TECHNICAL MANUAL FUE

With the Manual FUE technique, a few more obstacles that the professionals still faced in baldness reversal fell and some male “ghosts” about surgery also disappeared with the Manual FUE method: pain and scars in the donor area and the infamous “doll hair” In the frontal region. Despite offering advantages, the Manual FUE technique evolves with the arrival of the Artas robot, which offers even more advantages in performing the hair transplant.

In addition, the traditional FUT technique also has its advantages and will continue to be well executed, even combining with the Manual FUE technique to maximize the results in atypical conditions, creating a hybrid method of hair transplantation. We can say that the aesthetic future of men’s hair is guaranteed to the 35 million bald men in the USA, according to ISHRS (International Society Hair Restoration Surgery) statistics.

 

Prior to surgery, preoperative routine laboratory exams are requested, including cardiac evaluation for patient safety and tranquility. For those who routinely use it, it is important to discontinue use of anticoagulant medications, vitamin E, aspirin, anti-inflammatories and alcoholic beverages 3 days before surgery because they may favor bleeding.

Smokers should also discontinue or reduce their cigarette 5 days before.

The hospital stay at Day Hospital for surgery can be performed the day before the night, or before seven in the morning on the day of surgery.

In the photo room, pictures are taken from various angles of your head to be recorded and used for future comparisons. When you are admitted to the hospital, the nursing staff reviews the exams and directs you to the anesthesiologist while the patient takes a bath and washes The hair with shampoo, put on the robe before going to the photo shoot.

Then, Dr. João Carlos Pereira confers the surgical strategy of hair restoration established on the day of the consultation in agreement with the patient’s goals, in addition to clarifying any existing doubts. The operative consent is signed by the patient and Dr. João Carlos begins to carefully design the frontal lines and the extension of the transplant. In the end, the patient checks in a mirror if it is according to their desire. You can review and ask to change before proceeding. After signing the consent, the patient is referred to the Surgical Center, where he is received by the team of Dr. João Carlos Pereira.

FUE PARTIAL hair transplant surgery usually lasts six hours. Mega sessions are about 10 hours.

The procedure is extremely technical and delicate, requiring a lot of skill and experience from the professionals who are working. Dr. João Carlos Pereira is present in all surgeries and is part of his team: a physician assistant, an anesthetist, two nurses, four nursing assistants and a room circulator, with a total of ten professionals.

The Surgical Center is private and equipped with the most advanced equipment to provide safety, as well as being open only for hair restoration surgeries to prevent contamination.

All surgical material used is disposable. And the instruments are carefully sterilized in autoclave or ethylene oxide, according to the type of instrument or apparatus.

During the procedure, the patient is sleeping superficially and is fully monitored by the apparatus (photo 1), for greater comfort and safety.

After shaving the hair with a zero machine (photo 2) in the area where the Follicular Units (FU) will be removed, local anesthesia is performed, which lasts throughout the procedure. A few minutes after the local anesthesia, we started the removal of the follicular units, one by one, with the aid of an American microapparel.

The grafts collected in the donor area are placed in a special American solution that mimics the fluids of our body and helps to preserve the grafts for a long time, while they are not implanted, besides the appropriate temperature that guarantees their survival. Through stereoscopic microscopes, a team of trained nurses will prepare and select the grafts for placement in the bald area. Before starting the perforations in the scalp of the receiving area, the place is anesthetized. Carefully, Dr. João Carlos Pereira performs the perforations with microinstruments to avoid marks on the skin and determines the distribution and density of the grafts, besides adjusting the angle of Tilt during placement to achieve a completely aesthetic and natural look. An important differential of their surgeries when compared to others. Once performed the perforations, the grafts begin to be implanted one by one (photo 3), considering their number of follicles. The single grafts of one wire are located on the frontal border, while the others are distributed in the region planned for transplantation. After the placement of the “seedlings”, a thorough review is carried out, then a general cleaning is carried out and a protective bandage is placed there.

At night, medication may be indicated to help the patient sleep. The antibiotic is started. Analgesic only when needed. In the FUE technique, postoperative pain hardly occurs. Medications stopped before surgery only resume after the third day of surgery, as well as smoking.

Alcoholic beverages only after the antibiotic is finished. The next morning the bandage is removed and the hair is washed with shampoo. Then the patient can take a shower. Hair can only be washed, very carefully, on the third postoperative day. Use a shower head the first few times. Watch out for very strong showers.

The temperature of the water should be tempered. Avoid hot water. Hair can only be combed or brushed after 10 days. Tinctures are released after 2 weeks. In the first 4 nights it is advisable for the patient to sleep with the head elevated, semi seated, to avoid intense facial swelling.

Unlike transplants with the traditional FUT technique (cut and stitches) in which the hair covers the stitches easily, in FUE this is not always possible. It happens that in the Technique FUE is scraped a band of 4 cm of width that goes from one ear to another passing through the nape.

The patient is not always long enough to cover up this area, being exposed for a week, when there is no longer any signs of surgery in the area. Soon after the surgery can be seen small holes every 3 to 4 mm scalp scraped and disappear in a few days, constituting a micro-crust (bark) on the site and that falls in a week. Some patients wear a cap or hat to cover up and disguise the area when they are in public. When the patient chooses to make a megasession, we are forced to shave the whole head to perform the surgery. UF is removed throughout the donor area (area where the hair does not have inheritance for baldness) that is in the lateral and posterior regions of the head.

Patients may return to normal day-to-day activities within 48 hours after their hair restoration. Solar exposures, physical activities and individual sports are released after 5 days, while collective sports only after 3 weeks. Do not forget to apply sunscreen with SPF higher than 30 in gel before and during solar exposures to avoid burns on the scalp that can compromise the surgery. After ten days the existing crusts, where the hair was placed, begin to fall and in a few days they have nothing else, even the implanted hairs also fall. After 90 days, the implanted hair begins to rise 1 cm per month. With 8 months, you can start combing hair transplanted.