Dr Bertram FUE Hair Transplant 美絲植髮
Hong Kong 香港
Dr. Shoji Okuda, a Japanese Dermatologist, performed the first modern hair transplant. Using punches as small as 1mm, he successfully transplanted hair follicles. This was a breakthrough — the first proof that hair follicles could be relocated and continue to grow.
His work, published in 1939, was written in Japanese and never reached the west.
What we learned: Hair follicles can be relocated and continue to grow. This is the foundation of all modern hair restoration.
In 1952, a 30-year-old patient walked into Dr. Norman Orentreich's office and asked: "Can you take hair from the back and move it to the front?" No one had ever done it before. The patient volunteered to be the guinea pig.
Orentreich accepted the challenge. He proved that transplanted hair can grow permanently — the scientific foundation of modern hair restoration.
However, his 4mm punch grafts often produced unnatural "pluggy" results. Patients got hair back, but it didn't look natural.
What we learned: Hair transplant works. But the "unnatural look" problem needed to be solved — leading to the development of Follicular Unit Transplant (FUT).
In the late 1980s, Dr. Bobby Limmer pioneered a new approach known as Follicular Unit Transplant (FUT). A strip of skin was removed from the back of the scalp and then dissected under microscopes to isolate naturally occurring "follicular units" (1-4 hairs per graft).
For the first time, surgeons could create hairlines that were truly undetectable — no more "pluggy" look.
Limitation: FUT leaves a linear scar. For patients who wear short hair, this scar can be visible.
What we learned: Natural hairlines are possible. But the linear scar problem needed to be solved — leading to the development of FUE.
The "Follicular Unit Extraction" (FUE) technique was pioneered by Rassman and Dr. Bernstein in USA, and Dr. Ray Woods in Australia. Instead of removing a strip of skin, individual follicular units were extracted directly using small punches (0.8-1.0mm).
Initially, FUE was not widely accepted. Transection rates were high, extraction speed was slow, and the learning curve was long. However, with the development of motorized devices and the ARTAS Robotic System, the procedure became faster and more reliable. But a new problem emerged: the availability of better instrumentation led some practitioners to prioritize volume, resulting in overharvesting.
What we learned: FUE solves the linear scar problem. But donor depletion became a new crisis, drawing the attention of ISHRS.
3G FUE created a new crisis: DONOR DEPLETION
4G is not a marketing slogan. It is a response to the Donor Pepletion Crisis.
Hair loss is not static. Androgenetic alopecia — responsible for 95% of hair loss in men and 65% in women — progresses with age. A patient who looks good today may need a second procedure years later.
Young patients, in particular, face a lifetime of managing hair loss. Once the donor area is overharvested, there is no backup. No repair. No touch-up. Just a permanent reminder of a short-term decision.
4G Protocol is not about how many grafts we can extract in one session, it is about how many grafts we leave behind for your future.
4G is not a single technique, but a system combining sequential FUE, key area transplant, and graft survival enhancement.
This is not a personal technique, but an approach any responsible surgeon should adopt.
Your safety is not delegated. Registered physicians will lead every phase of your procedure - from the initial diagnosis and donor planning, to recipient site creation and aftercare.
Direct medical oversight minimizes risk and ensures decisions are based on clinical need after weighing the pros and cons.
In 2024, our clinic was among the few worldwide to receive the Gold Follicle Award, jointly bestowed by the Chinese Association of Hair Restoration Surgery and theAsian Association of Hair Restoration Surgeons, in recognition of our long-standing commitment to ethical practice, research, and knowledge contribution.
Learn Our Innovation JourneyLearn the procedure and explore every step of the physician-led process.
FUE procedure: Individual follicular units are extracted using a 0.8mm punch and transplanted to thinning areas.
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Candidacy: Decision should only be made after assessment of hair loss aetiology and expectations by a doctor.
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4G technique: Donor preservation, ATP bio-enhancement, low level laser, and Key Area planning for lifetime results.
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Planning: Start with a doctor consultation to assess nature of hair loss, donor hair quality & expectation.
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Aftercare: Common questions about recovery, hair wash, activities, downtime, and possible outcomes.
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Safety: Level One Conscious Sedation and low infection rate with standard sterile protocols.
Read More →Founding President of AAHRS | ISHRS Fellowship Training Director | Gold Follicle Award Recipient
His training has influenced hair restoration surgeons worldwide.
Training collaboration photos shown for illustrative purposes.
Our approach prioritizes using fewer grafts to achieve natural results and long-term donor preservation. If your goals align with this philosophy, we welcome your consideration.
MEDICAL DISCLAIMERS
Information on this website is for general educational purposes only. Not everyone is a good candidate for hair transplant. Always consult with a medical doctor regarding your choice of treatment option. Displayed photos show possible results rather than guaranteed promises.
Read Full Disclaimer PolicyLast Updated: May 8, 2026
This website is continuously reviewed and updated. Archived versions are not authoritative.
