Posts Tagged: Follicular Unit Extraction Scarring

In Hair Transplant Repair, Can Follicular Unit Extraction Be Used To Remove Hair Plugs?

September 11th, 2009

Q: I was wondering if it was possible to use Follicular Unit Extraction (FUE) on the old plugs instead of graft excision.

A: Graft excision generally works better than FUE in removing old plugs and mini-grafts. In these grafts, the hair is not aligned due to the scar tissue that forms from the large recipient sites. Because the hair direction is altered from the scar tissue, there is much more damage when the grafts are removed with FUE.

Another benefit of graft excision is that we can remove the underlying scar tissue and improve the appearance of the skin.

Finally, graft excision sites are sutured closed so they heal with an imperceptible scar. FUE sites are left open and the white scars at the hairline can be visible.


Posted by Robert M. Bernstein M.D. at 12:31 pm

After Follicular Unit Extraction Hair Transplant at the Hairline, Will Bumps Go Away?

September 1st, 2009

Q: I have had a hair transplant done in the hairline of 1,000 or so FUE grafts. However, as the hair sheds, under natural light the recipient skin seems bumpy with incisions and holes that are noticeable. Do these tend to go away with time once they have healed?

A: If a follicular unit transplant is performed properly (using either extraction or a strip) there should be no bumps or surface irregularities. When the hair restoration is totally healed, the recipient area should be appear as normal looking skin.

With FUE it is important to sort out the grafts under a microscope, to make sure that all of the grafts placed at the hairline are 1-hair grafts and that the larger grafts are place behind the hairline. They should not be planted without first being sorted under a microscope.


Posted by Robert M. Bernstein M.D. at 10:12 am

After Follicular Unit Extraction Hair Transplant, Can One Shave Their Head?

June 29th, 2006

Q: I am trying to have my donor scar repaired after a 1000 graft hair transplant. I was told the FUE’s placed into the scar would conceal it enough to shave my head? I would like to shave my head completely bald with a razor.

A: In general, after a scar correction with follicular unit extraction you can clip your hair very short, but not shave your head. If you shaved your hair completely bald, you would generally see a vague outline of the linear scar as well as the small scars from FUE.


Posted by Robert M. Bernstein M.D. at 8:21 am

Does Hair Transplant with Follicular Unit Extraction Leave Scar?

August 15th, 2005

Q: Can you shave your scalp after a hair transplant with FUE without noticing scarring in the donor area?

A: Although there is no line scar in follicular unit extraction, there are tiny round ones. You can clip your hair very short after FUE, however, shaving your head will make the very fine white scarring visible.


Posted by Robert M. Bernstein M.D. at 2:57 pm

What are Follicular Unit Transplantation and Follicular Unit Extraction, and How do They Differ?

June 21st, 2005

Q: What is Follicular Unit Transplantation and how is it different from Follicular Unit Extraction?

A: Follicular Unit Hair Transplantation, called FUT for short, is a procedure where hair is transplanted in the naturally occurring groups of one to four hair follicles. These individual groups of hair, or units, are dissected from a single donor strip using a stereo-microscope. The area where the donor strip was removed is sutured closed, generally leaving a thin, fine, line scar.

In Follicular Unit Extraction, or FUE, the individual units are removed directly from the back or sides of the scalp through a small round instrument called a punch. There is no linear scar. There is, however, scarring from the removal of each follicle. Although the scars of FUE are tiny and round, the total amount of scarring is actually more than in FUT.

In addition, since in FUE the bald skin around each follicular unit is not removed, the total amount of hair that can be removed in FUE is substantially less than in FUT. This is because if one were to remove all the hair in an area, it would be bald. In FUT, the intervening bald tissue is removed along with the follicles in the strip.

The pros and cons of each procedure can be found at the end of the Follicular Unit Extraction page of the Bernstein Medical – Center for Hair Restoration website.


Posted by Robert M. Bernstein M.D. at 8:31 am



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