No-shave Follicular Unit Excision (FUE) Guide

The original FUE hair transplant procedure required the surgeon to shave the donor area but through advancements in techniques, our surgeons can now offer both a no-shave or partial no-shave option for eligible patients. 


Traditionally, the FUE hair transplant procedure required the doctor to shave the donor zone. Patients undergoing traditional FUE treatment—especially women and men who normally wear their hair longer—may have been self-conscious about going back to work or resuming normal daily activities after treatment, unless they planned to take extended time off to let all their hair grow back to its pre-procedure length.

Hair loss is a natural part of the aging process, but unlike gradually going gray—which can make older people look wiser or more dignified—balding can have an enormous effect on our self-esteem and the way we feel when we look in the mirror.

There are many myths around why people lose their hair. Baldness has been blamed on everything from poor circulation to the scalp, to dandruff, to vitamin deficiencies, and even from wearing a hat too often. Science has debunked all these old wives’ tales, but they persist, even in our modern information age. Let’s look at some new options for those considering taking action to regain a fuller head of hair.

No-shave FUE creates small hidden donor areas – with this type of transplant only you will know you did it!

Understanding Pattern Hair Loss

By the age of 50, approximately half of males and a quarter of females have experienced some form of hair loss.

Male-pattern hair loss is due to a combination of genetics and the male hormone dihydrotestosterone. This type of baldness usually begins with a receding frontal hairline that progresses until it results in a bald patch on top of the head.

Female-pattern hair loss is the result of overall thinning of hair across the entire scalp due to increased hair shedding, a reduction in hair volume in general or both. It’s very uncommon for women to bald following the male pattern, unless their bodies produce excessive androgens. Researchers are still searching to pinpoint the cause of female pattern hair loss.

Our Results

The Toronto Hair Transplant Centre is internationally known for our pioneering work in hair transplantation.

Our huge archive is here to help you see what we can do for you. Use the link below to view some sample cases.

Follicular Unit Excision for Hair Restoration

For both men and women who are experiencing hair loss, there are now many new technologies to offer you options besides wearing wigs, scarves and hats to disguise your bald patches and thinning hair.

Modern hair replacement techniques use existing hair on other parts of your head or body to regrow hair and restore hair density. Follicular Unit Excision or FUE, is one of the most highly sought-after techniques available today. The Toronto Hair Transplant Centre was one of the earliest adopters of FUE in North America and has many years of experience and has completed thousands of surgeries using this groundbreaking method.

An FUE hair transplant is a minimally invasive, outpatient procedure that is virtually painless and leaves no scarring. Your hair restoration surgeon will remove hair follicles from the donor site (usually the back and sides of the head), then transplant them one hair follicle at a time to the thinning or bald area.

In FUE, the surgeon has complete control over the pattern and direction of each new hair placement. When fully healed, the result appears totally natural, undetectable and permanent.

The FUE process also significantly shortens recovery times. In most patients, the grafts become fully secure about eight to ten days after surgery, and the surgical donor area usually heals within a few weeks.

THTC Gallery

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Visit the gallery to take a peek at our Oakville based clinic layout and surgical rooms.

What Is No-Shave FUE?

Traditionally, the FUE hair transplant procedure requires the doctor to shave the donor zone. Patients undergoing traditional FUE treatment—especially women and men who normally wear their hair longer—may face a period of regrowth in order to let all their hair grow back to its pre-procedure length.

Small donor areas allow us to keep the No-Shave FUE process hidden.

However, in using an option called no-shave or partial no-shave FUE, the surgeon only partially shaves or trims the donor follicle hairs, while keeping all other hair at the same length. During the procedure, the surgeon will conceal the donor follicles among the remaining full-length hair, resulting in a completely normal, natural post-transplant appearance. Suitable for both men and women, the no-shave options for FUE makes both the process and eventual outcome of a hair transplant virtually undetectable.

As seen in the second video below with a male patient, our Dr. Jones performs a partial no-shave FUE. Small patches of his hair were shaved but concealed. The safest upper limit of the number of grafts for a partial no-shave procedure can be determined by your surgeon.

For a true no-shave FUE, in which there is no shaving of the hair whatsoever, your surgeon will be able to discuss if you are a strong candidate, and if so, what the safest upper limit (# of grafts) would be for you. If you need or want more than what your surgeon would recommend, we have had patients who elected to have additional grafts harvested and then spread those harvested grafts across multiple partial or no-shave surgeries. (This of course comes with additional financial and time considerations.)

Benefits of the No-Shave FUE Method:

  • Patients can return immediately to work and other normal daily activities
  • The technique completely conceals harvested donor sites
  • Ideal for patients with scarring from previous hair transplant procedures; linear scars from the earlier method will not be visible

Who Is a Good Candidate for FUE?

For patients who have lost self-esteem due to thinning hair, FUE hair transplants can change both your life and your appearance. However, having said that, it is important to have realistic expectations going into the procedure. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.

Because FUE is such a great method for hair restoration, 100 percent of hair loss sufferers are candidates for the FUE technique. However, in general, people who are experiencing the following issues will see the most benefit from FUE treatments:

  • Male or female pattern baldness
  • Scars from previous cosmetic surgery
  • Missing or thinning eyebrows
  • Dissatisfaction with the results of previous hair transplant procedures
  • High hairlines

The FUE Process

The FUE hair transplant process relies on moving your own existing hair to balding areas to restore volume. Your hair restoration surgeon’s role is to use that existing hair as effectively and efficiently as possible to ensure the best possible results. Hair replacement candidates must have healthy hair growth elsewhere on their heads or bodies to serve as donor areas from which to harvest grafts of hair.

In determining whether FUE is the best solution for you, we will discuss factors such as:

  • Number of grafts required to achieve optimal results and meet your expectations
  • Cause of hair loss and family history
  • Colour and texture of hair
  • Skin type
  • Likelihood of future hair loss, based on projections
  • The density of the hair within the donor area
  • The number of grafts that can be safely harvested from the donor area
  • Your overall health and lifestyle choices

Is FUE right for you? The best way to know is to book a private patient consultation. We will evaluate your case and discuss the results and outcomes we can expect to achieve. Schedule a consultation to discuss all your concerns about hair loss with one of our expert hair restoration doctors through this link!

Video – Female – Scalp Burn Scar Repair With No Shave FUE

This woman had two scars on her scalp that created hairless patches. Thanks to the No-Shave FUE procedure Dr. Jones was able to harvest 800 grafts from beneath her hair and implant them into the scars. This was done with the expectation that in 6 – 12 months those areas would have grown out and become undetectable.

Have you suffered a burn leaving you with a bald patch on your scalp? Recent advances in hair transplant technology have allowed us to not only repair scars to the scalp but harvest hairs without creating a second scar or shaving your entire head. 


Check out the day of surgery for the new 4th Generation FUE from our archive of successful surgeries.

This a video case study of the day of surgery for a 4th Generation partial no-shave FUE case by Dr Robert Jones conducted in 2015. We did not shave the patient’s whole head. Rather, we created thin bands where the hair was harvested from and transferred to the thin areas. This had many benefits for the patient:

1. Donor sites grow back – the small donor areas are covered by natural hairs and will grow back. This means patients will have an almost unnoticeable hair transplant after the initial redness and healing takes place. It means patients with long hair or who just don’t want to shave their entire head can enjoy a hair transplant with minimal downtime.

2. No linear scar – the strip method of hair transplants leaves a scar across the back of the head. This new method makes it so the patient will not have this linear scarring.

3. Difficult to detect – many people want a hair transplant but just don’t want the dramatic effect of shaving the entire head. This new procedure allows people to have a hair transplant that is hidden by their existing hair without a large scar.

Considering a hair transplant?  Both partial and no-shave options are offered by the Toronto Hair Transplant Centre. Contact our team to learn all your options.