FUE — follicular unit extraction
Individual follicles are punched out and re-implanted. No strip of skin is removed, so there is no linear scar; the trade-off is that the donor area is shaved and healing takes a few days.
Hair follicles are moved from the back of the scalp — where they are resistant to hair loss — into the areas that have thinned. The result is your own hair, growing where it no longer did.
The limiting factor is not how much hair is missing, but how much donor hair is available at the back and sides, and how stable the loss has been.
If the loss is still active, treating it first — medically — protects the result. A transplant moves hair; it does not stop the hair you still have from thinning later.
The method is chosen by the donor density, the size of the area and the hairstyle you want to keep.
Individual follicles are punched out and re-implanted. No strip of skin is removed, so there is no linear scar; the trade-off is that the donor area is shaved and healing takes a few days.
Follicles are placed with a single-use implanter pen, which allows tight control of angle and depth in the hairline. Slower, so fewer grafts per session.
The line is drawn with you, sitting and standing, before anything is cut: it has to survive ageing and further loss, which is why it is placed conservatively rather than low.
Donor density is measured, the hairline is designed, and blood tests are arranged. Photographs are taken from five angles for later comparison.
Local anaesthesia with light sedation; you are awake and can eat. The session is long — six to nine hours — and is broken by short rests.
Small scabs form and are washed off gently from the second day. Swelling across the forehead is common and settles within a week.
Most of the transplanted hair sheds — this is expected and does not mean failure. New growth starts around month three.
Density and thickness continue to improve until 12–18 months. A second session to add density, if wanted, is planned no earlier than 12 months.
A transplant is a real operation with real limits. These are the ones worth knowing before booking.
Choose the plan by graft count and donor quality, not by the lowest price: a cheap session that over-harvests the donor area cannot be undone.
The injections sting for a few seconds; after that the scalp is numb and the procedure is mostly boring rather than painful. The first night is tender and settles with ordinary pain relief.
FUE leaves tiny circular marks in the donor area that fade to near-invisible at normal hair length. Strip surgery leaves a fine line across the back of the scalp.
Desk work after two to three days, once the swelling has settled. Heavy exercise, saunas and swimming wait about two weeks.
Transplanted follicles keep the behaviour of the donor area and are generally permanent. The hair around them can still thin, which is why medical treatment is often continued.
Photos of the hairline, the crown and the donor area are enough to say whether a transplant is sensible, roughly how many grafts, and what it would cost.
General information, not medical advice. Suitability can only be judged after examining the scalp and the medical history; results vary between patients.