Manual FUE vs. NeoGraft Hair Restoration vs. ARTAS

FUE vs NeoGraft vs ARTAS

Comparison Table of FUE vs. NeoGraft vs. ARTAS

Modern science has transformed hair transplantation. Our patients now have more options than ever to replace hair loss and recreate a natural-looking hairline. One of Dr. Malhotra’s favorite methods for hair restoration is FUE or follicular unit extraction. FUE is an advanced method for hair restoration that creates grafts for transplantation by extracting individual hair follicles.

FUE is our preferred method for hair restoration for most patients, but since each graft is manually removed and prepared, the process is timely when done manually. Automated FUE techniques like NeoGraft, Smartgraft, and ARTAS make FUE hair restoration more efficient for many patients. Below, we’ll explain the benefits and drawbacks of each FUE method and help you decide which option will work best for you.

Read on to learn more about FUE hair transplantation in Michigan, or schedule a consultation with Dr. Malhotra today.

The Benefits of FUE

FUE is quickly becoming one of the most popular hair restoration options because of its many advantages over FUT.  Presently, 70% of patients choose FUE over FUT nationally.

Benefits of FUE hair restoration include:

  • Almost No Scarring – By extracting small follicles rather than a large tissue strip (as done with the FUT method), FUE creates only tiny less than 1 mm scars.
  • Freedom to Enjoy Long or Short Hairstyles – Since FUE does not leave a scar, patients have more freedom and flexibility in their hairstyles. Patients can wear their hair long or short, with no need to cover or hide scars. Often a two guard haircut is enough to hide the donor area.
  • Less Invasive – FUE hair restoration is significantly less invasive than FUT.
  • Quicker Recovery – Many patients are back to work just a few days after their FUE hair restoration procedure. Since this procedure is less invasive, patients heal much faster.
  • More Comfortable – The strip method for hair transplantation is less invasive than FUT, which typically means an easier, more comfortable recovery. Most patients experience minimal discomfort after hair restoration surgery. This also poses much less risk to the nerves underlying the scalp.
  • Natural-Looking Results – FUE creates some of the most natural-looking hair transplantation results possible. Dr. Malhotra can create a customized, realistic hairline and implant grafts to recreate natural hair density and placement. The results we can achieve through FUE are comparable to a natural head of hair.

The Challenges of FUE

One of the most significant downsides to FUE is time. Extracting follicles individually is a slow and delicate process. FUE can take a full day to obtain the needed grafts for patients that require extensive grafting.

FUE gives surgeons lots of flexibility, and they can choose where to remove grafts and where to place them. They also determine the depth and angle of each transplant. Hair transplantation is an art form that requires meticulous surgical skill and an artistic eye for hair growth patterns and placement.

Working with a skilled hair transplant surgeon is essential for achieving the best possible results with FUE hair restoration. But what are the methods of FUE hair restoration, and which one should you choose?

Manual Follicular Unit Extraction

Manual FUE is considered the gold standard for hair transplantation. This technique is the most challenging type of FUE and requires incredible precision, dexterity, and skill from the hair transplant surgeon. Manual FUE is also a prolonged process, as each graft must be selected, excised, prepared, and transplanted individually.

A surgeon’s skill largely determines the quality of results achievable through manual FUE. Each graft is harvested by carefully removing it from the surrounding tissue using a special punch. The punch size for each graft determines the amount of scarring present— a smaller punch size creates better results but is more difficult to obtain. Your surgeon’s skill will also determine the graft placement, angle, and depth, all critical factors to achieving a natural-looking result.

When manual FUE is performed by a skilled hair transplant surgeon with experience using this technique, the results are stunning. The transplanted grafts blend seamlessly with the patient’s natural growth pattern, rendering the transplants practically imperceptible. Manual FUE is an ideal technique for patients that want a long-term solution to hair loss that is virtually unnoticeable.

NeoGraft Hair Restoration

NeoGraft is a type of automated FUE that combines individual follicle harvesting with an automated graft cutting and removal process. A specialized device harvests each graft, using a piston-driven motor and pneumatic suction to isolate and remove each graft. NeoGraft can dramatically speed up the FUE process for some hair transplant surgeons, but this speed comes with a loss of quality. The device’s punch size is often larger than the punch size created by a surgeon in manual FUE, sometimes leading to minor visible scarring. Additionally, the pneumatic pressure of the NeoGraft device may damage some hair follicles.

Some practices use the NeoGraft device to reduce the amount of time needed with the hair transplant surgeon.


ARTAS is another option for automated FUE. It is a robotic device that performs most of the hair transplantation process.

In theory, the device is a great choice because it will not become fatigued during the long process. However, automation cannot compensate for meticulous practice and hard-earned surgical skills. Robotic devices do not have the judgment and artistic perspective that a well-trained hair transplant surgeon possesses.

Punch size with ARTAS tends to be much larger than the punch size of manual FUE. The process is much slower and less precise. Additionally, ARTAS struggles to maximize the usable grafts from the donor area, resulting in fewer grafts obtained from the donor areas.

FUE Hair Restoration Methods Compared

Take the Next Step: Schedule Your Hair Restoration Consultation with Dr. Malhotra

If you want to discuss each option with a genuine hair restoration expert, your next step is to call Ann Arbor Plastic Surgery. We invite you to see if the manual FUE, NeoGraft, or ARTAS methods are right for you by contacting Dr. Pramit Malhotra. During your one-on-one consultation, you and Dr. Malhotra will discuss your goals, the benefits you want to see, and your hair restoration cost.

Call us to schedule your Ann Arbor hair restoration consultation today.