Hair is an important aspect of an individual’s physical appearance. Loss of hair from the head can be traumatizing to an individual, in a society that perceives hair as a sign of youthfulness, vigor and success. Falling of upto 100 hairs daily is considered normal (Wolff et al. 2016). It does not cause much harm as there is hair growth occurring simultaneously. The cause of concern is when there is increased amount of hair falling daily or visible hairlessness.
The terminology for increase in hair fall daily is “Effluvium” and visible hairlessness is termed as “Alopecia”. To treat this condition, the method of hair transplantation came into the picture.
Hair transplantation was introduced in 1950s by Dr. Orentreich. Further, the concept of mini and micrografting came in, and in later 1990s the Follicular Unit Hair Transplantation (FUT) took over (Dua and Dua, 2010). In these methods, single strip method with elliptical excision was used for donor harvesting followed by suturing. However, Bernstein and Rassman, started developing a new procedure without strip harvesting, today known as the Follicular Unit Extraction (FUE). This method was a breakthrough in history of, and has proved to be a significant advancement in modern hair restoration.
We, at Mulekar clinic use this technique for hair transplantation for optimum results.
Principle of FUE
Hair usually grows in groups. Each group is termed as the follicular unit. This process works on the principle wherein a group or follicular unit is extracted at one time with use of micro-punches.
Before taking a patient for FUE, the surgeon should ascertain the suitability of the candidate.
FUE is a sutureless (NO SCAR) method of hair restoration, in which hair follicles are extracted from donor area (back of head, beard, chest etc), under local anesthesia with the help of micropunches and implanted in the recipient or bald area.
FUE is a time consuming procedure and can take anywhere between 4-6 hours with breaks.
Advantages– Requires less manpower
– No stitches so no need to visit again
– Its day-care procedure so no admission required
– Microscopic scars in donor area which are almost invisible
– Minimal post-operative recovery time
– Procedure is safe due to use of local anesthetic used
Limitations– Long and tedious process
– Since the number or grafts are limited in one session due to the time taken one may require multiple sessions.
– Only one case per day
The patient is fit to resume daily routine and work activities from the next day. They are briefed with do’s and don’ts. It takes 6-9 months for complete results to appear. Once the appropriate growth is achieved then the patient can cut, style or gel the hair like before.
There have been number of advancements in the FUE. The Follicular isolation technique (FIT), Automated FUE hair transplantation and Robotics in hair transplantation. They have their own limitations.
We at Mulekar Clinic, offer the FUE technique and try our best to explain the patient all the necessary information without misleading them pertaining to the treatment in detail.