FUT Hair Transplant

FUT Hair Transplant

In this method a hair bearing strip is removed from the donor area of the scalp. The length and width will be determined by the amount of graft required for the procedure. The donor strip is cut into many individual follicular units. Then the Doctor makes tiny holes in the recipient area, where the graft are placed. This whole procedure is done under local anesthesia. In FUT the donor area is closed with either staples or absorbable sutures (that don’t need to be removed) depending upon the particular situation.

What is FUT?

Follicular Unit Transfer is one of the 2 primary methods of obtaining follicular units (naturally occuring groups of 1 - 4 hairs) for Hair Transplantation. The Alternative method is Follicular Unit Extraction, more commonly referred to as FUE. The significance of FUT is how the Follicular Units are obtained. FUT surgeons isolate a narrow strip of scalp tissue rich with follicles and remove the narrow strip of scalp directly which is closed immediately after with a suture specifically designed for this type of procedure known as a tricophytic closure.

FUT Transplantation Scarring - The truth behind the Myth?

Today, with modern day advances in medical technology and contnuing research FUT harvesting of grafts causes minimal scarring; a narrow linear scar approximately 1mm in height; in the patient's donor area where the follicle rich donor tissue has been removed. FUT scarring differs from scarring from FUE in that the latter procedure produces a tiny little circular scars in the donor area where the individual follicular unit(s) was removed. The tiny round scarring from FUE is often impossible to detect when hair in the donor area is at a normal length and the extraction is performed by a skilled surgeon. The same can be said for FUT, the linear scar can be impossible to detect with hair at a length of 4mm plus. While the outcome of the healing process, and thus the appearance of scar tissue, depends on several variables; including the depth of donor tissue, the skill of the surgeon, how the patient heals typically and whether the post-operative healing/recovery instructions are followed - short cropped hair or a shaved head will typically not be a limitation in comparison with the alternative strip harvesting procedure, FUT.

Benefits of FUT

  • Maximization of the number of grafts that can be harvested in a single hair transplant session. This advance technique allows for the transplanting of over 3500 grafts. Many patients who have never had a hair transplant can complete their hair restoration in a single surgery.
  • Damaged to hair grafts is minimized. The strip procedure allows the surgical team to harvest and process the grafts under microscope effectively reducing transection (damaging hair follicles).
  • The surgery is less labor intensive then its FUE counterpart and can be elected at a more affordable cost.

FUT Post Procedure Recovery

The recovery period after an FUT procedure is very simple and is advised to be between 10 - 14 days. You are encouraged to take some time away from work to ensure you are not subject to any activities or environments that may effect your follicular unit grafts during the healing phase. The intention within the recovery period is to nurture to transplanted grafts and prevent them from being displaced. It must be made apparent that you the patient are not bound to your bed, as with the procedure day itself, you are fit and well to leave the same day. During the recovery period you are advised to do very little and get plenty of rest avoiding any activities that may increase your blood pressure (heavy lifting or vigorous exercise) and to avoid bending over from the waist. Your physical appearance in the few days immediately after may be slightly effected by some minor swelling (more likely with restoration carried out in the frontal/temporal hairline), the appearance of scabbing around the recipient site creation and maybe an unfamiliar haircut - again all of these will resolve themselves promptly. The suture will be a dissolvable suture, however in our experience we insist the suture be removed at 10 days post procedure, as this renders a much more comfortable experience and proves to be beneficial with the healing.

In the immediate weeks after the procedure it is quite normal for the hairs contained within the transferred follicular units to shed. This is nothing to draw attention to or be alarmed. Around 2 - 4 months after the procedure is when 99% of all patient will begin to see any initial regrowth from the follicular units that begin a new Anagen growth phase. The most significant amount of regrowth shall be seen between 8 - 12 months. The full and final result of any hair transplant should be witnessed between 12-18 months at full maturity and your hair loss concern eliminated.

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Hair transplantation is really about relocating (transplanting) the bald resistant hair follicles from the back of the head to the balding areas on the top of the head. This process works for a lifetime because the hair follicles taken from the back of the head are genetically resistant to baldness, regardless of where they are relocated to.

Hair transplantation, when done right, can be so natural that even your hair stylist will not know that you've had it done. But the skill and techniques of hair transplant surgeons does vary widely, as do their results. It's important to choose the right procedure and clinic to assure that you will get completely natural results.

A typical session of between 1,500 to 3,000 grafts normally involves a full day of surgery on an out patient basis. Most patients will arrive in the morning and will have their procedure completed by late afternoon.

Patients are given local anesthesia in the donor and recipient areas. Most patients find that once the anesthesia is given that they feel no pain or discomfort during the surgery. Following surgery patients will typically feel some amount of soreness and numbness, with some mild discomfort. Most patients are pleasantly surprised by how minimal the discomfort from the surgical procedure is.

The amount of grafts you will need ultimately depends on your degree of hair loss, now and in the future, and on how full you desire your hair to be.

With today’s very refined micro hair transplantation procedure the incisions are very small and less invasive than past procedures. This results in more rapid healing. Most patients feel fine within a day or two following surgery, although some numbness and mild soreness can be expected for several days following surgery.

Immediately following surgery a patient’s recipient area is typically pink with scabs forming around the micro incisions. These hundreds of tiny incisions will heal rapidly within a week to ten days.

During the first few days after the surgery a person’s hair transplants will be noticeable if there is no previous hair to mask these temporary scabs. However, most patients feel comfortable being in public without wearing a hat within 5 to 7 days following surgery.

Once the transplanted hair grows out the results should look entirely natural, even under close examination.

Normally it takes between three to five months following surgery before the transplanted hair follicles begin to grow new hair. The transplanted hair grows in very thin initially and gradually grows thicker and fuller over time. After one year a patient’s transplanted hair will be fully mature and will continue to grow for a life time.

Since the hair follicles that are transplanted to the balding areas are genetically resistant to going bald, they will continue to grow for a life time – just as if they had been left in the bald resistant donor area.

Many patients can return to their daily routines within 1 to 2 days, as long as they don't do anything too strenuous. Avoid rigorous exercise until the donor sutures are removed — generally after 10 to 12 days.

FUT (Follicular Unit Transplantation) - a strip of scalp is removed under local anaesthesia, the wound is then sutured back together and this piece of scalp tissue is then cut under a microscope, into small pieces of tissue called grafts. The advantage of FUT is that maximise the number of grafts that can be harvested in a single hair transplant session.

The list below shows you the difference between FUE IM and FUT/Strip.

The transplant procedure

FUT/Strip : The STRIP method has been used for many years. It involves removing a strip of skin from the back of the head (the donor area) using a scalpel. After removal, the gap at the back of the head is stitched back together. The strip of skin from the donor area is divided into grafts. Serious clinics will perform this stage using a microscope, as the grafts should be divided to contain one, two or three follicles. Unfortunately this is not always the case, which leads to unnatural-looking hair and dissatisfied patients.

FUE IM : FUE is an advanced technique for extracting hair follicles done entirely without a scalpel or stitches. The hair follicles are removed one by one from a donor area with the help of powerful magnification and special microsurgical instruments that are less than a millimeter in size. FUE IM is very patient-friendly thanks to its minimally invasive nature. The grafts are always small due to the micro instruments and the method regularly leads to a natural look.

FUT/Strip : The patient must avoid physical activity for at least 30 days after the day of surgery.

FUE IM : The patient can participate actively in sports without restriction after a week.

FUT stands for Follicular Unit Transplant. It’s the current term many are using for the traditional hair transplant procedure.

FUT/Strip : When a strip of donor skin is removed with a scalpel, a number of hair follicles will be damaged. However, powerful microscopes, the right instruments and a skilled surgeon will help minimize the damage.

FUE IM : Our method at the Ilter Clinic does not usually damage any follicles during the operation itself.

FUT/Strip : The number of hair follicles extracted partly depends on the size of the strip of skin removed and partly on the density of the hair follicles within the strip.

FUE IM : With FUE IM, the doctor can determine precisely how many grafts are needed and transplant exactly the desired number to the recipient area.

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