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Hair Transplantation
Micro-Dense-Pack T-T
FUE (Follicular Unit Extraction)
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FOLLICULAR UNIT EXTRACTION



Donor area after extraction by FUE

Follicular Unit Extraction - FUE - is a method of extracting follicular units one by one. The donor area is firstly shaved. The extraction - using a small circular cutting punch - leaves a small opening in the skin which will heal within a few days leaving no scar. The method is particularly suitable when the donor area is limited in size due to previous procedures or from accident trauma. The extracted follicles need to be implanted soon after they are removed as they deteriorate whilst out of the surrounding body fluids. Consequently, the process is slower than multiple follicular extraction and fewer grafts can be placed in one session. Mega-sessions are not possible with this method, it is most suited to small sessions.

Hair loss occurs commonly from the crown (1) and the frontal area (2). The donor area (3) will yield from 4-8,000 grafts (follicular groups) of permanent hair, depending on the density and area available. These grafts can be used to establish a new hairline in the frontal area (2) and to help frame the face. This area (2) can require between 2-5,000 grafts to fill - too many for one FUE session.
HOW LONG BEFORE I SEE RESULTS FROM A HAIR TRANSPLANTATION?


It takes about a year for the results of hair restoration to be fully appreciated. By that time, the implanted hair will have grown and you will be able to brush and trim your hair as normal.
DO I NEED TO STAY IN A CLINIC AFTER HAIR TRANSPLANTATION?


No. Hair transplantation is plastic surgery using topical anaesthetics which have only a short-term effect on the body - just the same as going to a dentist. You will need to return to see the doctor for the first wash of the new hair - usually the next day - after that you just need to follow the advice of your doctor.
Advantages:
•  No need for stitches
•  Short healing time
•  Several small sessions can treat smaller areas with less disruption
•  Extracts follicles where donor area is small
•  Can extract follicles when donor area has poor density
•  Extraction when skin elasticity prevents other forms of extraction
•  Ideal for patients who intend to shave their head in the future

The Plastic Surgeon will be assisted by an anaesthetist and nurses with specialised training. You will be fully conscious throughout but topical anaesthetic will be injected so that you will feel nothing. The Surgeon wears surgical binoculars to enable precision in the extraction and implantation process and to aid meticulously accurate angulation and alignment in the placing of grafted follicles.

Sessions: The FUE method is a more complex and time consuming method and therefore sessions can take longer, up to 8 hours, and the maximum number of grafts is 500 per session (between 1000-1500 hairs). The method is also more costly. If a number of sessions is planned, allow six months between sessions.

A tiny circular punch is used to remove individual follicular groups. The donor area (1) is firstly shaved and topic anaesthetic applied. A circular punch is used to cut the skin surrounding a follicular group (2). The diameter of the inside of the punch can be between 0.3 to 0.9mm. The hair roots (follicles) are separated from the surrounding tissue and the follicular group is extracted intact. The puncture in the skin (3) fills and heals completely within a few days.
Extraction: The FUE method is also referred to as 'no surgery' and 'no scarring' because the area disrupted by the extraction is so small it heals naturally without the need for stitches. Because of the need to accurately locate individual follicles, the FUE method requires that the head is shaved by the doctor before the procedure starts, making the follicles easier to see and handle. For the FUE method, the Plastic Surgeon uses a tiny circular cutter (punch) with a diameter of between 0.7-0.8mm to extract single follicles or small follicular groups. The use of this method requires particular care to avoid damage to surrounding follicles. The removal of a large number of individual follicles from a small area can result in patches of bare skin, damaging the donor area. For this reason, this method is not recommended for people in the early stages of hair loss.

Once extracted, the follicle must be prepared and grafted almost immediately. Prolonged time out of the body results in the destruction of the follicle.

Preparation: Using a microscope and tiny surgical instruments, the extracted follicle is isolated and all extraneous tissue is removed. Each graft may contain between 1-4 hairs, depending on its natural grouping. Always, the number of hairs transplanted will be greater than the number of grafts placed.

The Micro-Dense-Pack technique developed by the Plastic Surgeons here involves careful visual consideration and planning of the future effect of the transplanted hair before placing the grafts. The qualities of different types of follicular group are important to consider when they are placed in their new position.

Implantation: The implantation process requires extreme precision as tiny tiny grafts are placed one by one in exactly the right position, at exactly the right angle, pointing in exactly the right direction and to exactly the right depth. The preparation and pre-planning of the design of the area to be implanted is crucial to a successful outcome.

The establishment of the new front line (hairline) must appear natural, and the Plastic Surgeons start by selecting single follicles first, staggering the implants slightly, then progressively increasing the density behind in order to achieve a natural-looking result. The curved shape of the line, too, is vitally important to the final effect.

Using surgical binoculars the surgeon creates a tiny hole in the skin by making a small incision in the bald area with the aid of a microtome. The hole is so small (1mm in diameter) that no bleeding occurs. The selected graft is implanted deep into this opening so that it is secure and has access to the nurturing blood supply. The implanted graft quickly heals and becomes one with the surrounding tissue.

By using special instruments, the Plastic Surgeons are able to place grafts very close together, as does nature, so that the hair will grow and behave normally as if it had always been there.

The doctor will keep a log of each implant he makes so that, at the end of the procedure, he will give you a Certificate showing the exact number of grafts placed. This will also include a written guarantee of the permanence of the result. Because extraction by the FUE method can be more stressful to the individual follicular groups, it is possible to experience up to 40% loss of transplanted hairs in some cases. The Plastic Surgeon will do everything possible to minimise this loss but will explain to you exactly what your expectations should be if you elect to use this method.

When comparing costs, it is important to note that the doctors here charge for this procedure based on the number of grafts made, not the number of hairs placed. A graft extracted by the FUE method may contain between
1-4 hairs so the number of hairs transplanted will be about twice the number of grafts placed.

  
  
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