Follicular Unit Transplantation

Follicular Unit Transplantation (FUT) is a method of donor hair harvesting in which a single strip of tissue containing multiple follicular units is removed from the donor area. A team of experienced staff then dissects this tissue to isolate individual follicular unit grafts (FUGs). After healing, patients are typically left with a thin linear scar that is virtually undetectable unless the scalp is shaved. With subsequent procedures, the existing donor scar is removed as part of the new harvest, allowing patients to maintain a single linear scar even after multiple surgeries.


FUT offers several advantages for patients. It results in less perioperative visibility compared with follicular unit extraction, since the surrounding hair camouflages the donor area. FUT also produces less tissue trauma. For example, a 24 cm incision creates 48 cm of total incisional length, whereas extracting 2000 follicular units with a 0.9 mm punch produces approximately 565 cm of incisional length. It creates less scar tissue. A 24 cm FUT incision yields about 2.4 cm² of scar tissue, compared with approximately 12.72 cm² from 2000 FUE using a 0.9 mm punch. Graft survival is typically higher as well. Medium trimmed grafts have reported survival rates of 80 to 98 percent, whereas skeletonized grafts have survival rates of 48 to 69 percent. Finally, FUT allows donor harvesting to remain strictly within the safe donor zone, which is essential for long term natural looking results.

At the same time, FUT has meaningful disadvantages, first and foremost by restricting hairstyle flexibility to a greater degree, since patients must maintain a certain hair length to ensure camouflage of the linear donor scar.

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Donor harvesting is confined to the safe donor are even as the area of balding expands

 

Donor Scars Post-Procedure:

Donor scar area post-procedure

Donor scar area post-procedure

Donor scar area post-procedure

Donor scar area post-procedure