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Follicular Unit Extraction (FUE) in Palo Alto, San Jose, and the Bay Area

At Hessler Plastic Surgery, we take this treatment a step further by using the advanced NeoGraft® system. 

Key benefits of a FUE hair transplant

  • No visible linear scar
  • Minimally invasive
  • Performed with local anesthesia
  • Limited downtime
  • Undetectable hairlines
  • Natural looking

What is follicular unit extraction?

Follicular unit extraction is a hair transplant technique in which individual hair follicle units are taken from the back of the head. Each of these units contains about 1 to 4 hairs. The FUE method leaves the scalp intact, with no linear scar, because it doesn’t require the use of a scalpel or stitches.

Instead, it uses the NeoGraft system, a surgical machine that partially automates the FUE process. NeoGraft is the first and only FDA approved follicular unit harvesting and implantation system. 

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How does NeoGraft work?

NeoGraft is the most advanced technology when it comes to hair transplant treatment for address thinning hair, bald spots, and receding hairlines. The system works as an extension of Dr. Hessler’s hands, allowing for much more efficiency when it comes to hair follicle removal.

The NeoGraft system ensures less trauma than earlier technology, as well as a higher follicle survival rate after transplantation. FUE with the NeoGraft system is performed with a handpiece that creates a circular, 1-millimeter incision around the hair follicle. This effectively and safely separates the follicles from the surrounding tissue.

The device pulls the follicles out of the scalp one by one, leaving behind only a small incision point that heals on its own. The NeoGraft system has pneumatic controls that remove the hair follicles quickly — up to 3000 units in a single session. When performed by hand, only 500 can be achieved in a session. 

NeoGraft FUE treatment details

When you arrive for your FUE NeoGraft appointment, the back of your head will be shaved, if it is not already. You will be given injections to numb your head, and you will then be made comfortable lying face-down on a medical chair, and Dr. Hessler will begin the procedure. The NeoGraft’s handheld device will be used to make tiny, circular incisions in the scalp to remove the hair follicles. The device is essentially a tiny tube with a sharp edge to “punch into” the scalp. The device also has a suction tube connected that helps pull the grafts out.

Once the units have been removed and prepared for transplant, Dr. Hessler will use a fine, needle-point instrument to create tiny recipient sites in the areas where hair growth is needed. She will immediately graft the hair follicles into these areas in a natural-looking pattern. The placed hair follicles can now become healthy, hair-producing follicles. After this, your head will then be dressed with surgical gauze or dressings.


There is very little downtime and recovery from a FUE hair transplant. Some patients experience a headache for a couple of days, and you may have some swelling from the injections. Most patients return to their normal daily routine within 3 to 5 days.


FUE hair transplant results typically develop over the following timeline:

7 to 10 days 

The circular incisions on the scalp will be healed by this time. You may begin using regular hair products.

1 to 5 weeks

Your newly-implanted hair will shed as your hair begins a new growth cycle.

4 months 

New growth becomes visible.

8 to 12 months 

The new hair will be fully grown in and growing at a normal rate. 

Is FUE with NeoGraft right for you?

If you’re in Palo Alto, San Jose, or the Bay Area and you’re considering follicular unit extraction, it may be the ideal procedure for you. An in-person consultation with Dr. Hessler will be necessary to determine for sure, but men and women who suffer from thinning hair, bald spots, and receding hairlines but who have sufficient hair on the back of the scalp are typically excellent candidates for an FUE hair transplant.

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Follicular unit extraction at Hessler Plastic Surgery: Serving Palo Alto, San Jose, and the Bay Area

Thinning hair, bald spots, and receding hairlines make you feel self-conscious and lower your confidence, but they don’t have to. If you’re interested in the FUE procedure with NeoGraft in Palo Alto, San Jose, or the Bay Area, we invite you to make an appointment at our Center for Hair Restoration to learn more.

Hessler Plastic Surgery is a practice for cutting-edge yet safe procedures, a place where you will be fully educated on your treatment and guided step-by-step throughout the entire process. Under the leadership of locally and nationally recognized plastic surgeon Dr. Jill Hessler, our practice features a highly trained team of registered nurses and staff who are detail-oriented and compassionate, providing the absolute best in patient-centric care.

As a double board-certified surgeon with over a decade of experience, Dr. Hessler sees the importance of continuing to research and review innovative approaches to procedures in order to achieve the very best results. To meet with us, please contact us today.

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