Injerto Capilar Dr. Rafael de Freitas experto en Trasplante Capilar
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DR. RAFAEL DE FREITAS    INJERTO CAPILAR
HOME / Hair grafts / HAIR TRASPLANTATION TECHNIQUES

HAIR TRASPLANTATION TECHNIQUES

There currently exist two techniques for follicular hair transplant.

In this section we will explain all the advantages and disadvantages of both techniques.

 

  • F.U.E TECHNIQUE

  • STRIP, BANDE, FUSS or FUT

 

F.U.E TECHNIQUE

F.U.E = Follicular Unit Extraction

 

In this technique the follicles are removed one by one and the doctor chooses the follicles according to the demand (1, 2, 3 or 4 hairs).
Removed from the donor area (Occipital and/or temporal).
 
This technique allows us to extract the follicular units that we need. We are currently extracting between 1200 and 1800 units per day according to the density of the donor area of each patient. 

 

Our only limitations are the patient’s fatigue and hair availability on the donor areas of the head and the rest of the body.
For hair transplants with more than 1800 units we recommend 2 consecutive days.
We can thus transplant from 2000 to 3200 follicular units in 2 consecutive days depending on the donor area of each patient.

 

ADVANTAGES OF FUE TECHNIQUE

  • There is no suture or visible signs of the transplant.

  • No band or strip of hair is removed.

  • There are no stitches and no scalpel is used at any time.

  • It leaves no scar.

  • You can use long, short or very short hair.

  • Postoperative with very fast recovery.

  • You can use hairs from different parts of the body (BHT - Body Hair Transplant).

  • Sections of more than 3200 follicular units can be programmed (it depends on each patient, only limited by the donor area).

  • Selection of follicular units according to the necessary demand to cover baldness.

  • Use of calibrated micro surgical instruments (0.75, 0.8, 0.85 and 0.90) for extraction.

  • Cicatrisation of the micro extraction points in 4-5 days.

  • There is no risk of nerve or vascular affectation.

  • Extraction with regular symmetry, leaving the hair uniform.

  • No follicular unit is damaged during extraction.

  • No special maintenance of the new hair is necessary, since after their growth they behave like totally natural hair.

 

Implantation by means of IMPLANTER, which gives a more natural appearance, without scars and without fibrosis of the scalp as happens in the Strip Technique.
Maximum density, even after having transplanted a large number of follicles.

 

The FUE Technique allows selecting the follicular units that will provide the greatest density. This means that you can receive more transplanted hairs by the number of grafts concerted. We can also remove hair in a larger area and, even in patients with lower density, more follicular units could be extracted per session than with other methods or techniques.


The great advantage of the individual extraction in FUE technique is that the patient decides at all times the number of follicles or grafts that they wish to have transplanted in each session, how many sessions they want to have per year and how often.


All modalities are possible and the patient will decide what suits them, depending on their free time, holidays, economy, or any other reason.

 

DISADVANTAGES OF FUE TECHNIQUE

  • As every follicular unit is extracted one at a time, this technique takes longer time to be executed.

  • The doctor requires great ability.

  • Texture: More difficult if the hair is curly.

  • Turgidity: The finer, the more difficult.

  • Hair colour: White hair is more difficult to be extracted.

  • Shaving of the scalp. 

 

WHITE DOTS

These are white micro-spots that are seen when the hair is completely shaved (with blade) and that are imperceptible if the patient uses a hair with a size of 1 cm or more.
To that end an expert doctor uses 2 strategies:
We use micro-surgical instruments of smaller calibre in the areas, to do so the doctor requires great ability.
We use an MFU Technique associated with the FUE Method. Multiple follicular units are sought and one unit is taken while the other is left, thus there will be hair in that space and the effect will be diminished.

 

STRIP, FUSS or FUT

Follicular Unit Transplantation

Technique by which the follicles are removed by extracting a band or strip of skin with hair from the occipital area with the use of a surgical instrument: scalpel.
After the withdrawal, it is stitched. The hair follicles are separated one by one using stereoscopic binocular microscopes. 

 

ADVANTAGES

  • Quick extraction, more comfortable for both doctor and patient.

  • Extraction of more follicular units in a single section.

  • It is not necessary to shave the hair. 

 

DISADVANTAGES

  • Complications of the scar, invasive technique.

  • Removal of the stitches 10-12 days after the transplant.

  • Unsightly 20-30cm scar in the donor area, the patient may not use very short or shaved hair.

  • Follicular damage: over 30% of the follicular units of the donor area can be damaged by the scalpel at the time of extraction, and in the microscopic dissection performed by the nurses or assistants.

The extraction by the FUSS or FUT method is based on the removal of a strip 20cm long and 1cm wide. If we take into account that the average density ranges from 55 to 60 follicular units per cm2, between 1000 and 1200 follicular units will be extracted. That is to say, in the case of a patient with low follicular density no more follicles could be removed with the aforementioned cutting measures, so that it would be necessary to extend the area, thus producing a greater, more unsightly scar.

 

COMPLICATIONS

  • Postsurgical effluvium

  • Infection

  • Necroses

  • Dehiscence (spontaneous opening of a stitched area)

  • Hyper- or hypostasia

  • Unsightly scar

 

 

CONTACT DRº RAFAEL DE FREITAS
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+34 608 099 617

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Tel: +34 608 099 617 / +34 963 355 939
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