This method was first declared to the world by Dr. Woods in 1996. But since Dr. Woods was not able to give detailed information about the method it was not accepted in those years.
In 2002, Dr. Bernstein and Dr. Rassman announced the FUE method to the world.
The difference between this method and the FUT method is that this method does not use scalpel and knife to make an incision between the ears. Instead, with this method special biopsy needles are used to remove the follicular units individually.
During the first years a limited number of grafts were obtained (300-400 in a session). With the development of technological tool in the FUE method the number of grafts obtained in a session has increased to 2,000. This has helped both doctors and patients to prefer the FUE method.
By the year 2010 the FUE method of hair transplantation took place as a major method applied in the world.
The only difference between the FUE method and the FUT method are the procedures carried out during the removal of hair from the donor area. The remaining steps are the same as the FUT method.
The stages of the FUE method:
1. Local anesthesia and sedation
2. The removal of hair from the donor area
For the FUE method the donor area (where the grafts will be taken from) must be shaved so that the hair is approximately 1 mm in length
2.1. Individually removing the grafts
The follicular units are removed one by one from the adipose tissue by using a punch biopsy needle with a diameter of 0.7 – 0.8 mm.
2.2. The collection of the individually removed grafts
Afterwards, the individually removed follicular units are collected one by one with the help of special forceps in order for the follicular units not to be damaged. There is an inevitable thinning in the donor area which is not visible. The traces left behind by the biopsy needles disappear within a few days without leaving a scar.
3. Graft insertion stage
Micro channels are opened to insert the grafts using the channel method. Before the opening of the micro channels where the grafts will be inserted, the area is numbed with local anesthesia. In the meantime, in order to decrease the decrease the bleeding to a minimal level and to avoid damaging the blood vessels, a serum is injected under the physiological skin to inflate the area with hair. The hair follicular units obtained from the extraction of grafts are grouped before they are inserted. Then micro channels equal to the amount of hair is opened in the balding area using 18, 20 and 22 gauge needles. 24 gauge needles are used for one-hair follicular units, 22 for two-hair follicular units and 20 for three and four-hair follicular units. One of the most important stages of being able to capture the naturalness of a hair transplantation is the opening of the micro channels. According to the field of hair transplantation, the proper angle and depth of the micro channels is no doubt extremely important.
Lateral Slit technique
Lateral incision technique is applied to the opening of the micro channel. It captures a more natural appearance and provides an opportunity for more frequent hair growth.
The quality of the hair in the donor area
One of the most important factors of the FUE method is the quality and density of the hair in the donor area. Patients who do not have a high density of hair are not considered to be good candidates for the FUE method.
The use of a micro motor in the FUE method
The collection of grafts is much quicker in the FUE method since it is not done manually but rather done by using a micro motor. Thus, more grafts are removed in one session which reduces amount of time it takes for a hair transplant.
Body hair transplant
This is actually not a different method. It can be considered a type of FUE hair transplantation. If the balding area is large and there is not enough hair between the two ears then hair from the body may be substituted. Hairs in the appropriate parts of the body (chest, beard, hair on the legs and back) is removed and transplanted to balding areas individually. The body hair transplant procedure is considered as an alternative method to transplanting hair to balding areas.