FUE Hair Transplant

FUE, or Follicular Unit Excision, is a relatively new hair transplant method. It entails the transfer of single follicular units from the scalp’s donor region to the troublesome area.


What is FUE

FUE, or Follicular Unit Excision, is a more recent hair transplantation method compared to FUT. This minimally invasive technique involves transplanting individual hair follicles from one part of the scalp to another. The procedure includes carefully choosing follicular units from a hair-rich area of the scalp and moving them to the problematic section of the head.

Benefits of FUE hair transplant


Without scarring

A primary benefit of the FUE technique is the absence of scarring. There may be slight, speckled scarring or depigmentation in the donor region, but these marks are imperceptible to the naked eye, even on a closely cropped scalp.


Reduced discomfort after surgery

There is reduced postoperative discomfort following an FUE procedure. It is performed without any incisions or stitches. This enables a smoother postoperative period with minimal complications.


Transplant in situations with limited donor availability

The FUE technique enables hair transplantation even when there is limited hair density in the donor region. This is accomplished by obtaining single grafts from the donor area or extracting from body parts using BHT (Body Hair Transplant). Chest, facial hair, limbs, and pubic areas can all be utilized for an FUE process.


Elevated Density of Follicular Units

During an FUE hair transplantation procedure, the grafts that are transplanted contain a higher quantity of follicles. This occurs as the surgeon can specifically target high-density, multi-follicle FUs composed of 3-4 hair roots. Studies indicate that the hair-to-follicle ratio following an FUE procedure performed by a skilled surgeon is 3, compared to a ratio of 2 for the FUT procedure.

Drawbacks of FUE hair transplant


Reduced amount of grafts per session

The quantity of grafts transplanted in one FUE session is typically less than in a FUT procedure.


Transection rate

The occurrence of follicle transection in an FUE procedure is greater than in a FUT procedure. In the most unfavorable situation, 10-15% or more of follicles may experience transection. However, in a FUT procedure, this number can be as low as 3%.


Increased pressure on grafts

During an FUE procedure, grafts experience significantly more stress due to the reduced amount of surrounding connective tissue. Consequently, individual hairs require extra attention to ensure their survival.

How is an FUE hair transplant procedure carried out?

To comprehend the functioning of an FUE hair transplant and determine if it’s right for you, it’s crucial to grasp the procedure and its effectiveness. Continue reading to learn more about the FUE process at the Tsilosani Hair Transplantation Institute.

Step 1: Clipping and examining the donor region

The initial stage in an FUE hair transplant process involves cutting the hair on the head to a desired length of 1-2mm. After this is completed, the surgeon will examine the donor region, either on the scalp or another location, using the folliscope system. This enables the physician to assess the health, quantity, follicular unit quality, and density of the hairs in the donor area.

FUE Step 1 - Trimming and checking donor area

Step 2 – Getting the recipient area ready

The surgeon begins to ready the recipient area for the grafts. With needles specially crafted for this task, the doctor makes tiny openings where the grafts will be placed. These needles are only about 1 mm wide and feature depth limiters.

FUE hair transplantation step 2

Step 3 – Tallying ready locations

To ensure accuracy during the procedure, the number of sites prepared for grafts is determined. A system created by Dr. Akaki Tsilosani serves this purpose and also enables the patient to stay informed about the progress of the operation.

FUE hair transplantation operation step 3

Step 4 – Removal of graft

The surgeon begins removing single grafts from the donor region. A unique device, developed to take out individual grafts, enables the procedure to be performed without leaving any linear scars.

FUE Step 1 - Trimming and checking donor area

Note: Instruments utilized in the FUE hair transplant method

To guarantee the patient’s comfort, Dr. Tsilosani utilizes instruments specifically designed by him. These instruments enable the safe extraction of grafts without inflicting any trauma on the patient. The tools can be seen below.

Step 5 – Stabilizing the grafts

The harvested grafts are subsequently placed in pre-prepared petri dishes and secure containers to maintain their safety and viability during the procedure. These containers have been meticulously cleaned and readied to guarantee the protection of each graft throughout the surgery. Additionally, the grafts are inspected to confirm their appropriateness for transplantation.

Tools used for the FUE procedure

Step 6 – Inserting the grafts

Once the area is secured and assessed, a group of skilled surgical assistants begins to insert the grafts into the prepared region. This is carried out under the watchful eye and direct participation of the chief physician.

FUE procedure step 5

Step 7 – Evaluating immediate outcome

Upon completion, the physician will examine the initial outcome. At this time, the concluding consultation will be given, including recommendations regarding exercise and pain management. Although the immediate result might not be as appealing as desired, the long-term effects will ultimately be aesthetically pleasing.

FUE hair transplantation step 6

Step 8 – After-operation care

The minimally invasive FUE procedure allows you to return home and travel the next day. We will provide you with all necessary details regarding post-operative care and will be available to answer any questions you may have.

FUE hair transplantation final step and immediate result

When is FUE suitable?

Determining if the Follicular Unit Excision (FUE) hair transplant procedure is suitable for you depends on your doctor’s evaluation. During the consultation, your doctor will assess the extent of your hair loss and decide if FUE can effectively achieve the desired results. Generally, FUE procedures are performed only when hair loss is below a specific threshold, ensuring the operation does not last for an extended period and can be completed quickly. The procedure is most effective for treating male pattern baldness by transferring hair from denser areas at the back and sides of the head to the front. FUE can also be successful in women with similar hair loss patterns. For hair loss treatments requiring 2500 or more grafts, Follicular Unit Transplantation (FUT) may be more effective.

Your doctor may also recommend FUE for various other situations. To receive a personalized evaluation, schedule a consultation with the Akaki Tsilosani Hair Transplantation Institute.

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FUE at the Tsilosani Hair Transplantation Institute

At the Akaki Tsilosani Hair Transplantation Institute, Dr. Akaki Tsilosani, MD, FISHRS, personally performs hair transplant surgeries. The FUE method is executed to the highest professional standards, with visible results guaranteed within 8-12 months. The Akaki Tsilosani Hair Transplantation Clinic also provides a money-back guarantee (contact us for more information).

The FUE procedure is carried out with utmost precision and attention, ensuring a pain-free experience from beginning to end. The process begins with a small anesthetic solution injection to alleviate any discomfort during the transplant. Although the procedure may last several hours, our clinic’s facilities ensure a comfortable environment throughout. The doctor will also follow up with you on your progress during the two days post-operation, ensuring a smooth and brief recovery. We maintain communication to address any inquiries you may have after the surgery. Learn more about what to expect leading up to and following the procedure here.

FUE Before and After results at the Tsilosani Institute


FUE pricing at the Tsilosani Institute

The cost of each FUE hair transplant procedure is tailored to the individual client. The difference in prices stems from the varying number of grafts needed for each patient. To receive an estimated price range for your specific procedure, contact us for a complimentary consultation.



Dr. Akaki Tsilosani, MD, FISHRS, has developed a combined method for addressing severe hair loss cases. This approach merges both FUE and FUT techniques to attain the desired outcomes completely. While this procedure takes more time and is slightly more demanding on the patient than each separate method, it successfully transplants over 5000 grafts at once.


FUE in male and female patients

The FUE hair transplant method, primarily developed to address male pattern baldness and a receding hairline, can also be helpful in treating comparable issues in women. FUE for women may be advantageous in various hair loss situations. To determine if it’s suitable for you, complete our complimentary online consultation form and provide us with a photo of your hair loss.