Hair transplants have come on leaps and bounds since its early days. FUE is becoming a more and more mainstream form of hair transplants. FUE stands for Folicular Unit Extraction.
At the recent ISHRS Convention (International Society of Hair Restoration Surgeons Convention) it was agreed that the acceptance of FUE is a lot better in the industry now and gradually the amount of surgeons performing FUE has increased worldwide; also there is a bit more predictability with the outcomes in the results.
When I started performing FUE's, one of the things I learnt is that not every client is suitable for FUE. There were days where the process was a cakewalk and there were days where we were literally struggling the whole day. On revisiting these clients along with the results and notes, one thing became conspicuous,which was that not every client is suitable for a FUE transplant and the process of filtration was introduced in the consultation process. What I noticed during the consultation process was that on average no more that 15-20% of clients were suitable for an FUE transplant. Bearing in mind my colleagues will probably agree with this figure, I gather that it probably might be the industry norm in the coming years until something changes in the technique and technology.
What I also understood was there were a few new unexplored concepts with regards to FUE Hair transplant. Now lets start by visiting the donor area. The grafts in the donor area are arranged as follicular units, in groups of 1,2,3,4,5 and up to 8 units per hair per unit. When a surgeon starts off with a journey of FUE, the initial concern is to get a graft, immaterial of the quality of the graft. I realised that with the use of few manoeuvres, the quality of the grafts can be improved. By using a 1mm punch along with the manoeuvres developed by me, we were able to extract grafts containing up to eight hairs. These manoeuvres can also be applied to placement and these were the origins of the third generation of FUE. When I discussed my findings with other senior colleagues in the industry they did acknowledge that the concepts were great but it would mean that the whole process would take a lot longer meaning more surgical time.
Once the client selection process has been improved, man versus supply arises here. The key thing is to counsel the patient, to give them the facts. Let's start by visiting the donor area. Following are a few concepts about the third generation FUE:
Good extraction is the most critical element in defining the outcomes of FUE hair restoration
I have developed a few concepts about making whole process of hair transplant much more predictable and the results a lot more acceptable.
"Thank you for all your help and expertise. I am back in Durban South Africa. I had a good flight with a few close calls with the elderly doing their best to displace my grafts with their hand luggage. Been resting at home today. Still continuing with the saline spray every 30 minutes. I’ve now completed the 5 days of antibiotics and medrone with no sign of any infection and no sign of swelling or bruising. I’ve washed the donor area today with baby shampoo and there was no pain. Tomorrow is dayNishen in UK
"Just to let you know, what a transformation I've seen in only 4 weeks, can hardly believe it. Within days I felt a lot of short spiky hair coming through , and I've actually developed a new hairline. Still some way to go but am optimistic this is exactly what I was hoping for."Steve in UK