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.

Hair transplantation is the perfect solution when you have not been able to avoid hair loss. It is a simple process and one of the most effective solutions, since the transplanted hair grows back normally and does not fall out again. When the patient has an androgenic alopecia and has lost capillary density in both men and women, the best option is to perform a hair implant surgery, nowadays the new techniques of «hair to hair» or FUE, allow to recover gradually Lost hair
The results are completely natural and have a high percentage of satisfaction.
The final effects of the transplant are observed at 12 months, although after 6 months the patient will begin to see notable changes.
If you have had hair problems such as scarring alopecia or fibrosing alopecia, or have any damaged area with surgical scars, burns or baldness caused by radiation therapy, hair transplantation can improve your image significantly.
The results of hair transplantation are very natural and totally indistinguishable from the area not operated.

There are two techniques and the system is similar in both, hair (follicular units) is removed from a healthy area of the patient to be implanted in areas without hair. The transplanted hair never stops growing, recovering the way you looked a few years ago before you started losing your hair. The main difference of hair transplantation techniques is that in the FUE technique, hair is extracted by hair, and in the FUSS technique, a hair band or strip is removed.

Hair transplantation is a very safe procedure, the patient is awake at all times and does not require hospitalization. The patient should not feel anything, since the entire area is anesthetized. As a rule, the hair transplant team is composed of the Doctor and his team, from 3 to 4 technicians who will help the doctor in the separation, classification and placement of the hair grafts.

The essential difference of the FUE transplant technique with respect to the FUSS is that the hair is removed one by one, follicular unit to follicular unit by means of a circular scalpel or Punch. In this case, there is no scar as such, if there are some small circular marks produced by the scalpel shape.
It is a very simple and fast technique. The surgeon will individually implant each follicular unit in the established areas. In this technique, the extraction mode is slower, so the number of follicular units to be implanted per session is lower than with other techniques.

Once the hair transplant is finished, the patient can return home and continue with his normal life. For the hair transplant to be a success it is necessary to strictly follow the instructions of the surgeon that are given in writing.

The posterior and lateral areas of the head are not affected by the fall, so it is achieved that once grafted on the top of the head or in other areas they do not fall and continue to grow normally.

One of the most frequent concerns of patients who have undergone a hair transplant is when will transplant hair begin to grow.
Around the third month of the hair graft begin to appreciate the birth of grafted hairs, which begin a new anagen phase. From this moment, it continues to develop normally. The stage in which it is more common for them to grow is between three and four months. But it is from the sixth month when the makeover is most evident.
Around eight or nine months, the growth rate of the grafts performed is important, but the final results of the process do not arrive before the year.

Hair transplantation in women is performed similarly to men except that it is usually done by shaving only small curtains or flaps that camouflage with long hair.

Women, as in men, will see the results the same as men, after 6 months they will begin to notice the changes, although it will not be until the year when the final result of hair grafting in women can be assessed.