Transplantation of follicular units involves moving the small naturally occurring hair bundles (follicular units) usually from the scalp's permanent donor area to the area of hair loss. This procedure can be performed to treat a variety of hair loss conditions in appropriately selected and diagnosed men and women. 

 

Follicular Unit Extraction (FUE), is one of two donor harvesting methods used to harvest the small follicular units. With the FUE technique follicular units are individually extracted from the patient's donor area using a small round micro punch. It has gained popularity in recent years, and is often described as a  “minimally invasive” procedure because it does not involve stitches, and the tiny round excisions are left open to heal without sutures. However, it must be noted that when thousands of small cuts are made in the skin, it is an invasive procedure and does constitute surgery. The actual transplantation occurs the same for both donor harvesting techniques, as the grafts are inserted using various tools and needles or micro blades into recipient sites( small incisions) in the areas where the patient has experienced hair loss.

The other method of donor harvesting involves taking a full thickness ellipse of skin and hair (strip) called follicular unit transplantation (FUT). It is referred to as a linear excision, or linear ellipse strip harvesting, and the small grafts are individually dissected using a microscope. The wound is closed usually with stitches, and this leaves a linear scar, confined to one area rather then diffusely distributed like the FUE. This technique has been successfully used by hair transplant surgeons for decades. While the FUE harvesting technique has gained popularity in recent years because it does not produce a linear scar, patients must be knowledgeable about potential risks too. Despite false advertising claims of 'a no scar technique', FUE almost always leaves small round scars which, when performed correctly, can be hidden with short hairstyles. When performed improperly, FUE can result in diffuse donor thinning and leave visible scarring.

The major difference between the two is in the method of extracting or harvesting the donor hair. For the same number of healthy and intact grafts, though, the harvesting method should have no impact on the final look of the transplant if the graft quality is the same.

In FUE, the follicular unit grafts (not necessarily hairs) are individually extracted using 0.8-1.0mm ‘drill bits’. The procedure is carried out manually or mechanically using a variety of equipment. Instead of a linear scar, there will be a large number of very small dot scars. While barely noticeable, FUE is not ‘scarless’.

 

FUE is more time consuming than Strip FUT, as it relies on spreading the extractions over a large area of the scalp, which significantly limits the number of grafts available to transplant in a session compared to the ‘strip’ method used in Strip FUT.

FUE is ideal for those patients who favour very short hairstyles, or the type of hair where you can see through to the scalp.

 

In some situations hair transplant is the only solution suitable for women who have undergone prior surgical rejuvenative procedures like facelifting and/or browliftingand lack hair due to exposed scars in the temples, sideburns, behind the ears, or elsewhere.

The low-positioned (compared with men) and rounded female hairline frames the female face and adds youth, beauty, and femininity to a woman’s face.When restoring the female hairline, it is important not only to create a suitable shape but also to precisely recreate all of the details of a female hairline. A female hairline may be rounder, more oval, rectangular (still with softened corners), or some intermediate between these shapes.