FUE Hair Restoration Surgery
Dr. Roy is at the forefront of Follicular Unit Extraction, which entails transplanting hormonal loss-resistant hair follicles from the back and sides of the scalp (and even from the face and chest if necessary) to the areas of thinning or hair loss. The advantages of FUE over the more traditional “strip” method include the absence of a linear scar at the donor site, significantly decreased pain and swelling after the surgery, a shorter recovery and quicker return to normal life, and less risk of prolonged scalp numbness.
A consultation with Dr. Roy involves a detailed analysis of your pattern of hair loss, including assessment of your future trajectory based on age, genetics and utilization of medical therapy. Donor hair is also evaluated and based on the information gathered, a detailed plan is proposed for the number of follicular units available and required to accomplish hair restoration goals. Dr. Roy is thrilled to offer the newest, most advanced technology in human-controlled FUE hair transplantation, Neograft 2.0.
The procedure entails shaving of the donor area only (compared to full scalp for robotic hair transplantation) on the day of the procedure as this facilitates harvesting of donor hair. The scalp is then anesthetized, after which the harvesting of the donor hairs begins. This process can take anywhere between 1-4 hours depending on the number of follicular units being harvested. Platelet-rich plasma (PRP), harvested from the patient and rich in growth factors, is typically injected into the recipient site as additional “fertilizer” to enhance graft survival and growth. Small insertion or recipient sites are then created in the areas of hair loss (commonly at the frontal hairline, frontotemporal, vertex and/or crown regions) based on pre-proposed designs to achieve the greatest density and most natural appearance of donor grafts on the scalp. The grafts, which have been very meticulously processed and stored prior to implantation, are then manually placed into the recipient sites.
At the end of the procedure, very detailed instructions are provided to appropriately care for the donor and recipient areas. Highly specialized shampoos and topical agents are provided to promote the survival and health of the transplanted grafts.
Bandages are removed in 3 days after which patients are fairly social. It is advised that patients wait 2 weeks prior to assuming physical exercise to ensure optimal healing. Normal showering (with direct shower pressure and scrubbing of the transplanted grafts) can be resumed after 10 days.
Transplanted hair follicles will shed their respective hair shafts within 2-6 weeks after the procedure (temporary “shock loss”), and this is completely normal, as the hair bulbs go from a resting phase to an active growth phase to produce new hair shafts. Surrounding “native” hair will also experience the same temporary loss. Re-growth starts to occur at around 3 months (typically sooner with the administration of PRP during the procedure), and the final result is most apparent between 9-12 months
Frequently Asked Questions
1. What is NeoGraft 2.0?
NeoGraft 2.0 is the newest, automated manual hair transplant device on the market which facilitates the harvesting of hair follicles during a Follicular Unit Extraction (FUE) hair transplant, dramatically improving the accuracy and speed over previously used manual extraction instruments. Grafts are gently aspirated into a humidified and intermittently irrigated collection canister on the harvesting handpiece itself, ensuring rapid collection and safe preservation of the grafts after being removed from the scalp, ensuring the best possible transplant result.
2. How do I know I am a good candidate for Neograft 2.0?
Candidates for hair restoration surgery are those individuals in good health with mild to severe hair loss and sufficient donor hair on the back of the scalp to transplant into the balding areas. Those with greater donor hair and higher hair density can typically expect better results. It is also important that you have reasonable cosmetic goals. Hair transplantation can achieve very good, natural results but cannot restore your hair to the density you had as a teenager. You may also need more than one transplant session to achieve your desired appearance. Your doctor will assess the amount of coverage needed to meet treatment goals.
Patients who would like the option of wearing their hair short in the back or sides of their scalp, or those who want the least amount of activity restriction after their hair transplant procedure may be good candidates for FUE. The NeoGraft 2.0 FUE System can also be used for ‘scar camouflage’ procedures for patients who have had prior linear “strip” harvests, other facial plastic surgery procedures (facelifts, browlifts) or sustained injuries, as well as for beards or eyebrow restoration.
3. How is NeoGraft 2.0 performed?
NeoGraft 2.0 uses a controlled coring device with pneumatic pressure suction to safely and efficiently slide out the harvested grafts, preventing any pulling or twisting of the grafts that can risk damaging them. Grafts are immediately stored in a humidified and intermittently irrigated collection canister on the harvesting handpiece itself. Your grafts can be re-implanted sooner, keeping them more robust and ensuring the highest possible implant yield.
4. How soon will I see results?
The science behind grafting is quite straightforward. Hair follicles are taken from the hair in the back of the head that naturally continues to grow and is not susceptible to the effects of hormonal loss. The follicles that hold your transplanted hair are living tissues that grow cyclically. Once the normal hair follicle has been implanted into the balding area, the grafted hair will stay in place for about two to three weeks before shedding – this is normal and an important part of the new growth process. After shedding, the new growth will begin in 3-4 months (sooner with the advent of PRP injections) and your hair will continue to grow after that, gradually and steadily increasing hair density on the scalp. Final results are best appreciated between 9-12 months.
5. How long will the hair last?
Transplanted hair (which is derived from hormonal loss-resistant hair on the back and sides of the scalp) will likely last a lifetime. Certainly, hair loss does not stop after transplantation – some people will need continued maintenance and further sessions will likely be required, particularly if your balding pattern continues with age. Progressive hair loss or the desire for more density may require additional hair transplants. An estimate of balding pattern and the number of procedures needed will be discussed during the consultation with your doctor.
6. What does FUE stand for?
“F.U.E.” stands for “Follicular-Unit Extraction”. This describes a method of harvesting naturally-occurring groups of hair follicles (a typically follicular unit can contain anywhere between 1-5 hair follicles) that are typically less than 1mm in diameter. This is the most advanced, minimally-invasive hair transplant method which allows for the harvesting of substantial number of hair follicles from the donor area without a scalpel incision or any discernible scarring.
7. What are some benefits of NeoGraft 2.0 over manual FUE techniques?
The highly ergonomic NeoGraft 2.0 harvesting handpiece is a natural extension to the hand, allowing for faster and more accurate harvesting of hair follicles. Grafts are smoothly and efficiently suctioned up into an irrigated collection canister for rapid preservation while awaiting implantation, allowing patients to reach their transplant goal with less time in the procedure room and fewer FUE procedures altogether.
8. Is FUE/NeoGraft 2.0 suitable for both men and women?
Yes! Neograft 2.0 is a great option for both men and women looking for a minimally-invasive hair restoration solution. Longer hair allows for effective concealing of the donor site, resulting in little to no evidence of having had a procedure done soon after the transplant.
9. Do I have to get a total ‘buzz cut’ to have an FUE/NeoGraft 2.0 procedure?
Typically, the donor site is the only area that needs to be shaved. However, if you wear your hair long, this is not necessary as harvesting using the NeoGraft 2.0 device can be done by shaving small areas that can be covered by overlying existing hair. If you wear your hair short, it helps to shave the donor site very close to the scalp to maximum yield and for better blending as hair starts to grow back naturally.