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FUE Transplant: Step by Step

*This blog is a transcription of a video covering a Modena Hair Institute patient who saw Dr. Yazdan for a FUE hair transplant procedure, also known as follicular unit extraction. We’ve included the video itself here as well*

Mark, an international business entrepreneur from Scottsdale, Arizona, has arrived in Modena Hair Transplant Center in Las Vegas for his first hair transplant surgery. As he tells it, over a year beforehand, his brother came to this same office to have his own FUE transplant surgery done, and he wants to find out what Dr. Yazdan can do with his own receding hairline, which has been steadily getting worse over the past 5-10 years.

In his office, Dr. Yazdan examines Mark’s hair to determine factors such as the condition of his follicles, the density of his hair, and viability; it’s necessary to plan the transplant in extensive detail to ensure the best possible results.

As Dr. Yazdan explains, “In aging patients with typical male pattern baldness & a receding hairline, it’s necessary to restore the hairline in the angles. I think it’ll be sufficient to fill the temporal area & lower the hairline.” Speaking to Mark, he says, “Your hair looks healthy, and your donor zone is perfect. It will take approximately 1,500 grafts to lower your hairline and fill in the sides & temporal area. We’ll use the FUE method, we’ll begin at 8:00 AM, and by 5:00 PM we’ll be finished.” From there, Dr. Yazdan carefully measures & reconstructs the patient’s ideal hairline; it is of the utmost importance to make this hairline natural & optimally dense. 

It is not necessary to cut the patient’s hair before hair transplant surgery using the strip (FUT, or follicular unit transplantation) method, but with Mark it was decided there would be follicular unit extraction, which requires the donor area to be shaved before the procedure begins.

After the patient has undergone anesthesia, the doctor extracts the grafts from the patient’s existing hair. Dr. Yazdan has also developed a unique process for anesthesia. The patient feels no pain during the course of the surgery or after, and the area is also not subject to the post-procedure swelling typical at outside clinics. 

Mark’s procedure in progress.

Now we see how the extraction of hair takes place. Separate grafts are extracted from the donor zone, one at a time, and accuracy is essential, as is the experience of the surgeon & the tools available. It is crucial to ensure that the grafts are not damaged in the process of extraction. The surgeon’s technique & use of a tiny plug (measuring 0.7mm in diameter), ensure virtually no visible scarring. There are no stitches, and the wound heals within 3-4 days after the procedure.

It’s not only the quality of graft extraction that is essential for a successful hair transplant, but also the quality of their processing. The longer a hair remains out of the human body, it experiences increasingly greater stress, and the likelihood of successful settling goes down. At Modena, to ensure the grafts are processed quickly & professionally, between 3-5 assistants work on graft processing for each surgery. This is a substantially large number of support staff compared to the majority of other clinics, and it enables large procedures to be carried out in a very short period of time, guaranteeing an almost 100% graft survival rate in turn. Grafts are processed by highly skilled personnel with the use of state-of-the-art microscopes. While the surgeon extracts the follicles, the rest of the team works to process the grafts. It’s an extremely laborious task, requiring attention to detail and modern magnifying equipment. 

As that happens, Mark takes a break & prepares for the next stage: implantation of the hair. Once the extraction process is completed, the area already looks presentable. The donor zone shows little to no sign of bleeding & is covered by the surrounding hair. In the meantime, the surgeon starts to prepare apertures for the grafts in the recipient zone. At this stage, it’s also important for the surgeon to take the direction of hair growth into account. At Modena, we use the latest precision tools which enable the transplant of grafts in the minimal possible time & the preservation of the direction of hair growth set by the surgeon during aperture creation. Furthermore, their small diameter ensure the natural density of hair in the transplant zone. The hairline, the direction of growth, and the hair density are all carefully calibrated to ensure an authentic, natural look. 

Each aperture is counted by a special device, which displays the figures on a monitor & enables the surgeon to check on the accuracy of the apertures in real time. As the procedure is actively carried out, Mark is able to speak clearly to the camera & discuss what’s happening, showing no signs of discomfort or pain. It’s well worth noting that in the course of the procedure, lasting many hours, there is virtually no blood. 4-5 people work to transplant the grafts, as it is of significant importance to keep operating time to a minimum. 

On the day after the surgery, during a follow-up appointment, it’s impossible to tell that he had undergone hair transplant surgery the day before. Modena’s techniques also virtually eliminate the risk for an allergic reaction. On the second day, mark comes to the clinic again. Our personnel wash his head, the doctor offers post-care recommendations, and Mark says goodbye to the team.

Mark, immediately after his FUE procedure.

Mark’s story is just one of many in the history of Modena, and you can be the next to reclaim your hairline. We have locations in Las Vegas, Beverly Hills & Newport, and we’re willing to help you make the journey to gain back your confidence. Visit our website to schedule a free consultation, learn about the different services we offer, & feel free to call us at any time during our business hours.

Are You a Candidate for a FUE Transplant?

In the modern era of hair transplants, there have been few innovations as exciting & vital as the development of hair transplants using the FUE method, with the acronym being short for follicular unit extraction. Even though the traditional FUT (follicular unit transplantation) procedure only leaves minimal scarring, those who wear their hair shorter are hesitant toward it, and for a long time it was their only option. As FUE has become increasingly popular, though, peoples’ desire to get a hair transplant has skyrocketed, and keeping people informed about it has become nothing short of vital. 

There are quite a few differences between it & the traditional procedure, but the most distinct differences involve how the follicles are taken from the donor area. With the FUT transplant procedure, also known as the strip procedure, a strip of skin with the donor follicles is removed from the back of the head. From there, they’re extracted from the strip & carefully placed into the donor area. With the FUE transplant, however, no strip is required, as follicles are removed directly from the back of the head & placed into the transplant area. While it’s not a “scar-free” procedure, the scars are essentially undetectable by the human eye due to the small diameter of the punch Dr. Yazdan uses during the procedure. Even those who wear their hair in a trimmed buzzcut would show no visible signs of a procedure having taken place.

Understandably, your next question might have to do with whether you’re eligible for a FUE transplant. Luckily, the criteria have become wider & wider as the process has become more refined, but there are still a few to keep in mind. It depends on some key factors, such as how you wear your hair (as we discussed earlier) & what the progression of your hair loss looks like. For someone who’s caught their hair loss early & just needs certain small sections touched up, FUE might be an excellent option.

For example, Dr. Amir Yazdan’s patients at Modena Hair Institute (located in Beverly Hills, Las Vegas & Newport Beach) can have about 2500 or so transplanted follicles at most with the FUE method. The limit is set here due to the patients overall donor density and spacing of follicular units. However, with FUT, that acceptable number can go past 3000 & beyond, allowed for by the removal of the aforementioned strip from the back of the head.

Before & after a successful FUE procedure performed at Modena Hair Institute.

There was also a time when FUE would be restricted to white patients & those with similar hair types. However, with the extent the technology has developed, as well as the proprietary tools Dr. Yazdan has developed, African American patients have also become able to reap the benefits of this revolutionary procedure. With those restrictions out of the way, it just comes down to what you’ve got on your head already & how you want to look afterward. 

No matter what you’re looking for in that regard, however, you can come into a Modena clinic & receive world-class treatment from one of the most renowned hair restoration surgeons in the industry. Dr. Yazdan, who personally performs every hair transplant procedure at our clinics, is assisted by the same team of assistants that’s worked with him for years, and we utilize some of the most specialized & advanced technology on the market to make sure your hair transplant is done right the first time around. Learn more about both FUE & FUT procedures on our website, and schedule your consultation to see what we can do to help you reclaim your hairline.