Hair transplant with Follicular Unit Extraction (FUE) dates back to early 2000, and started with the manual technique. As this technique proved to have some advantages over the other follicular unit transfer (FUT) technique, it started to become popular.
However the number of grafts extracted with FUE Hair Transplant technique, ranging between 500 and 600, unfortunately limited the results achieved at the beginning. It had to be improved for this reason. Initially it would take 4-5 hours to remove 500-600 grafts, and it turned out to be impossible to extract 2000-3000 grafts that the patients needed.
Alex Ginzburg, MD (Ranana-Israel), held his first training session about simple motorized FUE technique, developed by him, for Tayfun Oğuzoğlu, MD, et al in Istanbul in 2003. The technique was faster than manual FUE, and most importantly it made it possible to extract 800-1000 grafts in a few hours without damaging the grafts.
And this technology, which certainly needed improvement, was rapidly improved in a few years and the current version emerged.
Today at this point we can extract 3000-3500 grafts in 2-3 hours which would, otherwise, take 2 or 3 days with Manual FUE Hair Transplant. The most important advantage here is that it reduces the time which grafts remain outside the body, that is to say, the time of operation, and produces far better results.
You can, indeed, achieve these numbers in 3 days with manual FUE Technique Hair Transplant however the circulation in the scalp of your patient would certainly be deteriorated because s/he is anesthetized for 3 times successively, and her/his comfort would be reduced. That is to say while a person who undergoes hair transplant with motorized FUE would almost recover and could resume her/his social life by the end of Day 3, the procedure would be just finalized for a person who chooses manual FUE and s/he would have to wait further 3 days to resume her/his social life.
Apart from that there is an important question which we see in the blogs on the internet or receive from our patients which is as follows: Is it true that ‘motorized FUE gives harm to the other surrounding hair follicles when extracting grafts however manual FUE does not?’
Today we come across with several myths or marketing-related manipulations on the internet, and this is just one of them. In both techniques the tool used to remove the hair called punch have the same diameter, which is 0.7-0.8 mm on average. If a tool with such diameter is to give any harm to the surrounding area it would be applicable to both techniques because both tools have the same diameter. If it is the fast rotation of the motor what is mentioned, the motor would rotate like a drill with about 2000-3000 cycles per minute. In other words it would only penetrate the area you touch as much as the diameter of the punch inserted in the sizing tip, and apart from that it would not destroy or damage any area in any way.
In conclusion these two techniques, which do not considerably precede one another, are both appropriate for FUE Hair Transplant Operations. If you need a high volume of grafts, then you should just decide whether you want to have the procedure finalized in 1 day or 3 days.