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FUE also known as “Follicular Unit Extraction” is the movement of genetic groups of hair known as follicular units (FU); “bunches” of hair usually 1 to 4 hairs. A surgical punch surrounds the FU and with a great deal of skill and precise measurement of skin and hair angles the FU is removed. Extraction is relatively slow compared to the Strip Technique with between 1500 and 2000 being extracted and placed in one day. More important to the amount is the yield or growth rate, so the amount will vary from person to person. Dr. Villares believes the FUE Technique has proved a good option for those with minimal thinning and those who have undergone multiple “older” procedures and their donor is impaired, as FUE opens the extraction area allowing hair to be removed in areas a Strip procedure could not. Larger areas of thinning say NW4 and higher can be treated with FUE but the person has to have better than average donor hair density and good hair characteristics to ensure sufficient FU numbers can be safely extracted and leave options for the future.

Common face procedures for men


To perform FUE to the highest standard the donor area requires total shaving, except possibly for small procedures such as 100-500 grafts when smaller areas could be shaved and hidden by surrounding hair. Shaving will allow the doctor to precisely measure the angle the FU exits the scalp as well as give a greater comprehension to the position within the skin, a very important aspect of the extraction. If the concept of FU angulations, skin variations and healing is not understood by the doctor, the FU will not be removed intact or will result in a high transection rate or low yield, either way this is bad for the patient. Removing the FU over the widest surface possible will reduce and diffuse the lost hair.


FUE when performed correctly and on a suitable candidate can yield excellent growth and design without causing obvious signs of a hair transplant. It has opened up the possibility to revise and correct old strip scars by placing hair back into the scar as opposed to reopening an earlier scar. It has enabled the doctor to “cherry pick” certain hair calibre for specific areas of placement; this is very pertinent when designing a hair line, temple points and laterals as well as eyebrow or eye lash reconstruction. The hair ideally needs to be fine, and having the entire donor safety zone to choose from enhances the result in such a crucial area. It does have limitations, but if the patient is educated and made aware of the pros and cons, then FUE has proven in the right hands to provide natural results.

Hair Restoration


Included in this problem is the pattern of extraction, a person’s hair characteristics will determine the pattern of extraction. As the average numbers of hairs per FU can alter dependent on the area of the donor safety zone it is important to keep an educated extraction pattern to not remove too many of a particular size from a particular area. It is important not to take adjacent or corresponding FU’s which are parallel to each other, especially larger hair FU groups, to ensure no large hairless areas are created. The term “cherry picking” is often used with FUE to remove finer hair for hair line work, but again this has to be controlled to not remove too many from a a particular area, say by the ear, and leave the patient with visibly thinner density.

Additional Hair Procedures

Hair Restoration PRP

PRP therapy for hair loss is a treatment that involves withdrawing a patient’s own blood, processing it so that only the enriched cells (platelet-rich plasma) remain, and injecting it into the scalp. PRP contains essential proteins that stimulate natural hair growth. Other terms for this treatment include PRP hair regrowth treatment, and in the U.K., angel PRP hair regrowth and vampire hair regrowth plan. The treatment can also be combined with hair transplant surgery, microneedling, or medications such as Propecia and Minoxidil.


Hair characteristics and FU constitution can play a large part in how suitable FUE can be; it is misunderstood that FUE is suitable for all hair loss stages and hair types and some may not have the right attributes to ensure a solid result. This can be due to reasons such as donor hair density or hair diameter, including the % of miniaturisation in the donor or the average size of a person’s natural groupings of hair as well as skin texture and healing properties. If there is a doubt when consulting on line then a personal consultation would always be the best option before making your decision.

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