FUE

October 25, 2019 | By HSW Clinic

FUE Hair Transplants

 

A Minimally Invasive Procedure

Follicle Unit Excision (formerly Follicle Unit Extraction) is a hair transplant technique involving a minimally invasive procedure to harvest hair follicles from the safe donor area at the back and sides of the scalp. Those follicles are then transplanted into areas where hair loss has occurred. This surgical procedure is done by using a specialised punch to harvest the hair follicles from the donor area. The grafts are sorted and stored temporarily in organ storage solution and normal saline at cooler temperatures, then processed before transplanted into the recipient areas with hair loss. Harvested Grafts Follicle Unit Extraction Fue Diagram  

Hair Transplant Grafts

Follicle Unit Extraction Fue Hair Transplant Grafts  

Why Is FUE Ideal for Hair Loss?

Follicle Unit Excision offers the patient remarkable results with denser hair growth in the required areas. This procedure also offers patients a permanent solution to hair loss conditions, making it one of the most popular methods of hair loss treatment. Follicle Unit Excision harvesting as a method for hair transplant surgery is suitable to both men and women. Surgical Team Follicle Unit Excision Fue Harvesting Hswclinic Dr Andre Nel  

Advantages of FUE Hair Transplant Procedure

No Linear Scar

With Follicle Unit Excision the follicles are harvested one-by-one using a sharp circular punch that leaves a small round wound that heals within a week. Over a 12 to 18 month period the scar shrinks leaving a very small slightly depigmented dot on the skin which is barely seen on a bare scalp and completely covered and not visible when the donor hair has grown out.

Less Nerve Damage

Because the punch sites are small and distributed randomly over the whole Safe Donor Area, nerve damage is less when compared to FUT strip surgery where some of the occipital nerves are severed during the cutting of the strip. However, peripheral nerves regrow over a period of 18 months and in both FUE and FUT harvesting the sensation returns on the back of the scalp. With Follicle Unit Excision the sensation returns quicker and there seems to be less numbness during the recovery phase.

Less Invasive

Because a small punch is used and not a scalpel that cuts into the tissues, the healing time is much quicker, and no sutures are required as the punch sites are so small they heal by themselves through secondary intention.

Scalp Laxity

With an FUT procedure, scalp laxity is often less after surgery where with FUE the scalp laxity tends to be better maintained post healing.

Graft Selection

FUE allows Dr. Nel to ‘cherry pick’ grafts that are necessary for an optimal result. Especially during FUT/FUE combination procedures, by doing FUE specific grafts with 3 hairs and 4 hairs can be targeted in areas where they are more prevalent.

Use of Body Hair/Beard Hair

The advent of FUE has allowed for the extraction of non-scalp hair from the beard or chest areas in patients with limited donor supply.

Recovery Period is Relatively Quick

The tiny dots caused by the small punch used for the Follicle Unit Excision will heal within a week.

Retains Donor Growth Patterns

FUE causes minimal disruption to the hair direction and angles of growth in the donor area.
Reviewed by Dr. Andre Nel
One of the world’s leading hair transplant surgeons based in Dublin.

Frequently Asked Questions

1. How much does an FUE hair transplant cost in Dublin?

The cost of an FUE hair transplant depends on the number of grafts required, which varies from patient to patient based on the degree of hair loss and the results you want to achieve. Because every case is different, we provide a clear, personalised quote at your consultation once Dr. Nel has assessed your hair and discussed your goals — with no obligation to proceed. We also offer flexible payment options, which we’re happy to talk through.

2. Is an FUE hair transplant painful?

FUE is carried out under local anaesthetic, so the procedure itself is not painful — most patients are comfortable throughout and many relax, listen to music, or watch something during the session. You may feel a small sting as the anaesthetic is administered at the start. Afterwards, some mild tenderness or tightness in the donor and recipient areas is normal for a few days and is easily managed with simple pain relief.

3. How long does it take to recover from FUE, and when can I return to work?

FUE is minimally invasive and most patients return to work after ten days, particularly if their role is not physically demanding. My standard advice is to take two weeks off post-procedure. Scabbing in the recipient area is normal and at the ten-day post-op review this is usually gone or I wash it off. We’ll give you detailed aftercare guidance and recommend avoiding strenuous exercise and swimming for the first two weeks until everything has healed.

4. When will I see the final results of my FUE transplant?

Hair growth after a transplant is a gradual process and patience is important. The transplanted hairs typically shed within the first few weeks — this is completely normal and expected — before new growth begins at around three to four months. Most patients see meaningful improvement by six months, with the final, fullest result usually visible at around twelve to eighteen months.

5. Are FUE hair transplant results permanent?

Yes. The hair follicles used in an FUE transplant are taken from the “safe donor area” at the back and sides of the scalp, which is genetically resistant to the hormone (DHT) that causes male-pattern hair loss. Because of this, the transplanted hair continues to grow naturally for life. It’s worth noting that a transplant restores lost hair but does not stop further thinning of your existing, non-transplanted hair, which is something we’ll discuss as part of your long-term plan.

6. Will there be visible scarring after FUE?

FUE involves harvesting individual follicular units rather than removing a strip of skin, so it does not leave a linear scar. Instead, it leaves tiny dot-like marks in the donor area that are typically not noticeable once the surrounding hair grows, and it allows most patients to wear their hair relatively short with confidence. Dr. Nel will discuss what you can realistically expect for your individual case.

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