Follicular unit extraction



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Dr. Epstein's expertise in treating
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Dr. Epstein appears
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hair transplants
Follicular Unit Extraction (FUE)

Incisionless Hair Transplants

Jeff-

You know as much, if not more about FUE than anyone else in the field.  The fact is, hair transplantation is a very specialized skill that can not be learned over night. The NeoGraft® machine doesn't do the transplant, the surgeon and his team are responsible for the outcome. That's the point I'm trying to drive home and I think you're in a perfect position to discuss this point.

Your credentials don't hurt either:)

Spencer Kobren, Editor, The Bald Truth

Mr. Kobren is considered the world's consumer advocacy expert in the hair transplantation world


For more than 10 years, follicular unit grafting (FUG) has been the procedure of choice for hair transplanting.  With this technique, every graft is dissected one at a time from a single donor strip, by a team of experienced assistants using microscopes, then planted into tiny incisions in the scalp.  Performed artistically, FUG can create truly natural appearing results.  This donor strip incision is sutured closed, healing in over 90% of our patients as a fine line scar 2 mm or less in width, usually permitting hair to be trimmed with as short as a #3 razor, sometimes a #2. And with the innovative plastic surgery HITS technique developed by Dr. Epstein, hairs can actually grow through the scar.

The follicular unit extraction technique (FUE), unlike FUG, avoids a donor site incision- instead, the grafts are harvested one at a time with tiny 0.8 mm punches which then heal as essentially undetectable dots in the scalp.  The result- patients have a hair transplant yet can cut their hair even shorter than they could with the “strip” method, even shave their head, without having any detectable donor site scar.  A newer technique, FUE is not offered by most surgeons because it is technically challenging. While FUE in no way makes obsolete the technique of follicular unit grafting, it can be the best procedure for patients who are:  young; usually male; keeping open the option of shaving their head; African-American; and/or having reparative work and have a limited supply of donor hair.  The FUE procedure can also obtain grafts that can be then placed into a donor site scar from a prior procedure.   

To increase the potential donor supply for hairs, some patients can have hairs harvested from other parts of the body that can then be implanted into the scalp where they will then grow.  These body hairs-  such as from the chest, beard, and legs- can be difficult to extract in some individuals, and sometimes don’t grow as long nor as thick as scalp hairs.  However, for patients with a low supply of scalp donor hairs, usually due to prior transplants, these FUE obtained body hairs, along with those obtained from the scalp, can provide extra coverage.

In a typical FUE case, 900 to 1500 grafts can be obtained in a single day, due to the extra time (8 hours or so) required for this meticulous work.  Many patients will have two procedures over two days, allowing for 1800 to 2400 FUE grafts total.  As FUE cases now constitute almost one-third of the procedures performed in this office, enthusiasm for the technique, appreciation of the advantages for the right patient, and the quality of the outcomes is outstanding.

Together in consultation with the doctor, the right procedure will be decided upon, after careful consideration of your goals and the nature of your hair loss.

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FUE (no linear donor site incision) procedure, showing the donor area that has been shaved down to harvest 1800 grafts, at 1 day after the procedure.
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Before, one day after and eight days after 1600 FUE grafts.
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Before and 9 months after 1400 FUE grafts.
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1 day after FUE procedure of 1800 grafts.
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Befor and after a second procedure for a total of 2900 FUE grafts.
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Immediately after 900 FUE grafts.
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Before and 1 day after 1600 FUE grafts.
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One day after 1,800 FUE grafts - the donor area.
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5 days after 1700 grafts - the donor area.
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9 days after - donor area that had been shaved.
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Donor and recipient site areas 1 day after 2150 FUE grafts.
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Immediately after 1100 FUE grafts.
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Immediately after 1700 FUE grafts, showing donor and recipient areas.
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Before and 7 months after 1700 FUE grafts. This is an ideal patient for FUE- likes to keep his hair short, even shave it at times.
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Before and just 4 1/2 months after 1600 FUE graft procedure. Note absence of donor site scarring.
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Before and after 1450 FUE grafts.
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Before and one day after one FUE procedure.
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Before and one day after 1450 FUE grafts in African America patient.
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Before and one day after 450 FUE grafts for a revision procedure to soften a prior transplanted hairline. Note that this patient did not have his entire head shaved for the FUE procedure, so is able to conceal the donor area.
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Before and after FUE punch extractions of hairline grafts and 2250 grafts over 2 procedures.
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Before and 4 months after 1,600 FUE grafts. Note donor area and the ability of the patient able to shave his head quite short without any donor site scar showing through.
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Before and one day after 1300 FUE grafts.
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Before and immediately after 1300 FUE grafts.
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If you have further questions about follicular unit extraction, or other hair transplant issues, please don't hesitate to contact our office.
 
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