FUE hair transplant or follicular unit extraction is where individual hair grafts are harvested directly from the donor.
A circular incision is made in the skin around the upper part of the follicle which is then extracted (pulled) directly from the scalp leaving a small open hole. The advantage of FUE is that it leaves no linear scar. FUE is reasonably pain free and has very rapid recovery. Professional sportsmen generally have this as it allows them to quickly return to their training regime.
In Follicular Unit Extraction (FUE) the donor tissue is removed from a broad area of the back of the scalp. The location of the donor area is chosen to have long-term stability. The hair in the area to be removed is shaved immediately prior to your surgery. This will include the entire back and sides of the scalp in large sessions and a long, thin band in smaller procedures.
You will be laying down on your front whilst this is occurs and will have a head rest and a breathing hole so that you can maintain a comfortable position. The surgeon will select hair follicles, one-by-one and will separate the follicular units by making a circular incision with a punch. The follicular units (once loosened) are then pulled from the surrounding tissue. Once the grafts are extracted, the donor area is covered with an antiseptic dressing that is removed the following day.
Placing is the final step in the hair transplant process. It, too, is a critical step because poor placing can lead to trauma and poor graft survival. The placement requires technical skills, experience, dexterity, the gentlest touch – and a focus on direction and orientation, to ensure each graft is inserted with as little trauma as possible and good growth is obtained.
The No Shave FUE method
Hair is taken from the same donor area at the back of the scalp but is taken in such a way that existing hair will disguise the area of extraction. This method is only suitable for small sessions of hair restoration surgery up to 700 FUE’s. A consultation will be needed first to advise if you are suitable.
The good news is that you can return to normal routine with very little down time and that family / colleagues and friends will be none the wiser because the donor site will not show any tell-tale signs of extraction.
The cost of FUE is £3500 – £10,000
Follicular Unit Transplantation (FUT) hair transplant is the state-of-the-art procedure used in hair transplant surgery. Hair grows in natural groupings called follicular units. With this procedure, hair is removed from the donor area and, under microscopic magnification; grafts are created that keep these natural groupings intact. The grafts are then placed in tiny micro incisions created in a pattern and distribution that mimic nature.
As you can see, the procedure can be divided into four main parts: Donor Harvesting, Graft Preparation, Creating Recipient Sites and Graft Placement.
The first step in this procedure is the removal of the donor strip from the recipient site in a way that ensures both minimal damage to the donor hairs and minimal scarring to the donor area after which the tissue is sutured together using a trichophytic closure. This technique helps limit any scar that develops in the donor area because it allows hair to grow through the scar minimising its visibility.
Skill and efficiency is required to “sliver” the donor tissue under a microscope into thin sections only 1-2 hairs wide. No trauma or transection occurs when done correctly. Next the slivers are cut down into the individual 1-4 hair follicular unit grafts and trimmed of as much excess tissue as safely possible. The trimming creates the smallest possible graft, which enables us to use the smallest possible incision. This, in turn, means less trauma and better graft survival.
Creating the recipient sites
Whilst the grafts are being prepared the surgeon is creates the recipient sites. This means the surgeon has to be able to make thousands of tiny incisions in such a way that will ensure maximum survival of the grafts and, minimal trauma to pre-existing hair.
The placement requires technical skills, experience, dexterity, the gentlest touch – and a focus on direction and orientation, to ensure each graft is inserted with as little trauma as possible and good growth is obtained.
The cost of FUT is £3000 – £6000
The biocompatible artificial hair Medicap High Density® hair (MHD) is an approved medical device, CE 0373 and TGA et al Certified, with same chemical, physical, mechanical, aesthetic features than Biofibre ® hair. They offer the same safety guarantee as Biofibre ® hair providing a triple hair density.
Medicap High Density – Biocompatible Artificial Hair (MHD) are suitable to treat generalized hair loss / thinning on the crown area and enbles to:
- obtain a big hair thickening in just a few hours;
- minimize the implantation time;
- reduce number of implants and implant sessions;
- achieve the maximum volume with the smallest number of implants.
Medicap High Density® – Biocompatible Artificial Hair is a very significant component for the success of the Biofibre Hair Implant because only 1,000 fibres implanted into the scalp, become 3000 hair which provide an Immediate and Remarkable Aesthetic Result.
Restore thickness and health to your hair. The PRP treatment is delivered into the scalp, stimulating follicles and improving the number of hairs per follicle, resulting in thicker, healthier hair. Unlike some treatments, such as certain drugs, there is no risk of side effects such as loss of libido.
Because PRP works on active follicles, it’s a preventative treatment intended to slow hair loss and thinness, so it’s best embarked upon when you first start to notice a problem. Please be aware that it is not a treatment for baldness. PRP can, however, help improve the results of hair transplants.
PRP has been used in hair restoration surgery since 2004 and its role is expanding as the benefits become better understood. It is extremely safe, since you are the donor there is no chance of rejection.
What results can be achieved?
Most patients see a reduction in the shedding of hair in 4 weeks. Between 6 to 8 weeks you will start to see an improvement in your hair character. An increase in hair density should show between 4 to 6 months. Improvements include your becoming shinier, more vibrant and less brittle.
Younger patients who had just started to experience hair loss see the best results with a noticeable increase in hair density.
Patients with moderate and advanced hair loss usually see a reduction or cessation, a smaller percentage see hair thickening.
Who should not use PRP hair treatments?
Androgenic Alopecia (patterned baldness) is the cause for 95% of men and 10% women suffering hair loss. In 2011 researchers at Yale University pinpointed a malfunction of stem cells in the scalp of men as an underlying cause of androgenetic alopecia.
They found that these stem cells should produce molecules called Platelet Derived Growth Factors (PDGF), which support hair growth. A lack of PDGF results in hair thinning overtime. PRP treatments increase the concentration of your own PDGF around your remaining hair follicles stimulating the production of healthier hair .
For non-hereditary types of alopecia, such as Alopecia Areata where bald patches appear on the face and body, or hair loss caused by a medical condition such as chemotherapy – the underlying issue is not caused by a lack of PDGF and so PRP treatments are not suitable.
Follicle simulation used for both men and women to add density, camouflage scars, or to give the shaved head look by replicating the follicle using medical grade ink.