FUE (Follicular Unit Extraction) Dallas
FUE stands for “Follicular Unit Extraction” and has become the most prominent trend in the hair-transplant field in the past decade. Dr. Lam has just published the first and only major textbook on FUE (Jaypee Brothers Medical Publishers, 2016).
“Dr. Lam’s FUE Textbook, The First and Only Major Textbook Written on FUE”
Follicular units, the naturally occurring hair groupings are individually harvested and the harvest sites are often healed with tiny, almost undetectable scars. The capability to have a hair transplant and wear a short hairstyle is one of the major reasons to consider an FUE procedure.Except some rare and small cases such as using an FUE method to perform a scar repair the hair in the donor area is trimmed very short. Sporting a short hairstyle before and after the procedure can allow for smoother recovery. Within a few days as the healing is completed, the hair in the donor area usually grows back to its original hair length/hairstyle without disturbing one’s social life. However, it is important to distinguish this capacity from being able in the future to shave one’s head completely, because at times, the healed areas can look like white dots (medically known as hypopigmentation) which can be visible if the hair is completely shaved. Further, if the donor area is very thin and scalp can be seen through hairs even before any surgery, then a strip donor harvest should not be undertaken and FUE donor harvesting would most likely be the ideal method for that person.
Other benefits of the FUE technique are that hair transplant can be possible for patients who are not good candidates for strip procedures due to loss of scalp laxity or due to the lack of scalp donor hair.For example, if someone has a very tight scalp, in many cases due to numerous previous strip procedures, FUE may be the only method that is safe to perform a hair transplant for that individual. Sometimes individuals who have had prior strip procedures are relatively tight in the occipital scalp (in the middle of the back of the head) but not in the temporal areas (sides of the head) and FUE can be performed in the central portion and an FU-strip can be performed on the sides in a combination procedure. FUE is particularly good as a technique for harvesting in situations when an FU-strip procedure is unfavorable. For example, the nape of the neck is prone to scarring and can only be harvested with FUE. This area can be good for individuals who have very coarse hair and require fine hair for the hairline, but these hairs can only be used in individuals with a stable hair-loss pattern in this region since hair can be lost back upward from the neck area over time. There are many creative solutions to achieve maximal transplantable results as rapidly and as safely as possible. When other sources of donor hair are considered, such as bead or chest hair, an FUE is the only harvesting method available to obtain hairs from non-scalp regions that cannot undergo a linear incision due to the risk of scarring. FUE has become a versatile and excellent method for hair transplant when performed in experienced hands.With that in mind, it can either be used in isolation or in combination with FU-strip harvesting tailored to a particular patient’s needs.
Patient shown before and after FUE procedure. He has very thin hair in the back that makes him an unsuitable candidate for strip procedure due to risk of seeing the incision. With limited donor hair, he is able to achieve good improvement but not total hair density after one session.
Dr. Lam can offer you the most comprehensive consultation to achieve your best outcomes possible that are tailored to your desires and anatomic condition. In certain situations,Dr. Lam still believes that FUE is not suitable for some men and almost all women who often wear a long hairstyle because of the need to shave one’s head before undergoing FUE. A microscopic analysis and discussion with Dr. Lam will help you decide whether this method would be suitable for achieving your aesthetic goal.