Different types of HAIR TRANSPLANT and how to choose the best - Multi Specialty Hospital | Bangalore Orthopaedic and Surgical Hospital | BOSH | Bangalore

Different types of HAIR TRANSPLANT and how to choose the best

Hair loss is a growing concern in the modern era. With the increasing numbers of hair loss cases there is also an urge to know more and feel confident of what the procedure is and what the possible outcomes are.

 

Lot of myths confiding the hair transplant procedure makes it more obscure and one is hesitant to avail the treatment fearing the outcome since there is a lot of mixed opinions of which some are purely biased and this might be worrying you.

 

Well you have reached the right place. The information provided here will not only educate you but will help you understand the taboos hovering it and we hope you will be benefitted.

 

Hair transplant is a surgical procedure wherein hair follicles are removed from one part of the body called “donor site” which is rich in hair follicles and are transplanted to the “recipient site” which is bald or balding. In this minimally invasive procedure, grafts containing hair follicles that are genetically resistant to balding, (like the back of the head) are transplanted to the bald scalp.

 

There are 2 methods in achieving the above outcome

 

  1.    FUT (Follicular Unit Transplant)

Involves excision of strip of skin from the donor region that is rich in follicular units in the pair range of 3-4 follicular units. After removing, the grafts are dissected further containing 1, 2, or 3 grafts. The surgeon then uses very small micro blades or fine needles to puncture the sites for receiving the grafts, placing them in a predetermined density and pattern, and angling the wounds in a consistent fashion to promote a realistic hair pattern.

 

Advantages of FUT

  • Suitable for covering higher degree of baldness.
  • Permanent grafts for lifelong. It involves excision of the skin from safe donor portion usually the back and sides of the scalp which have DHT (Dihydrotestosterone) resistant hair roots that provide longer life.
  • High density Hair Transplant. This is possible with only FUT since it can provide with a number of grafts to cover the bald area.

 

Drawbacks of FUT

  • Risk of scarring. The procedure leaves a linear scar at the site where the donor strip is excised.
  • Longer recovery period per treatment session. The stitches used to close the excision site need to be in place for a couple of weeks and hence it is recommended to avoid any strenuous activity for a few weeks following their removal.

 

  1.       FUE (Follicular Unit Extraction)

Involves random punching to extract hair grafts. Here there is a limit to achieve the grafts as random punching does not allow to target the donor portion sufficiently. The drawback is that the graft is targeted from unsafe areas and so it has temporary outcome.

 

Advantages of FUE

  • Suitable for lesser grade of baldness
  • Suitable when donor area is not sufficient or unhealthy to offer grafts
  • It is applied in body hair transplant like beard, moustache etc.
  • Minimal pain after procedure
  • No stitches or scalpels are used, so the donor wounds heal within a few days

Drawbacks of FUE

  • Expensive
  • Possible multiple spotted areas after extraction. Larger donor area than FUT.
  • Not suitable for multiple sittings
  • Survival of the hair roots is not optimal as it is derived from unsafe areas. The grafts that are extracted during FUE tend to be more fragile than those during FUT.
  • FUE is a “blind” procedure since the device used to harvest the grafts cannot see through the skin to detect the location of the hair bulb and so there are chances of losing the hair that are harvested due to cutting of the hair above the level of the bulb.

Comparison between FUT and FUE

 

FUT FUE
Donor Area Back and Sides of the Scalp The entire body
Survival rate of the grafts 98-100% Variable
Preservation of Grafts Complete To be suited
Recipient Look Natural Natural
Price Affordable Higher
Scars Minimal Multiple spots likely