The FUE technique is quite different from the “strip technique” since it involves the individual extraction of bunches of FUs using a surgical punch of less than 1mm diameter, usually measuring between 0,75 and 0,80 mm. The surgical punch surrounds the FU so that all the parts of the follicule are completely removed from the scalp. The extraction is relatively slow, when compared to other methods like the “strip” technique, with 1000 to 1500 FUs being transplanted in one day.
Dr. Meyer, Dr. Alcaide and their colleague Dr. Bisanga firmly believe that the FUE technique is one of the best existing options to treat partial alopecias. They even advise this technique to be used to repair partial alopecias provoked by anterior surgeries or when the donor area has deteriorated, because the FUE technique allows to use larger donor areas than when other techniques are performed.
Advanced alopecias patients can also be treated with the FUE technique though their donor area needs to have higher hair density than the average and very good hair characteristics to ensure sufficient FU numbers will be disposable of if needed in the future.
To perform the FUE surgery, the donor area will have to be totally shaved as this will allow the surgeon to understand the hair position patterns and measure the angle of the FUs on the scalp. This is a very important part since it helps reduce the rate of follicule transections. Once the FUs have been removed with the punch, they are separated one by one.
Doctors Meyer, Alcaide and Dr. Bisanga extract about 25 to 30% of available FUs per square centimeter, depending on the individual hair characteristics and density of every patient. For our hair transplant clinic, the BHR Clinic in Spain, it is very important to preserve the donor area since the FUE technique needs to remain a viable alternative. The extraction of a 25 to 30% of hair amount is a maximum recommended by surgeons though it will unlikely be performed during a sole procedure. When larger punchs are used, bald areas may appear or scarring may result more visible on the scalp.