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Revolutionary: the minimally-invasive Follicular Unit Extraction (FUE)


In the hands of a follicle transplantation specialist, Follicular Unit Extraction (FUE) is a truly revolutionary hair surgery method. Not only does the result in the transplanted areas look completely natural, even on close inspection, but no traces are visible in the area where the hair was removed. Scar tissue formation is both minimal and invisible to the naked eye.
In a micro-surgically sterile environment, the hair follicles to be transplanted are carefully loosened and freed one at a time from the horseshoe-shaped fringe of hair tissue with the aid of a fine hollow needle 0.75 - 0.8 mm in diameter.  For practical reasons, we have to trimm the area where the hair follicles are being harvested, this is unfortunately unavoidable.
The procedure occurs without a scalpel or sutures.  Bleeding during the entire treatment is very rare, and the recovery phase is remarkably short, only a few days.


Therefore it is no wonder that a 'hype' has emerged around this still very new treatment method. Correct implementation (with hollow needles of 0,75-0,8-mm) not only requires outstanding fine motor skills and many years of micro- surgical experience on the part of the doctor, but a good deal of patience as well. Daily routine is an absolute must in order to attain outstanding results. In the hands of a physician who only occasionally carries out the FUE technique this usually leads to very poor results. The hair follicles removed from the hair fringe are extremely delicate anatomical structures surrounded by very little protective supportive tissue, and are therefore quite susceptible to damage.

Implanting the extracted Follicular Unit Grafts occurs - as in the traditional Strip transplant method - under local anaesthesia. Dr. Heitmann first uses microsurgical instruments to create incredibly tiny openings in the balding areas in which the new hairs are to be inserted, and subsequently fills them with Follicular Unit Grafts with the highest degree of care and precision. In this regard, we also consider it a necessity to shave the recipient area prior to the treatment.  

The recipient sites are extremely small incisions whose surface area is barely measurable. The length and depth of these incisions are exactly large enough so that the extracted Follicular Unit Grafts fit perfectly.

The use of very tiny instruments completely avoids visible scars and keeps potential temporary lack of blood supply of the scalp to an absolute minimum. This way we regularly succeed in achieving hair densities of up to 70 follicular units per cm² in a single session.
This is known as Dense Packing. It is obviously not feasible for all of the reciepient area, but is especially used in the frontal area behind the hairline. This One-Pass-Result means that a second procedure to make the hair even denser is then usually unnecessary.
The angle of each incision must however, follow the direction in which the original hair grew. Even in bald areas this can be identified by the remaining short downy hairs.


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Dense Packing
Proof of our experience in hair restauration surgery
Hairline Design
The hairline is also the forehead-hair boundary which is perhaps... 
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Photos of our patients with "Before&After" comparison results ...
Dr. Heitmann, precision in collecting hair follicles, FUE method
Close-up of hair follicles, ready for implantation
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