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Hair Restoration | Miami, FL & New York, NY
  • Surgical
    • About Hair Transplants
    • Hair Transplants for Men
    • Hair Transplants For Women
    • Body Hairs for Transplants – BHT
    • Beard Hair Transplants
    • Eyebrow Hair Transplants
    • Hairline Lowering Surgery
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      • Follicular Unit Extraction (FUE)
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Follicular Unit Extraction (FUE) in Miami, FL

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Table Of Contents
  • No-Shave FUE?
  • Options in FUE
  • How many grafts are needed for FUE?
  • Are You a Good Candidate?

Follicular Unit Excision/Extraction: Learn more by watching this new video.

Follicular Unit Extraction (FUE) in Miami, FL

The follicular unit extraction technique (FUE), unlike follicular unit grafting (FUG), avoids altogether a linear donor site incision. Instead, each graft is harvested one at a time with tiny 0.8 and 0.9 mm punches which then usually heal as essentially undetectable dots in the scalp. We at the Foundation primarily utilize our custom-designed E-Fue System, as well as the recently developed WAW System, designed by a European colleague of Dr. Epstein, which utilizes a “hybrid” punch that further reduces graft transection to below 4%. Dr. Epstein has extensive experience with FUE, performing six to eight procedures weekly, assuring patients of the maximal outcomes.

The follicular unit extraction technique (FUE), unlike follicular unit grafting (FUG), avoids altogether a linear donor site incision. Instead, each graft is harvested one at a time with tiny 0.8 and 0.9 mm punches which then usually heal as essentially undetectable dots in the scalp.
See more FUE photos

Result of 1600 FUE grafts to hairline

Featured Patient

Procedure details: Two weeks after 1500 grafts, the donor area has completely healed with the hairs growing out.

Two weeks after 1500 grafts, the donor area has completely healed with the hairs growing out before picture
Two weeks after 1500 grafts, the donor area has completely healed with the hairs growing out after picture

Procedure details: One day after 1900 FUE grafts, showing the donor area nearly fully healed.

One day after 1900 FUE grafts, showing the donor area nearly fully healed 1st day
One day after 1900 FUE grafts, showing the donor area nearly fully healed oblicue view
One day after 1900 FUE grafts, showing the donor area nearly fully healed back view

VIEW OUR BEFORE AND AFTER PATIENT PHOTOS

* All patients are unique and individual results may vary.

One day after no-shave FUE technique

With our outstanding track record in FUE procedures (click here to view our FUE results), over 75% of our patients are able to shave their heads without any visible scars, the rest able to cut their quite short where there are tiny “dots” visible on close inspection. In order to obtain these grafts, usually the back and sides of the head are first shaved, then with the patient typically lying face down for the first two hours, we are able to harvest 1000 to as many as 1600 grafts from the back of the head, which then with the patient rotating onto his back sitting these grafts can be efficiently transplanted to assure the highest rate of regrowth. Later on in the procedure, additional grafts can then be obtained from the sides of the scalp, allowing us to extract as many as 2200 or more FUE grafts in a single-day procedure. Each graft contains one to three, sometimes four hairs, for the most natural appearing results. Also offered is a No-Shave FUE technique, which allows the patient to be presentable the very next day as there is no cutting at all of the back and sides of the head. Because of the longer time required to perform a No-Shave procedure, for more than 1500 or so grafts a second half day of surgery is sometimes required. Once the grafts are harvested, with the patient comfortably seated in a recliner-type surgical chair, Dr. Epstein then makes the recipient sites into which the grafts are then transplanted.

Dr. Epstein lectured in Germany on his FUE techniques at the annual meeting of the European Academy of Facial Plastic Surgery
Dr. Epstein lectured in Germany on his FUE techniques at the annual meeting of the European Academy of Facial Plastic Surgery
 Dr. Epstein pictured with Dr. Gorana Kuka Epstein and Dr. Bessam Farjo of England, in Germany at the annual meeting of the European Academy of Facial Plastic Surgery, where they lectured on hair restoration techniques.
Dr. Epstein pictured with Dr. Gorana Kuka Epstein and Dr. Bessam Farjo of England, in Germany at the annual meeting of the European Academy of Facial Plastic Surgery, where they lectured on hair restoration techniques.
Academy of Facial Plastic Surgery annual meeting in Germany.
Dr. Epstein along with Dr. Bared and Dr. Kuka Epstein at the European Academy of Facial Plastic Surgery annual meeting in Germany, where they lectured on hair procedures including FUE, beard and eyebrow restoration, hairline lowering surgery, and stem cells for hair loss.

Patient Gallery

Before and after one FUE procedure of 2,250 grafts
Before and after one FUE procedure of 2,250 grafts
Before and after one FUE procedure of 1,400 grafts
Before and after one FUE procedure of 1,400 grafts
Before and after 2,200 FUE grafts
Before and after
2,200 FUE grafts

VIEW OUR BEFORE AND AFTER PATIENT PHOTOS

* All patients are unique and individual results may vary.

A relatively newer technique- Dr. Epstein was one of the earlier embracers of FUE in 2007 – FUE is in some ways more technically challenging than FUG, and there are few surgeons like Dr. Epstein who perform both techniques with such regularity. Over 90% of the hair transplant procedures done at the Foundation for Hair Restoration are done by the FUE technique. There are a variety of techniques for harvesting the FUE grafts. Dr. Epstein, working with Dr. Gorana Kuka, one of Europe’s most experienced FUE surgeons, who like Dr. Epstein is a plastic surgeon, developed the E-Fue System that combines the best in accuracy, hair regrowth, efficiency and ease for the patient, assuring the highest quality results. Also used is the WAW System, that has the lowest possible rate of graft transection (less than 4%) and utilizes punches of 0.8 to 0.9mm in size.

 Illustration of the follicular unit extraction technique
Illustration of the follicular unit extraction technique

Click here to view an actual FUE result

FUE can also be used to harvest grafts from body areas such as the chest, back, and beard.  This technique of BHT is one that Dr. Epstein regularly performs, and is capable of providing thousands of additional hairs for transplanting. See here to learn more about BHT. FUE is also a great technique for obtaining grafts that are to be placed into a donor site scar from a prior procedure to help reduce its visibility. In addition to their application in the scalp, FUE grafts can be used in beard and eyebrow restoration.

The key aesthetic step in FUE is the making of the recipient sites. It requires the aesthetic judgment and skills of an experienced surgeon who knows how to create a natural appearing hairline. If there is one area in which Dr. Epstein is known for, it is here in this key aesthetic step of recipient site creation.

Patient Gallery

Day of the procedure
Day of the procedure
Two days after
Two days after
Seven days after
Seven days after

VIEW OUR BEFORE AND AFTER PATIENT PHOTOS

* All patients are unique and individual results may vary.

No-Shave FUE?

In no-shave follicular unit extraction, the only hairs trimmed are the donor hairs, leaving all the other hair the same length. The trimmed donor follicles are therefore hidden amidst the remaining full-length hair, and a completely normal appearance post-transplant is achieved. Suitable for both men and women, this technique makes both the process and eventual outcome of a hair transplant undetectable the very next day, as the scalp donor area does not need to be shaved. This is the technique of choice for those men primarily who wish to avoid shaving their head and thus can return to work and be in public a day or two after the procedure. The no-shave FUE technique does take more time to perform, and thus the limit of the number of grafts that can be obtained in a one-day procedure is around 1400 grafts, and does have a higher fee because of the additional meticulous work required. To find out if you are best treated with no-shave FUE, please contact our office.

 Happy to host Dr. Robert Trivellini in our Miami office. One of the top FUE devices is the Trivellini system, with which we achieve excellent results
Happy to host Dr. Robert Trivellini in our Miami office. One of the top FUE devices is the Trivellini system, with which we achieve excellent results

Featured Patient

Procedure details: One day after 1400 grafts obtained by the No-shave FUE technique.

One day after 1400 grafts obtained by the No-shave FUE technique. oblicue view
One day after 1400 grafts obtained by the No-shave FUE technique. back view

VIEW OUR BEFORE AND AFTER PATIENT PHOTOS

* All patients are unique and individual results may vary.

No-shave FUE Hair Transplant at 3 days After

Options in FUE

Dr. Epstein and the Foundation offer three options how the FUE procedure is performed, each differing in the degree of shaving of the donor area. Here are typical illustrations of these three options. Please note the hairs in the recipient areas where the grafts are transplanted are not shaved.

Patient Gallery

Shave (standard) FUE
Shave (standard) FUE
Partial-shave FUE
Partial-shave FUE
No-shave FUE
No-shave FUE

VIEW OUR BEFORE AND AFTER PATIENT PHOTOS

* All patients are unique and individual results may vary.

How many grafts are needed for FUE?

In a typical FUE case, 900 to as many as 2,400 grafts can be obtained in a single day, a testament to the experience and expertise of Dr. Epstein and his team in extracting then planting grafts in an efficient yet meticulous fashion. It is the doctor who will determine the ideal graft count to achieve the patient’s desired results.

The occasional patient will return for a second day of grafting, most commonly for those who are having more than 2,200 grafts total.

 FUE grafts obtained by the E-Fue System, the motorized extraction system custom-designed by Dr. Epstein and Dr. Kuka.
FUE grafts obtained by the E-Fue System, the motorized extraction system custom-designed by Dr. Epstein and Dr. Kuka.

Patient Gallery

  •  Before and after in , , Paciente 6590
  •  Before and after in , , Paciente 6590
VIEW OUR BEFORE AND AFTER PATIENT PHOTOS

* All patients are unique and individual results may vary.

Are You a Good Candidate?

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

Contact the office to schedule your consultation today.

Body and Facial Donor Hair for FUE Grafts – Not Scalp to Body, but Body to Scalp

Dr. Epstein is just a few of a handful of surgeons in the hair transplant world who can actually harvest body and beard hairs for transplanting into the scalp. These procedures are usually reserved for those who have no more scalp donor hairs and are seeking reparative and/or more extensive work, or those who want a greater amount of scalp coverage than can be provided by the scalp donor hairs. Using special FUE harvesting techniques that they have developed over the past seven years of using body hairs, these chest and beard hairs can have regrowth rates approaching 70% or higher. One particularly common area that beard or chest hairs can be utilized is to the linear donor site scars from prior transplants. As many as 3,500 chest and or beard hairs can be harvested over two days.

Featured Patient

Donor area with essentially undetectable scarring

  Donor area with essentially undetectable scarring

Donor area of the chest showing no obvious scarring

  Donor area of the chest showing no obvious scarring

VIEW OUR BEFORE AND AFTER PATIENT PHOTOS

* All patients are unique and individual results may vary.

One year after 875 FUE grafts to hairline

Testimonials

  • Hey Dr. Epstein,

    I just wanted to write and say thanks again. everything looks perfect. the next morning after my procedure, i felt great, i had no pain or problems. Tell your staff, i said hi and they were great as well after its all grown in, ill send some pictures,

    Thanks again,

    • 5 stars
    • Randy

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Why choose Dr. Epstein

  • Dr. Epstein first attended Swarthmore College, then moved on to medical training at the University of Vermont College of Medicine.
  • Trained in head and neck surgery/ear, nose, and throat at the University of Miami/Jackson Memorial Hospital, earning a fellowship from the American Academy of Facial Plastic and Reconstructive Surgery during this time.
  • Then trained in the San Francisco Bay area and was awarded the Jack Anderson Memorial Award for achieving the highest score in the nation on his board exams.
  • Has been recognized for many years as one of the Best Surgeons in America, and he has been continuously listed for years in Castle Connelly’s Top Doctor Guide, an unbiased rating of doctors in many different specialties.
  • Founder and Director of the Foundation for Hair Restoration and Plastic Surgery.
  • Unusual for his field, Dr. Epstein holds triple board certifications in the fields of hair restoration, facial plastic surgery, and otolaryngology (head and neck surgery), and is a Fellow of the International Society of Hair Restoration Surgery.
  • He is an Assistant Clinical Professor at the University of Miami, a Fellow of the American College of Surgeons, and was previously the President of the Florida Society of Facial Plastic and Reconstructive Surgery.
  • To give back to the community, Dr. Epstein provides pro bono reconstructive surgery to children, veterans, and other people in need.

Author

This article was written by Jeffrey Epstein, MD, FACS. Last Modified 01/18/2021

Dr. Jeffrey Epstein

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Dr. Jeffrey Epstein and Dr. Anthony Bared perform all procedures in their fully-accredited Miami office for the safest and most comfortable experience. Consults are seen in the Miami office, and also in the NYC office with Dr. Epstein and in the Tampa office with Dr. Bared. Many of our patients prefer to meet with the doctor by webcam, then travel in for a procedure after receiving individualized recommendations.

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