F.U.E. 2rmd Method:
Hair transplant is performed by follicular units using the F.U.E. 2rmd Method
In a hair transplant, the hair follicles of the donor area (back of the head) are RELOCATED to the bald areas. Follicles do not multiply or renew. The number of hair follicles and follicular units that can be harvested from the donor area is calculated in every single patient in order to know what results can be achieved, what area can be covered and how many grafts per square centimeter can be placed. Hair follicles are structures that, at this moment, cannot be replicated, this is why it is very important to handle properly the donor zone. The result of a hair transplant and the possibility of future graft extractions –if necessary- will depend on this.
2rmd method consists on maximizing the resource of the donor zone so that the treated areas will look as dense as possible, offering an appropriate hair line design according to the age, baldness level, and donor capacity of each patient.
At Rene Rodriguez MD we use a software that allows us to:
- Determine the quality of the donor zone.
- Know how many grafts each patient can donate over the course of their lives.
- Extract the maximum possible number of grafts from the donor zone without depleting it.
- Calculate the exact quantity of grafts required to cover bald areas.
- Define how many sessions each patient will need.
- Calculate the coverage value. This is how dense the patient will look after the procedure.
- Determine the possibility of future transplantations in case of further hair loss (whether it is original, native, or non-transplanted).
FUE Method is the most evolved hair transplant technique for EXTRACTING follicular units directly from the donor zone using a cutting cylinder (punch) with diameters from 0,75mm to 0,9mm.
The punch cuts the structures that bind the follicular unit to the skin, and the units are later tweezed out.
This procedure demands total domain of the technique since the patient’s hair follicles of the donor zone can be easily damaged by inexperienced hands. It is necessary to mention that hair follicles do not reproduce, thus it is primordial to avoid mishandling follicular units and the follicles that form them.
This is a very demanding procedure that requires a long learning curve. In average, we obtain 2500 to 3000 units a day.
Placing Follicular Units
Dr. Rene Rodriguez personally performs grafts insertion, placing them in an artistic and strategic fashion in order to obtain the best possible hair density.
In order to place the grafts, we use the implanter. This device offers the following advantages:
- Locating grafts accurately. The direction and angle of still-present original, native, or non-transplanted hair in the recipient site is replicated.
- Achieving open or closed angles depending on the treated area.
- Minimum or no graft manipulation, which allows a high survival rate.
- Obtain high densities, over 60 FU/cm2
- Acceleration of the placing process
- Less bleeding
- Less postoperative effluvium
If the purpose of surgery is obtaining a high density per session, it is useless to place grafts over the whole bald area, since this will lead to low density of the treated area and further frustration of the patient. In order to achieve high density, sessions must focus on specific areas.
If the bald area is extensive, more grafts and sessions will be necessary. Patients wishing to restore a big bald area in only one session may opt for a Giga Session, which is generally performed in two consecutive days. The number of follicular units that we can obtain every session depends on density of the patient’s own donor area.
Once follicular units or grafts are extracted, they are relocated in bald areas. Since grafts obtained through the FUE method are much more delicate than those obtained through strip method, over-manipulation must be avoided. This is why the implanters are used to locate the grafts in the desired areas. The implanter allows minimum or inexistent graft trauma.
Advantages of the F.U.E. Method
- Quick recovery of the donor zone
- Minimally invasive
- Less postoperative pain of the donor zone
- Only the best follicular units are selected
- No visible scars
- Greater amount of hair follicles per unit
- No scalpel used
- No stitches used
- Natural and consistent results
- It is possible to shave the head and no visible scar will be perceived (hair can be worn at less than 2mm).
- Faster recovery time
- Shorter period of postoperative disability
- Ideal for low density donor zones.
- Extraction of undesired hair grafts and correction of archaic techniques.
- Ideal for correcting scars in the donor zone
- Extraction of grafts wrongly positioned in previous surgeries
- Extraction of body hair
Performing the FUE Method involves a great learning process and requires patience, physical resistance, endurance, ability, coordination, accuracy and excellent manual skills, common sense and artistic sensibility in order to offer the best results.
Glossary of Terms
Follicular Unit: normally, hair emerges from the scalp in single follicles or in groups of 2, 3, or 4 strands of hair. This natural hair grouping is called follicular unit.
Density: it is the amount of follicular units per cm2. Non-balding people have an average hair density of 60 to 100 FU/cm2. The human eye is capable of noticing a bald area when the density is lower than 25 FU/cm2.
Donor Zone: hair transplant is performed taking follicular units from the back region of the scalp. This area is called DONOR ZONE. Hair follicles located in this area are resistant to baldness in most patients with androgenic alopecia. This is why hair transplant surgeries are permanent.
Recipient Zone: it is the bald area where the grafts extracted from the donor zone are to be placed. We have divided the recipient zone into 5 areas in order to be able to calculate more accurately the required amount of grafts per area.