FUE Hair Transplant surgery

Surgical hair restoration is constantly evolving thanks to physicians in search of better options for their patients.



Follicular Unit Excision and Extraction (FUE) is a surgical hair harvesting method used to obtain donor hair one graft at a time.  FUE does require that the donor area on the back and sides of the head be shaved short to give the surgeon increased visibility of the available donor zone and individual hair grafts. Once harvested, these grafts are then used in Microscopic Follicular Unit Transplantation (MFUT) during which the same steps are followed as Microscopically Dissected Elliptical Excision (MDEE) with your surgeon creating recipient sites and the grafts being gently, but meticulously placed into the recipient sites at the proper angle and orientation. This innovative harvesting technique is great for patients looking for an alternative to the traditional MDEE method in which a thin strip of tissue is harvested and the grafts dissected under the Ziering Scope.  At Ziering Medical, we offer both manualFUE and Robotic FUE.


Patients concerned about having a linear scar, who want to wear their hair very short or whose scalp is too tight for strip harvesting, are typically good candidates for FUEprocedures. They’re exactly who physicians had in mind when they developed FUE. One misconception about FUE is that it is a scar less procedure. The reality is that FUEprocedures leave tiny, pinpoint scars which are camouflaged by your hair as the shaved hair begins to regrow.
Real Results
Before & After Top View | Ziering Medical | West Hollywood CA, Newport Beach CA, New York NY, Greenwich CT, Las Vegas NV

1606 Follicular Units, 1 Hair Transplants, Age 25, Showing Pre-Op Photos and 18 Months Post-Op

Before & After Top View | Ziering Medical | West Hollywood CA, Newport Beach CA, New York NY, Greenwich CT, Las Vegas NV

7,755 Follicular Units, 2 MDEE + 1 FUE Hair Transplants, Age 41, Showing Pre-Op Photos and 24+ Months Post-Op

With the MDEE method, a precise donor strip is shaved, a linear incision is made and a thin strip of tissue is removed. Hair grafts are then microscopically dissected from this strip. In FUE, we use the same donor zone, shaving the back and sides of the head, but manually extract follicular units directly from the scalp, one graft at a time.

Each follicular unit is taken from the donor area using a 0.8 to 1mm punch. This punch makes a tiny circular incision around the top of the hair so that the entire follicular unit can be directly pulled from the scalp. Once donor follicles are harvested, your Ziering surgeon creates corresponding recipient sites. Then the hair surgery technician place the individual follicular units at the proper angle, one by one, into the recipient sites which have been created according to the hair transplant overall plan and design. 


The latest improvements in Follicular Unit Excision and Extraction instrumentation and techniques have made FUE a lot more viable. That’s because we now have tools capable of harvesting more grafts, with less damage and less scarring.

Recent improvements include:

  • Smaller punches that reduce scarring
  • Motorized punches that refine the way surgeons score the upper layer skin
  • Restricted depth of scoring to better protect the follicular unit grafts
  • Understanding the need to limit excisions in order to prevent obvious scarring

The Ziering Medical team utilizes Dr. Jim Harris’s “SAFE System” instrumentation for manual FUE hair transplant surgery. This specially designed instrument is a blunt, motorized dissection device that:

  • Isolates the follicular units from the surrounding scalp area
  • Allows the surgeon to extract follicular units directly from the scalp
  • Minimizes damage to follicles during extraction

During your consultation both MDEE and FUE procedures will be reviewed so that you can make an informed decision with your Ziering surgeon when selecting your preferred donor harvest method. It is not uncommon for patients, who require more than one hair transplant procedure to achieve their aesthetic hair goals, to have both types of procedures. Sometimes the MDEE procedure is performed first to achieve optimal coverage followed by an FUE procedure – especially if the patient no longer has the needed scalp laxity to safely do another strip harvest. Then there are patients who chose FUE for their first procedure because they want to wear their hair shorter, but over time may decide on MDEE for their second procedure to maximize the graft harvest. Every Ziering hair transplant surgeon is experienced with both procedures and will customize your treatment plan to address your individual needs.

Our team is standing by to help you better understand the causes of hair loss and all of your treatment options. Click below to schedule a consultation.

Get Started Today