Follicular Unit Transplantation (FUT): A Tried-and-True Hair Restoration Technique

FUT is a hair transplant procedure that involves removing a strip of scalp, typically from the back or side of the head, which is an area where hair tends to be more resistant to balding. From this strip, individual hair grafts—naturally occurring groups of 1 to 4 hairs—are dissected and then transplanted into areas of thinning or baldness. This method is especially effective for covering larger balding areas in fewer sessions.

The key difference between FUT and FUE is the method of harvesting donor hair. While FUE involves extracting individual follicles directly from the scalp, FUT removes a linear strip, which is then divided into grafts.

1. Preparation: The hair in the donor area (typically the back of the head) is trimmed, and local anesthesia is applied.

2. Strip Removal: The surgeon removes a strip of skin, usually between 1 and 1.5 centimeters wide, depending on the number of grafts needed.

3. Graft Dissection: Technicians carefully dissect the strip under a microscope to extract individual follicular units.

4. Implantation: The extracted follicles are then transplanted into small incisions in the recipient area, following the natural hair growth pattern.

5. Closure: The donor area is sutured closed, leaving a linear scar, which can be concealed by the surrounding hair.

6. Post-Surgery Care: After the surgery, the scalp is bandaged, and patients are given instructions for aftercare. Most patients will start to see hair growth within 6 to 9 months

FUT is ideal for men and women who have larger areas of baldness and are looking for a cost-effective solution. Candidates should have enough hair in the donor area to allow for successful transplantation. It is particularly beneficial for patients with more advanced stages of male pattern baldness, where a significant number of hair grafts are required.

People who are less concerned about linear scarring, or those who prefer to wear their hair longer, may also opt for FUT over FUE.

1. Higher Yield in One Session: FUT can harvest more follicles in one session compared to FUE, making it suitable for patients with large balding areas.

2. Cost-Effective: Because the procedure takes less time than FUE, it is often more affordable, especially when a large number of grafts are needed.

3. Well-Suited for Advanced Hair Loss: FUT is especially effective for individuals experiencing more significant hair loss. It allows for the transplantation of a greater number of hair follicles in fewer sessions.

4. Long-Term Results: As the hair from the donor area is genetically resistant to balding, the results are typically long-lasting.

1. Linear Scarring: One of the most significant drawbacks of FUT is the resulting linear scar in the donor area. Although the scar can be concealed by longer hair, it remains permanent and may be visible if the patient wears their hair short.

2. Longer Recovery Time: Recovery from FUT can take longer than FUE due to the stitches required to close the donor area. Some patients report tightness and discomfort in the donor region for a few weeks.

3. Visible Scars in Short Hairstyles: Unlike FUE, which results in tiny, dot-like scars, FUT can leave a noticeable scar, which may be a drawback for those who prefer shorter hairstyles.

While FUE is a newer, less invasive method, FUT remains a preferred option for individuals needing a large number of grafts in one session. The decision between FUT and FUE largely depends on the patient’s goals, hair loss severity, and preference regarding scarring.

For patients who prefer a quicker, more affordable procedure and are less concerned about scarring, FUT may be the best option. However, for those who value minimal scarring and a quicker recovery, FUE may be more appropriate.

Recovery from FUT can take 2 to 3 weeks for the donor area to heal completely. It is important to follow the post-surgical instructions carefully to avoid complications such as infection or scarring. Full results from the transplant can take 6 to 12 months to become visible, as the transplanted hair goes through a natural growth cycle.

FUT remains a reliable and effective method for hair restoration, particularly for those with extensive hair loss who require a large number of grafts. While the linear scar may deter some patients, the procedure's efficiency and long-term results continue to make it a popular choice for many. As always, consulting with a qualified hair transplant surgeon is essential to determine which method is best suited to your needs and hair goals.