Follicular Unit Extraction: Minimally Invasive Surgery for Hair Transplantation

  title={Follicular Unit Extraction: Minimally Invasive Surgery for Hair Transplantation},
  author={William R. Rassman and Robert M. Bernstein and Robert E. McClellan and Roy G. Jones and Eugene W. Worton and Hendrik Uyttendaele},
  journal={Dermatologic Surgery},
BACKGROUND Follicular Unit Transplantation (FUT) is performed using large numbers of naturally occuring individual follicular units obtained by single-strip harvesting and stereo-microscopic dissection. Donor wound scarring from strip excision, although an infrequent complication, still concerns enough patients that an alternative solution is warranted. OBJECTIVE The purpose of this paper is to introduce Follicular Unit Extraction (The FOX Procedure), in which individual follicular units are… 

Figures and Tables from this paper

Follicular Unit Extraction for Hair Transplantation: An Update.

Follicular Unit Extraction (FUE) Hair Transplant: Curves Ahead

The aim of this article is to explain FUE technique, risk and complications, holding solutions and other associated factors in detail.

Novel Technique of Follicular Unit Extraction Hair Transplantation with a Powered Punching Device

The P-FUE method is a novel FUE procedure with many advantages over the conventional FUE technique, including a small donor wound, less pain, and a slender graft without extra surrounding tissue.

Follicular Unit Extraction in Hair Transplantation: Personal Experience

The surgical approach for hair transplantation is presented, which is based on performing follicular extraction in 2 phases: follicular unit isolation and follicular units collection, and some technical details of FUE are discussed and some advantages and disadvantages of this approach are discussed.

Foll icular Unit Extraction

Follicular unit extraction (FUE) is a method of graft harvest whereby punches of various types are used to remove follicular units from the donor region one at a time, and is the fastest growing procedure in hair restoration.

17 Follicular Unit Extraction

The follicular unit (FU) was first defined by Headington and the conceptual framework for using FUs in hair transplantation was laid out by Bernstein and Rassman, and Histologic analysis was used in an attempt to elucidate the cause of patient variability and the FOX Test was introduced.

Direct Hair Transplantation: A Modified Follicular Unit Extraction Technique

Direct hair transplantation is a simple and feasible modification in the follicular unit extraction technique and is an efficacious surgical treatment modality for baldness.

Donor Harvesting: Follicular Unit Excision

  • A. GargS. Garg
  • Medicine
    Journal of cutaneous and aesthetic surgery
  • 2018
Nomenclature committee headed by Parsa Mohebi of ISHRS recommended the term “FOLLICULAR UNIT EXCISION” is most appropriate as it explains the two steps of the process: incision and extraction and incision is done by a physician.

Follicular Unit Hair Transplantation 2010

Follicular unit transplantation requires an astute aesthetic sense for optimal hairline design, correct angling and distribution of grafts and the establishment of a master plan that anticipates further hair loss and is consistent with the long-term goals of the patient.



Follicular Transplantation: Patient Evaluation and Surgical Planning

  • R. BernsteinW. Rassman
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 1997
Follicular transplantation will greatly increase the benefits of the hair restoration procedure when the patient is thoroughly evaluated and when the procedure is undertaken after careful short‐ and long‐term planning.

The Aesthetics of Follicular Transplantation

  • R. BernsteinW. Rassman
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 1997
The small size of follicular implants enables the surgeon great versatility in their placement and will ensure a natural looking transplant if used with good aesthetic judgment and careful planning.

Elliptical donor stereoscopically assisted micrografting as an approach to further refinement in hair transplantation.

  • B. Limmer
  • Medicine
    The Journal of dermatologic surgery and oncology
  • 1994
A methodology that combines elliptical excision of donor tissue and dissection under stereoscopic magnification into small grafts to obtain an improved final cosmetic result for hair transplantation is described.

Micrografting in Extensive Quantities: The Ideal Hair Restoration Procedure

  • W. RassmanS. Carson
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 1995
Transplantation with one‐ to four‐hair grafts in extensive quantities produces a natural “hairy” appearance without the artificial look typical of the large traditional grafts.

Standardizing the Classification and Description of Follicular Unit Transplantation and Mini‐Micrografting Techniques

  • R. BernsteinW. Rassman W. Unger
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 1998
By standardizing the nomenclature, as well as the description of the other factors involved in the surgery, communication between physicians and patients may be facilitated and different procedures may be more accurately studied and compared.

A Neighbor's View of the “Follicular Family Unit”

  • R. Bernstein
  • Biology
    International Society of Hair Restoration Surgery
  • 1998
The focus of this discussion is to point out areas, which, in my opinion, the "follicular family unit" can add to the power of follicular unit transplantation, but also to caution about areas in which its use might actually detract from the ability to produce the most natural results.

Regrowth of Grafted Human Scalp Hair after Removal of the Bulb

  • Jung Chul Kim
  • Medicine
    International Society of Hair Restoration Surgery
  • 1993
The grafts of follicles from which the bulb and complete papilla have been excised regenerated new papillae and grew new pigmented hairs to assess the regenerative capacity of human hair.


  • N. Orentreich
  • Medicine
    Annals of the New York Academy of Sciences
  • 1959
The effects of autografts have been observed following plastic repairs for lupus erythematosus and other areas have shown not only the hair growth desired on such grafts but also, occasionally, the development of unwanted hairs.

Hair transplantation.

  • D. Stough
  • Medicine, Environmental Science
  • 1969
hair transplant incredible hair transplant surgery results, hair transplant fue fut amp scalp micropigmentation at nhi, singapore hair transplant medical clinic, what is the best hair transplant

Follicular Transplantation

  • O. Norwood
  • Medicine
    International Society of Hair Restoration Surgery
  • 1997