Follicular Unit Transplantation (FUT) is the current standard of care for Hair Transplantation in the United States, whereby individual hair follicles are transplanted from the donor area to the areas of balding. Those hair follicles are actually minute and highly specialized organs and we can transplant over 2000 of those in one session.
Hair grows naturally in bundles of 1, 2, 3 or 4 hairs per bundle, on the average. These hairs, along with their associated structures are known as the Follicular Unit. Hair usually grows abundantly at the back and sides of the head as those hair follicles are not influenced by the hormone Dihydrotestosterone (DHT). This horse-shoe shaped area is called the donor area.
During FUT the hair from the donor area of the scalp is removed in a strip.
The donor area is closed with a fine suture. The strip in then dissected so that the hair follicles are identified, separated from each other with meticulous microscopic dissection, and then transplanted to the recipient area or areas of balding.
By meticulously dissecting and trimming the Follicular Units the doctor and the medical team ensure that the grafts are comprised of healthy intact hair follicles as they naturally occur in the scalp. The ultimate goal is to achieve natural looking results.
In simple words, there are 4 steps in Follicular Unit Transplantation:
The donor area is anesthetized using local anaesthetic. Hair bearing tissue is removed painlessly form the back and/or sides of the scalp.
The hair bearing tissue is divided into slivers approximately 1mm thick.
The slivers are dissected using stereoscopic microscopes and/or loupes into Follicular Unit Grafts (FUG’s) containing 1,2, 3 and 4 hairs per graft, on the average.
- Tiny openings are made in the recipient area. The Follicular Unit Grafts are transplanted into these openings. Grafts containing 1 hair are placed in the frontal hairline. Grafts containing 2 or more hairs area placed behind the hairline as needed to achieve the desired density in those areas.
- Old techniques of Hair Transplantation used 4mm diameter cylinders of hair bundles which cut through the healthy hair and usually led to a ‘doll’s head’, ‘corn crow’ or ‘toothbrush’ effect. These old methods are now obsolete.
- Follicular Unit Transplantation is an excellent procedure to repair the ‘dolls head’ effect of old punch graft techniques.
- It is important to note that Follicular Unit Transplantation does not create new hair but re-distributes existing healthy hair from the back and sides of your scalp to the thinning or bald areas. This hair grows naturally and for life, as it was programmed to grow in the donor area.
Common Questions about FUT
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