- A BIT OF HISTORY -
ROTARY AND MACRO PUNCHS TECHNIQUES
THE FIRST METHODS

In the beginning the first techniques used a rotary flap, which consisted of rotating the vascularized flap in to the area with alopecia, giving the patient a very unnatural and quite striking change.

Then the macro Punches were introduced: grafts were obtained through punches. The results of those implantations looked grotestc and artificial.

- EVOLUTION OF TECHNIQUE -
FUSS technique
Follicular Unit Strip Surgery

The first method that we have implemented is the extraction of follicular units with a strip, making a longitudinal cut with a scalpel for the subsequent extraction of the scalp.

The problem with this method is that the healing is slow and has a more painful recovery, leaving a scar that can vary between 18 and 20 centimeters long, so patients haircuts were limited in order to hide this scar.

In addition, in this technique the hair donating area is extracted by blocks, and does not allow the selection of specific follicles for transplantation; containing both suitable and non suitable follicles.

Over the years, the hair implant technique was refined until reaching the present day with the well-known and sought-after FUE technique, which is the one we use at GeVa.

- THE TECHNIQUE THAT WE IMPLEMENT IN GEVA -
Técnica FUE

The FUE method consists of the extraction of the follicular units individually through a special surgical instrument: the Punchs (usually about 0.8 mm in diameter) that can be manual or automatic.
This method is minimally invasive: it requires no cuts or sutures, making the healing process much faster and leaving no visible scars. It is performed under local anesthesia, and the process of extracting approximately 3000 follicular units takes between 5 to 7 hours.
It’s stands out as a donor area as it counts with the nape and the laterals as extracting zones. It allows us to select the required amount of follicles, one by one, taking into account the area these will be placed subsequently.

This procedure allows
the collection of a higher
number of follicles after a
strip-technique surgery is no longer applicable.

- THE FUTURE OF THE HAIR IMPLANT -
FUE Robotic
Robot-assisted Follicular Unit Extraction

As a last option, not yet fully accepted due to showing some defects and, above all, still being very expensive, we have the Robot-assisted Follicular Unit Extraction (Robotic FUE) technique: it is a robotic arm that performs the separation of the follicular unit of the scalp guided by stereo high-resolution digital cameras capable of individually identifying the angle, direction and density of thousands of follicular units in a previously defined field of view.

Trough sophisticated software, it uses real-time algorithms to individually and safely select and dissect with the precise force, ideal depth, and least traumatic speed possible, the best follicular units available; all under the direction and supervision of the surgeon, reason why this system provides a very high level of precision, control and efficiency. Due to its high cost and the room for improvement, this technique is not yet available, but we remain expectant of the latest updates.

- A BIT OF HISTORY -
ROTARY AND MACRO PUNCHS TECHNIQUES
THE FIRST METHODS

In the beginning the first techniques used a rotary flap, which consisted of rotating the vascularized flap in to the area with alopecia, giving the patient a very unnatural and quite striking change.

Then the macro Punches were introduced: grafts were obtained through punches. The results of those implantations looked grotestc and artificial.

- EVOLUTION OF TECHNIQUE -
FUSS technique
Follicular Unit Strip Surgery

The first method that we have implemented is the extraction of follicular units with a strip, making a longitudinal cut with a scalpel for the subsequent extraction of the scalp.

The problem with this method is that the healing is slow and has a more painful recovery, leaving a scar that can vary between 18 and 20 centimeters long, so patients haircuts were limited in order to hide this scar.

In addition, in this technique the hair donating area is extracted by blocks, and does not allow the selection of specific follicles for transplantation; containing both suitable and non suitable follicles.

Over the years, the hair implant technique was refined until reaching the present day with the well-known and sought-after FUE technique, which is the one we use at GeVa.

- THE TECHNIQUE THAT WE IMPLEMENT IN GEVA -
Técnica FUE

The FUE method consists of the extraction of the follicular units individually through a special surgical instrument: the Punchs (usually about 0.8 mm in diameter) that can be manual or automatic.
This method is minimally invasive: it requires no cuts or sutures, making the healing process much faster and leaving no visible scars. It is performed under local anesthesia, and the process of extracting approximately 3000 follicular units takes between 5 to 7 hours.
It’s stands out as a donor area as it counts with the nape and the laterals as extracting zones. It allows us to select the required amount of follicles, one by one, taking into account the area these will be placed subsequently.

This procedure allows
the collection of a higher
number of follicles after a
strip-technique surgery is no longer applicable.

- THE FUTURE OF THE HAIR IMPLANT -
FUE Robotic
Robot-assisted Follicular Unit Extraction

As a last option, not yet fully accepted due to showing some defects and, above all, still being very expensive, we have the Robot-assisted Follicular Unit Extraction (Robotic FUE) technique: it is a robotic arm that performs the separation of the follicular unit of the scalp guided by stereo high-resolution digital cameras capable of individually identifying the angle, direction and density of thousands of follicular units in a previously defined field of view.

Trough sophisticated software, it uses real-time algorithms to individually and safely select and dissect with the precise force, ideal depth, and least traumatic speed possible, the best follicular units available; all under the direction and supervision of the surgeon, reason why this system provides a very high level of precision, control and efficiency. Due to its high cost and the room for improvement, this technique is not yet available, but we remain expectant of the latest updates.