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Techniques

FUE Hair Transplant

Follicular Unit Extraction (FUE) is a minimally invasive technique in which follicular units containing 1–4 hairs are harvested individually from the donor area with micro punches and transplanted into the recipient area. Because it leaves no linear scar and heals quickly, it is regarded as the foundation technique of modern hair restoration.

Anaesthesia
Local
Punch Diameter
0.7–0.9 mm
Session
6–8 hours
Return to Work
Typically 7–10 days

Principles

The donor area (usually the occipital and temporal regions) is trimmed short. A punch mounted on a micromotor separates each follicular unit from surrounding tissue; the graft is lifted with fine forceps and kept in holding solution at 4 °C. Grafts are sorted by hair count: single-hair units for the hairline, multi-hair units for zones requiring density.

Micro-channels are opened in the recipient area at the planned angle and direction and grafts are placed into them. An irregular hairline design and single-graft placement are the principal determinants of a natural appearance.

Candidates

  • Men with Norwood II–VI pattern loss and adequate donor density
  • Hairline recession, vertex thinning or diffuse thinning
  • Camouflage of a previous FUT (strip) scar
  • Patients who wear short hair and wish to avoid a linear scar

Diffuse unpatterned loss, active scalp disease, uncontrolled diabetes or bleeding disorders require separate assessment by the physician.

Advantages

  • No sutures or linear scar; healing is punctate and rapid.
  • Beard and chest may serve as supplementary donor areas where needed.
  • Suited to zonal work (hairline, temples, crown).
  • Low post-operative pain; most patients resume daily activity the next day.

Limitations

  • Grafts per session are limited by donor density; over-harvesting thins the donor area.
  • A lengthy procedure; large sessions depend on team experience.
  • Final density develops over 9–12 months.

Recovery Timeline

  • Days 1–3: possible forehead and periorbital oedema; sleep with the head elevated.
  • Day 3: first wash and wash training under clinic supervision.
  • Days 7–10: crusts clear; socially presentable.
  • Weeks 2–8: shock loss; transplanted hairs shed temporarily.
  • Months 3–4: new growth begins.
  • Months 9–12: thickening completes; final assessment.