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Single Follicular Unit with unusual curl - courtesy of Dr. Woods & Dr. Campbell

Follicular Curl: A Challenge To All Follicular Single Unit Extraction Procedures
Worldwide exclusive: first illustration of the difference in follicular curl between a Caucasian patient and a patient of African descent 

This article represents strictly the opinions of the publisher. 
The statements expressed herein have not be verified, approved
or disapproved by Dr. Woods & Dr. Campbell

Not All FUEs Are Created Equal
Follicular Unit Extraction FUE vs 
Follicular
SINGLE Unit Extraction FSUE

Follicular unit extraction (FUE) is undeniably the most sought after alternative to traditional hair transplant procedures in the world. Invented and perfected by Dr. Woods & Dr. Campbell, FUE has set an irreversible trend toward minimally invasive and patient friendly hair transplant procedures. One SINGLE follicular unit at a time, no scalpel, no traumatic experience. If you are not familiar with this breakthrough in hair transplantation, click here for an in-depth discussion

With so many obvious advantages over traditional strip transplants, it is only natural that more and more doctors are scrambling to offer this new technique to their patients. The problem arises when every doctor is selling and pitching FUE as if it was a commodity. It is virtually impossible to distinguish one doctor's FUE technique from the other. 

Dr. Woods & Dr. Campbell recently reiterate that the essence of this procedure is in SINGLE UNIT EXTRACTION, hence the acronym FSUE which stands for Follicular SINGLE Unit ExtractionThis term was precise and distinguished their technique from others. The emphasis is to non-invasively extract ONE follicular unit at a time from the donor site with NO transection or damage to surrounding follicles. The burden is on the doctor to prove this to his patients. 

Extraction Device &
Merit of Mega FUE Sessions

When FUE is done correctly, it is the most donor efficient technique in the world. There is little or no donor wastage compared to traditional strip transplants. However, when FUE is done blindly using unsafe coring devices or punches that are designed to enhance extraction speed instead of precision, this can inflict irreparable damage to the neighboring areas of the donor follicles that are being harvested. Patients should inquire whether the extraction tool and technique their FUE doctors use can safely remove ONE follicular unit at a time without damaging or transecting surrounding follicles on or below the skin. Patients should also inquire if the so called mega FUE sessions is accomplished by using a mini punch blindly coring out the follicular units over the donor site. For FUE techniques to be truly effective with a minimal of transection in the patient's precious donor area, the emphasis has to be on Follicular SINGLE Unit Extraction, one follicular unit at a time. This cannot be compromised.

Transection & Follicular Curl


World's first official comparison of the follicular curl between a Caucasian patient (A) and a patient of African descent (B). 
photo courtesy of Dr. Woods & Dr. Campbell

A "clean extraction" will yield a full follicular unit intact from tip to bottom with some fat tissues attached to the end. The pictures above illustrate what the follicular units may look like under a "clean extraction". A follicular unit is transected when it is unintentionally cut off horizontally somewhere in the middle during the extraction process. The extraction process would be very simple and fool proof if all follicular units bear a 90 degrees angle like a straight line directly underneath the surface of the skin (eg: picture A above).  However, in reality, follicular units tend to grow at a certain angle beneath the skin with a certain "curl". The extent of the curl varies from person to person. It may also vary from one donor site to another in the same patient too. As a result, it is always a challenge trying to obtain a "clean extraction" of the follicular unit with no transection. Above is a perfect illustration of the difference in curl between two follicular units extracted from two different patients. As you can imagine, extracting follicular unit B would prove to be a lot more difficult than extracting folllicular unit A because there is no way for the doctor to know in advance the extent of the curl that exists beneath the skin. An experienced FUE transplant doctor should be able to overcome these obstacles and prove to his patients that transection is not an issue under his proprietary technique. 

World's First Comparison of the Follicular Curl
Between A Caucasian Patient and a 
Patient of African Descent


photo courtesy of 
Dr. Woods & Dr. Campbell

In February 2004, Dr. Woods & Dr. Campbell presented in HairSite the world's first comparison of the follicular curl between a Caucasian patient and a patient of African descent. See photo A and B above.  The comparison clearly illustrates the challenges facing the follicular unit extraction process. Photo C to the left illustrates that the follicular curl can sometimes go like a full circle beneath the skin which makes it almost impossible for any surgeons to obtain a clean extraction.  

About Dr. Woods & Dr. Campbell

Dr. Woods & Dr. Campbell are the world's leading experts in follicular SINGLE unit extraction hair transplant procedures. No strip excision, no stitches, no scalpel, no traumatic surgery, and no legal disclaimer, The Woods Technique is commonly regarded as the safest choice for hair transplant surgery. Each patient is afforded the luxury to view the surgery via real time high magnification video camera display. Patients can verify and examine through the camera display that each follicular unit is safely extracted from the donor site with no damage inflicted on surrounding area. All the photos presented in this article are provided by courtesy of Dr. Woods & Dr. Campbell. The follicular units are extracted from two different patients with very different hair characteristics and follicular curl. The photo below shows follicular units taken from the same patient. It illustrates that not only does the follicular curl vary from patient to patient, but the extent of the curl can vary quite substantially within the same patient too. 


"Clean extraction" of Follicular units taken from the same patient. 
Photo courtesy of
Dr. Woods & Dr. Campbell

To find out more about The Woods Technique, 
please click the following


The Woods Technique News & Updates


If you have any questions or comments
please post in the following forums
HAIR TRANSPLANT FORUM

Information about this article

Article #  286
Title Follicular Curl: A Challenge To All Follicular Single Unit Extraction Procedures. Worldwide exclusive: first illustration of the difference in follicular curl between a Caucasian patient and a patient of African descent.
Date 04/23/04
Source HairSite Editorial
Forum Hair Transplant
Archive Hair Transplant
Contact hairsite@aol.com
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