Microscopically Dissected
Elliptical Excision

Formerly know as F.U.T.

Hair Transplant Surgery Has Evolved Over Time

Microscopically Dissected Elliptical Excision (MDEE) (formally known as FUT) is a surgical hair restoration procedure in which hair is harvested from the donor zone on the back and sides of the head where your hair is genetically programmed as permanent hair, and then it is transplanted into the balding or thinning areas of your scalp.  With the pursuit to deliver a more natural-looking result, older “plug” techniques were replaced with the micro and mini grafting technique in which physicians still artificially assigned the number of hairs in a hair graft, rendering an improved result. But there was more to be done.  With the dawn of innovative microscopes designed just for hair transplant surgery, physicians had direct visualization of the follicular units and could see them in their naturally occurring groupings of 1 to 4 hairs. And that has made all the difference in the world! At this point in time, hair transplant surgery in which microscopes are used for slivering the donor tissue and graft dissection, became known as Microscopically Dissected Elliptical Excision or (MDEE), and this term, in its literal meaning, referred to Strip Harvest Surgery — or the process by which a strip of tissue is removed from the donor zone, placed under a microscope and the follicular units are separated into their naturally occurring groupings.
MDEE instantly reduced the graft transection rate which increased the survival rates of the harvested grafts, having a significant impact on the surgical results from both aesthetic and coverage standpoints. It improved the artistry of the results because surgeons could design and transplant hairlines starting with single hair grafts in the frontal hairline and increase the density and volume of coverage using two, three and four hair grafts moving back through the forelock zone, mirroring the way hair naturally grows in this area of the scalp.
Today, surgical techniques have evolved even further with the development of Follicular Unit Excision and Extraction (FUE)allowing surgeons to harvest individual grafts one-at-time. Thus, replacing the minimal linear scar from strip surgery with small, microscopic pinpoint scars throughout the donor zone.  With this new graft harvesting option, it became necessary to redefine MDEE to be the overarching term for both types of microscopic follicular unit hair transplant techniques. Moving forward, hair restoration procedures which are performed with strip harvest are called MDEE and those that are harvested one follicular unit at a time are called FUE.

There are 2 types of MDEE procedures performed at Ziering Medical:

Microscopically Dissected Elliptical Excision (MDEEand Follicular Unit Excision and Extraction (FUE).  The most significant difference between these 2 hair transplant techniques is how the donor hair is harvested and the type of minimal scar that remains behind:  MDEE presents with a thin linear scar and FUE with tiny, pinpoint scars.

The 4 Steps of MDEE Hair Transplant Surgery

fut Hair transplant horiz 2000 1024x247
STEP ONE: Donor Hair Harvesting

First, the donor zone is identified and prepared for harvesting. There are two basic methods of harvesting your donor hair:

  • Microscopically Dissected Elliptical Excision (MDEE): A strip of tissue is removed from the donor zone and dissected into follicular units of 1 to 4 hairs using the Ziering Scope.
  • Follicular Unit Excision and Extraction (FUE):  is the method of obtaining donor hair one graft at a time in its natural follicular unit grouping. These grafts are also examined and prepped for placement under the microscope.

All donor hair harvesting is performed by a Ziering surgeon.

For this step, Dr. Ziering and his team use the Ziering Scope, which is a microscope he invented specifically for microscopic follicular unit grafting and hair transplantation. Follicular Units are the naturally occurring groups of 1 to 4 hairs that grow from your scalp. The Ziering Scope allows our 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.

STEP TWO: Microscopic Dissection of the Hair Grafts
STEP Three: Creation of the Recipient Sites

Next, your hair transplant surgeon will create follicle recipient sites which are microscopic holes made at the exact angle, direction and orientation, according to your detailed hair transplant plan. This is where artistry is key, and what separates average from amazing results. Read more about Ziering Artistry here.

Finally, the follicular unit grafts are transplanted into the balding and thinning areas of your scalp by a surgical technician who places each graft carefully and meticulously into its recipient site. And best of all, surgical hair restoration is an outpatient procedure performed under local anesthesia, so you can go home when it’s done.

STEP four: Placement of the Hair Grafts

THE STEPS TO FUT HAIR TRANSPLANT SURGERY

Real Results
ziering before and after_male-hair-transplant

3,200 Follicular Units, 1 FUT Hair Transplants, Showing Pre-Op Photos and 12 Months Post-Op

Before and After Male Hair Transplant

6,300 Follicular Units, 2 FUT Hair Transplants, Showing Pre-Op Photos and 12 Months Post-Op

MDEE

Hair Transplant surgery

Two Hair Transplant Procedures, One Year Post-Op
7,068 Follicular Units / Graphs

Ziering Medical Male Patient FUT Botched Revision Back-Before BEFORE
Ziering Medical Male Patient FUT Botched Revision Back-After AFTER
Zane Hijazi

Hair Transplant Surgery

Top celebrities, musicians, athletes and internet influencers trust their hair transformations to Ziering Medical. Watch Zane Hijazi’s full story to see what it’s like to work with the top hair transplant artist in the world.

Suture line immediate post op

Suture line 11 months post op

Follicular Unit Transplantation (FUT)

Follicular Unit Transplantation (FUT) is performed using local anaesthetic. A thin strip of donor hair is harvested from the donor area which is the region of hair on the back of the head. This hair is genetically programmed not to fall out. These hairs are permanent.The donor strip is then placed under the Ziering Scope which is a microscope specifically designed for hair restoration surgery.

Who Is A Good Candidate?

The Benefits of MDEE (Microscopically Dissected Elliptical Excision)

One of the main benefits of MDEE over FUE is that large numbers of follicular units can be transplanted in one session. The greatest number of units transferred during an FUE treatment is about 2,000, whereas a MDEE surgery may yield double the hair harvest. Further, with MDEE procedures, more of the harvest is taken from the “sweet spot” which has the highest number follicular units and the best quality of hair. Follicular Unit Strip Surgery remains a popular choice for many patients.
The MDEE method allows for “super sessions”, where up to 4,000 or more follicular units are transferred in one surgery, depending on the patient’s donor hair density. For patients who are looking to achieve the most dramatic aesthetic change in one procedure, an MDEE procedure is the most economical option. MDEE is also the recommended surgical hair restoration technique for women as well as being more ideal for patients who can’t commit to multiple surgery dates.
Ziering medical male patient result
ziering before and after male hair transplant 2_F45

Ziering Hair Transplant Artistry

As hair restoration technology continues to advance, the difference between a good outcome and a great outcome relies increasingly on the experience, skill and artistry of your surgeon. A procedure may be deemed clinically “successful” by simply moving the hair from one location to another, but true aesthetic success can only be achieved through artistic mastery. This is how Dr. Ziering and his team of elite surgeons have distinguished themselves and shown that their skills and artistry rank among the best of the best.

What happens after surgery?

Click below to learn more about post-op procedures

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