For the extraction of the follicular units, micro-scalpels with a hollow cylindrical tip of a very fine diameter are used, which is usually 0.7 0 to 0.9 mm.
These scalpels leave tiny holes that heal in about a week. It is actually a multitude of small wounds, but they are imperceptible after healing.

The FUE technique is performed in an outpatient intervention and with local anesthesia, so it does not require hospital admission, nor being in fasting conditions or other precautions typical of interventions with regional or general anesthesia.
The patient is also given an anxiolytic or relaxing so that he can be more relaxed during the intervention.

In order to identify the follicles to be extracted from the donor area, the hair must be shaved.
On the same day of the intervention and before the entrance to the operating room the donor area is shaved.

In the case of women or men with very long hair it may be more difficult to assume shaving.
In these cases you can practice a technique called curtains or flaps that allows you to work the extraction area without being noticeable after the intervention.
In men with short hair it is preferable to shave.

These are long and very laborious interventions. Having to transplant the follicles one by one the surgical task usually lasts for several hours.
Depending on the number of follicular units, the intervention can last one morning, an entire day or even take place in two consecutive days. However, it is usually done in one day. Dr. Espinosa Custodio can perform up to 3000 implants in a single day.

Once in the operating room the first phase is called extraction, in which with the cylindrical microbisturis the capillary surgeon removes the follicular units one by one in a thorough and high-precision process.
After extraction, the preparation takes place, in which the team of hair technicians classifies and prepares the follicles for implantation. This preparation is carried out simultaneously with the extraction so that when the surgeon has just removed the follicles, implantation can begin.
Implantation can be done through implanters. The implanters are like small syringes with a ribbed needle through which the follicle is implanted.
They can have different needle diameters depending on the size of the follicle to be implanted.

After the FUE intervention, the patient can go home and live a normal life, always taking care to avoid direct contact with the area where the implant was made, since the implanted follicles can detach.
The appearance during the first days is of multiple small head wounds so it may be convenient, if we can afford it, to take a few days off or work from home. In the first 48 hours the face may become inflamed due to the effect of local anesthesia.
After 72 hours the scars of the extractions will be closed and after the first week or ten days the appearance will be almost normal.

The hair that is transplanted falls a few weeks after the intervention. It is something expected and normal but that does not affect the hair follicle, which is the structure that really is the goal of the transplant.
The grafted follicles will begin their normal growth cycle and between 3 and 6 months we will see the results of the new hair by changing the appearance of our scalp. At 9 months the result is already complete.

The FUE technique is the one currently applied in more than 90% of hair transplant patients, since it has clear advantages over FUSS. It is especially suitable in people who wish to wear short hair, avoid scars or who do not want to undergo a more aggressive intervention.

The skin of the scalp is sutured when the strip is removed and the stitches are removed after 10 days.
The suture that is made after removing the strip leaves a scar that is virtually imperceptible if we have a little long hair (1-2 cm at least). If we opt for very short hair it can be visible.

The intervention is somewhat more invasive than in the FUE, so the postoperative period also implies a greater recovery process and some more discomfort. Anyway, it is also an outpatient intervention performed with local anesthesia that does not require hospitalization.

Although it is clearly in reverse with the appearance and improvement of the FUE technique, there are indications and advantages. With the FUSS, the donor area is better used, so it can be indicated in patients with a small donor area or in which a large volume of follicles is required.
It also reduces surgery time and prevents shaving of hair, so the intervention is not so noticeable.

We believe that there is no special time to perform it, it depends on the availability of the patient, that is, when you have a few days (2-5) to take care of it.
In some cases, facial edema may occur and will resolve in 3-4 days.

There is no perfect technique. There are several types of techniques which can be adapted to each patient depending on their pathology and characteristics.

In the extraction stage there are 2 techniques: FUE the surgeon removes the follicular unit one by one (hair by hair) and FUSS in which a strip of skin is cut and from there the technicians take out the Follicular Units (UF).

For the implantation there are also 2 techniques: Classic or tweezers, it is a mixed technique, the surgeon makes the incisions and the technicians place the follicular units. And the implant technique (DHI) in which the surgeon makes the incision and introduces the follicular unit simultaneously.

The rest of “exclusive” techniques that indicate some clinics specialized in hair transplantation, are variants of those mentioned above.

Remember that incisions can only be made by a registered doctor in Spain.

Dr. Espinosa Custodio will examine you and determine which technique is best for you.

FUE is the acronym of Follicular Unit Extration, extraction of follicular units one by one, each follicular unit can contain 1 to 6 hairs. The surgeon makes incisions by means of a circular scalpel (called punch), this can be manual, or by means of a micromotor, the final result is not affected if it is manual or motorized.

It is a surgery that should ALWAYS be performed by a hair surgeon. Nurses and technicians assist the doctor, but should never make incisions to the patient.

It consists of the extraction of the follicular units (the hair) and later the implantation of these in the area where you would like to restore. [/ inwave_accordion_item]

How implicit risks exist in any medical surgical procedure; bleeding, infections, facial edema, etc. But if it is done with all health protocols, the risks are minimized. It is a minor outpatient surgery, that is, without hospital admission.

We always recommend that it be carried out in clinics authorized by Health and apply all sanitary protocols established by European legislation.

It basically consists of being careful not to touch or manipulate the implanted area and constantly hydrate it.
Dr. Espinosa Custodio personally explains the care to follow and gives it to you in writing. However, we have a 24-hour telephone in which the patient can communicate all doubts that may arise.

Yes, there is a phase called shock loss phase in which the FU that have suffered stress, the same surgery is a stressful process for the hair, they can fall. Depending on the patient’s organism, they can fall from 20% to 80%. This phenomenon appears at 3-4 weeks after the intervention.

The results begin to be visible from the eighth month, but it is not until the year when we can assess the final result. There are patients in whom the process can be extended until 18th month.

The patient should keep in mind that post-surgery treatments are as important as the surgery itself so that the hair transplant is successful. In addition, these treatments accelerate the hair growth process.

From the Hair Unit of Dr. Espinosa Custodio we give all the necessary treatments to accelerate the process and that the result of the hair transplant is optimal.

The factors that will influence success will be:

• The diagnosis by Dr. Espinosa Custodio.
• Patient’s health status.
• The procedure is done with all health guarantees.
• The training, experience and skill of the doctor.
• Aftercare by the patient.

However, as in any branch of medicine there is nothing absolute or decisive and there is a possibility that some follicular unit would not adhere. [/ Inwave_accordion_item]

No, we transplanted the entire follicular unit so that hair does not come out.

There are studies that suggest that, if there are any pluripotential cells of the follicle in the donor area, they can leave at 5/6 years. It is something that is under study.