Spanish Webinar 2
Advanced Techniques in Hair Surgery, with Follicular Unit Transplantation (FUT) and Follicular Unit Excision (FUE)
Available on Demand
Recorded on: Wednesday, July 9, 2025
Moderator: Alba Reyes, MD, FISHRS | Dominican Republic
Co-Moderator: Maria Asensi Bertomeu, MD | Spain
Cost: ISHRS Members – Free | Pending ISHRS Members – $25 USD | Non-members – $25 USD
Register here: https://compass.ishrs.org/events/registro-webinar-julio-2025/register

Title: Advanced Techniques in Hair Surgery, with Follicular Unit Transplantation (FUT) and Follicular Unit Excision (FUE)
Program Description
This 2-hour webinar on Advanced FUE and FUT Techniques addresses key aspects of hair transplantation that continue to present training challenges despite technological advances. The webinar will provide an updated review of the follicular unit transplantation technique (FUT, commonly known as LSE) and its role in modern hair surgery. It will explore combined FUT + FUE strategies to optimize donor site utilization and delve into specialized techniques such as Long Hair FUE. Essential anatomical considerations for FUE extraction, appropriate punch selection, factors affecting transection, graft quality control, and best practices for recipient site design will be reviewed. Additionally, the webinar will compare implantation methods (implanters vs. the snap-and-place technique) and discuss how to prevent complications such as popping. The goal is to offer practical tools and evidence-based surgical decisions aimed at achieving predictable, high-quality outcomes.
Professional Practice Gap
Although hair transplant surgical techniques have evolved, training gaps persist in key areas such as follicular unit anatomy, appropriate instrument selection, transection control and graft quality, as well as recipient area design and implantation. There are also challenges in the proper integration of techniques such as follicular unit transplantation (FUT, commonly known as LSE), Long Hair FUE, and the FUT + FUE combination to maximize the donor area. This webinar seeks to close these training gaps through practical, evidence-based content focused on surgical decisions that improve precision, reduce complications, and elevate the quality of outcomes.
- Anatomical Considerations in FUE Extraction: Understanding Follicle Orientation and Angulation to Improve Survival Rate
- Punch selection: By tip (hybrid, sharp, non-sharp), diameter, and body shape (flared, straight-walled, with rings). How to distinguish them and select the appropriate one for each clinical case.
- Factors affecting transection in FUE and strategies to minimize it: Advanced techniques and adjustments in punch parameters to reduce follicular damage.
- Long hair extraction: Necessary instrumentation, advantages and disadvantages.
- Implantation with implanters vs. insert-and-place technique: analysis of advantages, challenges, and when to use each.
- Strategies to avoid “popping”: technical modifications to avoid graft extrusion during implantation.
- Follicular unit transplantation technique (FUT, commonly known as LSE): Current indications, trichophytic closure techniques, and strategies to minimize scarring.
- Strategies to maximize the donor area by combining FUT and FUE: indications, planning and benefits.
- Quality control of grafts throughout the surgical process.
- Design of the recipient area: Techniques and materials that offer better results in hair reconstruction.
This webinar seeks to fill those gaps by providing evidence-based information and clinical experience, with a focus on surgical decision-making to achieve predictable, high-quality outcomes.
Educational Need Description
The webinar addresses this gap by providing targeted training on:
- Different types of punch and their characteristics
- Different implementation methods and which one may be most advantageous.
- New techniques such as the LONG HAIR technique
- How to integrate the FUT technique to improve our results.
Learning Objectives
By the end of this webinar, participants will be able to:
- Identify the anatomical characteristics that must be considered in an extraction using the FUE technique.
- Describe the characteristics of different types of punches and under what circumstances they can be advantageous.
- Describe the steps involved in a basic motorized FUE extraction.
- Analyze how to achieve a low degree of transection and how to perform good quality control of the extracted follicular units.
- Describe the FUE Long Hair Technique.
- Evaluate which techniques can provide the best results for patients.
- Improve your implantation technique to avoid complications such as popping.
- Apply your knowledge of the combined FUE-FUT techniques.
Program Schedule
8:00 AM – Welcome and Program Overview
8:05 AM – FUT: Current Indications and Optimization of the Suturing Technique
Oscar Marinacci, MD | Argentina
8:13 AM – FUE-FUT Combination
Ricardo Mejia, MD, FISHRS | USA
8:21 AM – Anatomical Considerations of FUE Extraction
Maria Ximena Vila Martinez, MD | Spain
8:29 AM – Classification of Punches: Use of Hybrid, Flared, and Straight-Walled Punches: Advantages and Disadvantages
Alba Reyes, MD | República Dominicana
8:37 AM – Manual FUE / Motorized FUE
Luis Roberto Trivellini, MD, FISHRS | Paraguay
8:45 AM – First Q&A Session
8:50 AM – Quality Control in FUE
Marie Schambach, MD, FISHRS | Guatemala
8:58 AM – Factors Affecting FUE Transection and How to Minimize Them
Gabriel Fachini, MD | Brazil
9:06 AM – Implantation: Implanters vs. Stick & Place vs. Prefabricated Incisions
Alex Ginzburg, MD, FISHRS | Israel
9:14 AM – Strategies to Avoid Popping During Implantation
Leoncio E. Moncada, MD, FISHRS | Venezuela
9:22 AM – Recipient Area in Long-Hair FUE: Implantation and Challenges
Sebastián Yriart, MD, FISHRS | Argentina
9:30 AM – FUE Long Hair: Technique, Advantages and Limitations
Laura Caicedo Albarello, MD, FISHRS | Spain
9:38 AM – Final Q&A Session
9:43 AM – Closing Remarks and Key Takeaways
9:48 AM – Concluding Insights and Farewell
10:00 AM – End of Webinar
Evaluation Methodology
- Live Q&A sessions: Encourage interaction and clarify key concepts.
- Participant Feedback Form: Evaluate the relevance, quality, and applicability of the program.
Disclosures of Relevant Financial Relationships of Planners and Faculty
The following individuals have no relevant financial relationships with ineligible companies to disclose:
Planners
Alba Reyes, MD, FISHRS – Planner, Faculty & Moderator
Maria Asensi Bertomeu, MD – Planner & Moderator
Marie Schambach, MD, FISHRS – Planner & Faculty
Victoria Ceh, MPA – Planner & Manager
Alejandro Gonzalez Quiroz, MD – Planner
Martha Contreras, MD – Planner
Melanie Stancampiano – Planner & Manager
Blanca Mejia – Planner & Manager
Eileen Hansen – Planner
Anita Rodriguez – Planner
Faculty
Oscar Marinacci, MD
Ricardo Mejia, MD, FISHRS
Maria Ximena Vila Martinez, MD
Alba Reyes, MD, FISHRS
Marie Schambach, MD, FISHRS
Gabriel Fachini, MD
Alex Ginzburg, MD
Leoncio E. Moncada, MD, FISHRS
Sebastián Yriart, MD, FISHRS
Laura Caicedo Albarello, MD, FISHRS
The following individuals have relevant financial relationships:
Planners
None
Faculty
Luis Roberto Trivellini, MD, FISHRS
- Owner: Trivellini Tech
All of the relevant financial relationships listed for these individuals have been mitigated.
Bibliographic References
- Bernstein R, Rassman W. Follicular transplantation: patient evaluation and surgical planning. Dermatol Surg. 1997;23:771-84, 801-5.
- Unger W, Unger R. Estimating the number of lifetime follicular units: A survey and comment experienced hair transplant surgeons. Dermatol Surg. 2013;39(5):755-60.
- Unger W. Planning principles: Good short- and long-term planning in hair transplantation. In: Hair Transplantation, 6th edition. New York: Marcel Dekker; 2020. (Chapter 20).
- Pitchon M. Preview long hair transplantation: An immediate temporary vision of the best possible final result. Hair Transplant Forum Int. 2006;16(4):113-9.
- Schambach M. Shaved FUE vs long hair FUE: A comparative study during excision, extraction, and placement. Hair Transplant Forum Int. 2020;30(4):117-26.
- Boaventura O. Long hair FUE and the donor area preview. Hair Transplant Forum Int. 2016;26(5):200-2.
- Lorenzo J, Villa X. Introduction to the use of implanters. Hair Transplant Forum Int. 2011;21(4):121-2.
- Sethi P, Bansal A, Kumar A, Sanke S (Eds). Step by Step Hair Transplantation. New Delhi: Jaypee Brothers Medical Publishers; 2019.
- Kim J. Graft implanters. In: Unger W, Shapiro R, Unger R, Unger M (Eds). Hair Transplantation, 5th edition. London: Informa Healthcare; 2011. pp. 404-6.
- Erdogan K. FUE: Basic and Advanced Techniques. In: Pathomvanich D, Imagawa K (Eds). Practical Aspects of Hair Transplantation in Asians. New York: Springer; 2018; pp. 233-50.