Follicular Unit Extraction (FUE)
FUE is the technique used most often by Dr. Epstein, where he utilizes his custom-designed E-Fue system as well as the WAW system from Europe and the Trivellini system from South America to optimize hair growth while minimizing scarring. With FUE, patients are able to shave the head in the future without worrying about any linear donor site scar. The transplanted hairs are placed into recipient sites in the scalp (or beard or eyebrows) for optimal hair growth direction, pattern, and angulation. This is an essentially painless procedure, usually performed under oral sedation and local anesthesia but, if desired, twilight sedation is available.
With this modification on FUE, rather than shaving all the hairs in the donor area as with conventional FUE techniques, only the hairs that are to be harvested for transplanting are trimmed, leaving all the other surrounding hairs in the donor area their original length.
Some patients seek Dr. Epstein for revision work to correct a prior hair transplant that left scarring or an unnatural appearance. Most commonly this work involves the removal with re-transplanting of unaesthetic transplanted hairs, along with additional hair grafting, usually by the FUE technique. In cases where there is a low supply of scalp donor hairs due to scarring and/or over-harvesting, hairs from the beard or other body areas can be utilized. In cases of extensive scarring, Dr. Epstein may opt to employ other techniques such as tissue expansion and endoscopic ridge reduction.