FUE, Follicular Unit Extraction is a more modern and minimally invasive method of Hair Transplant but is more demanding technically but is more patient friendly and there is no significant donor area complications compared to conventional strip surgery

1. Dr. Bishan Mahadevia M.Ch. (Plastic Surgeon) Ahmedabad No disclosure Dilemmas in FUE

3. Techniques Next Slide 2 steps

4. 2 step technique- most practiced

5. Scored Element

7. Depth Control

8. Elastic skin Vs Fibrous ?

9. Reduce Depth for

10. Direction, Angle & Force www.bernsteinmedical.com

11. Sharp: Less force to cut the skin Minimal distortion Easier transaction More bleeding Blunt: More force to cut the skin so possible distortion but has better control with higher torque low speed motor Funnel: Avoids torsion injury by allowing more space for the cut tissue Contoured edge: less force is required to cut Sharp, Blunt, Funnel and contoured punch?

12. 0.75, 0.8, 0.9, or 1 mm ? 0.75 mm -----1-2 hair graft 3 and 4 haired graft & spaced out follicles with thick hairs ------- 0.9 to 1mm punch

14. Manual or motorized?

24. Uniform or localized over harvest? Educated & Uniform distribution Over harvesting from one area

25. Doctor patient position? Patient lying Doctor towards back Patient lying Doctor towards head Patient seats Doctor standing

26. Man behind and not just the tool No one option for all situations