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Surgical Hair Restoration Program
The Irvine Institute of Medicine and Cosmetic Surgery-OC Hair Restoration and Dr. Williams is one of the most experienced hair restoration surgeons and facility performing Follicular Unit Extraction (FUE). Our office uses the world's most recognized FUE donor harvesting devices- ARTAS, Cole PCID, NeoGraft, and SAFE system. These incredible devices are the product of extensive of research and development providing a minimally invasive procedure and natural aesthetically appealing hairline.
Automated FUE with the ARTAS system is considered the Cadillac of hair restoration surgery and the physician controlled automated device has improved the quality and viability of the grafts. This means the more hair follicles survive the transplantation from the permanent zone of the scalp to areas of balding. Most importantly, our physician, Dr. Ken Williams, is involved in every aspect of the hair surgery experience. Unlike other FUE hair surgery facilities that have non-physicians performing hair surgery, Dr. Williams, intimately performs the hair transplantation procedure. His clinical expertise and actual donor harvesting of his patients results in reduced graft transaction and higher harvesting rates. Dr. Williams and staff refines the hair transplantation surgery experience and improves clinical outcomes for our patients. FUE is fast becoming the hair restoration procedure of choice. In 2009, Dr. Williams was the first and most recognized dedicated FUE hair restoration facility in the western United States to use NeoGraft as one of the original FUE devices. As FUE technology advances, better devices have emerge such as the ARTAS and PCID designed by Dr. John Cole.
Almost all patients appreciate the natural aesthetic results with automated FUE. In comparison to the linear strip method, FUE does not require the surgical removal of a section of the scalp that potentially results in a donor linear scar at the back of the scalp. Instead, FUE uses your own natural hair follicles without using a scalpel, sutures or staples. The most desired aspects of FUE is the noninvasive nature of the surgery, quicker recovery times, and no linear donor scar at the donor site.
Two Methods Of Harvesting Hair Follicles - FUT vs. FUE
Currently there are two primary surgical techniques or methods used in performing hair transplantation- FUT (STRIP) and FUE. With the FUT technique, a section of scalp is excised with a scalpel. The scalp is brought together with either sutures or staples leaving the possibility of a donor linear scar in the back of the scalp. Next, the hair follicles or hair grafts are inserted into tiny slits placed by the surgeon in the balding recipient area. The follicles with a single hair are placed in the front rows to define and create a natural hairline. The more dense natural occurring folllicular units are placed by hand in areas where hair density is needed the most.
With automated FUE a minimal depth scoring punch device is used to loosen the follicle from the surrounding tissues. The small naturally occurring hair follicle units are then removed directly from the donor area. With the FUE procedure, a 0.8 or 1.0 mm punch minimal depth scoring excision is used in the skin around the upper part of the follicular unit (hair follicles). The hair follicle is then extracted directly from the scalp and manually placed into tiny slits in the balding area similar to the FUT method.
Traditional FUT (STRIP) Method Before & After
Intra operative FUT Incision
Example case of another surgeon’s donor linear scar
FUE Before & After Photos
FUE verses FUT (Strip) Technique
|FUE Technique||FUT STRIP Technique|
|Use of Scalpel, Sutures, or Staples||No||Yes|
|Surgical Operating Time-2000 Grafts||10-12 Hours||5-8 hours|
|Invasiveness of Procedure||+||+++|
|Typical Hair Length Preference||Short||Medium|
|Short Hair Required Prior to Procedure||Yes||No|
|Donor Site Linear Scar||No||Yes|
|Maximum Follicles Harvested Per Session||2000||2000-2500|
|Typical Healing Time of Donor Site||3-4 days||10-14 days|
|Local Tumescent Anesthesia / Oral Sedation||Yes||Yes|
|Postoperative Tight Scalp Sensation||No||Yes|
|Risk of Bleeding & Nerve Damage||No||Low|
|Risk of Donor Site infection||Very Low||Low|
Quicker Recovery, More Grafts, and No linear Scars with Automated FUE
Compared to manual FUE, automated FUE devices allow more hair grafts to be harvested in a single surgical session. With the 21st technology devices such as the Cole, NeoGraft, and Safe systems, automating the FUE procedure allows patients to have a greater number of hair follicles transplanted into their scalp in a single surgical session with Dr. Williams at the Irvine Institute of Medicine and Cosmetic Surgery-OC Hair Restoration. Most importantly, as compared to the linear STRIP excision technique, there is no observed linear donor scar when the hair is worn short. It should be noted there is a possibility of small multiple areas of donor area hypopigmentation seen in certain skin and ethnic skin types.
Magnification view of hypopigmentation from FUE technique
Small round areas of hypopigmentation from FUE observed when hair is cut short
No Surgical Cutting Of Scalp
Automated FUE with the Cole, NeoGraft, or Safe System are the most recently developed FUE hair transplant devices that does not involve excising a large portion of the scalp or linear incision in the scalp. Thus no sutures, staples, or scalpel are required. Postoperative bleeding is not present and almost immediate surgical recovery is realized. Patients are able to resume light physical activity the next day with minimal restrictions. Athletes or physically active patients may resume their normal strenuous workouts in about one week after the procedure.
Up To 2000 Grafts Per Day
Hair restoration surgery with automated FUE removes individual hair follicles from the scalp in their naturally occurring groupings of 1-4 hairs. At OC Hair Restoration we are able to typically harvest or surgically remove and implant 2000 hair follicles in one surgical setting using 0.8 mm or 1.0 mm punches. The typical length of the surgical session varies from patient-to-patient. In some cases because of various patient factors, cases will end as quickly as nine (9) hours, but in some patients a twelve(12) hour session is required.
Quality of grafts at Irvine Institute of Medicine and Cosmetic Surgery-OC Hair Restoration