Types of Hair Transplants

Understanding the different types of hair transplants;

Answer written by Scott Moore at Great Directions Australia – 10th October 2015

A hair transplant procedure is a medical procedure that involves 2 key parts;

  • Extracting hair follicles from one part of the body,
  • And, surgically moving the follicles and implant those in the area where the patient wants to grow more new hair.

All hair transplant procedures have the 2 key elements listed above (extraction + implantation).   The two most common types of hair transplants in 2015 are known as;

  • Follicular Unit Transfer; also known as the “strip” hair transplant procedure, FUT (follicular unit transfer) FUSS (follicular unit strip surgery) and some clinics refer to it as FUG as well (Follicular Unit Grafting).   This technique involves surgically extracting a strip of skin from the donor region, and then extracting the hair follicles under a microscope.  
  • Follicular Unit Extraction; which is known as the non-linear scar hair transplant procedure.  Follicular Unit Extraction is abbreviated as FUE.  This type of hair transplant procedure extracts the hair follicles one by one in a dispersed pattern, as compared with FUT which extracts a strip of skin and all of the hair follicles that exist within that piece of skin.

The only difference between FUE and FUT is the method of EXTRACTING the hair follicles.  

There are pro’s and con’s for both types of hair transplant procedures.  This webpage aims to explore the pro’s and con’s of both types of hair transplants.

About FUT Hair Transplants (Strip Technique);

  • The FUT hair transplant technique involves surgically extracting a strip of skin from the back of the head.
  • The strip of skin is then placed under a microscope and the hair follicles are extracted one by one.
  • When extracting the hair follicles under the microscope, the follicles need to be carefully extracted and kept intact.  For example, imagine digging a plant and the plant’s roots from the soil so that you can replant the entire plant somewhere else.  If you are not careful, you can damage the root of the plant.  If you damage the root of the plant, you risk killing the plant.   The same applies to your hair follicles.  If you poorly dissect the hair follicles or sourcing hair follicles from the sides and back of the head and transplanting them to where a person is wanting to GROW MORE NEW HAIR.
  • These hair follicles are genetically resistant to the impacts of the hair loss hormone also known as DHT.
  • These are hairs are considered to be PERMANENT to the impacts of genetic hair loss.
  • The FUT Hair Transplant Technique can provide between 500-6000+ grafts or 1000-12000+ hairs in procedure.
  • Requires 1-2 weeks rest and recovery after receiving this hair transplant procedure.
  • No shaving of the head at all is required with this hair transplant technique – whereas with FUE hair transplants shaving the entire donor area is recommended.
  • PRP is heavily recommended before, during and after receiving a FUT/FUG/FUSS hair transplant procedure to boost recovery of the donor region, the follicular unit graft and the scalp in the recipient region.
FUT Types of Hair Transplant Procedures

About FUE Hair Transplants (One by One Method or Non Strip Method);

  • The FUE hair transplant technique involves surgically extracting hair follicles directly from the scalp.
  • Using the surgeons preferred extraction device, the hair follicles are extracted one by one.  
  • This hair transplant technique is often mentioned as a scar free technique, because it does not leave a linear scar like the FUT method does.  However this is COMPLETELY FALSE, extracting FUE leaves minature scar marks, often it is hard to see, however suggesting that FUE is scar free or scar less is MISLEADING.  Below shows a photo of patient who has received an FUT hair transplant and a different patient who has received an FUE hair transplant.  .
  • When extracting the hair follicles directly from the patients scalp, the follicles need to be carefully extracted and kept intact.  This is made more challenginng than with FUT hair transplantation, because FUE is done from the scalp directly, which is round and will move because the patient is often awake.  Whereas with FUT it is done on a stable microscope bench.  Therefore, less room for error when dissecting the hair follicles.  If the extraction process of the hair follicles is done poorly or the follicles are damaged in the process, this can limit the growth or success rate of the damaged follicles. 
  • The hair follicles used in an FUE Hair Transplant procedure need to be genetically resistant to the impacts of genetic hair loss. 
  • A FUE Hair Transplant Technique can provide between 200-3000+ grafts or 400-6000+ hairs per day.
  • After an FUE Procedure, we recommend allowing 1-2 weeks rest and recovery.  Although there are no stitches or staples as compared with FUT hair transplants, you need to allow the recipient region to recover as well, otherwise it may impact the growth rate of the transplant.  Incorporating PRP and Hair Transplants is essential to ensuring maximum results.
  • Patients are recommended that they shave their head to assist the hair transplant surgeon in EXTRACTING the hair follicles properly and efficiently.  FUE hair transplants can be performed without shaving the head, however less grafts with lower extraction success will occur.  It is far easier to exact FUE when the donor region is shaved.
  • PRP is heavily recommended before, during and after receiving a FUE hair transplant procedure to boost recovery of the donor region, the follicular units and the scalp in the recipient region.
FUE Hair Transplants

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