MikroFUE is the latest and the most skilled application of the FUE hair transplant technique.
Why MicroFUE Hair Transplantation Technique?
MicroFUE technique is the current state of the art hair transplantation technique. It is a relatively new procedure that is gainingacceptance by physicians and patients alike. Microsurgery equipment and procedures are used in the MicroFUE technique.
(Microsurgery sews blood vessels smaller than 1 mm in diameter using special microsurgery equipment, including a special operating microscope).
MicroFUE technique offers significant advantages to patients, such as decreased postoperative pain, rapid recovery time, and the ability to wear the hair closely cropped. The technique also offers advantages to physicians, such as planning more precisely for the number of grafts required.
In the MicroFUE hair transplantation technique, hair follicles are removed from the donor area as follicular units also known as micrografts. Micrografts contain one, two or three hair roots, depending upon the unit structure of the given follicle, and some skin and subcutaneous tissue.
Follicular units from the donor area scalp locations contain 2.5 hairs per graft on average. This means that if 3000 grafts are transplanted in one session, between 7000-7500 hair follicles will be actually transplanted.
The Removal of Micrografts:
The micrografts are removed from the donor area one by one using amicromotor and 0.6-0.8 mmmicropunch tips. Surgery isperformed under magnification with the aid of an ocular microscope to safeguard the integrity of the follicular unit and to ensure that individual follicles are intact. This is the most important technical detail of the hair transplant procedure – preventing damage to or death of the follicles.
The microtips 0.8 mm in diameter can obtain 2 or 3 hair-grouped follicles. These are removed first. Then, by using a smaller microtip (less than 0.6 mm), a graft containing one hair follicle is removed. With this technique, given that the surface skin area surrounding the follicle is very small, the scalp is minimally affected and is preserved.
The micrografts should include the minimum amount of skin to prevent scarring behind the head. Healing is usually within 2-3 days.
The MicroFUE technique is less invasive than FUT (Follicular Unit Transplant), a strip skin surgical technique. FUT will remove 50 square centimeters of skin with each 25X2 centimeter skin strip. The same number of grafts can be obtained using the MicroFUE technique but with just 20-25 square centimeters of skin loss, saving almost 50% of the scalp area involved.
The FUT surgical technique strip would yield only 1800-2000 grafts with even the largest skin strip, whereas with MicroFUE we can obtain up to 3500-4000 grafts in just one session, and remove less unnecessary skin tissue.
The Placement of the Micrografts:
In FUT (follicular unit transplant) or classical FUE (follicular unit extraction) technique, the grafts contain more skin andsubcutaneous tissue, and are therefore more bulky. Consequently, the holes opened in the recipient area must be larger to support these grafts. With the MicroFUE technique, holes are opened by microdrills and are less than 0.5 mm in diameter. The MicroFue technique allows for faster integration and a shorter healing time of the grafts in the transplanted area..Mikrografts are very delicate structures. Microforceps and other microsurgical tools sre used to hold and implant them in the recipient area.
The micrografts are placed in the holes in accordance with the growth direction of the original hairs.
The MicroFUE technique offers patients the possibility of achieving natural, undetectable results with the added advantages of minimal pain, a speedier recovery, and virtually no visible scarring.
The Advantages of the MicroFUE Technique
Compared to the FUT (strip harvesting) and classical FUE technique, the MicroFue technique advantages are:
- Procedure is less invasive – there are no cuts, no stitches and no scarring. Healing time is within 2-3 days.
- Total number of grafts is higher.
- Skin on the donor area is protected and preserved.
- Better protection of donor areas allows for additional harvesting of grafts should future hair transplant sessions be necessary.
- Final result is very natural due to the abundance of one-hair-graft placed in the anterior frontal hairline.
The Disadvantages of the MicroFUE Technique:
- Requires special equipment and surgical instruments.
- Should be applied by specially trained and educated, and experienced surgeons and staff.
The medical team who apply MicroFUE:
* Should be well educated in the procedure.
* Should have skills in microsurgical techniques.
* Should have a minimum of 4-5 years of experience on classical FUE technique.
If more than 3000 grafts are transferred in one session, it is called amegasession. Amegasession involves approximately 3000 to 4000 grafts.
In men with mild hair loss (types 1 -2), it is not possible to place this number of grafts in the recipient area without jeopardizing the recipient area’s blood supply, resulting in unnecessary graft losses. Approximately 2500 grafts in average would be enough to fill the bald areas in mild degree hair losses.
Dr.Maral performs a mega-session on male patients with types 3, 4 and 5 hair loss (moderate hair losses). One megasession may provide a pleasant density in the transplanted areas in these groups.
On patients with more severe hair losses, such as types 6 and 7, 5000 to 6000 micrografts can be taken from the back and the side of the head in 2 or 3 sessions. Harvesting this number of grafts in one session (although possible) is not wise, and carries significant risks associated with the number of punctuated scars in the donor area.
An experienced plastic surgeon should know the exact number of grafts required in a given hair loss pattern, and must obtain only this number, protecting donor areas for future hair transplant sessions if the loss of the original hairs should continue.