Follicular unit extraction, also known as an FUE hair transplant, is a modern, minimally invasive hair transplantation technique. During treatment, the grafts are individually extracted, resulting in negligible scarring and completely natural-looking results. Dr. Robert H. True and Dr. Robert J. Dorin have been substantially involved in the development of this technique and pride themselves on the exceptional outcomes they can achieve. This advanced procedure has become increasingly favored by our patients at True & Dorin Medical Group. For over three decades, our team has been providing cutting-edge hair restoration treatments, helping patients regain not only a full head of hair but their confidence.
Video: Follicular Unit Extraction
Dr. True explains how Follicular Unit Extraction (FUE) works.
What Does FUE Entail?
FUE is a multi-step process which includes preparation, extraction, the creation of the receptor sites, and implantation.
When preparing for follicular unit extraction, larger areas of the donor zone must be shaved to about two to three millimeters. This facilitates the harvesting of the optimal number of grafts. However, 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.
Extraction of the Follicles
The limited invasiveness of this procedure requires only the most superficial layer of the skin to be affected. As a result, the resulting extraction sites are microscopic.
During FUE, follicles are extracted directly from the scalp in dihydrotestosterone-resistant areas, meaning they are not prone to male pattern baldness. Under very high-powered magnification, individual follicles are isolated and removed using 0.75 to 1.00 mm punches to cut around the follicle unit. The punch enables the doctor to carefully harvest viable grafts, allowing them to be separated from the surrounding tissue without severing the underlying unit. The treatment will be performed under local anesthesia to ensure your comfort throughout the procedure.
Actual Patient Results
Creating the Receptor Sites
The follicular unit grafts will then be placed into the receptor sites using tiny incisions. The creation of receptor sites is truly the artistic portion of the procedure. Your doctor will use our custom cut-to-size micro blades to create the sites. These blades range from .7 mm to 1.3 mm in width and are created for each patient, based on specific individual criteria. The size of the patient's grafts, the characteristics of the recipient skin, and the density at which the grafts will be placed all determine the customization of the receptor blades.
This practice enables the doctors to perform an ultra-refined transplant at densities of 50 grafts per square centimeter. Dr. True and Dr. Dorin combine coronal, saggital, and a blend of coronal-saggital receptor sites to produce a unique appearance for each patient. Design nuances such as direction and angle of hair growth, hairline shape, crown whorl, and overall hair flow are attained by subtly varying the combination and orientation of these tiny incisions. We believe a denser, more natural result can predictably be achieved using this methodology.
The FUE Process
Once the doctor has completed his design, a team of nurses or certified surgical technologists will place the grafts into the incisions. The grafts are carefully placed using very fine forceps. As the placement process usually takes a few hours, patients are provided with T.V. for their entertainment.
FUE is a modern, less invasive technique in which the grafts are individually extracted, resulting in minimal scarring and natural-looking results.
The grafts are preserved in saline under the ideal temperature conditions during the placement process. They are handled with the accuracy, delicacy, and precision necessary to assure optimal survival. Once the grafts have been placed, the doctor will inspect the transplanted area to ensure that they are properly situated. A hair dryer is then used to blow cool air on the grafts, which will help form a natural adhesion and set them in place. Bandages are not necessary, although the patient will be required to wear a baseball cap for the trip home.
What to Expect During Recovery
For most patients, post-operative discomfort is significantly reduced compared to FUT (follicular unit transplantation). One of the most impressive advantages of FUE is rapid healing, leading to minimal recovery time. 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. With smaller treatments, which can be concealed, the doctors typically recommend waiting one to six months between treatments, dependent on graft healing and new hair growth.
Nearly 5 Months After Surgery
Donor area 4.5 months after FUE donor harvesting.
Note, there is no linear scar with FUE.
FUE is now a well-established procedure. Many of our patients have restored their full head of hair by undergoing sessions with Dr. True or Dr. Dorin. We have evolved an advanced FUE technique that produces high-yield results and excellent healing with nearly no scarring. Scars does result, but it is usually microscopic pinpoint spots that may not be noticeable even with the head shaved. It must be noted that patients who have had extensive FUE are typically unable to shave their heads without the scarring being evident.
Our Commitment to Patient Comfort
With the introduction of the CompuMed® Wand, patients can more comfortably receive local anesthesia before the hair transplantation procedure. Designed by dentists to alleviate the negative stigma associated with needle injections, the CompuMed Wand is a computer-controlled delivery system used by Dr. True and Dorin. In our landmark 2001 study published in the Journal of Dermatologic Surgery, the CompuMed pump was shown to not only ensure significantly greater comfort during the procedure but also to reduce post-operative pain.
Patients are given a small dose of oral valium prior to surgery to counteract the momentary agitation some patients have from xylocaine/epinephrine. Our goal is to ensure that you do not feel the slightest pain or anxiety in the operating room.
Robert J. Dorin, D.O. ACOFP
Robert H. True, M.D. MPH ABHRS ABFP
Why Trust True & Dorin with Your FUE Hair Transplant?
Since 2002, Drs. True and Dorin have been at the forefront of implementing and refining this new approach to hair restoration. We are proud of the exceptional results we are able to provide due to the skill level of our entire team.
As world-renowned surgeons with a genuine concern for their patients, our doctors consistently provide the highest-level of hair restoration care. Additionally, most of our staff has been an integral part of the practice since the early 1990s, and each member has placed over two million grafts. To ensure patients have the best experience possible, each team of technicians handles only one hair transplantation case per day.
Learn More About Follicular Unit Extraction
Do not allow hair loss to continue compromising your quality of life. Our team is dedicated to meeting your treatment goals. To schedule an appointment at True & Dorin Medical Group and learn more about the risks, costs, or your candidacy for FUE, contact us online or call (866) 629-0866.