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A Less Invasive Hair Transplant

Follicular Unit Extraction New York, New Jersey, Boston

Follicular Unit ExtractionView All of Our Videos

Follicular Unit Extraction (FUE) is becoming increasingly favored by our patients in New York, New Jersey, and Boston. A relatively new method of harvesting donor grafts, it is less invasive than previous techniques. Since 2002, Dr.True and Dr. Dorin have been at the forefront of developing this new approach to hair restoration. FUE is now a well-established procedure.  Nevertheless, results can vary widely depending on the skill and experience of the person by which the process is being performed. This being said, we have evolved a highly advanced FUE technique that produces high yield results and excellent healing.

Follicular Unit Extraction Process

                                                                

DSC00009.JPGWhen preparing for follicular unit extraction, larger areas of the donor zone must be shaved to enable the harvesting of the optimal number of grafts. When we are doing smaller FUE treatments, extensive shaving is not necessary. FUE grafts can even be taken without cutting the hair at all, or by shaving very narrow bands easily covered by adjacent hair.

The treatment is performed under local anesthesia. Under very high-powered magnification, individual follicle units are isolated and removed. We use tiny 0.75 to 1.00 mm punches to cut around the follicle unit. This procedure is considered minimally invasive, because only the most superficial layer of the skin is cut and the holes are very tiny. Follicular unit extraction currently seems best suited for New York, New Jersey, and Boston patients who are committed to continuing to wear their hair shaved, or who are particularly fearful of surgery or pain.


Recovery                               

Post-operative discomfort does appear to be significantly reduced in FUE patients as compared to FUT (follicular unit transplantation) patients. The most impressive aspect of FUE is the rapid and excellent healing. We have found that, after a week, the majority of patients show no signs of surgery in the donor area. The ideal intervals between treatments are not yet defined with FUE, although it is possible to perform extraction treatments several days in a row. This is often the best option for an extensively bald patient who needs a large number of grafts and is going to need to take 10 days off work. With smaller treatments, which can be concealed, it is probably best to wait one to six months between treatments. Graft healing and new hair growth are the key determinates of timing.

Results

While healing is excellent after follicular unit extraction, the results will not be completely scarless. Scars do result, but they are usually very tiny pinpoint spots that are not evident even with the head shaved. It must be noted, however, that patients who have had extensive FUE will not be able to shave their heads without the scarring being evident.

Click here to see more donor examples.

 

MIT (Minimally Invasive Transplantation AKA FUE)

Follicular Unit Transplantation (FUT)

Description

 

 

Extraction of individual follicle units by superficial excision. No sutures required.

Single strip of donor removed and grafts containing individual follicle units dissected with microscopes. Incision edges sutured.

Procedure
Status

Widely accepted, i.e. extensive scientific experience and evaluation regarding advantages, disadvantages, and predictability of outcome

This is the current Gold Standard for hair transplantation. Widely used , scientifically evaluated, and refined, so that all risks, complications, patient variables, and outcomes readily predictable.

Grafts

 

 


  • We use a mechanical, sharp rotary system that we have developed and is unique to our practice
  • Rates of follicle damage during extraction may vary from 1-5%
  • Doctors extract all grafts
  • We no longer advise a test to determine candidacy
  • Long term follicle survival for scalp & beard is 94-95% and 75-85% for body donor

  • We use high power magnification and a single blade scalpel to carefully excise margins of strip and skilled staff to prepare grafts with microscopes.
  • Damage to follicles is at worst 1-2%
  • Long term follicle survival is 98 – 100%

Donor

 

 

  • Dispersed widely
  • Healing very rapid
  • Additional resource of body hair can be included
  • Sutures required
  • Healing in 7 – 14 days
  • Limited to scalp donor

Concealability

 

 

 

  • for large treatments donor area must be shaved
  • not evident in 7 – 10 days
  • can wear hair shaved without detection after treatment
  • when harvesting has been extensive hair must be worn longer to hide donor scars
  • donor shaving is localized
  • hair covers suture and scar
  • previous scars removed with each successive treatment
  • when harvesting has been extensive hair must be worn longer to hide single donor scar line

Pain

 

 

0-1 out of 5 pain level in donor area first 24 hours

2-3/5 pain level  in donor area first 24 to 72 hours; 1/5 for following week

Treatment
Size

 

400 to 2000 per session

Up to 4000 per session

Cost

 

 

Typically more expensive than FUT (range $7.5 - $11/graft depending on treatment size)

High efficiency allows lower cost (range $4 - $6/graft depending on treatment size

Popular
Misconceptions

  • skin not cut (it is, but very superficially)
  • no scarring (there is, but it is diffuse and more easily concealed with head shaved, at least until harvesting has become extensive
  • increases donor supply ( may in fact reduce the amount that can be harvested from the scalp donor; is true  in the respect of adding body hair to the supply)
  • Wide donor scars are common
  • Shrinks donor area
  • Is a risky procedure in reality complications are uncommon and confined to temporary self resolving issues

Main Reasons
To
Choose

  • Want to wear head shaved
  • Comfortable with less invasive
  • Comfortable with higher cost
  • Proven & Cost Effective procedure
  • Minimize number of treatments
  • Will wear hair ½ inch or longer

Learn More about Follicular Unit Extraction

Please explore our website for up-to-date information on follicular unit extraction and the other procedures we offer at our New York, New Jersey, and Boston facilities. If you have any further questions, or if you would like to schedule an appointment at True & Dorin Medical Group, feel free to contact our hair restoration practice today.



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