FUE (Follicular unit extraction) FUE is a method of obtaining donor hair follicles / grafts by individually and directly removing hairs from the donor area without the use and need of a scalpel and stitches. In this hair restoration procedure, a 1mm or smaller punch is used to make a circular incision into the skin around the follicular unit which is then extracted using forceps from the scalp. The hair is then transplanted into the required area by individually transferring each graft into specially created micro incisions or slits using a technique which is slightly different from the one used in implanting Strip grafts (This technique of implantation is developed and practised by Mr Malkani). Again the surgeon uses his expertise to create natural looking new hair patterns where the new hair will grow.
1. Virtually scar less procedure with no linear scar.
2. Suitable for patients with short hair preference or who would like to keep their hair shaved.
3. Suitable for people with limited hair loss and those who would need a limited number of grafts.
4. Shorter recovery time
5. Suitable for those requiring, eye brow, eye lash or mustache transplants.
6. Suitable for people with a heavily scarred donor area from previous strip procedures which have been badly performed.
7. Suitable for patient with very tight scalps and therefore not suitable for Strip surgery where the skin is difficult to put back together by stitching.
8. Suitable for patients with tight scalps due to previous multiple strip surgeries
9. There are no linear scars with this technique which is therefore suitable for people with an inordinate fear of scars or scalpels.
10. Enables the surgeon to harvest finer hair from the nape of the neck and therefore extends the donor area..
Disadvantages of FUE
1. Maximum follicular unit graft yield is lower than Strip surgery and is therefore more suitable for those needing smaller numbers of hair grafts.
2. Greater patient variability in terms of those who are considered good candidates for this technique compared to Strip surgery(FUSS)
3. Size of sessions limited in time scale and this requires multiple sessions to equal the results/number of grafts achievable in a single Strip surgery session .(FUSS)
4. Longer operation time and more expensive than strip surgery.
5. Problem of Buried grafts or those hair grafts that are unsuccessful.
6. Growth of Transplanted hair is very slightly less than growth by strip surgery.
No medical or surgical procedure is immune to potential complications. The following are some of the known but very infrequent complications.
2. Temporary swelling especially in the face after frontal scalp hair transplant surgery
3. Paraesthesia, a temporary tingling sensation and numbness of the donor and recipient area lasting anything from days to weeks and even months (Strip Surgery)
4. Poor growth of hair
5. Cysts, pustules
6. Ingrown hair, epidermoid cysts.
Eye brow restoration is a very delicate but highly rewarding procedure that can restore eye brows to become denser in a matter of a few hours. Eye brows may be lost or thinned out due to excessive and over plucking, scaring from trauma or burns, alopecia or simply due to ageing.
Hair grafts are taken from the usual donor scalp area using an Individual Graft Harvesting (FUE) technique or a small strip. They are then prepared under magnification and implanted into micro incisions in the recipient. The surgeon has already decided on the angles and direction that the new hair is to be transplanted in order to achieve the most natural results in line with patients existing hair growth.Transplanted hair will normally grow in 2 to 4 months and can initially be curly and will need trimming from time to time.
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