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Follicular unit extraction (FUE) is a type of hair transplant done by taking individual hair follicles from your skin and moving them to another part of your body where hair’s thinner or absent.
FUE has become more popular than the follicular unit transplantation (FUT) procedure, which led to the “hair plugs” look.
Surgeons use micropunches to extract single follicles and move them, leaving behind almost no signs of extraction.

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What is a FUE hair transplant?

Follicular unit extraction (FUE) hair transplants are done by taking individual hair follicles out of your skin and implanting them elsewhere on your body. This will make the hair in the new area look thicker.

FUE was meant to replace the “classic” follicular unit transplantation (FUT) technique. This procedure was done by taking an entire piece of skin or scalp along with the follicles and transplanting the skin on the target area.

FUE has become more popular than FUT because it’s less likely to lead to a “hair plug” look, where sections of skin or hair don’t match the surrounding areas. It also won’t leave a large scar like FUT does.

The best candidate for a FUE hair transplant is someone with thinning hair or balding who still has enough hair nearby to use for a transplant.

You may not be eligible for a FUE hair transplant if you don’t have enough healthy or thick hair to transplant to the thinning or balding area.

Preparing for a FUE hair transplant

  • Don’t smoke for at least a day before your surgery.
  • Don’t drink alcohol for at least 3 days before your surgery.
  • Don’t take aspirin or blood thinners for about 2 weeks before your surgery.
  • Don’t take any vitamins or dietary supplements for 2 weeks before your surgery.
  • Try to avoid taking antidepressants for about 2 weeks before surgery.
  • Don’t get your hair cut before the surgery.
  • Do a scalp massage 10 to 30 minutes every day for a few weeks to increase blood flow to your scalp.
  • Take any medications, such as minoxidil (Rogaine), that your surgeon asks you to take.
  • Have an electrocardiogram (ECG) and blood tests done before surgery.
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Procedure for FUE hair transplant

Here’s how the FUE procedure works:

  • Your surgeon will shave down the hair in the area where follicles will be removed as well as around the transplant area.
  • Using a micropunch tool, they will remove follicles from your skin.
  • Your surgeon will then make a series of tiny incisions with a needle or other small, sharp tool where the extracted follicles will be inserted.
  • They’ll insert the follicles into the incisions.
  • Your surgeon will clean and bandage the area for recovery.

What to expect after a FUE hair transplant

Recovery from FUE is quick. You may have some swelling or discomfort for about 3 days.

Here are some aftercare instructions your doctor may give you:

  • Don’t wash your hair or shower for at least 3 days.
  • Use gentle, unscented shampoos for a few weeks once you start washing your hair.
  • Take a couple of days off work to help speed up healing.
  • Don’t comb or brush your new hair for at least 3 weeks.
  • Don’t wear hats, beanies, or other clothing that goes over your head until your doctor says it’s OK.
  • Don’t do any strenuous physical activity for at least a week.

Before and after pictures

Here are some photos of what you can expect from a FUE hair transplant.

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