Traditional FUE hair transplant requires shaving the donor area before extraction. Many patients find this problematic, especially professionals who can’t take extended time off work.
The solution? Long Hair No Shave FUE.
This advanced technique extracts grafts without trimming them. The long hair follicles are placed directly into the recipient area, giving you an instant preview of your final result.
It’s ideal for patients attending events shortly after surgery or those who simply can’t shave their head for personal or professional reasons.
The Advantage of the Long Hair No Shave FUE
While the Long Hair No Shave FUE procedure is truly revolutionary, it is a far more complicated procedure to perform. The procedure is more labor intensive. This is not a procedure you want performed by a novice or those lacking certain instruments to complete the job as it should be done.
Feedback
Immediate feedback on the result to expect
Donor Area
No need to shave or trim the donor area
Recovery
Fastest recovery time without someone knowing you had something done
Ideal
Ideal for someone attending a wedding or major event shortly after their procedure
Minimal Downtime
Redness
Reduced appearance of redness immediately after the procedure
Exprience
Greater excitement post op
Risks and Considerations
Long Hair No Shave FUE isn’t right for everyone. Consider these factors:
- Long Hair No Shave FUE isn’t right for everyone. Consider these factors:
- Higher transection risk. Extracting long hair grafts requires more precision. There’s a slightly increased chance of follicle damage during extraction.
- Longer procedure time. The technique takes more time than standard FUE, which limits how many grafts can be placed in a single session.
- Higher cost. The added complexity and time translate to increased procedure fees.
- Graft dislodgement risk. Long hair grafts are slightly easier to dislodge in the first few days post-surgery. Extra care is required.
- Temporary results. The instant preview lasts only 3 to 4 weeks before shedding occurs. Final results take 9 to 12 months.
Things to avoid after a long hair no-shave FUE
- Avoid combing your hair for the first 7 days after your procedure
- Do not be exposed to direct sunlight for extended periods of time for 3-6 months. The key is to avoid a sunburn
- Do not wear tight-fitting beanies or ball caps for 1 week.
- Avoid direct water pressure to the grafts and use lukewarm water when rinsing for 1 week.
- No heavy contact sports for 1 week.
- Avoid running your hands through your hair as you could dislodge a graft for 1 week.
New Technology for FUE
The process of hair transplant techniques has changed over time, and today, the tools used have modernized as well. This means that clients can get better before and after results with fewer side effects than ever before.
This is thanks to tools like the PCID and modern trumpet punch.
The Modern Zero-T Punch
The tools used during the transplant process have several impacts on the efficacy of the procedure. Things like the modern Zero-T punch are pivotal in harvesting long hair grafts because they cut down, no pun intended, on transection with a combination of rotation and oscillation.
Under normal circumstances, FUE harvests hair follicles from donor areas with a circular and hollow punch tool and a blade that quickly cuts donor hair out. When surgeons use these tools, an incision is made to remove the strip and cut through hair follicles. But sometimes, during this process, hair follicles get damaged because the hair bulb itself is cut, and in these cases, those individual follicles cannot be used for the transplant process.
Sharp punch tools are required to cut through the skin. However, dull punch tools are enough to dissect hair follicles.
Using this information, new punch tools have been designed to reduce transection. Transection refers to that situation where hair follicles that are cut for transplant do not work properly because of damage. This can happen when a scalpel damages the hair bulb or cuts the hair follicle. It can also happen if the punching graft:
- Has too much pressure when applied
- Is blunt
- Is not the right instrument
Hair transection can be avoided when used with the right tools, like the modern the Zero-T punch the PCID tools. The Zero-T is a hybrid punch, sometimes called the trumpet tool, has a flared end that looks like the shape of a trumpet, hence its name. On one end is a sharp outer edge that cuts the skin, and on the other end is the dull inner edge, which dissects hair follicles without cutting through the hair bulb.
PCID and Zero-T Punch Technology
As mentioned, the use of trumpet designed tools reduce the number of hair follicles that are not viable. But other technology contributes to the success of the procedures, too.
A Powered Cole Isolation Device or PCID is an instrument that runs on power and is used to extract hair follicles with FUE. The PCID is a handheld device that is used in conjunction with the Zero-T punch or any other ColeInstruments punches.
When in motion, this tool can punch through and around the hair follicles at adjustable depths, while rotating and oscillating. The rotation and oscillation allow for precise extraction based on your hair and scalp.
The result is significant.
You enjoy minimized hair follicle transection or injury. In fact, PCID offers some of the lowest rates of follicle transection.
Moreover, the efficacy of the device increases the success of FUE by extracting at twice the speed of manual extraction punch tools.
- With double the rate of extraction, patients can enjoy a shorter procedure time.
- With lower follicle transection, patients can have reduced scarring
PCID punches are also increasing in popularity because the thin walls and serrated tips of the Zero-T punch tools minimize friction against your scalp. With minimized friction, the punch process is more efficient and requires less force from the surgeon. This means less trauma to the hair grafts.
With reduced trauma, your hair follicles remain viable, and the scarring remains minimal.
Customization
With the PCID, there are different settings, including rotation and oscillation, which means that parameters can be preset so that it’s not too high and not too low. If the preset is too high, it can damage hair follicles and skin with sharp punches, but if it’s too low, it can damage skin and destroy the hair follicle because it’s too dull.
A big reason behind the success of this function is that every patient has a different hair structure and different skin so punch settings have to correspond to that skin type. The PCID is the only device that can currently be matched to diverse characteristics for thicker or thinner hair, leathery skin, dry skin, thick skin, or thin skin.
By changing these parameters, not only is trauma to the hair follicle decreased but bleeding is decreased and recovery time is increased. Inputs are easily controlled via a touch screen and the Zero-T punch device reacts to the controls in a way that can be managed throughout the treatment process.
Overall, the angle used is also different, which means the surgical procedure itself is more effective. Rather than punching a hole straight down and hoping to avoid damaging the hair bulb in the process, this method of PCID and Zero-T punch tools makes an incision at an angle and then punches the hole from there. This angled direction is more likely to avoid damage and keeps the incision slightly smaller, which reduces trauma to the area and the depth and size of the cut itself.
Long Hair No Shave FUE Q&A
Who is a candidate for Long Hair No Shaven FUE?
The ideal candidate for a Long Hair No Shave FUE is someone who is a Norwood 1 or Norwood 2. The other type of candidate would be someone that is looking to achieve a full head of hair over the course of multiple stages rather than completing everything all at once. The ideal location for Long Hair No Shave FUE is along the frontal hairline. The hairline will provide instant feedback in the mirror and tends to be where people look first.
Why should I have long hair, no-shave FUE?
You should consider having long hair, no-shave FUE if you have an upcoming event. Examples would include family reunions, weddings, or high school reunions. This event should be timed for 7-10 days after the procedure and no further than 21 days post op. After the 21-day mark, the grafts will start to be shed. The majority of the grafts should shed by 4 weeks post op. Therefore, timing your procedure correctly is critical. Too early, you will not completely heal, and too late, the result is no longer apparent.
What to expect after a No Shave FUE?
Your transplanted hair will be visible immediately after the procedure. This instant feedback is one of the biggest advantages of the technique.
Days 1 to 3: Keep the grafted area dry. Avoid touching or combing through the transplanted hair. Sleep with your head elevated.
Days 4 to 7: You can begin gentle washing. Use lukewarm water and pour it over your head rather than using direct shower pressure. Pat dry with a soft towel.
Days 7 to 10: The grafts anchor into place. You can carefully comb around the transplanted area, but avoid pulling on the new hair.
Weeks 3 to 4: The transplanted hair shafts begin shedding. This is normal. The follicles remain beneath the skin and will produce new growth.
Months 3 to 4: New hair starts emerging from the transplanted follicles.
Months 9 to 12: Final results become visible. Hair density continues improving throughout this period.
The key difference with Long Hair No Shave FUE is the temporary preview. You’ll see your potential result immediately, but remember that hair will shed around week 3 before regrowing permanently.
How much does Long Hair No Shave FUE cost?
Long Hair No Shave FUE hair restoration costs more than standard FUE due to the increased procedure time and technical complexity. Exact pricing depends on the number of grafts needed. Contact ForHair for a personalized quote during your free consultation.
How long does the Long Hair No Shave FUE procedure take?
The procedure takes longer than standard FUE because each graft must be extracted without trimming. A typical session of 1,000 to 1,500 grafts may take 6 to 8 hours. Larger sessions may be split across multiple days.
Can Long Hair No Shave FUE be combined with CRP or stem cell treatments?
Yes. Many patients combine Long Hair No Shave FUE with CRP (cytokine-rich plasma) or stem cell treatments to accelerate healing and potentially improve graft survival. These regenerative therapies can be applied to both the donor and recipient areas during or after the procedure.
No-Shave FUE vs. Long Hair No Shave FUE. Which is better?
Both procedures have their benefits, for instance. No shave FUE will have a better graft yield than Long hair no-shave FUE. You will also be able to do more grafts in a shorter period of time with traditional no shave compared to long hair. However, the temporary results of the no-shave long hair fue are amazing to look at.
Reference
1. Cole JP. The No-Shave FUE and the Long Hair FUE. Hair Transplant Forum International. 2018;28(5):177-180.
John P. Cole, MD, and Chiara Insalaco, MD, State-of-the-Art FUE: Advanced Non-Shaven Technique
2. Rassman WR, et al. Follicular Unit Extraction: Minimally Invasive Surgery for Hair Transplantation. Dermatologic Surgery. 2002;28(8):720-728.
3. International Society of Hair Restoration Surgery (ISHRS). Practice Census. 2022.