Manual FUE Hair Transplant

How Is Manual FUE Technique Performed?

Manual FUE – Turkey’s successes in aesthetic medical treatments have led Istanbul to be labelled the ‘global hair transplant capital’, as it combines an impressive level of medical expertise with reasonable prices in comparison with other countries. In particular, Turkey has been quick to embrace innovation, providing international patients with a much broader range of treatment options than is true of other countries. Among the most widely-used treatments is FUE, which takes several forms including Micro FUE, Manual FUE and FUE Sapphire. 

What is FUE?

FUE, or ‘Follicular Unit Extraction’, involves the individual extraction of grafts from a patient’s donor area, making this treatment different from the FUT method which is based on extracting a strip of tissue from the patient’s scalp. These grafts are then implanted into channels that have been opened in the patient’s donor area. While Micro FUE involves using a mechanised tool for graft extraction, Manual FUE, as its name suggests, involves using manual force alone.

What is Manual FUE and how does it differ from Micro FUE?

Both Micro and Manual FUE involve using punches ranging in diameter from 0.7 to 1.2mm, but normally being between 0.8 and 1.0mm. With Micro FUE, a mechanised punch is used to assist the process, whereas Manual FUE relies on the manual force of the practitioner.

From the point of view of the patient, the main difference between the two techniques is the length of time that is involved and the number of grafts that can be successfully transplanted. Manual FUE is, by nature, a more time-consuming process than Micro FUE, which correspondingly means that a smaller number of grafts can be transplanted, because limiting time outside of the body is paramount for graft survival. In practical terms, this means that Manual FUE is more suited to working with a relatively small number of grafts, or working with a higher number but in multiple sessions.

Another factor to take into consideration with Manual FUE is the potential for fatigue and therefore the potentially greater incidence of human error. A hair transplant is quite a time-consuming procedure which, even in the best of circumstances, can be physically and psychologically tiring for both patients and practitioners. This also makes Manual FUE more suited to smaller-scale operations involving a more limited number of grafts.

What are the advantages of Manual FUE and when is it used?

An advantage of Manual FUE over Micro FUE is that it allows for a greater level of control over the extraction process, and what some practitioners have described as greater ‘feedback’, in the sense that Manual FUE gives practitioners a greater ‘feel’ for depth. An important consideration in any hair transplant is avoiding graft transection, which is to say accidentally cutting the part of the hair that lies under the skin. Proponents of Manual FUE argue that the more tactile nature of this treatment makes it better given to avoiding graft transection and therefore maximising successful graft survival. However, a skilled team will be capable of extracting grafts in the safest way possible, regardless of the technique used.

In general Manual FUE is a good solution for those requiring a small number of grafts to be transplanted, as it is normally not possible to transplant more than 1500 grafts in a single session using this method. In particular, an advantage of Manual FUE is that it can be used to transplant grafts without shaving, but only within the above limit, so a patient requiring a larger number of grafts without shaving would have to do more than one session.

Manual FUE in Turkey

Turkey has long occupied the global vanguard in the medical tourism industry, and has been much quicker to embrace technological progress than many other countries. With time, Micro FUE and other technology-assisted techniques have become the norm because of their advantages in terms of their time efficiency, reduced labour intensity and better level of comfort for both patients and practitioners. However, Manual FUE can still be a viable option in certain cases.

Manual FUE at SHIFT

SHIFT takes a holistic approach to planning any course of treatment, considering more ‘technical’ factors such as time efficiency and graft survival whilst also being mindful of aesthetic considerations such as the best overall implantation method to favour the hair, skin, and other facial characteristics of the patient. SHIFT will always propose the best course of treatment for the patient based on that person’s own unique needs and requirements, working in partnership to create the very best results.



Cole, J., 2017, Manual Versus Automated FUE Hair Transplant, Cosmetic Town, accessed 25 May 2019,

Garg A.K., Garg S., 2018, Donor harvesting: Follicular unit excision. Journal of Cutaneous and Aesthetic Surgery [serial online], vol. 11, no. 4, pp. 195-201, accessed 25 May 2019,

Hair Transplant Institute Miami, 2019, Manual FUE Versus ARTAS FUE Hair Transplant, accessed 25 May 2019,

Hair Transplant Mentor, 2017, What Is A Manual Punch?, accessed 25 May 2019, 

Hair Transplant Mentor, 2017, What Is A Motorized Punch?, accessed 25 May 2019,

Hair Transplant Network, n.d., FUE Hair Transplant: Manual Versus Motorized Extraction Devices, accessed 25 May 2019, 

ISHRS, 2012, Follicular Unit Extraction: FUE Manual and Powered-Device-Assisted, accessed 25 May 2019,




Phone Number

Your Message

Your relationship with SHIFT Hair Transplant is governed by the following Terms and Conditions. Our office is located at Gayrettepe Mah. Yıldız Posta Cad. No: 6 Beşiktaş 34349, Istanbul, Turkey with Registration Number: 77990-5. These Terms and Conditions are applicable to all our Treatment Packages. Please take your time to read through it before accepting because there are legal implications associated with it.


The use of the information and services offered by this website (https://shifthairtransplant.com/) depends on your acceptance of its terms without any modification. SHIFT has the sole right to permanently or temporarily make changes to these terms and conditions, and cannot be held responsible for any damage that may be caused by such modifications, suspension or discontinuation to any third party or user.


“Agreement” – This Agreement.

“Terms and Conditions” – These Terms and Conditions.

“Schedule” – A document that gives a detailed description of the particular Treatment Package you intend to buy.

“We” – SHIFT Hair Transplant, incorporated as a medical tourism company at Gayrettepe Mah. Yıldız Posta Cad. No: 6/20 Beşiktaş 34349, Istanbul, Turkey (Registration Number: 77990-5).

“Trading Name” – SHIFT.

“Service Provider” – The medical expert that provides consultation, examination, medical procedure as well as care and aftercare.

“Destination” – Istanbul – Turkey.

“Treatment Package” – The list of all services including operation, private transfers, accommodation, host and pre-operative tests (if needed) that you have chosen to buy from SHIFT.

“Procedure” – The medical surgery or treatment you have decided to undertake.


1.1. Based on your service preferences, the cost of your Treatment Package will include the costs of one or more of the services given below:

a) Operation.

b) Private transfers.

c) Accommodation.

d) Any pre-operative tests recommended for you.

e) Host.


2.1. The information (I.e. test results, pictures, prescriptions, etc.) provided by you through email exchanges, video consultations or telephone conversations will be reviewed by the service provider (SHIFT) before treatment plans are offered. Thus, changes may be made to your treatment plan after you have been examined by the Service Provider before your Procedure.

2.2. You are at liberty to choose whether to go ahead if such changes occur. In cases like this, you are entitled to get a refund for tests, consultations and other services for which payment has been made. However, we are not responsible for refunding your travel, accommodation and transfer costs as such services are handled by third party providers who are not under the control of SHIFT.


3.1. Schedules containing relevant information will be provided to you as part of this contract. Information contained in these schedules are listed below:

a) Detailed information about the costs of your package

b) Detailed Information about your package

c) Information about health formalities required for the journey and the stay

d) Detailed information about visa and passport requirements which can also be obtained from https://www.evisa.gov.tr/en/

3.2. You will be provided with information about your journey before embarking on it. This information will be made available to you in good time and will include the following:

a) The name, address and telephone number of an agency in that locality that can provide assistance to you.

b) The times and places of intermediate stops and transport connections.

3.3 The Schedules containing the above information, which we will provide to you, form an important part of this contract, and as such, it should be read together with it.


Reading our literature

4.1. Before accepting this agreement, you will read the literature given to you, including information contained on our website in relation to matters highlighted in paragraph 3.1. By accepting this agreement, it means that you have read and understood the information provided to you.

Travel information, passports, Visas and documentation

4.2. It is your responsibility to make provision for the following:

a) A valid, acceptable passport.

b) A visa, if necessary.

c) Other documentation.

4.3. It is your responsibility to submit passenger information to your airline in advance of travel if required.

4.4. All entry requirements for both your final destinations and any stop-off point must be met by you.

4.5. By failing to satisfy the requirements stipulated in paragraphs 4.1, 4.2 and 4.3, or providing incorrect information or documents, you accept that you may be denied carriage and entry to the country you are visiting. In such cases, you accept and acknowledge that you will be solely responsible for all resultant losses, and SHIFT will accept no responsibility or liability thereof.

4.6. You are fully responsible for any fines or costs (including the costs of an immediate return flight) you accrue due to your failure to travel with the required passport, visa or other documentation. In such situations, SHIFT accepts no liability as no compensation, expenses, refund or other sum will be paid.

4.7. SHIFT bears no responsibility for you missing your flight, including your connections. It is your responsibility to provide all necessary documents, including passports and visas.

Health precautions

4.8. You will be given health advice about your specific needs, or any required or recommended vaccinations well enough before travel. This information can be obtained from many local websites.

4.9. You are also required to seek advice from your local GP.


4.10. You are required to take out insurance with an approved insurer before purchasing a Treatment Package from us. The essence of this is to indemnify you for any losses that you may suffer due to insolvency, travel problems or medical issues. By accepting these Terms and Conditions, it implies you have accepted this obligation.


5.1. Details of your medical history must be submitted to SHIFT before beginning your journey, so as to help determine your suitability for the planned surgery. Your acceptance of these Terms and Conditions means that you agree that the details of your medical history, including your test results, pictures, prescriptions, will be shared with your Service Provider. We cannot be held responsible if the medical history form has not been thoroughly or honestly completed, or if any information is withheld.

5.2. Your acceptance of these Terms and Conditions implies giving us permission to obtain your patient file (including your examination and treatment results, treatment plan as well as before and after pictures) for our records. Be rest assured that we shall not sell or otherwise transfer your personal information to any party other than to deliver the services requested by you.


6.1. You may decide to cancel your booking at any time by notifying us in writing. The cancellation takes effect from the day on which the written notification of cancellation gets to us. The time at which the notification of cancellation is received will determine the scale of charges payable. However, the cancellation charge is always confined to actual expenses incurred and disbursements made.


7.1. The confidentiality of your personal details is of utmost priority to us. We are not going to disclose your data, records or information without your consent and will only be shared with those involved with your treatment.


8.1 SHIFT maintains all patient information in accordance with Turkish laws pertaining to the release and disclosure of personal health information in order to ensure your privacy. The before and after pictures of patients might be used for illustrative purposes, especially to show possible results from various procedures. We hereby undertake that these pictures will not be edited or enhanced in any way to change the appearance of procedure or treatment. Your personal information will not be sold or rented to third parties. Your acceptance of these Terms and Conditions implies that you agree that SHIFT can use your before and after pictures in order to operate and enhance its website, to provide customer service, to process your transactions, to carry out research and analysis targeted at enhancing its products, services and technologies as well as to display personalised content to your interests and preferences.


9.1. This Agreement is under the law of the Republic of Turkey and is within the jurisdiction of the courts of Istanbul.



Número de telefone

Sua mensagem