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A step-by-step guide to an FUE operationOn the day of the operation
The patient can then choose what he/she would like to have for lunch. The patient is then given a disposable operation gown to put on.
The surgeon welcomes the patient, going through the details of the operation once more. A set of personal and confidential pre-operation photos is taken.
The patient is then prepared for the operation by a medical assistant. This involves giving the patient's hair a medical hair-wash and possibly shaving the donor area (full short haircut, macroline haircut, microline haircut).
The patient is then taken to the surgery room and seated in the operation chair. Vital parameters such as blood pressure, heart rate, oxygen saturation and (when deemed necessary) ECG are checked and venous access established.
Preparing the donor area for extraction
The operation is usually done under sedation, with a patient generally being given Midazolam as a sedative. This has an effect similar to that of valium. The donor area is also numbed by a local anaesthetic prior to extraction. Dr. Feriduni and at least 2 - 3 medical assistants are present throughout the operation. Individual FUs are painlessly extracted using a micro-needle with a diameter between 0.7 and max. 0.95 mm. Extraction is performed intermittently, i.e. hair-root groups are extracted for a period of 1 - 2 hours, immediately after which the implant incisions are made. Implanting takes 1 - 2 hours. This extraction / implantation procedure is then repeated.
Preparing the incisions
The area where the implant incisions for the individual FUs are made is also locally anaesthetised, allowing the incisions to be made painlessly.
The incisions in the recipient area are made using tiny slit needles, also known as blades. These custom-made blades can be perfectly adapted to the respective size of the patient's FUs. Customized blades are usually 0.6 - 1.0 mm wide. Nearly all incisions are made before implantation (Premade Incision Technique). This part of the operation takes about 2 hours. Dependent on the duration and scope of the treatment, a break is now taken. This can be used for relaxation or having lunch.
Again dependent on the method used and its duration, implantation may follow immediately afterwards. This takes 1 - 2 hours and is performed by medical assistants and Dr. Feriduni. Any major FUE involving the transplantation of a large number of hairs continues after the break with the next bout of extraction and implantation. This iFUE technique (intermittent FU extraction), in which the extracted FUs are implanted immediately afterwards, can be repeated up to three times.
Stick and place – the fine-tuning phase
The following part of the treatment is extremely important, and involves the use of the so-called Stick-and-Place technique. This is used to optimise the result, making the transplant look as natural as possible. This fine-tuning, which involves making additional incisions and directly implanting single FUs in certain areas, is of major importance for the end result, and in particular the shaping of the hairline.
End of treatment
A FUE operation ends with a further medical hair-wash and Dr. Feriduni then checks the result, discussing the operation with the patient.
The patient is then given written instructions on what needs to be done over the next 24. We provide our patients with a so-called after-care kit, containing a post-surgery mousse shampoo, post-surgery serum, post-surgery oil and hair spray treatment.
An inflatable cushion for the neck is also given to the patient as well as a bandana for covering as far as possible all visible signs of the treatment. The patient will receive an emergency telephone number, under which he can contact the surgeon and the head assistant on a 24-hour basis. After a final check-up by Dr. Feriduni, the patient is taken to his hotel by taxi. In most cases the operation lasts the whole day, generally ending sometime between 16:00 and 19:00.
The patient generally returns the next day for a postoperative check-up, he/she then has the opportunity to discuss any issues that might be relevant for the next few weeks. A medical assistant also washes the hair again. There are no stitches needing to be pulled.
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