The Art and Science Behind Follicular Unit Excision

Dr. Craig Ziering is one of the world’s foremost authorities in hair restoration and as a leader in the field he has honed his practice to an unparalleled degree, leveraging both his expertise and the latest technology to help patients achieve outstanding results. Ziering Medical does this by prioritizing that most important and complicated feat in hair transplantation procedures such as Follicular Unit Excision and Extraction, namely achieving naturalness and meeting patients’ hair density goals.

Natural Look is Crucial for Follicular Unit Excision Hair Transplantation

At Ziering Medical, we strive to achieve hair transplant results that look so natural they aren’t even noticeable when inspected up close. A natural-looking hairline is one of the most important goals in hair transplantation so that patients won’t even look like they have had hair transplantation or other treatments. These results can make them feel satisfied with the procedure and truly confident with their new hairlines.

Achieving this with either Follicular Unit Excision (FUE) or Microscopically Dissected Elliptical Excision (MDEE, which was formally known as FUT or Follicular Unit Transplantation) requires the skillful utilization of the delicate follicular grafts gathered during the harvesting process. 

These have to be skillfully applied to ensure a natural looking outcome. Hair normally grows in groupings of 1 to 4 hairs, called Follicular Units. The hair restoration process must replicate these Follicular Unit groupings, which requires the use of microscopes. With our proprietary Ziering Scopes, we create grafts that replicate these natural formations. 

The Ziering Scope is a device invented specifically for microscopic follicular unit grafting and hair transplantation. This tool allows the Ziering Medical team to see follicular units in better detail, and the result is more precise preparation and better preservation of donor hair. This is crucial when preparing hairs for transplantation.

The hair transplant surgeon must know the patterns and distributions of hair that occurs naturally. The Follicular Unit grafts must be positioned in a way that replicates these patterns. Especially for areas where hair loss occurs most often, such as the crown and mid-scalp. 

During these operations, Dr. Craig Ziering is like an artist, the Follicular Unit grafts and the instruments are his painting equipment. The knowledge and skill he has to create natural-looking hair patterns and distributions is like how artists use their brushes to create a masterpiece.

Attaining Satisfactory Hair Density for Our Patients During Follicular Unit Excision

Along with natural-looking hairlines, achieving optimal hair density is also crucial in meeting our patients’ goals. This is a matter of how much of the balding area can be covered with grafts and how thick the results will look.

This will depend on a variety of factors. But if a patient is a good candidate then their hair density goals can be achieved. A good candidate is one with an ample supply of donor follicles. The reality is that the hair available from donor areas will be less than what was in the receiving area before hair loss started. After all, one cannot take too many follicles from the donor area, otherwise it will also become a bald spot. And the total number of grafts will be less than the original amount of hair prior to balding. The challenge of hair restoration surgery is to make do with the available donor follicles and create an illusion of thickness at the receiving area. 

At Ziering Medical, the team has honed this process and developed new technologies to deliver improved results. Every hair restoration procedure is a work of art and science, as Dr. Ziering and his team strive to provide patients with the best experience, care and natural-looking outcomes. 

Skilled hair loss surgeons must have the skill to move large quantities of delicate grafts that ensures maximum survival and minimum loss of each precious follicle.

They must use the grafts efficiently, making the most out of each one with techniques that create patterns and distributions to simulate the appearance of a full hairline despite using a limited number of hair.

The Ziering Medical team are experts in maximizing hairline density and ensuring graft survival. We also devise methods to preserve donor grafts so that they will make it to the recipient site. 


Dr. Ziering is gifted in both the technical and artistic dimensions of hair loss surgery. Not only is his unique skill affirmed by his outstanding patient results, but also by a board of his peers who seek to understand and emulate his developed technique and ability. For the past two years the International Society of Hair Restoration Surgeons has asked Dr. Ziering to teach his fellow surgeons the basics of natural hairline design and speak on the artistic sense he has developed over his 20 years in the field.

It is this artistic talent in conjunction with technical expertise that has become the standard for every Ziering Surgeon around the globe. Our patients will be in the best hands as Dr. Ziering and his team will work with them to ensure their hair restoration goals are not only met but exceeded. 

Interested to learn more about hair loss treatments at Ziering Medical? Reach out to Ziering Medical. We have clinics in Beverly Hills, California; Greenwich, Connecticut; and New York City, New York.