Removal of hair follicular units in the self-transplant FUE.

The FUE technique (called the levy follicular through micro-monobulbar) initially discussed, is now adopted as standard practice even by only a few surgeons.

Basically today the two sampling procedures at the base of hair transplant are represented by:

• Excision of a diamond strip-occipital scalp with subsequent dissection extraction stereomicroscopy units bulbar.
• Direct extraction of individual units using the FUE (Follicular Unit Extraction).

Both procedures are practiced on the back or side of the scalp. The technique of sampling is now more widespread excision of occipital diamond. Under the microscope the skin flap is then selected follicular units (containing 1 to 4 hair) and multi-follicular units (containing hair from 3 to 6 each).

The establishment of follicular units allows to use very small thin needles to set up the receive sites, so as not to risk damaging the neighboring follicles and cause excessive vascular damage.

The micro-follicular unit (Follicular Unit micro-grafting English) OR FUT has overcome the limitations of previous techniques, including the ugly "doll effect" (pluggy look), and increasing the number of candidates for hair restoration. This procedure, with great flexibility, allowing more than any other to recreate or redefine the line frontal and temporal in nature so as to render impossible the perception that the subject has undergone surgery to repair.

The FUE technique (the levy "follicular" through micro-monobulbar) initially discussed, is now adopted as standard practice levies even if only a few surgeons. The benefit attributed to this technique, represented by smaller resulting in less visible scars, requires further evaluation. It 'used primarily in the milder forms of baldness may be enough where 400 to 500 bulbs. This is a modern technique in which the extraction of follicular units is done through the use of a punch, a circular micro-bistoury can pick segments minimum scalp containing one or two bulbs. It 's a good way to reduce hair loss but not easy when you want thickening a wide area: in this case before reaching a satisfactory result will be made at various sessions spaced a few months.

The refinement and customization by surgeons of various existing procedures led to the continuous development of individual techniques, then disseminated through publications and conferences dedicated. On one point all surgeons are always in agreement, making the first millimeters of the front area (practically 50-10% of all hair transplant) with the technique micro-grafting. Otherwise the choice is discretionary: the total transplantation (follicular unit transplantation) the micro / mini-transplant, by grafting combined (slot punch), the linear couplings.

Before describing the surgical procedure must consider some factors that help determine the success of the surgery and between the organization surgery, the rational distribution of space, the equipment used during surgery.

The hair transplant should be performed in a qualified facility, ensuring the constant presence in all phases of the anesthesiologist and is equipped with resuscitation equipment, thus ensuring maximum safety.

The operating room must be sufficiently spacious, well lit, equipped with seats with adjustable height and an operating table that allows for automated Trendedelenburg position.