How is FUE Performed?
The basic principle of FUE is technically no different than the older punch plug method introduced by Orentreich in 1952. To score the skin and for removal of bundle of hair from the donor scalp tissue a circular surgical punch is used. With old fashioned 4mm punch plugs this would remove thirty to fifty hairs at a time.
With modern FUE, the harvest is one to four hairs at a time. Or however follicular unit are targeted by many hairs individually. The size of a typical FUE punch today ( 7mm to 1mm) leaves a very small. Sometimes nearly imperceptible “dot” scar that easily hidden with hairstyles . Generally shorter than what is necessary to conceal even the best FUT scar. Than these follicular units are take out by using forceps and then arranged and separated on the base of numbers of hairs. This is necessary as the number of hairs per graft dictates where the grafts will be placed.
For instance, for the frontal hairline and the central crown whorl, single hair grafts will be used. Whereas behind the hairline and in the mid-scalp multi-hair graft are settled for adding volume and coverage. This is the general distribution method but this can vary depending on specific needs and clinical preferences.
Hairline doctor selection:
Right selection of hairline doctor for surgery is the most critical factor for the short term and long term success of a hairline result. Your doctor should have several years of experience so that your particular characteristics do not present a challenge. The following are the key points a hairline hair transplant doctor should consider with each patient.
Hair transplant patients are getting younger on average and most wish to have their original hairline back. The problem with younger patients is that their hair loss experience is only beginning . Their final hair loss pattern may not be obvious. To make the perfect hairline if excessive hairs are used. Then the patient will not have enough hair to sufficiently mark all areas of future hair loss as they become aware. “Donor area management”is known as understanding the balance between donor area and the recipient area, both current and future.
2. Family history:
This too can fall under the category of donor area management. The probability of additional and potentially aggressive hair loss is understand by the family history of hair loss. It is a myth that the genetic marker of hair loss is only transfer from the mother’s side . Both the maternal and paternal sides of one’s family influenced the hair loss. Therefore it is important to know which family members of each side have lost hair and to what degree this loss progressed or is progressing. If there is an obvious degree of hair loss in a majority of family members. Then it is responsible to assume that a similar degree of loss will be experienced by the patient.