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($5.75 per graft or $4.99 per graft for cases that require 1800 grafts or more.)
FUE stands for ‘ Follicular Unit Extraction ‘. Follicular Unit Extraction procedure is an advanced and automated hair transplant procedure (using NeoGraft process) where individual hair follicles or hair grafts are removed one at a time from back of the scalp and transplanted into the recipient areas. FUE does not have the disadvantages of any linear scars or long recovery periods.
FUE hair transplant method involves just making micro punches (to harvest hair) with a very specialized NeoGraft instrument allowing for the majority of the scalp to be left intact. FUE is an instrument-dependent hair transplant procedure. Hence the type and the quality of tools used for FUE significantly affects its artistic outcome. The creation of increasingly better FUE extraction tools such as NeoGraft has closely paralleled the advances in the FUE procedure. It is important to note that the creation of recipient sites and the placing of hair grafts are exactly the same in both FUE and FUT (strip) procedures. The only difference is the way hair grafts are harvested. Hence as far as final cosmetic look is concerned, both method should and must provide the same cosmetic results if done by the same surgeon.
Using Acell For FUE
Acell is a protein scaffold that is derived from pig bladder. It contains growth factors and it promotes wound healing. Overall, studies have indicated that it reduces scarring. At the ISHRS (International Society of Hair restoration) meeting, it was demonstrated that the use of Acell in FUE decreases the size of punch scar from 1 milimeter to 0.6milimeter, meaning that once the site of the punch heals, the scar is much smaller than the punch size itself.
This can be demonstrated by the picture below, where we performed FUE using 1 milimeter punches and we asked our patient to come back one year later. We shaved the area that the FUEs were done. Please look at the result. It is very difficult to decipher that many punches were made in that area.
Another study has demonstrated that 54% of grafts removed via FUE would regenerate in the donor area. This does not mean cloning. But, it probably indicates that if part of a graft is not fully removed using the punch, Acell may help it regenerate.
In terms of wound healing and pain, FUE is also noted to have a faster healing time, less post operative pain (no pain in most instances) and there is no need to remove stitches or staples, compared to the strip method. In our practice many professional athletes prefer FUE for this exact reason and since they can resume strenuous activities and contact sports much sooner. Since FUE procedure does not leave a linear scar, it is also preferred by patients who want to wear their hair short. People with tight scalp also prefer FUE to minimize scaring as a result of tightness of the scalp. For hair transplant repair, an interesting application of FUE is to cover linear scars from past faulty hair transplant procedure.
Dr. Behnam has performed a lot of FUE procedures since 2008, and his experience and expertise are crucial in achieving great results. On average, each hair graft has 2 to 3 individual hairs. Dr. Behnam charges $5.75 per hair graft for FUE (which includes 10 percent discount). Dr. Behnam has just completed a 3300 FUE grafts hair transplantation. This is one of the largest FUE hair transplants in the world. Dr. Behnam charges a flat fee of $4.99 per hair graft for cases that require 1800 hair grafts or more.
How is FUE performed?
First, the recipient sites (sites where the grafts are placed) is created. Once we know the exact number of grafts that are needed, the back of the scalp is then shaved and each individual hair graft is removed using NeoGraft. The grafts are then placed one at a time back in to the recipient area. The beauty of the procedure is that there is no linear cutting. The placing of grafts in the recipient area is performed the same way it is done in the traditional strip method.
How long does it take for the donor area to heal?
Once the hair is removed from he back of the scalp (the donor area), it then heals on its own. The healing process takes about 1 to 2 weeks. By the time the patient comes back for follow up by day #10, those small holes have already healed. Please look at the flowing few examples.
The pictures above demonstrate how fast the donor area heals. The picture on the left was taken immediately after 1,100 grafts were extracted. The picture to the right was taken 6 days later (please see dates on the right lower side of the pictures). The sites have healed pretty well. The skin has healed, and the hairs surrounding the extraction sites are growing. In this individual, by the 6th day, no one would notice he had a procedure done.
The picture to the left was taken 11 days after the procedure. As demonstrated, it has healed very well. The picture to the right was taken one year after the procedure to see whether there was any scarring. The blue line represents the area to be shaved. As shown, its very difficult to detect scarring.
How is the healing on the donor area different in women than men?
The healing is identical. However, because women usually wear longer hair in the donor area , they can hide it better. Please see the below examples.
The picture to the left was taken before the procedure. The needed area is shaved. Please notice that we only shave what we need so the the area can be easily covered with your own hair. So, after the procedure, your own natural hair can cover up the donor area.
The picture to the left was taken the next day and the picture to the right was taken 6 days later. The skin is healing very quickly and the hairs are growing.
Is there linear scar associated with follicular unit extraction?
The whole point of follicular unit extraction is to prevent the linear scar that is seen on the back of the scalp that is seen with strip method transplants. With FUE’s, individual grafts are removed one at a time. Below is an example of the donor area one year after 1,100 grafts were removed. As demonstrated we have shaved the area and its hardly noticeable that anything was done. We also take advantage of Acell, which is a growth factor and is FDA approved for wound healing.
Who does the actual extractions, the doctor or the technicians?
Dr. Behnam performs the actual punch insertion. This is very important because as the small punch goes around the grafts, it is very important to be diligent and meticulous in order not to cause any transection. He does not allow any nurse or physician assistant to do the punch insertion except for himself.
How does Dr. Behnam know how many grafts to extract?
Dr. Behnam first creates all of the sites, so he has a very exact count of how many grafts are needed.
What is the follicular unit extraction procedure day like?
Once you arrive at the office, you and Dr. Behnam will go over all the paperwork. You will also go over the hairline design and where you want the hairs to be placed. Then you are taken to procedure room and the required donor area on the back of the scalp is shaved. The back of scalp is numbed. The frontal scalp is numbed as well. Dr. Behnam puts all of the recipient sites in the front of the scalp. He then individually extracts one graft at a time from the donor area. Every 2 hours, the grafts are placed back into the body. Lunch is provided as well. According to the patient, this is one of the most relaxed days when they have had.
Are patients with curly hair candidates for FUE?
What is transection?
Transection is when the hair shaft is cut or damaged with the punch during the extraction method. Transection rate gets better with practice. Dr. Behnam has been performing Follicular Unit Extractions since 2008 and he performs them routinely. His transection rates are around 0.9% to 2.1%.
Does the patient have to shave his/her head before the Follicular Unit procedure?
No, we will shave the needed area in the donor section ourselves. The area will grow back within 10 days. Longer hair in the donor area is beneficial because we can shave below your long hair and the area can be covered with your long hair.
If I had a strip transplant before, can I have a follicular unit extraction performed?
Yes. Having done a strip hair transplant will not prevent you from having a FUE performed in the future. You would need to have a consultation with Dr. Behnam in order to make sure that there are enough donor follicles on the back of the scalp to allow for another hair transplant to take place.
Can follicular unit extraction be used to cover the scars from old transplant surgeries or scars from the facelift?
Yes, if you have a scar in the back of the scalp from a previous strip method that you would like to conceal, we can very easily perform it.
If I have a follicular unit procedure, when can I expect to see the results?
Hairs start to grow by the 3rd months and they continue to grow 1 inch every 3 months. By about 10 to 12 months, you can expect 3 to 4 inches of hair growth. However, because Dr. Behnam places the grafts back into the body every 2 hours, this reduces the external stressors on the grafts and some of the grafts may start growing out faster.
What are the amenities of the office?
Parking is underneath the office. For transplant patients on the day of the procedure, parking is validated. The bathroom is located within the facility, it is right across from the procedure room. You may use bathroom at anytime. Lunch is provided.
How many years has Dr. Behnam been performing follicular unit extraction?
Dr. Behnam has been performing a follicular unit extraction since 2008. He has modified the instruments required in the procedure and he has a proprietary instrument that is used to do the extractions.
How much does follicular unit extraction cost?
Since each individual hair is removed one at a time by Dr. Behnam, the FUE procedure is typically slightly more expensive than the strip method technique. It is $6 per graft.
Why would people choose follicular unit extraction over strip hair transplant?
The benefit for the extraction includes no linear cutting, no staples, no sutures, and no scalpels. Both techniques offer the same results.
Can follicular extraction be used to transplant hairs from other body parts such as chest, arms, or legs to my head?
Yes, Dr. Behnam specializes in extraction of hairs from other body parts to the scalp. He does prefer the hairs from the back of his scalp as a process is faster.
Is follicular extraction more or less safe than the strip procedure?
Follicular extraction is as safe as the strip procedure.
Four Phases of Healing
Typically, absent the use of ACELL Extracellular Matrix Technology, there are four phases to the process of healing a wound:
- The Inflammatory Phase involves bleeding, narrowing of blood vessels, clot formation, and release of chemical substances that will begin healing.
- Next is the Proliferative Phase in which a matrix or latticework of cells begins to form scar tissue.
- The Remodeling Phase begins after 2-3 weeks when the matrix becomes more organized, strengthening the scar tissue.
- The Epithelialization Phase is the process of laying down new skin covering the scar tissue.
Efforts to improve wound care treatment have focused on developing anti-inflammatory drugs and improving surgical techniques, neither of which address the disfiguration and loss of function associated with scarring.
ACELL IS A Revolutionary Breakthrough
Regenerative medicine represents a revolutionary breakthrough in wound healing. Extracellular Matrix (ECM) is the material which holds cells together in the bodies of all mammals. ECM is like an information super highway loaded with information telling cells to grow, divide, and differentiate.
The ACell includes a combination of ECM, growth factors, and proteins which stimulate and guide the process of tissue regeneration. The body recognizes the ECM signals and recruits the appropriate cell factors which differentiate according to what they should be. The process is a recapitulation of developmental biology.
Insider Pages Reviews for Sean Behnam MD
I have been been losing my hair for many years now. I have been looking to do transplants for a while. Didnt know who to trust. I checked out a lot of hair transplant sites and it seems that doctors have to pay to be part of them… I went to various docs, but didnt feel the connection. I Saw Dr Behnam on Fox 11. I was impressed by his work. Im still contemplating soing surgery, but so far i’ve met with dr sean 3 times and it has been going better than expected. He listons to my concerns and every session we have spent about 45 minuted talking about my hair transplant. So far, I think I will go with him…He is more expensive than the average. but quality is more important to me. He gives his direct cell phone to me after the procedure and that make me feel comfortable. So far after 3 meeting with him, he is a 5 star….
June 23, 2011
At first I was scared and somewhat sceptical of the procedure, but once I went through the process I was surprised and happy that it didn’t leave any marks on my scalp. I feel very happy and satisfied with the doctor and with his team or surgeons. It is very satisfying to see how the result have changed my life and helped me have very high hopes. I am living happier with my life and next to my wife. I would recommend this to anyone who feels insecure or who needs a little bit of a push to go ahead and get this procedure done. It is very professional and with magnificent results. It will bring you happiness and to those around you who walk next to you in life, and this is why I took the chance to say thank you to the doctor for changing my life. In the mean time you should see my photos and the way I have been improving day by day. If you guys have any questions you can email me. I just want to tell you my life now has taken another path with a brighter horizon.
May 28, 2011
had previous hair transplant by another doc. But had poor result. Came to Dr shawn behnam for 2nd opinion. He did my 2nd procedure. A bit more expensive, but got twice as much hair that the last doctor did. I was inhis office from 7am-6pm. Last time, it only took 2-3 hours. I jyst had my 7 month folowup with dr benham and the results are great. Im very happy. More expensive than other places, but the quality is much better, better results.
May 22, 2011
I am delighted to write a review for Dr Sean Behnam. Very professional. I had a great experience. I had a hair transplant by a doctor in Oregon 4 years ago. it turned out to be OK, i got 1,200 grafts. I came to see Dr Sean 2 year ago because the transplanted hairs were not dense. He said he would get over 2,000 grafts. he showed me a special scalp excercise and he got over 2400 grafts. It now looks great. He was not pushy and disnt rush me into the procedure. I had to do my scalp excercice for 4 weeks before he scheduled me for the procedure. Im glad i found someone who cares more about patients than just $.
May 22, 2011
★★★★★I am delighted wih my hair restoration
After seeing an advertisment in L A Times, I went to Dr. Behnam clinic for Hair Restoration out of curiosity. I am a senior citizen and did not make any sense for me to do hair restoration. But, after talking to Dr. Behnam I was so impressed that I decided to go for it. Now I am happy that I did it. I will highly recommend Dr. Behnam, who is a true professional and highly skilled in his profession, to any one who is thinking about hair restoration.
April 25, 2011
the day was long but the doctor and staff were tereffic. I can’t wait to go outside in the sun and not put a lot of lotion on my scalp. Thanks guys , you were wonderful. N.S.
April 22, 2011
Dr. Sean Behnam is a very caring and sincere hair transplant specialist who has done my hair restoration surgery. I’m very happy and pretty satisfied for the results of the procedure. Dr. Ben Behnam who Dr. Sean Behnam’s brother is very accommodating and professional just like Dr. Sean Behnam. They both do a terrific job in helping keep their patients young looking and optimistic. The staff are very courteous, complian, thoughtfult and cooperative that they make me feel welcome everytime I come for laser therapy too. I would recommend Dr. Sean Behnam for hair restoration and Dr. Ben Behnam for dermatology needs and issues. I so impressed, contented and convinced that I would like to come back for more treatment and hair restoration surgery with Dr. Sean Behnam that I highly recommmend him to both men and women who needs hair restoration or hair transplantation.
April 22, 2011
Dr Behnam performed the hair transplant procedure on me, I was so impressed by his knowledge,experia\ence,precission and down to earth personality.during the procedure. The procedure was almost painless.The next day ,I felt no pain what so ever…….I highly recommend to any one who is intrested
April 22, 2011
I have just completed my hair transplant procedure. I am very pleases with the excellent care received by Dr. Behnam and his staff. Iam looking forward to the hair growth Iam sure will result. Dr. Behnam takes all the time you need to understand the procedure.His patients leave with his personal cell number which enables you to reach at any time
April 21, 2011
★★★★★Dr. Sean Behnam “The Best of the Best”
Doctor Alan B.
As a professional, I am very cautious about who I use for any medical procedure. I was lucky enough to be recommended to Dr. Sean Behnam M.D. He is truly a Master in the Hair Restoration field. Everyting about Dr. Behnams procedures are “State of the art”. His staff of caring, professionals are the best you will find. I had the procedure done very recently and am extremely satisfied.
April 21, 2011
Google Plus Reviews For Dr. Sean Behnam
|Chris G Kreuz reviewed 4 months ago|
|My name is Chris Kreuz and heard Dr Behnam hair Restoration procedure and have always wanted to get this procedure. Since i met Dr. Behnam he made me feel very comfortable in my consultation and I decided to get the procedure done this week . I could not believe their was no pain to the procedure and his staff and every part of the experience was above my expectations . I have probable only done a review twice before so for me to right a review. I highly recommend the procedure don’t put it off and only go to Dr. Behnam you will feel well taken care of it. Chris Kreuz President West Coast Media Group, LLC|
|A Google User reviewed 7 months ago|
|I had a great experience with Dr. Behnam. Not only was hos staff friendly and knowledgeable, but walking into the office completely put me at ease. I was skeptical at first about what he could do for me, but after a consultation with Dr. Sean, I was well informed and impressed at the advances he’s made in African-American restoration. I would recommend his office to anyone looking to have a modern treatment with minimal to no scarring. The guy’s a life saver!!!!! Thank you!|
|A Google User reviewed 7 months ago|
|I had a hair transplant done by Dr Sean in 2010. I never write a review. I am very please. I was completely bald. I had a hair transplant in 2007 by another doctor, but it didnt take so well. I was very skeptical. I was left with big plugs in the front of the scalp. Then, I was referred to Dr Behnam by a friend of mine. I went to see him. I was surprised that he spent 2 hours planning, desining. I was convinced that this is the doctor to fix up my previous blunder. So in Jan 2010, I had a hair transplant. The day went very well, almost painless. The difference was amazing from the begining. It has now been 1 year 3 months, the hair has grown out. Dr Shawn Benham has fixed the plugs. The hair translplant looks very natural. I can go out again. I have regained my social life. The doctor makes such a huge difference. I have already reccommended Dr Behnam to a lot of my friends and consistently have the same results. Highly recommended.|
|A Google User reviewed 8 months ago|
|Overall Very good|
|Dr. Behnam and Staff are Great, and they make you feel very comfortable, This was my first experience with hair lost and the whole nervousness, and Dr Behnam made me feel more at eases and took his time going over all of my Questions they are first class Honest good people, i would recommend them to anyone looking for a great Hair Transplant or dermatologist, I just had my Transplant and i feel great and at ease i went to a few well know groups and was asked for more money and less work, Dr. Behnam’s office is First class in my book and to be in California with Honorableness and real concern is Rare ..|
|A Google User reviewed 10 months ago|
It was awesome working with Dr. Behram. He was very thorough and explained every detail of the procedure. He took me step by step through what I should expect, and was beyond accurate. Dr. Behram and his staff are friendly and make the whole experience very comforting.
Liked: Service, Value
|A Google User reviewed 11 months ago|
|I never really considered myself a transplant candidate before now. Anyway, had my procedure with Dr. Behnam yesterday and everything went well. No pain whatsoever and his staff and technicians were professional and courteous, answering all my questions while working efficiently. My only disappointment was my graft count, which was less than expected (due to low density in donor area). After the procedure was completed the doctor explained the lower than expected graft count and even refunded part of the cost back to me. Oh well, I would have preferred the grafts instead, but he could only work with what he had. I would highly recommend Dr. B to anyone considering this type of procedure.|