Follicular

U
nit

Extraction

Follicular

Unit

Extraction

Hair transplantation

Hair transplantation

Modern hair transplantation was introduced by Dr. Orentreich in 1950. He used a 4 mm round punch to remove groups of follicular units from occipital region and sides of the scalp where hair is permanent to areas that are thinning or bald.One of the most basic concepts in modern hair transplantation is the concept of Follicular Unit (FU).

FUs

Follicular units are tiny bundles of 1,2,3,4 or more hairs that occur in the human scalps. In the microphotograph you can see what a FU looks like. There are two ways to obtain FU, from the donor area of the sculp.

The appearance of follicular units on human scalp

The appearance of follicular units on human scalp

Follicular units with 1.2,3, and 4 hair follicles

Follicular units with 1.2,3, and 4 hair follicles

Strip method

Firstly, FUT or strip method where donor harvesting is done by removing a part of the skin from the back of the head with elliptical incision followed by suturing.

The significant disadvantage of strip is the resultant linear scars and the high probability of postoperative pain and discomfort for the patient .

FUE

FUE is the method Dr Zontos exclusively uses in his daily practice and was introduced by Berstein and Rasmann in 2001.

In this technique a tool known as a punch is used to make a small circular incision in the skin around a FU, separating it from the surrounding tissue. The FU is pulled out directly using a pair of forceps.

This process may be performed manually or using a motorized punch, or more recently by a robotic system known as ARTAS. The healing process is very quick as you can see in the pictures. The donor wounds completely heal over a 7-10 day time period. The extraction process is repeated until the hair surgeon has harvested the desired number of grafts. The duration of the harvesting process varies from person to person and depends on the number of hairs required .Although most of the cases can be performed in one day ,in some very large sessions may take 2 or 3 consecutive days.

Anesthesia

 
anaisthesia

The Wand Computer assisted anesthesia system

 

The Wand Computer assisted anesthesia system has been recently adopted by our clinic as the most efficient and safest way in anesthetizing the skin during a hair transplantation procedure .The state of the art digital platform for local anesthesia greatly increases patient's satisfaction , decreases anxiety and controls flow rate and pressure of anesthesia during the injection!

  • More comfortable

  • Greatly reduces anxiety

  • Controls flow rate

  • Controls pressure

  • Accurate aspiration

  • No retracting motion

  • Minimizes pain during anesthesia

Harvesting

 
FUE harvesting

FUE harvesting

 

Recovery

Recovery

 

1 day later

 

In FUE The donor wounds completely heal over a 7-10 day time period.

FUE is for everybody but it is ideal choise for...

  • Very short hair

  • Minimally invasive procedure

  • Eyebrows

  • Covering Scars

  • Tough skin (previous STRIP procedures

  • Patients who develop cheloids

  • Patients with limited donor area due to several strip methods

  • Patients with extreme fear of the FUT

  • Patients with not enough donor area, body hair transplant can become a good alternative

  • Athletes for speed recovery

  • Repair cases

Placement

The grafts are placed into the recipient sites where they will grow into healthy hair producing follicles. Recipients sites are made in the balding area using a specific surgical tool which quarantines a completely natural result while eliminating injury to the recipient area.

Survival Rates

The FUE technique has been gaining in popularity over the last 10 years .A reasonable explanation of this is that FUE is a minimally invasive procedure compared to strip technique and is not associated with a permanent linear scar on the donor area.

However ,the strip supporters claim that FUE produces lower quality grafts ,because of the absence of adipose tissue around them .On the other hand ,strip produces grafts with enough perifollicular fat tissue and therefore of better quality .

In my opinion the base of the aforementioned claim is correct .However, this problem has been solved.

In our everyday practice we observed firsthand the quality of FUE grafts obtained either using manual or motorized punch by using a micro camera .The new technology punch in combination with vertical extraction technique, allows us to produce far better quality of grafts with enough amount of protective tissue ,while maintaining minimum skin injury .

In the following pictures on the left hand side, you can see intact FUE grafts produced with a manual punch ,whereas in the pictures on right hand side ,the grafts produced with a new technology punch ,have more protective tissue . It is well known in hair restoration community that the more the protective tissue the better the viability of the grafts and consequently the survival rate .

Appearance of grafts without protective tissue produced by a manual punch .micro photograph and naked eye picture.

Appearance of far superior quality grafts produced with new technology punch in combination with vertical extraction technique.micro -photograph and naked eye picture

Appearance of grafts without protective tissue produced by a manual punch .micro photograph and  naked eye picture
Appearance of grafts without protective tissue produced by a manual punch .micro photograph and  naked eye picture
Appearance of far superior quality grafts produced with new technology punch in combination with vertical extraction technique.micro -photograph and naked eye picture
Appearance of far superior quality grafts produced with new technology punch in combination with vertical extraction technique.micro -photograph and naked eye picture

Results

 
 

FUE Frequently Asked Questions

1Why am I losing hair on top of the head and not at the sides?
In medical terms, the top of the head is known as the balding zone or the Alopecic zone. You are bound to witness more hair loss on the balding zone because hair growing at this zone is susceptible to hormones that cause baldness. The common hormones that cause baldness are: testosterone, androgens and DHT. Due to the susceptibility of the hair (at the front of the head) to these hormones, hair is easily lost resulting to baldness. On the other hand, hair on the sides and back of the head is genetically immune to testosterone, androgen and DHT hormones; therefore, it's not lost.
2How is the procedure done?
The procedure is done by Dr Georgios Zontos, a qualified surgeon, and it's done under local anesthesia. The procedure basically involves hair transplantation from the back (balding zone) to the front. Two main techniques for hair transplantation are: FUE and Strip Harvesting. FUE is an acronym for Follicular Unit Extraction. In this procedure, hair is extracted and transplanted as individual follicular units. No sutures are required and recovery is very fast. In contrast the strip harvesting method, a strip of hair (bearing a one up to two centimeter wide skin) is extracted from the permanent zone. The obtained hair is dissected into individual follicular units. Dissection of the hair is done under a microscope. Unlike in FUE, in strip harvesting, sutures are required resulting in a linear scar in the donor area . Also, the procedure takes longer to heal.
3How long does the procedure last?
The length of time taken to complete the procedure solely relies on the on the amount of hair that needs to be transplanted. Usually, Dr Zontos will transplant up to 2000 grafts or 6000 hairs in a day. If the extent of your baldness requires 2000 grafts, the procedure will be completed in one day. However, if your baldness requires more grafts or hairs to be made, you need several sessions in clinic.
4Is the procedure painful?
No, the procedure is not painful. Prior to the procedure, patients are given local anesthesia and nerve blocks to ensure minimal or no pain. In fact, the procedure is pain free such that patients watch movies, TV or simply chat throughout the procedure.
5How long does it take to heal?
By using FUE in most people, the healing process is usually a matter of few days. The bandage that is usually tied after completion of the procedure is removed from the donor area on the next day. Although, the probability of developing swelling on the forehead is very low , the scabs on the scalp usually fall off within 6 days and some redness will be noticeable for the same period of time.
6Will the transplanted hair look natural and permanent?
Yes. The transplanted hair is obtained from your body; therefore, it's the same as your natural hair. Since the transplanted hair is resistant to hormones that cause baldness, it will continue growing permanently. In addition the result will be 100% natural.

You are in good hands....