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Techniques · 6 min read · 20 May 2026

FUE, DHI and Sapphire, the technique guide that explains the differences

When you compare clinics you come across a host of abbreviations: FUE, DHI, Sapphire FUE, sometimes with brand names on top. They can sound like completely different treatments, but at their core they are about the same thing, moving your own follicles, with differences in how it is done.

FUE (Follicular Unit Extraction)

The established base technique. The follicles are extracted one by one with a micro-punch. Recipient channels are created, and the follicles are placed in them. Efficient for larger areas and hairline restoration.

DHI (Direct Hair Implantation)

Here a Choi pen is used that both opens the skin and places the follicle in one motion. The big advantage: the recipient area usually does not need shaving, which gives a discreet recovery. Particularly well suited to densification and women.

Sapphire FUE

"Sapphire" does not refer to a separate extraction method, but to opening the recipient channels with sapphire blades instead of steel. Sapphire blades are sharp and smooth, which can give very fine, dense channels and fast healing. It is therefore a variant of FUE.

What actually determines the result

The most important insight: the technique is secondary to the surgeon's skill. Angle, direction, density and a natural hairline are craftsmanship. A skilled surgeon achieves an excellent result with several techniques; an inexperienced one achieves a mediocre result regardless of which "premium name" the technique carries.

At a free consultation we recommend the technique that best suits your case.

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Frequently asked questions about techniques

What is the difference between FUE, DHI and Sapphire?

FUE and DHI are about how the grafts are placed (pre-made channels vs Choi pen). "Sapphire FUE" refers to opening the channels with sapphire blades instead of steel, which can give fine, dense incisions. The end result depends most on the surgeon's skill.

Which technique is best?

None is universally best. DHI is discreet (no shaving of the recipient area), FUE is efficient for large areas, sapphire blades give fine channels. The right choice depends on your case.

Does the technique matter for the final result?

Less than people think. With the same experienced surgeon on the same patient, the result is essentially equivalent. The technique mainly affects recovery and the treatment day, not the final density.

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