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Follicular Unit Extraction (FUE)

Introduction to Follicular Unit Extraction (FUE)

This technique was previously termed Follicular Unit Extraction and was published in 2002 by Dr Bernstein and Dr Rassman. This technique involves extraction of individual follicular units (FU) or follicles from the donor area and implantation in the recipient area. It established the use of small, circular punch which aided in incision of the skin and separation of surrounding tissue from the graft. This technique gained popularity in next few years after facing initial criticism like any other.

 In the year 2018, the term ‘extraction’ was replaced by ‘excision’ in an attempt to emphasise the minimally yet invasive nature of the procedure and avoid misleading patients.

FUE is an advanced version of hair transplant though it is quite a simple one. It is done with suction like method in which individual grafts are removed from the scalp. There are no sutures required in FUE. However, it is slightly time consuming. This surgical procedure is most suited for people with lesser area of baldness and those who need less number of grafts.


Steps of FUE:

  • Extraction of required follicular units or follicles from the donor area and placement in holding solution.
  • Implantation of the grafts in recipient area with the help of implanters or forceps.

Advantage of FUE over FUT-

  •  Avoidance of linear scar
  •  Faster healing time
  • Technique of choice in decreased scalp laxity 
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