balvant-arora-md
Dr. Balvant Arora, MD, MBA

Follicular Unit Transplant

Why The Hair Loss Clinic?

Hair loss is a common and absolutely natural process. Losing a few strands of hair daily is normal. However, sometimes this normal hair loss can turn into an absolute nightmare when one starts shedding hair constantly.  What can be done then? Is there a viable and safe solution to this hair loss problem? 

Follicular Unit Transplant(FUT)

Have you been wearing hats to hide your bald patches? Are you always wearing a hoodie or a beanie just to keep everyone’s eyes off your receding hairline? Well, you don’t need to do that anymore! 

The Hair Loss Clinic now offers Hair Transplant Surgery using the Follicular Unit Transplant (FUT) method for great, natural-looking results. 

FUT is a completely safe procedure that has shown great success over time on patients of different genders and even different ethnicities. 

What Is The Hair Loss Clinic’s FUT Technique?

Hair transplant is a surgery performed to treat baldness or alopecia. The procedure involves removing healthy hair follicles from one area of the body (known as the donor area), usually from the posterior aspect and sides of the head and transplanting them in the area where there is no hair (known as the recipient area), usually the anterior part and crown of the head. The hair follicles used for the purpose of removal and grafting are called “follicular units”. 

In Follicular Unit Transplantation or FUT, our Board Certified Plastic Surgeon selects the donor area on the back or the sides of the head. A linear strip is harvested from the centre of the back of the head. The strip is microscopically dissected into smaller units known as grafts. These grafts are then implanted on the head where there is no hair. 

The surgeon performing this procedure needs to be highly skilled since the follicular units are fragile and delicate to handle.

Benefits of FUT Hair Transplant – 

  • A large number of hair follicles that can be transplanted in a single session
  • Provides better yield of hair compared to other hair procedures
  • An enhanced, natural-looking effect, once the hair grows
  • More affordable than other hair procedures
  • The patient can opt for a variety of hairstyles once the hair growth cycle is regularized.

Who Is The Ideal Candidate For FUT?

An ideal candidate for a FUT at The Hair Loss Clinic is someone who has:

  1. Baldness of Grade II and above, and is otherwise healthy, can be considered for Hair transplant
  2. Hair loss has been stabilized 
  3. Hair loss due to trauma or burns

What To Expect At The Consultation?

During the first visit, our Board Certified Plastic Surgeon will obtain detailed medical history and history of any hair treatment taken so far. The hair loss will be graded. Medical and surgical treatment options will be discussed. If you are the right candidate for the hair transplant, you will be explained the whole procedure again. An approximate number of grafts required will be told to you. When you agree for the surgery, the doctor may prescribe some blood tests.

The main purpose of the consultation at our clinic is to understand your unique case and your expectations from the hair transplant. It is essential that both you and our surgeon are on the same page from the very beginning. 

What To Expect Before The Surgery?

Here is what you can expect on the day of your surgery:

  • Filling out and signing consent forms
  • Standard views of before surgery pictures taken
  • Marking of the desired hairline in agreement with you
  • Proceeding with surgery

What Happens During The Surgery?

Breaking down the steps of the surgery:

  • Step 1 – Anaesthesia: The procedure is done under local anaesthesia. You do not have to fast before or after surgery. You will have a few needle pricks to numb the scalp. The effect generally lasts through the entire duration of surgery. You may be relieved for a lunch break if the session is going to last longer.
  • Step 2 – Extraction of Donor Tissue: The surgeon will remove the donor tissue as one single strip from the back of the head. It will be then closed very meticulously. The healthy hair follicles from the strip will then be microscopically dissected. 
  • Step 3 – Graft Placement:  Follicular units harvested by the above method are then placed with the help of micro-forceps in the slits which are made previously.
FUE vs FUT

What To Expect Post Surgery?

You will be discharged on the same day. Make sure you have a healthy adult companion who can drive you home or you can go home by taking a taxi or Uber.

A course of antibiotics, painkillers and medicines to reduce swelling is generally prescribed for 5-7 days by our doctor. 

There will be swelling around the forehead and above the eyes. Sometimes, swelling may extend even below the eyes. This will disappear within 3-5 days. Shampooing is generally permitted after 5-7 days.

YOu may continue with Finasteride and From the 14th day, local application of Minoxidil may  started. This will increase the rate of growth of the grafted hair. It will also reduce the possibility of “Shock Loss”, wherein there is a temporary fall of non-grafted normal hair.

Follow up is generally advised after 48 hours and after 10 days. For long-distance visitors, it can be arranged through a video conference.

A healthy lifestyle and a high protein diet are recommended. Normal styling and grooming are permitted when the hair growth is complete. It takes about 6-9 months for the grafted hair to grow completely.

How We Choose The Donor Area For FUT -

  • DHT: We now know that the front, top and crown portion of the scalp can go bald due to the effect of Dihydrotestosterone (DHT) on hair follicles in these areas. The horseshoe-shaped area on the sides and back of the head has hair follicles which are resistant to DHT. Transferring hair from these areas to bald areas will give good permanent results. Please note that the donor areas from the scalp have a limited supply.
  • Quality of Donor Hair: Thick donor hair with dense growth in the donor areas will give better results compared to thin and sparse growth in donor areas.
  • Source of Donor Hair: Scalp hair gives a better outcome. When the combination of Scalp and body hair is to be used, scalp hair is placed in the front areas
  • The number of grafts: Large bald areas need more grafts and this may be done in two sessions on two consecutive days or at 3-9 months interval depending on the plan

All of the factors are taken into consideration at The Hair Loss Clinic before our Board Certified Plastic Surgeon narrows down on the donor hair follicles. We create a course of treatment that will give our patient rich, good quality hair that will give them back their youthful looks. Our aim is to not only perform a hair transplant but to guide our patients on a journey of permanent hair restoration holistically. 

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