Maral Klinik hair transplant team use the MicroFUE hair transplantation technique because of its significant advantages.
Hair Transplantation Techniques
Currently, there are two primary techniques being used in hair transplantation. FUT Technique and FUE Technique.
These two techniques of hair transplantation differ for the harvesting of hair follicles, each with their own advantages and disadvantages. Regardless of which donor harvesting technique is employed, proper extraction of the hair follicle is paramount to ensure the viability of the transplanted hair and to avoid transection, the cutting of the hair bulb from the follicle. Hair follicles grow at a slight angle to the skin’s surface, which means that regardless of technique, the transplant tissue must be removed with the corresponding angle and not perpendicular to the surface.
FUT Technique (Folicular Unit Transplantation)
FUT – strip harvesting is the most common technique for removing hair and follicles from a donor site, the area at the back and sides of the scalp. A single, double, or triple-bladed scalpel is used to remove strips of hair-bearing tissue from the donor site. Each incision is planned so that intact hair follicles are removed. Once removed, the strip is dissected into follicular units, which are smaller, naturally formed groupings of hair follicles.
This skin cut operation should be done by a plastic surgeon since it demands surgical training and experience. The closing of the wound requires considerable surgical skill to realize a fine linear scar.
The stitches that are used to close the wound are removed two weeks after the surgery. The scar behind the head will be hardly visible after the hair grows back..
With a skin strip of 20X2 cm, approximately 1500-2000 grafts can be obtained, depending upon the experience and skill of the team that dissects the strip. An increased number of grafts can be obtained with larger strips. However, longer strips add scarring on the side of the head and are undesirable.
Advantages of FUT: The survival rates of the grafts obtained from FUT strip is high. The integrity of follicular units is very well preserved. The technique doesn’t require special equipment and instrumentation and can be applied quickly. The transplanted new hair will start growing in around 2-3 months.
Disadvantages of FUT: The numbers of grafts that can be achieved from the strip are limited. There will be some hair follicle losses during the dissecting process. An experienced team will keep this loss to a minimum. Since the grafts are thick and bulky, the holes on the transplanted area are larger as well. Some pain and discomfort may be felt on the head after the operation, due to the stretching of the skin.
The healing process is longer: around 2 weeks. A scar, although not visible under the hair, remains behind the head.
Since there will be a scar behind the head, the FUT technique might not be suitable for people who either are required to have a short haircut ( such as police or military personnel ) or prefer a short hairstyle.
FUE Technique (Follicular Unit Extraction)
This is a newer and more advanced technique compared to FUT. The grafts are taken one by one from the back and side of the head with 1.0-1.2 mm minipunch tips using manual power. There is no skin cutting and therefore no scarring behind the head.
Since the diameter of the punch tips is large (compared to MicroFUE), FUE punch harvests mostly 3 or 4 hair-root-bearing grafts. Smaller grafts can be obtained (with 1-2 hair roots) by cutting some of the grafts into pieces. (Smaller grafts are necessary to complete the natural design of the anterior hairline.)
Advantages of FUE: The advantages of this technique over the conventional strip harvest are that it does not leave a linear scar, and the procedure produces little or no postoperative pain and discomfort. The trauma is much less and the healing time is much faster; within a week the patient feels considerably more comfortable after the operation. There is no scarring, no need for special care after the surgery and no need to remove the stitches.
Disadvantages of FUE: The disadvantages of this technique are that it requires significant experience, training and education. Special equipment should be used during the operation. There are some other disadvantages such as an increase in surgical time and a higher cost to the patient. FUE might not be appropriate for curly hair (for fear of dissecting and cutting hair roots under the surface of the skin risking damage to usable hair follicles).
The number of professionals worldwide who use the FUE technique successfully is still low but increasing due to patient demand.
MikroFUE Technique (Mikrosurgical Follicular Unit Extraction):
This is the latest and most skilled FUE technique. The basic procedures are the same as in standard FUE transplantation. Surgical microscopes are used during the operation. In addition, more advanced precision equipment and surgical instruments are used.
The micrografts are removed one by one using a micromotor (power-driven) and micropunch tips of less than 1 mm in diameter (0.5-0.8 mm) under the magnifying view of an ocular microscope.
The skin in the donor area is better protected and heals in just 2-3 days. There is no scar. Additional grafts can be taken from the same donor area later on if necessary.
MikroFUE is currently the accepted gold standard for modern hair transplantation.
Its only drawbacks are that it requires the experience and skill of well –trained surgeons and surgical teams to be performed successfully. It is the technique that only the best hair transplantation clinics and surgical teams can perform with reproducible and successful outcomes.
The Maral Clinic under the leadership and professional guidance of Dr. Maral and his trained medical team has successfully performed over 600 MikroFue hair transplantations.