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Hair transplant is a surgical procedure of varying invasiveness undertaken by people suffering from hair loss. Of the various transplant procedures, the FUE (Follicular Unit Extraction) method is a popular choice among hair transplant candidates because of a quicker recovery period and lower postoperative discomfort. Developed in 1980, FUE has been developed and modified to increase its efficacy over time. The latest improvement in the FUE method is using a sapphire lined blade for added precision, which is termed Sapphire FUE. Also, the advantages of sapphire FUE are overwhelming for doctors and patients. Below are the comparison points between Sapphire FUE and Classic FUE to understand which is the best among them. 

Comparison between Sapphire FUE and Classic FUE 

Mode of Action 


Classic FUE involves a hair transplant that is performed using the initial methods. It involves FUE through:

  • Handheld FUE
  • Manual FUE
  • Robotic FUE
  • Automatic FUE

Out of which, Handheld FUE is the most preferred method. These units contain handheld motorized units with control mechanisms for the transplantation procedure. After extraction, the grafts are extracted using forceps with the excision process performed using FUE motors.

Sapphire FUE, in comparison, is an advancement of the FUE method but with more sophisticated technology. Like classical FUEs, they are handheld, but instead of the regular blades and tips, they have sapphire tipped edges that are V-shaped for an increased area of excision and transplantation.


For performing a Hair Transplant using classical FUE technology, the surgeon first sedates or administers anesthetics to the patients. This is followed by marking the donor and recipient area by shaving them as a part of the surgery procedure. Grafts will be removed from the donor region and implanted in the recipient region post, and the area will be cleaned and bandaged for recovery. Classic FUE prefers taking grafts from the sides or back of the head as per the patient’s pre-existing hair condition or the surgeon’s treatment plan for the transplantation procedure.

Sapphire FUE works similarly but with a few variations or precisely minute observations to detail than other procedures. After anesthetics have been administered and have started setting in, Hair follicles are extracted using a micromotor with micro punches of 0.6- 0.7 or 0.8 diameters. These punches open microchannels for efficient transfer of grafts. The donor follicles are transplanted at strategic angles keeping in mind the angle of transplantation and density of graft transplant.

The improved precision advantage of sapphire over Classic FUE ensures a better transplant method and better results after the procedure. Instead of taking hair strands from any preferred location, in Sapphire FUE, the nape of the neck is chosen explicitly for hair transplantation to ensure a standard quality of the transferred follicles.


The blade of a classic FUE machine is made of stainless steel. Over time, these blades become blunt and need to be applied with extra force over the skin region during the incision procedure. This impacts the quality of the transplanted follicles with an increased risk of tissue damage.

Sapphire FUE is named so because of the Sapphire finishing of its surgical blades. The edges’ body is made out of superior quality Aluminium Oxide that ensures efficient incision without any tissue damage. Additionally, the v-shape tip of the blade provides the scope for hair transplant density. This ensures better quality results with improved hair count in the long run. The flexibility of the blades further helps in improving the aesthetic touch. Unlike the single-make blades of classic FUE, they can be customized as per the patient’s hair texture or transplantation procedure.


A complete, healthy hair contains around 70-120 inches per cm² with a density of 50-80/cm². Hair transplant, when conducted on a candidate, is usually 40 grafts per cm² with high-quality transplant procedures aiming for a density of 60-70 grafts per cm². 

Classical FUE manages to achieve a total of 3000- 6000 grafts with a density of 25-30 grafts per cm². But this is conducted in repeated sessions, with each session extending no more than 2000 grafts in total. There are several reasons why the numbers dip after a certain number of transplants. Firstly, because of limited graft transplant capacity in one session. Most importantly, surgeons believe higher transplant rates will make it a more painful procedure and subsequent recovery for the candidate. 

Because of the unique nature of their blades, the advantages of Sapphire FUE in this context are more than the classical method. The density of Sapphire FUE is approx. 35-45 grafts per cm² because of the angular indentation and shape of the blades. A single session of Hair Transplant through Sapphire FUE can result in as many as 4000 grafts placement. Because of the opening of incision channels at the same length of hair follicles, the possibility of dislodgement or change in angle alignment after the procedure is greatly reduced. The cutting-edge technologies of the sapphire pen make it a comfortable process for the patient and allow more graft transplants in a single session. 

Time Required 

An average FUE transplant takes somewhere between 4- and 7 hours. You are sedated, and your transplant regions are marked with colored markers, after which the surgeon proceeds with the hair transplantation. This is conducted in numerous sessions at regular intervals depending on the patient’s requirements. In post final transplant session, there is a shock period in which most of the hair falls off. This is followed by 10-20% hair growth in 3-4 months, 50% hair growth in the next 6 months, 80% results in 8-9 months, with 100% results within a year of the transplantation procedure. 

Sapphire FUE has a relatively more minor procedural period associated with it. On lesser quantities of follicular grafts, the completion of the FUE is over in 2-3 hours. In larger quantities of grafts, the period increases proportionately. A maximum of 4000 graft transplants is possible in a single session of Sapphires Transplantation within 5-7 hours. After the shock-loss process, hair starts growing within 6 months. Complete results are observed within a year. The quality of hair growth in Sapphire Transplantation is better, but results are also much more natural-looking and aesthetically pleasing, with very few adverse reactions.

Healing Period 

Classical FUE works using steel blades. Immediately after the procedure, there is bleeding, swelling, and a fine incision wound that makes it an awkward phase. The wounds heal and scan form by the end of 7-10 days that again are shredded off within 3 weeks. 

The tip of the sapphire pen is designed in such a manner to allow delicate incisions that are relatively smaller in size. Additionally, the technology of the blades is designed in such a manner to allow the best results without affecting the blood circulation of the area. Wound healing in sapphire transplantation occurs in a quicker period without evident scab formation. There is virtually no swelling after a sapphire transplant procedure. The sapphire origin of the pen tip ensures subjects with a metal allergy can opt for a hair transplant through it without any complications whatsoever. These advantages of Sapphire FUE and its cost-effectiveness make it the best choice for Hair Transplant candidates and surgeons alike because of its easy application and comfortable make. 

If you want to learn more about the advantages of sapphire to keep your expectations in check, book a consultation with some of the best doctors at Bizrahmed.   

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