow to the transplanted areas, which may affect the healing process. You should follow the activity level recommended by your doctor according to the post-procedure instructions.

Friction and Irritation: Avoid activities that can irritate the skin in the transplanted areas. For example, brushing or combing your hair vigorously can create friction on the hair transplant sites. Therefore, you should gently brush or comb your hair to avoid causing harm to the transplanted areas.

Sun Exposure: Avoid excessive sun exposure after the procedure. Sunlight can irritate the treated areas and cause your skin to burn or change color. You can use a hat or sunscreen products to protect the transplanted areas from direct sunlight.

Smoking and Alcohol Consumption: Smoking and consuming alcoholic beverages can have negative effects on the healing process. Smoking affects the circulatory system, reducing the delivery of sufficient oxygen and nutrients to the hair follicles. Alcohol, with its blood-thinning effect, can hinder blood clotting and slow down the healing process. Therefore, it is important to quit smoking and limit alcohol consumption after the procedure.

Trauma and Impact: Avoid activities that may cause trauma or impact to the transplanted areas. For example, you should refrain from engaging in sports or activities that involve forceful contact with your scalp. Such impacts can damage the transplanted hair follicles and negatively affect the results.

Each individual’s healing process may vary, so it is important to follow your doctor’s specific instructions. It is crucial to obtain detailed information from your doctor regarding what you should do after the procedure.

What are the risks associated with FUE hair transplantation technique?

While FUE (Follicular Unit Extraction) hair transplantation is generally considered a safe procedure, like any surgical procedure, there are certain risks involved. The specialist performing the procedure and their team take precautions to minimize these risks. Here are potential risks associated with FUE hair transplantation:

Infection: As with any surgical procedure, there is a risk of infection following FUE. This risk is minimized by taking appropriate sterilization and hygiene measures. Failure to provide proper care to the recipient areas or failure to notice signs of infection can lead to its development. It is important to follow your doctor’s instructions after the procedure and be vigilant about any signs of infection.

Bleeding: Bleeding during FUE procedure is very rare. Surgeons use appropriate techniques and ensure bleeding control during the pre-operative and operative phases. To reduce the risk of bleeding, it is important to discontinue or avoid the use of blood-thinning medications prior to the procedure.

Donor Area Damage: Rarely, damage can occur in the donor area (typically the back of the head) where the hair follicles are extracted during the FUE procedure. This is usually due to a lack of surgical experience and skill. With properly harvested follicles, the donor area generally heals well. The risk is minimized with procedures performed by an experienced surgeon.

Graft Damage: The hair follicles (grafts) extracted during the FUE procedure can sustain damage during or after the procedure, which can affect the health and growth of the transplanted hair. This risk can be reduced with careful handling during the procedure performed by an experienced surgeon.

Temporary Side Effects: Temporary side effects may occur after the FUE procedure. These can include mild pain, swelling, redness, and crusting in the recipient areas. These side effects are typically short-lived and resolve as part of the healing process. You can manage these side effects by following the instructions given by your doctor.

These risks are generally rare, and they are minimized with FUE procedures performed by experienced surgeons. It is important to discuss the risks and potential complications in detail with your doctor before the procedure.

Is FUE procedure permanent? Will the hair fall out again?

Hair transplanted through the FUE (Follicular Unit Extraction) procedure is generally considered permanent. When the hair follicles are extracted from the donor area and implanted, they carry genetically permanent hair roots. Since these roots are typically taken from areas that are less prone to hair loss, the likelihood of the transplanted hair falling out is lower.

However, an important point to note is that the normal hair cycle continues after hair transplantation. Hair naturally grows, rests, and sheds. The transplanted hair also follows this cycle. Some of the transplanted hair may experience shedding after the procedure, which is a normal process referred to as “shock loss.” However, new hair follicles enter the growth phase over time and establish themselves permanently.

Even if some shedding occurs after the FUE procedure, the transplanted hair follicles are generally permanent. This means that the majority of transplanted hair grows permanently without falling out. However, there may be variations in growth rates among the transplanted hair, and it may take a few months to see the desired results. It is important to be patient during the healing process and follow the care instructions provided by your doctor.

Overall, there is a high likelihood of the hair transplanted through the FUE procedure being permanent. However, individual factors and genetic influences can cause variations in results from person to person.