Follicular unit extraction (FUE)[edit]
With Follicular Unit Extraction or FUE harvesting, individual follicular units containing 1 to 4 hairs are removed under local anesthesia; this micro removal typically uses tiny punches of between 0.6mm and 1.0mm in diameter. The surgeon then uses very small micro blades or fine needles to puncture the sites for receiving the grafts, placing them in a predetermined density and pattern, and angling the wounds in a consistent fashion to promote a realistic hair pattern. The technicians generally do the final part of the procedure, inserting the individual grafts in place.[6]
FUE takes place in a single long session or multiple small sessions. This is considered to be more time consuming, depending on the operator's skill, and there are restrictions on patient candidacy.[7] Clients are selected for FUE based on a fox test,[8] though there is some debate about the usefulness of this in screening clients for FUE.
FUE can give very natural results. The advantage over strip harvesting is that FUE harvesting negates the need for large areas of scalp tissue to be harvested, so there is no linear incision on the back of the head and it doesn't leave a linear scar. Because individual follicles are removed, only small, punctate scars remain which are virtually not visible and any post-surgical pain and discomfort is minimized. As no suture removal is required, recovery from FUE is within 7 days.
Disadvantages include increased surgical times and higher cost to the patient.[9] Some surgeons note that FUE can lead to a lower ratio of successfully transplanted follicles as compared to strip harvesting. Others also suggest that in case a patient would need more than one transplant, it would be difficult to find a good strip after an FUE.[citation needed]
Robotic Hair Restoration is another innovative device in the field of hair restoration. The robot allows detection of the follicular units and its topography with several cameras. The images from the cameras can detect the location, distribution, and the angulation of the follicular grafts. The robotic arm has been able to increase the speed of graft extraction and minimize the exhaustion of the surgeon during an FUE transplant. Despite the advantages of robotic hair restoration systems, there are still some disadvantages such as the size of the punches being relatively large in comparison to what is used in other methods of FUE and the high price of the device
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