With the FUE Manual technique, it was uncomplicated to perform the transplantation in small areas such as: eyebrows, mustache, chop, eyelashes and scars on the scalp due to accidents, trauma or surgical sequelae, mainly of plastic on the face. Most of these cases are quickly resolved with one or two Manual FUE sessions, minimally invasive, with no cuts, stitches, and scars. With local anesthesia and no need for sedation or hospitalization.
Old “doll hair” or old-fashioned surgeries, but with gross or unsightly results for some reason, can easily be repaired successfully with the FUE Manual, which will restore the natural esthetics of the hair. Patients with insufficient donor area and unable to perform a hair transplant with the FUT technique (Strip), are more likely with the Manual FUE technique, because we can collect isolated Follicular Units that the individual has in his donor thin area.
Those patients who have already had more than one FUT or punch surgery and have several scars in the donor area, which would prevent a new session for some complementation or finishing of the posterior surgeries, have Possibility of performing the transplantation by the Manual FUE method, because in this surgery the collection of the Follicular Units in the donor area is individual and does not generate any more scars, even allowing the collection of hair between existing scars.
With the Manual FUE method we can also maximize the number of grafts of a procedure performing a hybrid surgery. That is, we obtain with the segment of the FUT technique a certain number of grafts, but that is insufficient to totalize the amount of “seedlings” necessary to solve a certain baldness. Therefore, we associate the Manual FUE technique to obtain an additional amount of grafts, thus enabling the total coverage design of the bald areas. The Manual FUE technique is performed just above and below the suture left by the FUT technique.
Currently, both men and women, with partial or total loss of eyebrows, can recover them through the hair transplant. It is a safe, effective, minimally invasive procedure and able to restore eyebrows in a single procedure.
The eyebrows exert a double function of protection and beautification of the eyes, providing symmetry and balance to the face. Partial or total loss of eyebrows can produce a profound change in look and may also have a devastating effect on self-esteem.
What Causes the Loss or Alteration of the Eyebrows?
- Depilation or pulling with tweezers to define the shape: when excessive, can lead to permanent loss of eyebrows (is probably the main cause);
- Systemic or local disease;
- Physical trauma, such as accidents or burns;
- Discontinuation due to obsessive-compulsive disorder (trichotillomania);
- Medical or surgical treatments such as chemotherapy, radiation therapy, removal of tumors;
- Alopecia areata, which is a common dermatological condition, of genetic and immunological origin.
- Most of the situations described above can be treated with the Manual FUE (Follicular Unit Extraction) hair transplant for the eyebrow area. Systemic or local diseases responsible for eyebrow loss should be controlled to ensure successful transplantation.
- Compulsive withdrawal (trichotillomania) should also be treated to ensure that the transplant is definitive.
Restoration of the eyebrows is a minimally invasive procedure and usually requires a single session.
Anesthesia is local and the donor zone is the patient’s own scalp.
For the eyebrow area only follicular units with 1 or 2 hair strands are transplanted, which is very important to guarantee the naturalness of the result. The angles of the incisions are meticulously performed so as to allow a growth almost parallel to the skin.
Beard, mustache and cutlet
Hair transplantation for the beard or mustache can be done in men from the age of 20, when the sex hormones have reached their normal level.
This type of procedure is indicated for men who want to grow a beard in a “beard to be done” style, but who have flaws or even no hair in those regions. The reconstruction of the beard and mustache areas can be done in any man who has a donor zone (hair on the head).
The surgery is performed under local anesthesia, and the hair is extracted one by one from the lateral and / or posterior part of the head, using the Manual FUE technique (Follicular Unit Extraction). On the day of surgery, the facial skin may turn red and with some swelling, but after a week, the appearance will be normal and without scars.
There is no pain during surgery or in the postoperative period. After 15 days, the patient will be able to shave normally. The transplanted wires may fall from the third week and resume their growth after 3 to 4 months. The final result of the transplant can be observed between the 10th and 12th month after surgery.
Repair of “doll hair”
Capillary transplants performed by the “punch” method provided a very artificial looking result, similar to doll hair (photo on the side). Nowadays, it is possible to repair these cases by putting new hair around the existing ones, completely changing the visual appearance of the hair, removing these tufts and performing a new transplant with the current techniques without leaving scars where the punch was.
Correction of scars
It is normal the appearance of scars after accidents, facial plastic (facelift) and also in the capillary implant by the FUT method, when it is not carried out in suitable conditions. Sometimes these scars may be visible because the local hairs are not enough to cover up or camouflage the scar, which causes enormous discomfort and discontent to the individual.
If the scar is located in a hair or hair zone, it is possible to camouflage it through the hair transplant in the scar area of the scar using the Manual FUE technique. Follicular units of 2, 3 or 4 wires are chosen to achieve greater coverage. Two transplant sessions are usually necessary for a good resolution of the problem.
Scars resulting from inflammatory and autoimmune diseases have no indication for hair transplantation. The scar should be evaluated beforehand by the professional doctor to see if there is adequate circulation to avoid loss of grafts, in addition to other factors.