Published by: Dr Masroor Alam | Medically Reviewed by Dr. Cagatay Sezgin


Technological Advancements of the late 20th Century which further progressed in the 21st Century changed the world by altering the perception of an average consumer, worldwide. Information became readily available; people became accustomed to quick information, quick results, and instant gratification. Young men no longer wanted to wait till they’ve reached the complete state of baldness! They wanted to reverse the signs of balding from the early start, hence new demand was created.

 Surgeons needed to come up with a Method which would allow young men and women to restore their lost density in the early stages and still allow for further restorations to take place as their hair loss progressed. They further demanded a method with no visible scarring which would prevent telltale signs of a cosmetic procedure; they demanded most natural results with quickest recovery time, with minimal side effects.

 The Last Decade of medical advancements in the field of Hair Restoration paved the way to FUE Method (Follicular Unit Extraction). Early FUE Method entailed MANUAL extraction of individual ‘Micro-Grafts’ from the donor site by the use of micro-punches ranging from .6 to 1 mm in diameter. The grafts which were extracted were tremendously smaller compared to the ‘old’ plug method, and were even smaller in diameter compared to the FUT (Strip) Method, hence the technique became known as ‘neo-grafting method’ or ‘micro-grafting method’. The procedure itself is classified as Minimally Invasive or Non-surgical because the is no linear tissue removal from the donor site. FUE Method does not involve any suturing, prolonged recovery, post-procedure discomfort, the likelihood of adverse effects such as infection is minimal, and best of all there is NO LINEAR SCAR OR TELL-TALE SIGN of a transplant as a result of FUE Procedure.

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Just when the public believed that ‘ideal’ form of hair transplantation was finally available, critics came up with numerous findings and claims that propagated against the Manual FUE.

  1. The Method is very Technique Dependent and senior, plastic surgeons that were set in their own ways were reluctant to learn the New Technique.
  2. The Method itself takes too long to complete ( 8 to 10) hours, however, only a small number of grafts could be extracted and implanted (700 to 1400) maximum, per clinical session. For most people, these numbers were not sufficient to achieve decent restoration.
  3. Because the procedure time and the ‘surgeon’s time’ was prolonged, the cost of the procedure had doubled in comparison to the Conventional FUT Method.
  4. A surgeon is able to perform 3 to 4 FUT Methods in the same amount of time it takes him to perform just 1 FUE hence the hair transplant cost factor became an issue and the surgeons were no longer advocating the New Method.
  5. Most patients would need to undergo multiple FUE methods at a double or triple the cost compared to just one or two FUT method which already cost less, in order to achieve desired restoration hence most patients could not afford the New Method anyway. MANUAL FUE became known as the Method for the Rich and Famous, not the option for the average Joe or Jane.

Just when the public believed that ‘ideal’ form of hair transplantation was finally available, critics came up with numerous findings and claims that propagated against the Manual FUE.

 Another factor which turned many patients away from the Manual FUE was the percentage of wasted grafts. The fact is, grafts once removed from the body, CANNOT survive outside of the body for more than approximately 3 to 4 hours maximum 5. Because Manual FUE takes too long to complete, the percentage of wasted grafts would range anywhere from 10%- 30%, depending on the skill of the surgeon. Procedure Length, Limitation of Grafts harvested per session, High Surgical Cost due to Technique Dependency on the Surgeon’s involvement, Percentage of Wasted grafts to a low harvested number ratio, all contributed to the low popularity of the procedure among the surgeons and the patients. Most patients will require an average of 2500 to 3500 grafts for medium to complete hair restoration. Manual FUE meant that they would need to undergo approximately 3 to 4 sessions, at a double or three times higher cost compared to a lower cost/higher number of grafts per session via FUT. In the last decade since the advent of Manual FUE, surgeons started diverting the FUE enthusiasts back to FUT which continues to lead many into confusion over the long-debated issue of FUE vs FUT.


We will communicate pre-operation instructions to you so that nothing wrong happens. It is a surgical treatment and the following instructions may be required to follow by the patient:

  • Stop taking blood-thinners and aspirin.
  • Regularly take the medications prescribed by the surgeon.
  • Stop drinking alcohol and smoking cigarettes 2 weeks earlier.

FUE (Follicular Unit Extraction)- Micro-Grafting Method

Manual FUE Hair Transplantation

Manual FUE Instrument

Manual FUE Instrument

The demand for better, more effective, and more efficient Hair Transplantation continued to hound the world of Cosmetic Surgery. The demand was high, higher than ever being that new age group (25-35) clientele we entering the market with more force than ever before. Surgeons simply needed to come up with a way to offer the most natural hair transplant, with least amount of recovery time, highest success rate, the highest number of grafts per session yield, and at a reasonable price. The challenges were there but luckily so were the technological advances in the field and the know-how of a select number of Hair Restoration Experts.
The new Era of Hair Transplantation has begun with the advent of Motorized (Automated) FUE.

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Follow Up

The manual FUE hair transplant will cause some damage to the treatment site. To follow up with us, please do not hesitate to get in touch with us. In case of complications, please get in touch at the earliest.


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