FUE – Extraction vs Excision – Why the Change?

A major change has been manufactured in the world of surgical hair restoration – the popular follicular unit extraction (FUE) procedure, is currently to be referred to as a follicular unit excision procedure.

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Why the change now, thirty years after its initial introduction? Is it worth it to push this new terminology onto hair transplant professionals and patients alike? In line with the experts in the January issue of FORUM, the official publication of the International Society of Hair Restoration Specialists (ISHRS). the answer can be an emphatic and practically unanimous yes.

What is FUE?

First things first. What specifically is an FUE?

By 2018, the ISHRS Board of Governors agreed that follicular unit excision ought to be the official terminology for “the surgical technique that identifies circumferential incision of your skin around the follicular unit bundle or band of hair follicles for the intended purpose of extracting a full-thickness skin graft containing hair follicle(s), fat, dermis, and epidermis.”

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Initially developed in 1988,

the FUE has evolved into probably one of the most effective hair transplant methods in the marketplace.

Though surgeons may employ different harvesting methods, the general procedure is the same.

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A surgeon excises each follicle individually while a technician may take them off from a donor section of the patient’s scalp. The removed follicle is then transplanted right into a tiny hole in the balding area of the scalp.

The process often involves several thousand individual grafts and procedures typically take between 6-8 hours.

After approximately 3-7 days of tenderness and mild swelling, most patients feel back-to-normal.

Within about 4-6 months, patients should expect to start to see the first signs of new,

natural hair regrowth within their formally balding areas.

Why Change Extraction to Excision?

However, after years of performing the FUE procedure,

specialists began to notice common problems with the word extraction.

Many believed it made the task sound less invasive than it was, patients,

interpreted it to think hair was merely plucked out of the scalp rather than by a large number of small incisions made through the procedure.

By combining those two essential steps, the word excision was born-

Incision + Extraction = Excision

By changing extraction to excisions, hair restoration experts aim to:

Describe the FUE Procedure More Accurately

Whenever a surgeon removes a donor hair follicle from the individual, they are doing a lot more than taking out a hair;
they are precisely cutting, or punching out, a full-thickness skin graft which includes epidermis, dermis and fat surrounding the fragile hair follicle(s).

Therefore, an FUE is a best and invasive surgery.

Licensed hair transplant physicians desired ways to emphasize that this a strong procedure entailing more than only a simple extraction of hair. By obviously acknowledging the incisions, patients should have more realistic expectations pre-, during, and post-op.

“The objective of clarifying that surgical graft removal with FUE involves excisions of hair and tissue is to create this terminology more scientifically, clinically and surgically accurate,” Ricardo Mejia, MD and ISHRS board member said within an interview with MedEsthetics.

Discourage Frauds from Performing the task

By officially making the FUE procedure sound less benign, qualified hair restoration experts are hoping this will dissuade unlicensed frauds from performing the surgery.

As FUE has increased in popularity, there has been an explosion in clinics falsely claiming to be legitimate and knowledgeable FUE providers.

Many succeed by advertising the FUE as a largely non-invasive outpatient procedure.

With a gentle word like “extraction”, it might be not too difficult for an undertrained technician to market it as such, minimizing or ignoring the necessity for an accredited hair transplant surgeon to be at the helm of the operation.

Patients should be aware that while technicians are essential to the labour intensive hair transplant process, it will NOT be performed exclusively by technicians because they’re not qualified to execute surgery on your skin.

By evidently acknowledging that FUE can be an invasive surgery, professionals hope interested patients will need a closer look at whom they are choosing to perform the procedure.

Acknowledge FUE’s Evolution

Since debuting now over three decades ago, the FUE procedure has drastically evolved.

As follicle-harvesting methods have already been refined,

experts have been constantly improving the task creating greater results and less scalp damage.

Recovery time, unwanted effects and scarring have decreased tremendously when done properly by a tuned physician.

An update to the name highlights the progress and

innovations the FUE procedure has created by giving it a fresh new name to go along with its continued success.

What Does The Change Mean for Hair Restoration Specialists?

By January 2018, ISHRS is immediately asking that all professional hair restoration specialists begin using the term follicular unit excision at their practice.

The word “excision” itself describes the simultaneous procedure for making the incision and extracting the complete follicle.

An “incision” only describes the actual cut, and the “extraction” the removal of the follicle.

For more information on how to describe the FUE based on the new standards,

browse the January 2018 problem of FORUM.

What Does The Change Mean for Patients?

If you’re enthusiastic about having an FUE procedure, this new name will be valuable for just two main reasons:

Honesty: As a patient, it provides you with better insight into what the surgery entails.

Make sure you do each of the proper research and discover a certified hair restoration surgeon in your town.

Knowledge: Right now knowing about the update, is the best way to vet possible FUE surgeons.

If they are up-to-date on all hair restoration medical standards and terminology.

it’s a positive sign they are current and well educated about their supposed speciality.

Any hesitation or lack of understanding about the term “excision” should be an instantaneous red flag.

Integrity: Incisions and Excisions are done by physicians, not technicians. As an individual, you should expect the most effective medical care.

You have to know exactly who is doing all your surgery and their qualifications.

Hair transplant professionals hope this will be an essential step in providing patients with only the best,

professional care with the incredible results they deserve.