Hair Restoration

Manual vs Motorised FUE

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Mon to Fri - 9:00 am to 5:00 pm

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When I walked into the practice, Dr Reddy and his staff greeted me and immediately went above and beyond to ensure I was well looked after and put any nerves to rest.

Manual FUE

Manual FUE has always been considered the gold standard in hair restoration surgery. It involves the operator using a sharp punch of approximately different sized punches ranging from 0.8 to 1mm based on the texture of the donor hair.

Advantages of manual FUE: 

1) The operator gets to feel the grafts carressing the skin and conceptualise the different layers of the scalp. This in turn produces superior quality grafts. 

2) The operator has better control over the speed of rotation of the punch therefore minimising the sheering forces resulting in less trauma to the grafts. 

3) The operator has better depth control resulting in less transactions and also less scarring. 

4) In an experienced pair of hands, manual FUE can yield exceptionally good numbers.

Disadvantages of manual FUE 

1) As the punches are sharp, the transaction rates can be very high in an experienced pair of hands. 

2) The learning curve with mastering manual FUE can be painfully long and a lot of practitioners tend to lose confidence in the early stages of their career as the transaction rates can be exceptionally high. 

3) In patients with slightly thicker skin, manual fue can become very laborious as the punches keep getting blunt and also the operator struggles to get perfect angles. 

4) In patients with different hair textures i.e afro carribean or curly hair, manual fue can become very laborious as the operator has to use a sharp and a blunt punch thereby increasing the duration of the procedure.

Motorised FUE

Motorised FUE involves the use of a motor device to aid in the rotation of the Fue punch. There are hundreds of motorised systems on the market and a review of the systems are beyond the scope of this article. We believe motorised FUE has revolutionised this industry by allowing more practitioners to achieve reasonably good results with FUE.

Advantages of Motorised Fue 

1) The learning curve for the practitioner can be exceptionally short. 

2) With use of blunt punches, the transaction rates can be minimal. 

3) The speed of extraction has improved exponentially with the use of motorised FUE. 

4) Patients with different skin and hair textures who would have been previously unsuitable for FUE are now able to undergo FUE because of automation.

Disadvantages of Motorised FUE 

1) As the practitioner fails to develop a feel for the grafts, the transaction rates can be unacceptably high. 

2) Some practitioners opt to leave the motor in a continuous mode to increase the speed whereby causing higher transaction rates and increasing scarring. 

3) With the introduction of motorised FUE, more non medical personel are performing FUE extractions which is against the law as the lack of medical expertise can cause irrepairable damage to the patient. 

4) The scarring with motorised punches can be unsightly. 

5) With the increased prevalence of motorised FUE, I believe that the practitioner will lose a deeper understanding of grafts and tissue quality which they would have developed had they done manual FUE prior to motorised.

Let's Grow Together

The objective of this website is to provide sufficient information to the consumers that will help them decide on the best possible option for their hair loss and take a balanced view. We are in no way implying that we are the best.
There are some phenomenal surgeons practicing worldwide, whom I have had the privilege of training with and working under. I would like to believe that my team always give their best and our results are consistent with the best in the industry.

Dr. Raghu Reddy

FUE Hair Transplant Specialist

Get in Touch

Drop us a message or give us a call for more information.
A member of our team will be more than happy to help.

107 Harley Street

London, W1G 6AL