In our practice, Dr. Michael Vories performs FUE hair transplantation exclusively utilizing a mechanized device that powers a 1mm or smaller circular scalpel to encircle each follicular unit and then manually extracts the follicular units carefully so he can monitor hair angles and hair graft integrity.
FUE is a less invasive technique that produces the same or better results versus the much more invasive strip technique that can leave a significant linear donor scar. While the FUE transplant is the most beneficial for patients, the majority of hair restoration doctors do not offer the FUE procedure because there are some nuisances associated with the FUE hair transplant. Doing FUE manually can be very tedious and time consuming. Next, it is difficult to learn the FUE procedure and unless the doctor becomes very skilled there is a risk for a high transection rate of the follicles. As a result, most doctors are not willing to spend the time to learn this procedure and continue to perform the more invasive, faster “linear strip” or Follicular Unit Transplantation (FUT) surgery.
With the NeoGraft Hair Transplant machine the problems with FUE procedure are addressed for many physicians with lesser training and skill. An FUE hair transplant with NeoGraft can often be done in the same amount of time as a “strip” hair transplant, reducing the cost of an FUE transplant. In addition to reducing the time required for the transplant, NeoGraft uses pneumatic pressure to extract the follicles and implant them. This suction aspect presents both benefits and problems. The suction pulls the follicular unit from the scalp to a holding container for the hair follicles this help expedite the procedure but can also damage the follicles by tearing the graft with suction from the incision site.
Although Dr. Vories has used the Neograft device and trained physicians on it use, he has determined in his hands that manual extraction of each graft provides less trauma and transection of the hair grafts. Dr. Vories also makes sure that each graft is meticulously placed in a chilled (4 degrees celsius) saline dish to ensure graft survival and full growth.
The FUE hair transplant is a minimally invasive procedure. With FUE each graft from the back of the head (donor area) is harvested individually and placed in the thinning or balding areas on the top of the head. The hair at the back of the head is genetically programmed not to fall out (not affected by the DHT hormone). The NeoGraft medical device is designed to help the doctor offer his patients this latest, most advanced procedure in hair transplantation while overcoming the problems with manual FUE and those of the “strip” method.
With the FUE method there is little bleeding and fewer complications than with the “strip” method. The procedure is performed with local anesthetic and no intravenous or intra-muscular sedation is required. With FUE there is no visible scarring allowing the hair to be worn short. There is little chance with FUE of damage to nerves, causing pain, or damage to major blood vessels. There are fewer limitations on activities for the first few weeks compared to the “strip” surgery. A complication sometimes seen with the “strip” surgery is a feeling the scalp is too tight from the suturing together of the scalp. Sometimes permanent numbness in the area where the piece of scalp was removed occurs.
The NeoGraft medical device has been developed to assist the doctor with the FUE procedure in order to make the procedure simpler, faster and more efficacious. Unfortunately many physicians that offer NeoGraft hair transplantation are not experienced in hair restoration and allow medical technicians to perform most and in some cases all of the procedure.
At Carolina Hair Surgery, Dr. Michael Vories is Member of the International Society of Hair Restoration Surgeons and Vice President of the Board of Directors of the ABHRS and performs all surgical aspects of the FUE hair transplant procedure on his patients from extraction to implantation.