Follicular Unit Excision in Hair Restoration Surgery

November 2023 in “ Facial Plastic Surgery ”

Steven Gabel

Follicular Unit Excision FUE hair restoration donor hair linear strip harvesting scarring device development patient selection anesthesia donor area medical treatment options hair loss ethical considerations hair transplant hair surgery hair grafting

TLDR Follicular Unit Excision (FUE) is a popular, less invasive hair restoration method with high patient satisfaction when done correctly, despite some complications from untrained practitioners.

The document "Follicular Unit Excision in Hair Restoration Surgery" discusses the evolution and impact of Follicular Unit Excision (FUE) in hair restoration. FUE, a technique that extracts individual follicular units, has become the dominant method for obtaining donor hair worldwide, surpassing traditional linear strip harvesting. This shift was driven by FUE's less invasive nature and almost imperceptible scarring, even with short hair. However, the rise of FUE also led to poor outcomes and complications due to the procedure being delegated to untrained or unlicensed assistants, contributing to a black market in hair restoration clinics. Despite these issues, when FUE is performed correctly, it yields excellent results and high patient satisfaction. The document also explores topics specific to FUE, such as device development, patient selection, anesthesia, and the impact of FUE on the donor area. It also discusses the current medical treatment options for hair loss and ethical considerations in hair restoration surgery.

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