Hair Transplantation FUT

  • Best Results10+- months
  • Treatment Recovery5-9 days
  • Procedure Time3-8 hours
  • Skin SpecialistDermatologist
  • Duration of ResultsLifelong
  • AnaestheticBlocks, sedation
  • Back to Work2-7days
  • Cost$$$$$

Hair Transplantation FUT

FUT or follicular unit transplantation is a surgical procedure used to gather hair follicles from the back of the patient’s head. The surgeon uses precise techniques to remove a strip of skin that contains hair follicles. These follicles are then dissected under a microscope. Transplantation then occurs to the areas of baldness & or low hair density. This procedure, though useful, has been largely replaced with FUE or follicular unit extraction.

FactsFacts on FUT Hair Transplantation

  • FUT or follicular unit transplantation is also known as strip harvesting hair transplantation
  • This procedure gives equally good outcomes compared to newer FUE or follicular unit extraction methods
  • The majority of hair transplantation is done via FUE
  • Scarring post FUT is more as it involves formal excision of scalp
  • Recovery times following FUT is longer than FUE, again in the context of the donor site
  • The fundamental difference between FUE & FUT is in the donor site harvesting of hair follicles

What is the difference between FUE & FUT hair transplantation?

The majority of hair transplants are of the FUE method. Both FUE & FUT give very similar results as the implantation process is the same. Additionally, the number of available hair follicles are similar.

The fundamental differences are how the hair grafts are harvested. FUE is less invasive, gives a more homogenous appearance in the recipient site, & is associated with less side effects compared to FUT. Scarring post FUE is less compared to FUT. 

FUEFUT
Donor Capacity3,500 to 8,000 grafts3,500 to 8,000 grafts
Regrowth RateSame (4 months+)Same (4 mths +)
Post op recovery / discomfort, scarringQuick, minimal scar

Minimal discomfort

Long, 12 cm scar

More discomfort

Donor siteMore homogenous

More natural

Less homogenous

Less natural

Costs$$$$$$$$$

How is FUT hair surgery performed?

There are four steps to undertake for follicular unit transplantation.

  1. Donor harvesting of follicles. The donor zone is identified & prepared. Surgical removal of a strip of scalp is performed under local anaesthesia. This strip measures 1-2cm in height & 18 to 23 cm long. It requires internal stitches to sew up the donor area.
  2. Microscopic dissection by a t With FUT Strip Harvest procedures, the donor strip is placed under the microscope which is designed specifically for hair restoration surgery. Then the donor strip is dissected into individual follicular units of one to four hairs.
  3. Recipient site preparation. Your dermatologist creates recipient sites in the proper angle, direction and orientation according to your pattern of hair growth. This involves creation of a suitable hair line, & future hair style, designed specifically for you.
  4. Graft transplantation. Individual follicular units are then placed into the balding and thinning areas of your scalp. This can be done with a microblade incision, or a special instrument called a Choi implanter.

Will I have a scar following FUT hair transplantation?

Yes. Unfortunately, this is the biggest drawback of FUT transplantation as this procedure does involve removal of scalp tissue. This means most patients are required to keep long hair to hide the scar. Scar length is typically 11 to 14 cm.

FUE hair transplant within the scar line can reduce the appearance of scars, however there will still be a colour difference.

How many sessions are required?

1-3 over a lifetime. It really depends on the stage of androgenic alopecia you are at. For younger patients a second stage procedure may be required in 5 to 10 years.

Davin’s Viewpoint: FUT hair transplants

Hair transplants have progressed a long way. The first transplants were performed by Dr Normal Orenteich, a famous dermatologist from New York. Hair plugs or punch grafts were the norm in the 70’s & 80’s, prior to the understanding of transplantation of individual units.

Australian surgeons led the way with FUE, which has essentially replaced FUT. The main advantage of FUT is the harvesting time of donor follicles. The strip harvest can be completed in under five minutes, however dissection times can be 1 to 3 hours, depending on the number of follicles & team members. As with all forms of hair transplantation, meticulous & precision is required to reduce transaction rates of hair follicles.

The other advantage of FUT is that the donor site hair can be kept long, though this is technically possible with FUE strip shaving technique or even no shave FUE. The compromise however is that patients who undertake FUT will not have short back hair in the future due to the presence of a surgical scar. FUE gets around this with individual 0.8 to 1.1 mm punch excision of the donor site. In fact, FUE can actually reduce the amount of scarring (at least the perception of scars) from FUT by adding hair follicles to this area.

As with all forms of hair transplantation, medical management is highly recommended. Your dermatologist will discuss options including PRP, microneedling, topical as well as tablets to help stabilize future hair loss.

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