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FOLLICULAR UNIT TRANSPLANTATION

Follicular Unit Transplantation (FUT) is a hair transplant procedure that involves the removal of a thin strip of scalp from the donor area (usually the back or sides of the head) where hair is more resistant to balding. The strip is then dissected into smaller grafts, each containing one to a few hair follicles, which are subsequently transplanted into the recipient area where hair loss or thinning has occurred.

Procedure Steps:

1. Consultation and Evaluation:

  • The process begins with a consultation where the surgeon evaluates the patient's hair loss pattern, donor area, and overall health.

  • The surgeon discusses the patient's goals, expectations, and the suitability of FUT for their case.

2. Donor Strip Harvesting:

  • The patient's head is typically shaved in the donor area to facilitate the procedure.

  • Under local anesthesia, the surgeon removes a thin strip of scalp from the donor area. The strip is carefully selected to ensure a good number of healthy hair follicles.

3. Suture or Staple Closure:

  • The incision in the donor area is closed with sutures or staples.

  • The surgeon aims to minimize scarring and ensure optimal healing.

4. Graft Dissection:

  • The strip is taken to a surgical team where it is dissected into individual follicular units under a microscope.

  • Grafts are categorized based on the number of hair follicles they contain: single follicular units, double follicular units, or larger units.

5. Recipient Site Preparation:

  • The recipient area, where the hair will be transplanted, is prepared by making tiny incisions or slits.

  • The surgeon considers the natural direction and angle of hair growth for optimal results.

6. Graft Placement:

  • Individual grafts are carefully placed into the recipient sites.

  • The surgeon pays attention to the aesthetic aspects, ensuring a natural-looking hairline and overall distribution of hair.

7. Postoperative Care:

  • Patients receive postoperative care instructions, including information about caring for the donor and recipient areas.

  • Pain management and follow-up appointments are discussed.

Advantages of FUT:

  1. Higher Graft Yield:FUT typically allows for the harvesting of a larger number of grafts in a single session compared to Follicular Unit Extraction (FUE).

  2. Suitable for Extensive Balding:FUT is often considered more suitable for patients with extensive hair loss or those requiring a higher number of grafts.

  3. Cost-Effective:FUT is generally more cost-effective than FUE, making it an attractive option for some patients.

Disadvantages of FUT:

  1. Linear Scar:FUT leaves a linear scar at the donor site, which may be visible if the hair is cut short.
    For individuals who prefer short hairstyles, the scar may be a concern.

  2. Longer Recovery Time:The recovery time for FUT is typically longer compared to FUE.
    Patients need to allow time for the scar to heal and for postoperative swelling to subside.

  3. Limited to Donor Availability:The number of grafts that can be harvested depends on the availability of suitable donor hair in the strip.

Conclusion:

Follicular Unit Transplantation (FUT) remains a widely used and effective method for hair transplantation, especially for individuals with extensive hair loss. While it has some disadvantages, the technique continues to offer satisfactory results for many patients. The choice between FUT and other hair transplant methods depends on factors such as individual preferences, hair loss patterns, and the expertise of the surgeon performing the procedure. Patients should consult with a qualified hair transplant surgeon to determine the most suitable approach based on their specific needs and expectations.

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