FUE or Follicular Unit Extraction consists of removing healthy hair follicles from a donor area of the scalp using micro-punch of less than one millimeter and grafting them directly onto the areas of alopecia. . This treatment is minimally invasive and performed under local anesthesia. Unlike the strip technique, there is no visible scar. In most cases, patients are able to return to work very quickly with permanent results.
As a general rule, the intervention begins early in the morning and ends late in the afternoon, or even in the evening. For patients living more than two hours from the center, it is advisable to be present the day before the intervention in order to be in good shape and rested on the day of it.
FUE transplant intervention
Local anesthesia is performed in the donor and then recipient area
A punch (cylindrical scalpel 0.75 to 1.0 mm in diameter) is used to "release" each follicular unit from its subcutaneous attachments; the follicular unit is then removed using micro-forceps.
The follicular units thus removed are reimplanted as quickly as possible using an implanter.
The initial consultation makes it possible to detect pathologies that can cause alopecia such as hypothyroidism, diabetes or iron deficiency. In case of doubt an assessment will be carried out.
A careful questionnaire will assess the motivations and desires of the patient. Together we will objectify the result that can be expected after a single intervention and the probable number of interventions necessary to obtain a satisfactory result.
Scars from the donor site
The scar left after FUE sampling will be a series of sub-millimeter dots, depending on the diameter of the punch used. These scars will be practically invisible to the naked eye given their size and arrangement in relation to each other. If i these points are too close together, there will be a confluence of these points resulting in a wider scar and therefore, visible to the naked eye. It is therefore important to distribute the collection of follicular units in such a way as to avoid this confluence and obtain this disseminated and therefore harmonious and practically invisible "micro-healing".
Factors other than the diameter of the punch and the distribution of the samples will also influence the visibility of the scars, it will be the contrast between the skin and the hair, the texture of the skin which is variable from one individual to another and also depends the frequency of consumption of tobacco, alcohol or other substances.
Complications of FUE Hair Transplant
Any surgical procedure, even carried out with competence in conditions of maximum security, carries a risk of complication. There are risks of reaction to local anesthesia which is explained to you in a specific sheet.
FUE usually presents very little risk. The most important complication is scarring and the appearance of epidermal cysts.
A good understanding of the expected result is important to anticipate the final result. The intervention is part of a general strategy concerning the surface to be covered.
Before the FUE procedure
It is imperative to stop smoking at least one month before the surgery. Taking aspirin is prohibited 10 days before the procedure.
Before the surgical act, it is necessary to wash completely with an antiseptic soap.
It is important to provide someone who can accompany you home after your hospitalization.
Post-operative follow-up of a FUE hair transplant
The postoperative course is generally painless, but there may be burning sensations or temporary pain. A healing ointment will allow rapid and harmonious healing 2-3 days after the operation. Swelling and bruising may appear on the forehead and eyes but usually disappear within a week. A professional activity can be resumed between 5 and 7 days after the intervention
The final result will be obtained in the sixth month after complete regrowth.
The result is visible from the 6th month. A single intervention is generally not sufficient to obtain a satisfactory result. Even after several sessions, the hair density obtained will never be that of normal hair.
This text provides basic information on the principles and procedure of FUE hair transplantation. A more detailed information sheet will be given to you during your consultation. A good understanding of the procedure and the expected result is essential before considering this intervention. It should be emphasized that the purpose of this surgery is to make an improvement, not to achieve perfection. If your wishes are realistic, the result obtained will satisfy you.