Articles Tagged with: FUE hair transplant
5 Benefits of an FUE Hair Transplant

5 Benefits of an FUE Hair Transplant

The world has changed a lot in the last 16 years. That includes the way we approach hair restoration. Advancements in technique and technology have radically altered and improved hair transplant surgery. Specifically, the dawn of the Follicular Unit Extraction (FUE) technique in 2004 and the development of the advanced ARTAS System shortly after that have dramatically improved the process and results we can obtain through hair transplant surgery.  

Miami Hair Institute’s Dr. Rose was one of the developers of the FUE technique. Both Dr. Rose and Dr. Nusbaum have performed the procedure on thousands of patients since 2004 with exceptional results.

Here are the top five benefits of FUE hair transplant surgery:

  1. Minimally invasive.

We perform FUE transplants on an outpatient basis in our comfortable, welcoming offices using only local anesthesia. Patients arrive on the morning of the procedure and can go home the same day.

  1. Unmatched precision.

Our approach utilizes the image-guided robotics of the ARTAS system, which provides unmatched precision in hair transplantation. The ARTAS procedure restores your hair by transplanting permanent hair from the back or side of the head into thinning areas, including the hairline.

Using the ARTAS system, we digitally scan the scalp, identifying hair in its natural groupings. High-resolution digital imaging provides crystal-clear detail of the donor area. We then carefully remove the selected follicles while most of your hair is left untouched and undamaged so that the donor area retains its natural appearance. We transplant the donor hair into thinning areas where it will then grow naturally, just as it did before.

  1. Quicker recovery time.

One of the benefits of FUE is that healing and recovery after an FUE procedure tend to be quicker and involve less post-operative restrictions than other hair transplant methods.

  1. Minimal and barely visible scarring.

During an FUE transplant, we remove follicular units from the scalp one-by-one. By doing so, we avoid the more apparent linear scar often associated with other hair transplant methods. Instead, scarring occurs in a dot-like pattern that is virtually undetectable after healing and regrowth. This minimal scarring means that patients can wear their hair very short (but not completely shaven) without any visible evidence that they have had a hair transplant procedure.

  1. Higher graft survival rate.

FUE transplants have a 90-95% hair graft survival rate compared to the approximately 75% survival rate of the older FUT method. The precision harvesting of FUE minimizes trauma or transection of the hair follicles during the harvesting process.

Learn More About The Benefits of FUE. Schedule an Appointment for a Hair Loss Evaluation Today

If you would like to learn more about FUE transplants and how we can help you restore your hair, we invite you to schedule an evaluation at the Miami Hair Institute. Drs. Nusbaum and Rose are internationally acclaimed hair restoration surgeons with more than 40 years of combined experience. To receive a personalized evaluation and treatment plan, contact us online or call our office directly at 305-925-0222.

Can a Hair Transplant Be Reversed?

FAQ: Will I Get Full Coverage From a Hair Transplant?

When you decide to undergo hair transplant surgery, you want to go into the procedure with appropriate and reasonable expectations. Every patient is different and comes to the hair restoration journey with their own unique hair loss issues and goals. But all hair transplant patients want to see balding or thinning areas of their scalp replaced by full, robust, youthful-looking hair. That is why one of the most common questions patients ask us at the Miami Hair & Skin Institute is whether they will get full coverage from a hair transplant. 

That question should actually be two questions: 

  • Can a hair transplant provide full coverage?
  • Will my hair transplant give me full coverage? 

The answer to the first question is yes. Hair transplant surgery using the Follicular Unit Extraction (FUE) procedure pioneered by our surgeons can provide full coverage, eliminating bald spots and filling in areas of thinning hair. You can see before and after pictures of our patients to get a sense of what we can accomplish with our cutting-edge techniques and technology. The FUE procedures we perform seamlessly interweave computer-guided extraction with our surgeons’ precision in transplanting follicles to the donor area. 

Sufficient Donor Hair Needed

The answer to the second question is more complicated. The success of any hair transplant depends a great deal on whether the patient has sufficient donor hair that can be transplanted into the targeted areas of the scalp. 

The donor area is found on the back and sides of the scalp where permanent hair growth remains unaffected by male pattern baldness. Since this hair is permanently growing, it makes it ideal for transplantation as it will continue to grow in its new home.

In an FUE transplant, the surgeon takes hair follicles from these donor areas and transplants them to the treatment area, where they will continue to grow. Both male and female hair replacement candidates need healthy hair growth in the donor area at the back of the head for hair transplant surgery to offer the possibility of full coverage. 

You won’t know whether or not you have sufficient donor hair or can get full coverage from a hair transplant procedure until and unless you meet with an experienced hair transplant surgeon who can provide you with a personalized evaluation. 

That is why we invite you to reach out to us at the Miami Hair & Skin Institute today. Our Drs. Nusbaum and Rose are internationally acclaimed hair restoration surgeons with more than 40 years of combined experience. To receive your personalized hair loss consultation and evaluation,  contact us online or call our office directly at 305-925-0222.

Achieving Fast Donor Healing in FUE Hair Transplant

Achieving Fast Donor Healing in FUE Hair Transplant

Achieving Fast Donor Healing in FUE Hair TransplantAll surgeries, whether it be a minor outpatient patient procedure or a heart bypass operation, involving recovery and healing time after the surgery is completed. How much time it takes and the post-operative steps needed to ensure that healing is as quick as possible will depend on the nature and complexity of the procedure. The same goes for hair transplant surgery.

Different hair transplant techniques involve different ways of extracting hair from the donor area which the surgeon will then transplant into balding or thinning areas of the scalp. In turn, each extraction method will leave behind donor areas which experience unique post-operative conditions and lengths of recovery.

Every hair transplant patient wants to heal and get back to the normal activities of as quickly as possible, with as little visible evidence of their surgery as can be achieved. Fast healing, fewer post-operative limitations, and minimal scarring are three of the biggest reasons that the Follicular Unit Extraction (FUE) hair transplant technique – developed by the Hair Transplant Institute of Miami’s Dr. Paul Rose – is such a popular choice among those seeking to restore their hair.

The FUE Technique Minimizes Scarring

During an FUE transplant using the ARTAS® Robotic Procedure, we remove follicular units on the back and sides of the scalp one-by-one with a one-millimeter punch device and a head positioning device designed to minimize movement. With FUE, patients can completely avoid a more obvious linear scar often associated with “strip” harvesting of the donor area. Instead, scarring occurs in a dot-like pattern and is virtually undetectable after healing and regrowth.

The minimal scarring means that patients can wear their hair quite short (but not completely shaven) without any evidence that a procedure has been done.

Fast Healing After FUE Procedure

Minimal scarring in the donor area after an FUE procedure translates into faster healing than other transplant methods. You should be able to return to work and engage in your regular activities in a matter of days.

But ensuring that healing proceeds as quickly as it can require care and caution on the patient’s part. If you follow your doctor’s post-operative instructions and avoid actions that could jeopardize your body’s natural healing process, you could unnecessarily delay your recovery.

General ways to speed your donor area healing (in addition to your surgeon’s specific directions) include:

  • Avoiding alcohol for at least three days after your procedure.
  • Avoiding spicy foods for at least a week
  • Do not jog, cycle or lift weights within three days of surgery. Vigorous exercise or heavy lifting should also be avoided for at least one week.
  • Waiting at least 24 hours after your procedure before washing your hair.
  • Avoiding brushing for as long as possible, and don’t use hot styling tools for at least a week. 

Schedule an Appointment Today For Your Hair Loss Evaluation

If you want to learn more about the FUE hair transplant technique, have other hair loss questions, or are ready to take the first step on your hair restoration journey, we invite you to contact us at the Hair Transplant Institute of Miami. To receive a personalized evaluation and treatment plan, contact us online or call our office directly at 305-925-0222.

FUE Scars: How to Avoid Them and How to Manage Them

Hair Transplant Donor AreaWhile it may not require a trip to the hospital, involve a scalpel, or a doctor operating deep inside your body, hair transplant surgery is, in fact, surgery. While certainly not as invasive as many other surgical procedures, a hair transplant does involve incisions in the skin, though they are minimal. That means there is always the potential for scars to develop in the donor areas where hair is harvested for transplant. Fortunately, advancements in hair transplant technology and techniques have gone a long way towards minimizing the scarring that was more prevalent in older procedures.

One of the many benefits of the Follicular Unit Extraction (FUE) hair transplant technique – developed and implemented by the Hair Transplant Institute of Miami’s Dr. Paul Rose – is that it results in minimal scarring. Nevertheless, scars can still develop depending on the patient’s natural healing capabilities or if a patient fails to take proper care of their scalp post-procedure.

The FUE Technique

During an FUE transplant, we remove follicular units from the scalp one-by-one. Donor hairs are removed with a one-millimeter punch device, and the procedure is abetted with a head positioning device to minimize movement. With FUE, patients can completely avoid a more obvious linear scar often associated with other hair transplant methods. Instead, scarring occurs in a dot-like pattern and is virtually undetectable after healing and regrowth. The minimal scarring means that patients can wear their hair quite short (but not completely shaven) without any evidence that a procedure has been done.

Avoiding FUE Scars: It’s in Your Surgeon’s Hands

The most important step you can take to minimize or avoid visible scarring is to ensure that your hair transplant surgeon has the skill, technique, and experience to perform an FUE transplant with the precision needed to prevent scarring. Precision is the key to a successful FUE procedure, and the key to precision is experience and the skillful use of the most advanced technology available. Dr. Rose was one of the originators of the FUE technique, performing the procedure on thousands of patients since 2004. Our approach utilizes the image-guided robotics of the ARTAS system, which provides unmatched precision in hair transplantation. 

Managing FUE Scars

Though scarring should be minimal and heal quickly, you’ll want to be gentle with your scalp and hair after surgery to keep it that way. You’ll be able to return to work and engage in your regular activities in a matter of days, but for the first few nights, try to sleep with your head elevated. Wait a few days before shampooing as you usually would, but don’t be too vigorous when doing so.

Schedule an Appointment for a Hair Loss Evaluation Today

If you are concerned about your hair loss and are ready to do something about it, we invite you to schedule an evaluation at the Hair Institute of Miami. Drs. Nusbaum and Rose are internationally acclaimed hair restoration surgeons with more than 40 years of combined experience. To receive a personalized evaluation and treatment plan, contact us online or call our office directly at 305-925-0222.

5 Benefits of an FUE Hair Transplant

FUE Hair Transplant Procedure Gets an Update Name

Hair Plug Transplants vs. Follicular Unit Extraction (FUE)At the Hair Transplant Institute of Miami, we have been at the leading edge of hair restoration for decades. Our award-winning surgeons, Dr. Bernard Nusbaum and Dr. Paul Rose, have been repeatedly recognized by their peers as leaders and innovators in the field. In fact, Dr. Rose was one of the originators of the hair transplant technique which has become perhaps the most widely used in the world: Follicular Unit Extraction (FUE). Since 2004, he has performed this safe and effective procedure on thousands of patients, restoring their hair to a full, natural-looking appearance.

The Follicular Unit Extraction procedure continues to evolve, with even better techniques and the use of advanced technology such as the ARTAS system, which provides unmatched precision in hair transplantation. Now, that evolution also includes a change to the name of this procedure. FUE now refers to Follicular Unit Excision to more accurately reflect the full nature of the treatment.

Follicular Unit Excision is a minimally invasive method of transplanting individual hair follicles for natural-looking results. FUE involves harvesting using a circular needle called a “punch.” The “extraction” part of FUE involves removing follicular units from the donor area with a 0.8-1-millimeter circular tool in a scattered pattern to eliminate the linear scar associated with traditional donor strip harvesting.

But in order to extract the follicles, an incision needs to be made in the scalp. We utilize the image-guided robotics of the ARTAS system to make those incisions at precise locations and depths designed to minimize scarring and maximize the yield of grafts.

Given the precision necessary for this procedure to achieve maximum results, giving it a more precise name makes sense. The word “excision” means “the act or procedure of removing” something. Since the act or procedure involved in harvesting hair using FUE involves more than just extraction, this broader moniker is more accurate.

Unmatched Experience and Unparalleled Results in Hair Restoration

No matter what you call this hair transplant procedure, the Hair Transplant Institute of Miami Drs. Nusbaum and Rose are called experts in the art and science of hair restoration, internationally acclaimed and bringing more than 40 years combined experience to their patients. Both Drs. Nusbaum and Rose are actively engaged in hair loss research and lecture widely. To receive a personalized evaluation and treatment plan, contact us online or call or office directly at 305-925-0222.

FUE Hair Transplant on African Hair

In a culture rich with varying hairstyles, tools, conditioners, relaxers, and other processes, loss of hair may cause individuals of African descent to seek the help of hair restoration. Dr. Rose has successfully obtained FUE grafts using a motorized drill and 1mm punch with a 7% transection rate on patients of African descent. 

Schedule an Appointment for a Hair Loss Evaluation Today

At the Hair Transplant Institute of Miami, our skilled physicians diagnose and treat hair loss cases that can’t be reversed at home. Through advanced hair restoration surgery techniques and alternative non-invasive treatments, we can help patients suffering with hair loss.

To receive a personalized evaluation and treatment plan, contact us online or call or office directly at 305-925-0222.


Dr. Paul Rose Featured in Hair Transplant Forum International

Dr.-Rose-Appointed-to-ISHRS-Ad-Hoc-Committee-on-FUE-IssuesThe January/February 2017 print edition of Hair Transplant Forum International (ISHRS) includes a study on FUE/FIT harvesting methods, courtesy of Dr. Paul Rose

As outlined in the study, transection can occur when using the FUE/FIT technique if physicians do not accommodate for hair growth variances underneath the skin’s surface. Approximately 60 percent of transected hairs actually regrow, so avoiding transection allows for optimal FUE hair transplant results. Check out the full study in detail below.

This article has been condensed for clarity. To download the original version with references, click here.

Examination of the Exit Angle of Hair at the Skin Surface versus the Internal Angle of Hair as It Relates to the FUE/FIT Harvesting Method

Paul T. Rose, MD, FISHRS, JD* | Miami, Florida, USA; Miguel Canales, MD* | Sunnyvale, California, USA; George Zontos, MD, MSc, PhD | Athens, Greece


The FUE FIT (follicular unit extraction/follicular isolation technique) procedure continues to gain acceptance as a method for harvesting donor grafts. The procedure is based on removing follicular units (FUs) or portions of FUs to use as grafts. A manual punch, mechanized punch or robotic device is used to remove the FUs.

No matter which method of harvesting is selected, there is concern regarding recovering intact FUs and avoiding transection of hair follicles. A common approach is to align the opening of the punch used with the path of the trimmed hair follicles of an FU and dissect along this path. While some hair follicles under the skin may follow the angle above the skin, others may not, which can lead to greater transection rates.

Hair follicles within dissected slivers were examined from 13 patients. The internal and external hair growth angles of over 300 follicles were examined. Below, we examine the approach to harvesting and the means to decrease transection rates by understanding the path of hair follicles within the skin and as they emerge from the skin.


FUE is a method for harvesting donor hair for hair replacement. The technique is based on using a punch, whether by hand or mechanized device, to remove FUs or intact hairs from portions of FUs.

Problems that can occur with the FUE/FIT technique include capping, topping, buried grafts, and adhesion of grafts that can make removal difficult.  The most important problem, however, is transection, which may result in hairs that do not grow. Although some physicians feel that large numbers of transected hairs that remain in the donor area may re-grow, extensive studies on this are lacking. Devroye demonstrated that approximately 60% of transected hairs regrew after FUE removal from the donor area.

To perform FUE, the punch opening is usually aligned with the visible hair direction at the skin surface. Pursuing the incision along this apparent course of the hair may be misleading and result in transection. The reason for this is that, in many instances, the hairs within the FU exit the skin surface at a different angle than the internal course of the hairs within the dermis and subcutaneous tissue.

In this study, we looked at the variability of hair exit angle from the skin surface as opposed to the internal angle within the skin. We also reviewed the trigonometry of hair angulation and a means on deciding punch diameter to try to ensure complete removal of FUs and minimize transection.


FUE methodsThe donor area of each patient was marked and anesthetized with 1% xylocaine with epinephrine. After anesthesia, a No. 10 scalpel blade was used to incise the skin to the dermal subcutaneous interface. No tumescence was used. A second parallel incision was made to create a full-thickness “strip” of tissue. The tissue was elevated and removed (Figure 1).

Sections of tissue were removed from the center occipital and the lateral aspects of the strip. Slivers were created from this tissue and photographed. The photographs were reproduced and enlarged. The angle of the hair resulting from the path inside the tissue as opposed to the exit angle above the skin was measured with a protractor (Figures 2 and 3). The data was collected to determine the average angle and range of angles evident in the specimens examined.



FUE methods






In this study, 310 hairs, from 13 patients, were examined within the slivers obtained. It was noted that the hairs within an FU often crossed or splayed away from each other. In addition, a greater change in angles was noted with curly or wavy hair.

FUE methodsThe average angle change (external vs. internal) was 6.43°, which included straight and curly hair. Curly hairs were considered to be hairs that exhibited a prominent curvature creating almost a “C” or a reverse “C” shape. The average angle change with only curly hair was 14.65°, however, sometimes a “curly” hair could be found amongst straighter hairs (Figure 4). In our study, the greatest angle change was 31° for straight hair and 35° for curly hair.

In trying to ascertain a means to ensure less transection, we also looked at the trigonometric relationship between the punch size, approach angle, and the skin that would be required to obtain the full FU while decreasing transection.

Where ” D” is the diameter of the punch, “0 ” (theta) is the change in angle of the follicle below the surface of the skin, “Y” is the depth of the punch insertion, and “X” is the lateral offset of the follicle bulb.

Using the relationship tan (“0” theta) = X/ Y, it is apparent that d/2 is > X. For example, if theta is equal to 6°, and Y equals 4mm, then X = 4 tan (6) = 0.42.

Therefore, if the punch size D is 1mm, then there should be little or no damage to the follicles in that FU. On the other hand, if the punch is 0.75mm, there is a significantly greater likelihood of damage to hair follicles. This assumes a depth of insertion beyond the epidermis and into the papillary dermis.

An important question is: What is the maximal curvature of the follicle that can be accommodated by a given punch?  What is the maximum theta? For example, if y = 4, then x = d/2 (maximum allowed) and the punch size (D) is 1mm, what is theta?

To determine theta, theta = tan x/y == tan (0.5) /4 = 7.1°.


FUE/FIT is a technique for harvesting grafts that requires understanding of the relationship of the path of hair within the skin with the exit angle of the hair(s) from the skin. As this study demonstrated, the course of hair in the skin can differ dramatically from the exit pathway. Often, the hair exit angle from the skin is actually more acute than the path inside the skin. Failure to recognize this and make appropriate adjustments with the punch can result in high transection rates.

A modification of the surgical technique to consider is to raise or lift the punch slightly a few degrees more perpendicular after the initial entry into the skin. This motion may allow the surgeon to compensate for the typical change in angle that occurs when going from skin surface, through the epidermis, and into the fat. The angle change is usually less acute than it appears on the skin surface. The use of a blunt punch may provide an added measure of safety in terms of avoiding transection.

This study demonstrated that hairs within the same FU can travel in very different routes and at times even curve back­ wards. This can create problems, especially with patients with very wavy or curly hair.

While this study provided important information for an approach to harvesting using FUE/FIT, there are several deficiencies.

The study was not done in vivo and the skin was anesthetized prior to removal. The anesthesia may have altered the hair angle in the sliver examined. Anecdotally, we noted that when saline was injected into the tissue prior to sliver creation, the hair angles could be altered. Saline injection in the dermis caused the hair to rise in a less acute angle. Similarly, saline injected into the fat also caused elevation of hair exit angle in the fat but to a lesser extent.

Some physicians feel that tumescing the dermis prior to harvesting can allow for an easier alignment of hair in the FUE punch. Other physicians advocate not using tumescence. Exerting external traction upward on the donor area to diminish the change in angle between the skin exit angle and the internal hair angle may also help.

Additionally, the use of a shallow incision with a sharp punch has been used by some surgeons. The use of a shallow incision followed by subsequent use of a blunt punch as described by Harris can be an alternative approach to harvesting. A robotic system (ARTAS® Restoration Robotics, San Jose, California, USA) employs an initial sharp superficial dissection accompanied by the almost simultaneous use of a blunt punch to core out FUs to lower transection rates. Many other drills and punches have come onto the market developed by surgeons such as Cole, Rassman, Devroye, Park, and Boaventura that are purported to lower transection rates.


The use of the FUE/FIT donor harvesting method is becoming more popular. When using FUE/FIT, it is necessary to properly assess the hair angle in the skin and the angle upon exiting the skin to ensure limited follicle transection.

This study shows that hair exit angle can vary significantly from the internal angle and the deviation is greater for curly or wavy hair.


Acknowledgment: Thank you to Dr. Mohan Bodduluri for his assistance in preparing the article.

11 of Our Favorite World Cup Hairstyles

Let’s face it: World Cup enthusiasm is contagious. Especially if you live in Miami, a city known for being the Gateway to the Americas, and a rich melting pot of cultures from South America, Latin America, the Caribbean, and the United States. From Calle Ocho to Brickell Ave. and Espanola Way on South Beach, it seems everyone is joining together to watch the world’s best soccer players as they compete for the world championship.

At the Hair Transplant Institute of Miami, we share our city’s excitement as we band together to cheer-on and celebrate some of the best athletes in the world. And while we’re watching, we cannot help but notice:

There are some really crazy hairstyles our there.

World Class Hair at the World Cup

Below are our 10 favorite hairstyles of the World Cup. With so many matches left to play, it’s going to be exciting to see if this list grows! See something we missed? Share in the comments below!

1. Jennifer Lopez

Many celebrities call Miami home, and we were excited to see 2 of our favorites during the opening ceremony of the World Cup. Pitbull, Claudia Leitte, and Jennifer Lopez performed, stoking the crowd into an excited frenzy. Our favorite hairstyle among the 3: Jennifer Lopez, of course.

2. Wayne Rooney

One of our favorites is Wayne Rooney, hands-down. The English footballer has a handsome head of hair that was recently restored with a robotic FUE transplant procedure. Rooney took to social media to discuss the procedure with hundreds of thousands of Twitter Followers, and he uploaded photos afterward to proudly show-off his new hairline.

3. Neymar da Silva Santos Junior

Brazil’s star footballer, Neymar, takes the #3 spot on our list of favorite World Cup hairstyles. Long in the front, shaved on the sides, and just a bit in the back, this hairstyle is sure to be seen on both the field and in the stands as it’s a popular look for Brazilian men.

4. Marouane Fellaini-Bakkioui

Former Manchester United star Marouane Fellaini-Bakkioui measures just under 7 feet tall when you include the 6” afro he’s sporting for the World Cup. Marouane gets major points for the disco look, but we can’t imagine it’s easy to play under such a heavy head of hair.

5. Cristiano Ronaldo

Portugal’s star footballer debuted a classic ’50s era hairstyle for the World Cup that the media immediately dubbed as Superman-esque. Watch Ronaldo play during the World Cup this year, and you might agree; his speed and strength are certainly something that opponents will have to aggressively counter.

6. Bacary Sagna

The French national team boasts Bacary Sagna, a man who is often called the best right back on the Premier League. Those who don’t know Bacary for his ball handling skills know him for his iconic braids, a look he’s been wearing proudly since his younger days.

7. Kyle Beckerman

How long does it take to grow dreadlocks? Ask American footballer Kyle Beckerman, and he’ll tell you he’s been growing them for almost 9 straight years. And while we love the laid-back look, we have to warn our readers: Dreadlocks have the potential to cause premature hair thinning and sometimes even traction alopecia.

8. Kouassi Gervais Yao

Yao is know for his signature look: Long, tightly woven braids held back by a thick black headband. His teammates say he has the best hair on the Roma team, and we have to agree. Not only does the headband keep the sweat from his eyes, but it also helps to hold his braids in place, relieving the scalp of excessive stress during play. This can also keep hair healthy over time, preventing problems of thinning/traction alopecia described above.

9. Asamoah Gyan

Next on our list is Asamoah Gyan, a player who proudly dyed his number into the side of his head. Now, the golden 3 will be seen darting up and down the field throughout the World Cup as Ghana vies for a spot in the finals.

10. Ermin Bičakčić

Ermin Bičakčić has perhaps one of the most easily recognizable hairstyles of the Bosnian team. The center back can be easily spotted beneath his Euro-style mohawk, a tall and thin look that we can only imagine takes a lot of prep time and hair product to last an entire match.

11. Georgios Samaras

Georgios Samaras has a long-hair-don’t-care look that most Greeks are proud to cheer on. He keeps it rock and roll with a five o’clock shadow that looks lazy, but the footballer’s speed and agility are anything but.

More World Cup Hairstyles

For more photos of World Cup hairstyles, visit these articles on Mashable and The Wire.