FUE - Follicular Unit Extraction
This method of donor harvesting, removing follicular units one-by-one directly from the scalp, is what differentiates the FUE procedure from a traditional Follicular Unit Transplant, where the donor hair is removed from the scalp in one thin, long strip and then subsequently dissected into individual follicular units.
Advantages:
- No linear scar in donor area
- Important for those who wear their hair very short
- Decreased healing time in the donor area
- No limitations on strenuous exercise after the procedure
- Less post-op discomfort in the donor area
- Useful for those with a greater risk of donor scarring
- Useful for repairing donor scars that cannot be excised
- Provides an alternative when the scalp is too tight for a strip excision
- Enables one to harvest finer hair from the nape of the neck
- Makes it theoretically possible to harvest non-scalp hair.
Disadvantages:
- Follicular units in FUE are harvested from a much greater area of the donor zone compared to FUT
- Graft quality is not as good compared to FUT
- The maximum follicular unit graft yield is lower than with FUT
- With each subsequent session, the scarring in FUE is additive
- In large hair transplant sessions, the entire donor area must be shaved
- Microscopic dissection may be needed in addition to the extraction
- After large numbers of grafts are harvested, fine stippled scars may become visible due to thinning of donor area
- Long-term, if the donor area narrows, the scarring may become visible
- With FUE, grafts are usually out of the body for a longer period of time compared to FUT
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