FUE - Follicular Unit Excision

FUE is a comparably recent hair transplantation technique. It involves the transplantation of individual follicular units from the donor area of the scalp to the problematic area. 

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What is FUE

FUE - or Follicular Unit Excision - is a hair transplantation technique that is relatively new compared to FUT. It is a minimally invasive procedure, which involves the transplantation of individual hairs from one area of the scalp to the other. The process consists of individually selecting follicular units from an area of the scalp that has a higher abundance of hair and transplanting it to the problematic area of the head. 


There are certain advantages to using the FUE method:

  • One of the key advantages of the FUE method is that it does not result in a scar. There might be only minor, dotted scarring or depigmentation in the donor area. Yet, such marks are not detectable to the naked eye, even with a closely shaved head. 

  • There is less postoperative discomfort after an FUE procedure. It is conducted without any cuts or sutures. This allows for the postoperative period to go without major complications.

  • The FUE method allows hair to be transplanted even in the cases of low hair density in the donor area. This is achieved by harvesting individual grafts from the donor area or harvesting from areas of the body with BHT. Areas such as chest, beard, leg/arm and the pubic region can all be harvested for an FUE procedure. 

  • Grafts transplanted during an FUE hair transplantation procedure consist of a higher number of follicles. This is because the surgeon can selectively target high density, multi follicle FUs made up of 3-4 hair roots. Research shows that the hair/follicle ratio after an FUE procedure conducted by an experienced surgeon is 3, as opposed to the number being 2 for the FUT procedure. 


There are, of course, disadvantages to the FUE procedure as compared to the FUT procedure: 

  • The procedure takes a longer time, as each graft needs to be harvested individually. 

  • The number of grafts transplanted in a single FUE session is usually lower than during an FUT procedure. 

  • The donor area for an FUE procedure needs to be wider and of a higher density. 

  • The incidence of transection of follicles in an FUE procedure is higher than during an FUT procedure. In a worst case scenario, 10-15% of follicles or more may undergo transection. In the case of an FUT procedure, this number is as low as 3%. 

  • Grafts are under a lot more stress during an FUE procedure, as there is much less connective tissue surrounding them. This results in more care required for individual hairs to ensure their survival. 

  • FUE surgeries involve a lot more work from the surgeons and doctors. This results in the price of the procedure being slightly higher as compared to an FUT procedure. 

How is an FUE procedure conducted?

Step 1 - Trimming and checking donor area

The first step in an FUE hair transplantation procedure is to trim the hair on the head. The preferred length is 1-2mm. Once this is done, the surgeon shall review the donor area - on the scalp or elsewhere - with the folliscope system. This allows the doctor to understand the health of the hairs in the donor area, their quantity, quality of the follicular units and their density. 

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Step 2 - Preparing recipient area

The surgeon starts preparing the recipient area for the grafts. Using needles, specifically designed for the purpose, the doctor creates miniscule holes where the grafts will be implanted. The needles are barely 1 mm in diameter and have depth limiters.

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Step 3 - Counting prepared sites

In order to be precise in the operation, the number of sites prepared for the grafts is calculated. A system designed by Dr. Akaki Tsilosani is used for this purpose. It also allows the patient to be aware of how well the operation is going. 

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Step 4 - Graft excision

The surgeon starts excising individual grafts from the donor area. A special machine, designed to extract individual grafts, allows the operation to be conducted without leaving any linear scarring.

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Note: Tools used for the FUE hair transplantation procedure

In order to ensure the comfort of the patient, Dr. Tsilosani uses tools specially created by him. These tools allow the grafts to be extracted safely, without causing trauma to the patient. The tools are shown below.

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Step 5 - Securing the grafts

The extracted grafts are then placed into petri dishes and secure containers that had been prepared ahead of time. This is done to keep the grafts safe and alive throughout the procedure. The containers have been specially cleaned and prepared to ensure the safety of the individual grafts over the time of the operation. The grafts are also examined, to make sure they are well suited for transplantation.

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Step 6 - Placing the grafts

Once secured and reviewed, a team of experienced surgical assistants starts placing the grafts in the prepared area. This is done under the head doctor's close observation and with his direct invovlement.

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Step 7 - Reviewing immediate result

Once completed, the doctor will review the immediate result. This is when the final consultation will also be provided, with advice about physical activity and any pain treatment being provided. While the immediate result may not look as attractive as one may wish for, the long term results work out to be beautiful. 

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When is FUE appropriate

Whether the Follicular Unit Excision hair transplantation procedure is right for you or not depends on the doctor’s assessment. During consultation, the doctor will evaluate the stages of your hair loss and determine whether FUE can be successfully applied for the results you desire or not. Most FUE procedures are conducted only if the hair loss being treated is below a certain threshold. This ensures that operations do not last for many hours at a time and can be done quickie. The procedure is most effective in treating male pattern baldness, as it moves hair from the denser areas of the head on the back and sides to the front. FUE can also be successfully applied in women facing similar hair loss patterns. 


For hair loss treatments that require grafts of 2500+ FUT can be more effective.


FUE can also be recommended by your doctor in a number of other cases. Schedule a consultation with the Akaki Tsilosani Hair Transplantation Institute to get a personalized assessment. 

FUE at the Tsilosani Hair Transplantation Institute

At the Akaki Tsilosani Hair Transplantation Institute, hair transplantation operations are conducted by Akaki Tsilosani, MD, FISHRS, personally. The FUE procedure is done at the highest professional level, with results guaranteed to be visible within the period of 8-12 months. The Akaki Tsilosani Hair Transplantation Clinic also offers a moneyback guarantee (for more information contact us). 


The FUE procedure is done with the highest level of precision and care, ensuring that it is painless from start to finish. The procedure starts with a small anesthetic solution injection, which dulls the pain from the transplantation process. While the procedure may take several hours, the facilities at our clinic provide you with a comfortable setting to go through it. The postoperative period also involves the doctor being in touch with you on your progress over the next two days, ensuring a painless and short recovery period. We keep in touch with you to answer any questions you might have about the procedure post operation. You can learn more about how your days leading up to the operation and in the period after the operation might look like here. 

FUE operation before and after results at the Tsilosani Hair Transplantation Institute

Hai transplantation before and after
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FUE pricing at the Tsilosani Hair Transplantation Institute

The pricing for each FUE hair transplantation procedure is unique to each client. The variance in the prices is the result of each patient requiring a unique number of grafts. To get a quote range for your own procedure, get in touch with us for a free consultation. 

FUE and FUT combined

Akaki Tsilosani MD, FISHRS has designed a combined procedure for cases of massive hair loss. This procedure combines FUE and FUT to achieve the desired results fully. The procedure takes a longer time than each individual procedure, and is a little more taxing on the patient, but it is effective at transplanting 5000+ grafts at a time. 

FUE in male and female patients

While the FUE hair transplantation procedure was mainly designed for treating male pattern baldness and a receding hairline, it is useful in treating similar symptoms in women as well. FUE for women might be beneficial in a number of hair loss cases. In order to find out, fill out our free online consultation form and send us a picture of your hair loos.

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