Follicular Unit Extraction (FUE) technique which is first developed in 2004; has been gradually improved especially after launching Robotic motors in 2010. Dr. Civas has been performing FUE operations since 2006; from 2010 he started using FUE method with Robotic motors through his own developed and improved principles. In 2006 only 1500 to 2000 grafts could be extracted using FUE. Due to advances in medical technology, from 2010 a total graft transfer in a single day has increased to 2700-4000 depending on the donor area.
What is FUE hair transplantation?
FUE is a method of obtaining follicular units, where individual follicular units are harvested directly from the donor area, without the need for a linear incision. In this procedure, 0.6mm-1mm punches are used to make a small circular incision in the skin around the upper part of the graft, which is then extracted directly from the scalp.
Because this technique does not leave a linear scar, it is convenient to patients who want to wear their hair short. The procedure is also suitable to patients who have healed poorly from traditional strip harvesting or who have a very tight scalp. Possibly the most important application of this technique is to camouflage a widened linear donor scar from a previous FUT procedure
In Robotic FUE graft extraction is done with specific punch with motor in which you can automatically set-up the speed of the turn. This method tremendously speeds up harvesting such that around 1000 or more grafts can be extracted in an hour. Advancing techniques for robotic FUE are such that it can select the healthisest grafts through its image proccessing intelligence. However, if Robotic FUE is performed by inexperienced physicians and technicians the results could be substandard, with problems like low graft survival and visible scarring. Another disadvantage is that the heat emitted from device may damage the grafts.
A significant advance in Follicular Unit Extraction has been the addition of “blunt” dissection to the original technique of “sharp” dissection followed by extraction. This was presented by Dr. Harris at the ISHRS in 2004. In this three-step technique, a sharp punch is used to score the epidermis (cut just the upper part of the skin) and then a blunt punch is used to bluntly dissect (separate) the follicular unit grafts from the surrounding deeper dermis. The third step is the removal of the follicular graft from the scalp using fine forceps.
The advantage of this technique over the original two-step process is that using a blunt punch minimizes follicle transection (damage). As the blunt-tipped punch is pushed into the dermis, the follicles, which naturally separate deeper in the skin, are “gathered together” within the opening of the instrument, rather than risk the lower portions of the follicles being cut off.
As a matter of fact, removing and transplanting grafts safely is the crucial part that leads to the desired result. Design of the hair line and angulation of incisions should be performed very carefully so the results are undetectable. That is why finding a good hair transplant surgeon is really important.
Please keep in mind that hair transplantation is not only a medical procedure but also an artistic approach that is directly related with the skill and ability of the surgeon.