FUE hair transplants are the process where individual hair follicles are extracted with a tool and then transplanted into areas of hair loss. In order to extract the follicles the hair needs to be cut down to it’s shortest length above the skin so that the hair doesn’t get tangled in the tool extracting the grafts. This means shaving the scalp in most cases.
For patient’s having procedures which require less than 1500 grafts extracted there is now another option. The patient can grow the hair in the back and sides longer and we can shave either one large strip (smaller than the length of the hair) or multiple smaller strips (also smaller than the length of the hair) which allows the native long hair to hang down and cover up the extracted areas.
This allows the patient to keep the long hair and not shave the entire back and sides of the scalp and still have an FUE hair transplant. This technique is becoming very popular amongst actors (who can’t change their appearance if they have longer hair in the midst of a recurring show) and other individuals that do not want such a dramatic change to their appearance. The results are just as good as the full shaven technique and it is proving to be a very popular alternative to traditional FUE shaving.
I have included some photos of a recent patient I performed this technique on.
All the best,
Marc Dauer, M.D.
This is a photo of the “long hair FUE” process in a patient showing his donor region immediately post procedure with his hair wet and combed down.
This is a patient’s donor region immediately post harvesting approximately 1400 grafts via FUE with the hair raised.
Here is a patient who came to me after having undergone 2 previous trip harvest procedures from another local physician. He decided he was done with the strip harvest procedure and wanted to have an FUE procedure. When I shaved the scalp to perform FUE his precious strip scars were clearly visible and also demonstrated how his previous physician had created “stacked scars” in certain locations instead of including the old strip scar in the new incision.
This is against the 10 commandments of hair transplant surgery.
In every instance of a patient having another strip harvest hair transplant procedure after having one prior, the previous scar should be removed.
If the previous scar is too wide or the scalp too tight FUE should be considered.
NEVER should a physician create a stacked scar, which in reality just creates one huge scar.
This is a prime example of what not to do and is either laziness or ignorance on the part of the hair transplant surgeon who did this.
On this procedure the patient was primarily concerned with creating density in the frontal scalp, but after seeing these photos, the patient has decided in the future to have me place FUE grafts into these scars to help cover them.
Just another example of why it is imperative to do thorough research prior to choosing your hair transplant surgeon.
Here is a patient of mine who happens to be a physician himself who was experiencing thinning in the frontal scalp. The patient is in his late 20’s so we were not going to consider lowering the hairline, but rather increasing the density in the frontal scalp. Also, because of the patient’s young age and the fact that he will likely lose significantly more hair in the future, the decision was made to use a judicious number of grafts so as to maintain donor grafts for the future when more hair loss occurs.
The patients results are shown after 1 year and he is thrilled!
Here is a patient who came to me after having undergone several previous procedures and scalp reductions with other hair transplant physicians.
He wanted to add hair to his mid scalp and crown (where there was virtually no hair and a scalp reduction scar) and to attempt to conceal a very wide donor scar from his previous strip hair transplant procedures.
I extracted just over 900 grafts from the neck beard and placed them into the scalp and scar. The results are shown after 9 months and they are already impressive.
The patient should see some increased density over the next 3-6 months as the hairs thicken in diameter.
Although the beard hair is a different consistency than scalp hair it works well in cases like this where there is no more scalp hair to donate and when “filler” hair is needed for increased cosmetic density.
The patient is looking forward to another procedure to add more density in the scalp from the beard hair.
A patient with a relatively thick beard can have up to 2000 grafts to donate from the area below the jaw line.
All the best,
Marc Dauer, M.D.
beard hair extracted via FUE transplanted to the scalp
beard hair follicles extracted via FUE and transplanted into strip scar