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    Follicular Unit Extraction

    Follicular unit extraction (FUE) is a method of hair transplant that harvests viable follicular units (hair follicles) from a patient’s donor area, one at a time, to provide that patient with units that can then be used to create full hair restoration.

    Hair loss is a common problem that affects both genders across the globe, and can be due to a variety of factors such as age, stress, illness and hormones. Once the underlying factor has been treated (such as illness or stress), then Dr. Colin Hong can begin to help restore your hair. One of the surgical treatments for hair restoration is Follicular Unit Extraction (FUE), which involves manual removal of individual hair follicles from denser areas of a patient’s scalp, and then transplantation into an area that requires more density. The precision and expertise involved in this procedure requires a qualified and experienced plastic surgeon like Dr. Colin Hong. At FUE-Canada, we are committed to treating hair loss with patient-centered care to make sure you receive the best results you are looking for.

    Follicular Unit

    A follicular unit is a naturally occurring grouping of one, two, or three (and rarely, four) hair follicles found in the skin. The average follicular unit contains about 2.4 hairs.

    Follicular Unit Extraction (FUE Or FOX)

    Follicular Unit Extraction is a method of extracting single follicular units, one at a time, from the donor site by using a tiny punch excision. A punch used to extract single follicular units is typically 1mm diameter or less.

    Follicular Unit Graft

    A graft consisting of a single follicular unit. In appropriate patients, artistic planning – in addition to the correct angulation, orientation, and positioning of follicular unit grafts – can yield an exceptionally “natural” appearance of the transplanted hair.

    Follicular Unit Micrografting

    A method by which large numbers of follicular units are harvested from the donor site (usually in a long strip or ellipse) and then microscopically dissected into grafts containing single follicular units.

    Micrograft

    A graft containing 1 or 2 hairs, obtained from the donor area with a micropunch or sliced off from a round graft (see below). A micrograft is typically placed into holes made in the scalp with a microneedle or punch.

    Minigraft

    A graft containing 3 or 4 hairs (small minigraft) or 5 or 6 hairs (large minigraft). There are many variations of minigrafts derived from round grafts.

    Multi-unit Grafts (MUG)

    Grafts that contain two or more follicular units in a single graft. This term replaces the older “minigraft”. In practice today, MUGs contain 2-6 follicular units per graft.

    Multi-unit Grafting

    Multi-Unit Grafting

    Hair transplantation using multi-unit grafts. In practice, these grafts may be placed into small round holes, slots, or slits. This would always be in combination with the use of FUT in the same procedure.

    Round Graft

    The first type of graft used in hair transplantation, a round graft has many variations. Harvested with punches of various sizes, a large round graft may contain many hairs (20 or more). The round graft is obtained from the donor site by surgical removal and may be used “as is” or may be sliced into smaller sections for micro-, mini- or slit grafts.

    Scalp Reduction

    A procedure that removes bald scalp and brings the edges of hair-bearing scalp closer together. Scalp reduction is most often used in patients with crown baldness. See also “Alopecia Reduction.”

    Scalp Rotation Flaps

    A type of procedure that involves the lifting and rotation of a strip of hairy scalp which is placed into an area of simultaneously removed balding skin.

    Slit Graft

    Hair obtained from a donor site directly or sectioned from a larger round graft is inserted into a slit made in the scalp by the tip of a scalpel blade

    Tissue Expander

    A reconstructive balloon-like device which can be used to enlarge hair-bearing scalp on the sides of the head, providing a larger supply of hair with which to replace the bald areas. Often used in hair flap techniques and scalp reductions.

    Tissue Extender

    A device used to stretch scalp. Often used to speed up the process of scalp reductions by stretching the sides of the scalp that contain hair to achieve rapid elimination of bald areas. The tissue extender is temporarily inserted below the scalp and remains in place for a three-week period.

    Vertex Area

    The area in the top/back portion of the head which contains a swirl or spiral pattern of hair growth. Also called the ‘crown,’ it may be the first area where male pattern baldness is noticed.

    Frequently Asked Questions

    The good thing about hair transplant procedures is that it is designed to provide a permanent solution to patients who are suffering from hair loss. However, the success of the treatment weighs heavily on the care provider. Dr. Colin Hong is a trained and experienced hair transplant surgeon. He is committed to treating hair loss with the latest research and technology to ensure that optimal results are achieved.

    FUE hair transplant procedure gives you natural-looking results with a shorter recovery period. Dr. Colin Hong and his team have many years worth of knowledge and experience and can provide you with a customized transplantation.

    In the few months after the FUE procedure, shedding of your original hair will likely occur before the new hair will start to grow back at the transplanted site. This is normal and is only temporary. You will receive post-operative instructions from your surgeon to ensure optimal healing and care after the surgery. However, if you continue to experience hair loss, the hair at the transplanted site can also be affected.

    Since the entire hair follicle is removed and placed in a new location, it will likely not grow back in the old one. Most cases where there is a re-growth of hair is when hair follicles are not completely removed from your donor area. However, your surgeon will only harvest from areas where the effect of the removal of hair follicles is barely noticeable.

    FUE’s major advantage over other hair transplant procedures is that it does not leave noticeable scars on your scalp. Provided the procedure is performed by a hair transplant specialist, the result will likely be a natural-looking hair restoration without you worrying about any visible scars at all.

    Though FUE is minimally invasive, there may still be a bit of discomfort during the procedure. Usually this occurs during the administration of local anesthesia. However, we will provide measures to reduce this discomfort as much as possible, such as with the use of a mild sedative beforehand.

    Normally, the ideal age for an individual to undergo FUE is when the thinning of hair is not too advanced. There needs to be adequate hair density at the back of the scalp for follicles to be harvested for transplant. With significant hair loss and balding, there may not be enough hair for transplantation.

    Hair follicles collected from the head are ideal for transplantation back to the scalp. This is because the nature of hairs varies through different parts of our body. However, if there are no available hair follicles on the head of the patient, beard and chest hair can be used as a substitute for hair restoration on the area where the patient desires. Please speak with Dr. Hong to see if this is a possibility for you.

    Yes. FUE can be a complex procedure, but with the combination of advanced technology and the skill and expertise of Dr. Hong and his team, the surgery can be very successful. FUE is currently considered one of the most advanced and successful hair loss treatments. Dr. Hong has been performing FUE for many years, and is committed to helping patients regain their confidence.

    One of the main goals of FUE is to provide a permanent solution to individuals who are struggling with hair loss. If the procedure is performed by a qualified hair specialist and post-instructions are followed carefully, the chances of a permanent result will be high.