What is FUE hair transplant?
FUE (Follicular Unit Extraction) hair transplant is the most advanced surgical technique for the permanent treatment of androgenetic alopecia. Unlike the classic FUT method (which removes a strip of scalp), FUE extracts individual follicular units directly from the donor area —typically the nape and lateral zones— and reimplants them in areas with hair loss.
How FUE works step by step
1. Pre-operative evaluation and planning
Before surgery, the surgeon performs:
- Trichological diagnosis with digital densitometry
- Norwood/Ludwig classification to determine alopecia stage
- 3D scalp scan to calculate available grafts and recipient area
- AI-powered simulation of the expected result
2. Frontal hairline design
Frontal hairline design is the most important artistic aspect of the transplant. A natural line follows the temporal zone, respects implantation angles, and adapts to the patient's facial features. With software like TrichoSuite, the surgeon can simulate different designs before the operation.
3. Follicular unit extraction
Under local anesthesia, follicular units are extracted one by one with a circular punch of 0.7-0.9 mm diameter. Each unit contains between 1 and 4 hairs. Extraction is performed in a staggered pattern to avoid compromising donor zone density.
4. Graft processing and classification
Extracted grafts are classified in physiological saline solution according to their content (1 hair, 2 hairs, 3+ hairs). Finer grafts (1 hair) are used at the frontal line; denser ones (2-3 hairs) in mid-scalp and vertex zones.
5. Microincision creation
The surgeon makes microincisions in the recipient area with precision scalpels or implanter needles. The angle, direction, and depth of these incisions determine the naturalness of the result.
6. Implantation
Grafts are implanted one by one into the microincisions. A typical session lasts between 6 and 10 hours.
Donor area prepared for FUE extraction
Expected results timeline
| Month | What to expect |
|---|---|
| 1-2 | Shedding of transplanted hair (shock loss) — NORMAL |
| 3-4 | New growth begins, thin hair |
| 6 | 50-60% of final result visible |
| 12 | 80-90% of final result |
| 18 | Complete definitive result |
Who is an ideal candidate?
✅ Good candidates:
- Men with androgenetic alopecia Norwood II-V
- Dense and stable donor zone
- Realistic expectations
- Between 25 and 65 years old
- No active autoimmune diseases
❌ Not recommended for:
- Active alopecia areata
- Very scarce donor zone (advanced Norwood VI-VII)
- Under 25 (alopecia still progressing)
- Uncontrolled diabetics
- Patients with keloid scarring
Controlled implantation of follicular units
FUE hair transplant prices in 2026
| Country | Price per graft | Typical session (3,000 grafts) |
|---|---|---|
| Turkey | EUR 0.8-1.5 | EUR 2,400-4,500 |
| Spain | EUR 3-5 | EUR 9,000-15,000 |
| UK | EUR 5-8 | EUR 15,000-24,000 |
| USA | EUR 6-10 | EUR 18,000-30,000 |
Medical hair tourism represents 40% of patients operated in Turkey and Istanbul. Clinics managing international patients need specific software to coordinate pre-operative remote consultations, virtual follow-ups, and multilingual documentation.
Conclusion
FUE hair transplant is today the gold standard for alopecia treatment. Choosing the right clinic, with digital planning technology and proven experience, is the key to achieving natural, lasting results.