FIT & FUE Methods
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FIT method and Micro-Dense-Pack T-T
The Micro-Dense-Pack method is suitable for small sessions of 800 grafts (about 2400 hairs) up to the largest session of 3500 grafts (about 10,000 hairs) for Total-Transplantation. A sessions may last for between 3-4 hours depending upon the area to be covered and the number of grafts to be placed.

For people with a very extensive area of baldness it is advisable to plan a transplantation over two sessions about 12 months apart.

This method involves the removal of a piece of hair-bearing skin from part of the donor area and the microscopic isolation of individual follicles or follicular groups. The surgeon will only use hair from well within the permanent zone, ensuring a border of permanent hair around the donor area. This is necessary in order to maintain a natural, untouched appearance to the back of the head.


The size of the area of skin removed will depend upon the number of grafts needing to be placed, on the elasticity of the surrounding skin and on the density of the hair in the donor area. The donor area is typically 1.5 - 3 cm wide and the Plastic Surgeon only removes the length needed to prepare the exact number of grafts required for the current session. All follicles removed will be implanted, none are ever discarded. After extraction, the Plastic Surgeon ensures that the rest of the donor area is preserved intact, unmarked and available for use in future procedures.

The removal of the donor area is done with extreme care and precision, making an incision between individual hairs, using surgical binoculars in order to avoid any damage to surrounding hair follicles. The special skills developed by aesthetic surgeons ensure the minimum of disruption to tissues - blood vessels and nerves are left undamaged. Techniques used for delicate facial surgery are applied to this part of the procedure, using special stitches to aid healing with minimum scarring.

The follicles in the piece of hair-bearing skin which has been removed are now prepared for implantation by dividing it into grafts. Using a microscope and tiny surgical instruments, the individual follicles or naturally grouped follicles are isolated and all extraneous tissue is removed. Each graft can contain between 1-5 hairs, depending on the natural grouping. Always, the number of hairs transplanted will be greater than the number of grafts placed.

The advantage of the Micro-Dense-Pack technique developed by Pantelis Valvis is in the selection of grafts and in the visual considerations given to the future effect of the transplanted hair. By removing a piece of hair-bearing skin and isolating grafts from it, the Plastic Surgeon has available a naturally balanced selection of follicular groups to choose from for implantation. The qualities of different types of follicular group are important to consider when they are placed in their new position.

The implantation process requires extreme precision as tiny grafts are placed one by one in exactly the right position, at exactly the right angle, pointing in exactly the right direction and to exactly the right depth.

The preparation and pre-planning of the design of the area to be implanted is crucial to a successful outcome. Once implanted, the hair will be a permanent record of the abilities of the Plastic Surgeon!

The establishment of the new front line (hairline) must appear natural, and the Plastic Surgeons start by selecting single follicles first, staggering the implants slightly, then progressively increasing the density behind in order to achieve a natural-looking result. The curved shape of the line, too, is vitally important to the final effect.

Using surgical binoculars the surgeon creates a tiny hole in the skin by making a small incision in the bald area with the aid of a microtome. The hole is so small (1mm in diameter) that little bleeding occurs. The selected graft is implanted deep into this opening so that it is secure and has access to the nurturing blood supply. The implanted graft quickly heals and becomes one with the surrounding tissue.

By using special instruments, Pantelis Valvis is able to place grafts very close together, as does nature, so that the hair will grow and behave normally as if it had always been there.

FUE method and Micro-Dense-Pack T-T
The FUE method is a more complex and time consuming method and therefore sessions can take longer, up to 8 hours, and the maximum number of grafts is 300 per session (between 600-1000 hairs). The method is also more costly. If a number of sessions is planned, allow six months between sessions.

The FUE method is also referred to as 'no surgery' and 'no scarring' because the area disrupted by the extraction is so small it heals naturally without the need for stitches.

Because of the need to accurately locate individual follicles, the FUE method requires that the head is shaved by the doctor before the procedure starts, making the follicles easier to see and handle. For the FUE method, the Plastic Surgeon uses a tiny circular cutter (punch) with a diameter of between 0.7- 1mm to extract individual follicles or small follicular groups.

The use of this method requires particular care to avoid damage to surrounding follicles. The removal of a large number of individual follicles from a small area can result in patches of bare skin, damaging the donor area. For this reason, the method is not recommended for people in the early stages of hair loss.

Once extracted, the follicle must be prepared and grafted almost immediately. Prolonged time out of the body results in the destruction of the follicle.

The implantation process requires extreme precision as tiny grafts are placed one by one in exactly the right position, at exactly the right angle, pointing in exactly the right direction and to exactly the right depth. The preparation and pre-planning of the design of the area to be implanted is crucial to a successful outcome.

The establishment of the new front line (hairline) must appear natural, and the Plastic Surgeons start by selecting single follicles first, staggering the implants slightly, then progressively increasing the density behind in order to achieve a natural-looking result. The curved shape of the line, too, is vitally important to the final effect.

Using surgical binoculars the surgeon creates a tiny hole in the skin by making a small incision in the bald area with the aid of a microtome. The hole is so small (1mm in diameter) that little bleeding occurs.

The selected graft is implanted deep into this opening so that it is secure and has access to the nurturing blood supply. The implanted graft quickly heals and becomes one with the surrounding tissue.

By using special instruments, the Plastic Surgeons are able to place grafts very close together, as does nature, so that the hair will grow and behave normally as if it had always been there.

Because extraction by the FUE method can be more stressful to the individual follicular groups, it is possible to experience up to 40% loss of transplanted hairs in some cases. The Plastic Surgeon will do everything possible to minimise this loss but will explain to you exactly what your expectations should be if you elect to use this method.