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All You Need To Know About Hair Transplant Hair Treatment
Hair Transplant Dictionary
In the past few years, the hair restoration field had a big breakthrough, which created a higher demand, and the popularity of different hair restoration procedures has increased. Many new technologies, methods, and improvements are available all the time.
We created a special Hair restoration dictionary where you can find impartial information about all the different services, treatments, methods, and terminologies to hair restoration.
FUT/Strip hair transplant – Follicular Unit Transplant is a hair transplant technique where a strip of hair is removed from the back of the head, also called the “donor area” with a scalpel. The donor strip is placed under microscopes where the individual follicular units are carefully dissected into tiny grafts. In the next step, the surgeon opens channels (makes small cuts) creating implementation sites. These grafts are then transplanted individually or in small groups of follicles to the designated area called “recipient area”.
Grafts extraction – 4000 grafts that produce about 8000 hairs (average).
Removing the strip of skin leaves a linear scar in the donor area.
The procedure can take 2-6 hours, depending on the number of grafts implemented.
FUE hair transplant – Follicular Unit Extraction. A procedure where a hair is taken from an area in the scalp where there is a more permanent hair growth – the back of the head and behind the ears, known as the “donor area”. This hair is then implemented in the desired areas – “recipient area”. The hair is extracted one by one in a spread. The hairs are extracted in grafts – grouped hairs of 1-4. In the next step, the surgeon opens channels (makes small cuts) creating implementation sites. The grafts are then implemented in the sites.
Grafts extraction – 500-3000 grafts – each graft produces an average of 2 hairs.
The procedure leaves tiny marks – usually invisible to the naked eye. Shaving the donor area is often needed.
The procedure can take 4-8 hours, depending on the number of grafts implemented.
U-FUE/ Unshaven FUE – Shaving of the donor area aids the surgeon extract the grafts more easily. Performing the FUE hair transplant without shaving the donor area is possible though it involves careful extraction of donor hair, requiring considerable skill and time at every stage, which is also why the procedure is more expensive than the regular FUE.
Sapphire FUE – During the FUE hair transplant procedure, surgeons use a blade to make small incisions in the recipient area in order to transplant the grafts. These incisions are usually done by a steel blade. A Sapphire FUE is a method that uses blades made from a precious gemstone called sapphire. The Sapphire blade is designed to speed up the recovery process by opening smaller micro channels within the recipient site for transplantation.
Robotic FUE – The robotic FUE automates two key steps in FUE hair transplant, follicular unit graft harvesting, and recipient site creation. The high definition stereoscopic vision system utilizes algorithms to identify and select the best hair follicles for harvesting. The system also customizes a designed hairline and optimizes the hair distribution.
Currently, there is only one FDA approved robot in the world, the Artas system.
Micro FUE – In a micro FUE, a micro motor needle is used to extract the grafts from the donor area. A specialized punch with a diameter from 0.6- 0.9 mm is placed in the skin around a follicular unit to make a small circular incision, separating it from the surrounding tissue. The instruments used are tiny, so there is minimal trauma in the donor area. The idea behind the micro FUE is to allow an easy extraction of smaller grafts – containing only one or two hairs each, keeping them intact and unharmed. The small grafts are usually used in the front hairline to achieve a more natural look. Other names for micro FUE are 3M FUE, FUE plus.
DHI – Direct Hair Implantation. In DHI, the grafts are extracted one by one from the donor area, but instead of being stored until all the grafts are extracted, the graft is immediately implemented in the recipient area. The implementation does not require opening channels for the grafts beforehand. Alternatively, the grafts are implemented using Choi Implanter Pen. With the Choi Implanter Pen, the site creation and graft implantation are performed simultaneously,
The procedure can take 4-8 hours, depending on the number of grafts needed.
There is no visible scarring left.
Needle free anesthesia – Hair transplant is a surgical operation under local anesthesia. New technology allows creating the same numbness in the desired area with the use of needles. A small device uses air pressure to inject the local anesthetic medication into the skin through its silicon heads.
Mostly used in FUE hair transplant and DHI.
PRP – (platelet-rich plasma) is a three-step medical treatment in which a person’s blood is drawn, processed, and then injected into the scalp, triggering growth by increasing blood supply to the hair follicle.
In the procedure, your blood is drawn (typically from your arm) and put into a machine (centrifuge) that separates the platelet-rich plasma from the poor plated plasma and the red blood cells.
The platelet-rich plasma is drawn and then injected into areas of the scalp that need increased hair growth.
One session costs between 150 to 550 Euro.
IPRF/PRF – Injectable-platelet-rich fibrin. Considered as the “new generation” of PRP. Blood is drawn and processed and then injected to the scalp to promote hair growth. The difference from PRP is that PRF contains greater concentrations of growth factors, as well as stem cells. It boasts new collagen growth, regenerates tissue, and naturally enhances the skin.
Mesotherapy- The treatment injects natural plant extracts, vitamins, or medicines like finasteride and Minoxidil into the head. The idea behind Mesotherapy is that it corrects underlying issues like poor circulation and inflammation that cause skin damage.
One session costs between 150 to 550 Euro.
LLLT – FDA-cleared solution uses clinical-strength laser technology to stimulate hair follicles and scientifically induce regrowth of hair. The lasers used for hair growth therapy are referred to as “cold” because their light is absorbed by target tissue but does not heat the target tissue. A low-level laser can repair tissues that have impaired cellular metabolism by stimulating blood circulation, encouraging regeneration of normal healthy tissues.
Scalp micro-pigmentation (SMP) – micro pigmentation is performed using an electric tattoo device to create the illusion of fuller hair.
FUT vs FUE
The difference between FUT (Follicular Unit Transplantation) and FUE (Follicular Unit Extraction) procedures is in the way the grafts are being harvested from the donor area.
In the FUE technique, the hairs are extracted individually, graft by graft, whereas in the FUT technique, the grafts are removed at once with the skin in one strip.
In both techniques, the implementation in the recipient area is the same.
This difference in extraction has several meanings.
- Visual differences in the donor area
- The number of grafts extracted
- The time required for the procedure
- The cost of the procedure
Visual differences in the donor area:
Scars – When performing the FUT technique, a strip of skin with hair follicles is removed with a scalpel. After the removal, the area is being stitched, leaving a linear scar. The size of the scar depends on the number of grafts needed. There are approximately 100 follicular units per square centimeter. If your hairstyle is about 2 cm long, the scar can be unseen. If you wear your hair short, the scar can be quite visible.
To reduce the risk of a stretched scar, doctors use tumescent anesthesia – expending the tissue by injecting fluids. This helps the surgeon keep the incision superficial. Another method some doctors use is a trichophytic closure, a technique that might allow the hair follicles on the margin of the incision to produce hair that will grow through the scar.
The FUE technique my leave only a spread series of tiny dot scars in the donor area, which are unnoticeable to the naked eye.
Shave – For a standard FUE hair transplant, it is often necessary to shave the donor area to aid extraction and transplantation.
Some doctors perform a U-FUE – Unshaven FUE hair transplant. This procedure involves careful extraction of donor hair, requiring considerable skill and time at every stage.
The amount of grafts extracted
Due to the individual extraction of grafts carried in the FUE technique, there are limitations to the number of grafts that can and should be extracted in a single procedure. First, regarding the time involved in a large-scale extraction and second regarding the hair thinning in the donor area. It is essential to extract an amount of grafts that would not leave the donor area too diluted. For best results, it is often recommended to avoid the extraction of more than 3000 grafts in a single FUE transplant.
There is new technology such as Robotic FUE, where the extraction is automated. This can shorten the procedure duration and allow more grafts to be extracted.
When performing the FUT technique, since all the grafts are extracted at once, the procedure is shorter, leaving more time for implantation of more grafts – can be double than in the FUE technique. In addition, since the grafts are extracted from a specific strip that is being removed, the doctors can exhaust all the grafts without worrying about hair thinning in the donor area.
The time required for the procedure
As mentioned above, the single extraction of grafts while performing the FUE technique can last for as much as double the time than when performing the FUT hair transplant.
The cost of the procedure
For the same reason, the FUE procedure might inflict higher costs. In time, the differences are reduced. In some places, these differences can be as low as 100-200 Euro for the entire procedure.
Which technique is the best?
Each method has its pros and cons. Both techniques have shown proven results. The answer depends mainly on the number of grafts needed and on the final look you are hoping to achieve
FUT vs FUE
The difference between FUT (Follicular Unit Transplantation) and FUE (Follicular Unit Extraction) procedures is in the way the grafts are being harvested from the donor area.
In the FUE technique, the hairs are extracted individually, graft by graft, whereas in the FUT technique, the grafts are removed at once with the skin in one strip.
In both techniques, the implementation in the recipient area is the same.
This difference in extraction has several meanings.
- Visual differences in the donor area
- The number of grafts extracted
- The time required for the procedure
- The cost of the procedure
Visual differences in the donor area:
Scars – When performing the FUT technique, a strip of skin with hair follicles is removed with a scalpel. After the removal, the area is being stitched, leaving a linear scar. The size of the scar depends on the number of grafts needed. There are approximately 100 follicular units per square centimeter. If your hairstyle is about 2 cm long, the scar can be unseen. If you wear your hair short, the scar can be quite visible.
To reduce the risk of a stretched scar, doctors use tumescent anesthesia – expending the tissue by injecting fluids. This helps the surgeon keep the incision superficial. Another method some doctors use is a trichophytic closure, a technique that might allow the hair follicles on the margin of the incision to produce hair that will grow through the scar.
The FUE technique my leave only a spread series of tiny dot scars in the donor area, which are unnoticeable to the naked eye.
Shave – For a standard FUE hair transplant, it is often necessary to shave the donor area to aid extraction and transplantation.
Some doctors perform a U-FUE – Unshaven FUE hair transplant. This procedure involves careful extraction of donor hair, requiring considerable skill and time at every stage.
The amount of grafts extracted
Due to the individual extraction of grafts carried in the FUE technique, there are limitations to the number of grafts that can and should be extracted in a single procedure. First, regarding the time involved in a large-scale extraction and second regarding the hair thinning in the donor area. It is essential to extract an amount of grafts that would not leave the donor area too diluted. For best results, it is often recommended to avoid the extraction of more than 3000 grafts in a single FUE transplant.
There is new technology such as Robotic FUE, where the extraction is automated. This can shorten the procedure duration and allow more grafts to be extracted.
When performing the FUT technique, since all the grafts are extracted at once, the procedure is shorter, leaving more time for implantation of more grafts – can be double than in the FUE technique. In addition, since the grafts are extracted from a specific strip that is being removed, the doctors can exhaust all the grafts without worrying about hair thinning in the donor area.
The time required for the procedure
As mentioned above, the single extraction of grafts while performing the FUE technique can last for as much as double the time than when performing the FUT hair transplant.
The cost of the procedure
For the same reason, the FUE procedure might inflict higher costs. In time, the differences are reduced. In some places, these differences can be as low as 100-200 Euro for the entire procedure.
Which technique is the best?
Each method has its pros and cons. Both techniques have shown proven results. The answer depends mainly on the number of grafts needed and on the final look you are hoping to achieve
Hair Transplant For Beginners
Patterned hair loss is common and can negatively affect the quality of life. If you are experiencing some hair loss and looking for solutions, we gathered the hair treatments and transplants available today so you could get everything in order and understand your options.
Once you have started balding in certain areas, the follicles of those individual hairs have become dormant and stopped producing hair entirely. But don’t worry, there are options to regain your look.
Hair transplant
For those who have significant hair loss, surgical hair transplantation is the only proven way to truly restore natural hair growth to areas that have baled.
A hair transplant is a procedure being done under a local Anastasia where a hair tissue is taken from an area in your scalp where there is more natural growth – the back of your head, called the “donor” area. This hair tissue is then implemented in the areas you wish to fill – called the “recipient” area.
After 3-6 months, the new hair starts to grow, and the complete results take about a year.
There are different methods used in hair transplants. The differences are in the way the hair tissues – “grafts”, are extracted and implemented.
Some methods leave a scar in the donor area, and some leave no visible scar.
The cost of the hair transplant ranges from 1,200 Euros to 15.000 Euros depending on the number of grafts needed, the method used, and the location of the clinic.
The procedure takes between 4 to 8 hours, depending on the method and the number of grafts needed.
The most popular methods for hair transplant are FUE (Follicular Unit Extraction) – considered as more advanced, and FUT (Follicular Unit Transplant) also known as “strip”.
***for more information about these methods please check out our article
“FUT V FUE”.
Hair restoration
Results of nonsurgical hair restoration are not immediate and may not be as dramatic; however, they do not carry the risks or recovery associated with surgical options.
In many cases, hair transplant clinics offer different types of hair loss therapy to accompany the transplant procedure and to improve its results.
The most common hair therapies are PRP (platelet-rich plasma), Mesotherapy, and LLLT (Low-Level Laser Therapy). These therapies are aiming to increase blood supply to the hair follicle and to trigger natural hair growth.
PRP is a three-step medical treatment in which a person’s blood is drawn, processed, and then injected into the scalp.
Mesotherapy is an injection of natural plant extracts, vitamins, or medicines like finasteride and minoxidil (hair loss medications) into the scalp.
LLLT is a light technology to stimulate hair follicles and scientifically induce regrowth of thicker, fuller hair.
***for more information about these methods please check out our article
“What is what? – Hair transplant dictionary”.
Medicine
Medications can slow or reverse mild hair loss, often by improving hair growth and fullness in the surrounding follicles that are not yet totally dormant.
There are two types of medications that are FDA approved to treat pattern baldness in men:
Androgen-dependent and androgen-independent.
Androgen-dependent hair loss medications, like Finasteride, work by stopping the conversion of a hormone believed to contribute to male pattern baldness in the scalp (testosterone into dihydrotestosterone). During the early stages of hair loss, androgen-dependent medicine might help increase hair growth after around three months of use.
Androgen-independent hair loss medications, like Minoxidil, work by expending small blood vessels in the body. It has been shown to provide some hair regrowth in around 40% of men after about three months.