Curly Hair FUE: My Approach Using Classification of Follicle Curvature and Curl

Abstract

Specific knowledge of curved hair structures is necessary to be able to perform a successful surgery in this specific group of patients. In this article, we present a brief description of the cosmetic categories of curly shaped hairs and we establish a connection with the internal structure of this specific kind of hair. We introduce a classification based on seven predominant types, and we specify based on punch tip type, punch diameter, punch insertion angle, punch insertion depth, and punch centering, taking into consideration the specific characteristics of ethnic skin.

In my experience the Hybrid punch is the most adequate instrument to perform this surgery in a step-by-step approach. Because of the great variety of shapes and textures possible in a single patient, slow pace, testing, and constant adjustment is the key to completing a successful hair transplant procedure.