What Is Hair Transplant?

Surgical hair transplantation is a popular and, nowadays, almost painless surgical technique during which the doctor removes existing hair follicles from a healthy part of the patient’s scalp (referred to as donor hair) and then inserts those follicles into those areas that have been affected by alopecia.

JPMD FUT Patient Before and After Comparison
Actual JPMD Patient who received FUT Surgery

The area where the donor hairs are taken from is called the donor site, while the surface in which the follicles are inserted is called the recipient site. This procedure is mostly used to treat male pattern baldness, but has been used for female pattern hair loss as well. 

Usually, this operation is done by a surgeon specializing in surgical hair restoration. Most of the time, grafts that contain multiple hair follicles are extracted from the back of the head, where normally, individual hairs tend to be thicker. The majority of patients deal with baldness in the front area of the head.

How Does Hair Transplant Work?

Before the procedure, you will have an initial appointment with your surgeon and discuss everything that needs clarification. Also, you will be locally sedated so you won’t feel any pain. A small needle is used to anesthetize and numb your scalp. However, all surgeons will also thoroughly clean the area before beginning the operation, as is typical with most surgeries.

Based on the type of hair transplant that you and your doctor opt for, the procedure is slightly different. One requires a scalpel to remove a narrow strip of skin. The other relies on thousands of small punch incisions.

FUE Male Hair Transplant Patient from JPMD
JPMD Patient before and after FUE Hair Transplant

One session of hair restoration surgery might last around 6 hours or, sometimes, even longer. After 10 days post-surgery for FUT hair transplant patients, the doctor will remove your staples. Many patients will need to have more than one procedure to obtain their desired results. These procedures are scheduled months to years apart, depending on the amount of hair loss the individual is experience and the amount of hair density the patient is trying to achieve. This pause is necessary for the scalp to fully heal.

Note that even though it’s called hair restoration surgery, hair transplants work by moving healthy hair follicles to areas where hair follicles are no longer functioning, thus restoring the presence of healthy hair follicles versus restoring function to the nonfunctional hair follicles. 

Main Types of Hair Transplant

There are two main types of hair transplants:

FUT – Follicular Unit Transplantation

During this procedure, the doctor uses a scalpel to cut a small part of your scalp skin. Usually, surgeons make this incision around the back of your head. The length of the incision is approximately 6 inches. Before going on to the next step of the process, the doctor stitches or staples and closes the incision.

Then, the surgeon will remove and separate small sections from the removed strip using a sharp surgical knife and a microscope/magnifying lens. This way, when inserted into the recipient site, these tiny parts of follicles will help you achieve a natural look, once the hair grows back.

FUE – Follicular Unit Extraction

During this type of hair transplant, the surgeon cuts the hair follicles out directly from the back part of the patient’s head by doing thousands of very small punch incisions that are the size of dots.

The doctor uses either a needle or a tiny blade to create holes all over the recipient site. Then, he or she fills those areas with the hairs taken from the donor site. In one single session, an expert could transplant hundreds, if not thousands, of different hairs. 

What Are the Pros and Cons of Both FUT and FUE?

Both hair transplants procedure types are safe and generally painless during the procedure. Some soreness is normal right after the surgery, but that will pass in just a couple of days. The recovery time is quick after hair transplantation. You can return to work after only 2 to 5 days post-operation, with little visible signs that a procedure was performed.

In a couple of weeks after surgery, all the newly-transplanted hair will fall out just to make room for new growth, but you must have a little patience because this entire process will take a 9-12 months to show the full results of your procedure.

FUT Pros

  • Has a better growth rate compared to the one of FUE
  • The stereo-microscopic dissection is so precise that the follicle damage is minimal
  •  Patients don’t have to shave their heads before the surgery
  • Usually, a FUT procedure is less expensive than FUE surgery.

FUT Cons

  • After the operation, patients will be left with a linear scar, but it generally won’t be visible because it will fade away after a while and it will be hidden within the hairline
  • If you want to cut your hair very short, the scar will become visible, so you should avoid using the #1 guard of your razor – this generally isn’t a problem because once you enjoy hair regrowth, you won’t want to have very short hair ever again.
  • In some cases, FUT can be a little more painful right after the surgery than FUE – both procedures are safe, and they aren’t that painful, but pain is a highly subjective concept, each patient experiences it in a different way.

FUE Pros

  • With the FUE hair transplant, patients will avoid linear scars.
  • FUE generally has lower postoperative pain than FUT.
  • You can wear your hair any way you want, even cut it very short because there won’t be a linear scar showing.
  • In some cases, with FUE, the donor site heals a bit quicker than with the FUT procedure.

FUE Cons

  • There will be numerous tiny dot scars at the back of your scalp but once your hair grows back, no one, not even you, will typically notice them.
  • FUE comes with more transection compared to FUT.
  • Because of the transection, the growth rate might be a little slower.
  • You will need to shave your head or at least the areas where the doctor will work on before the surgery.

Hair Transplants: FUE vs. FUT

Both types of surgeries are effective for restoring the appearance of a normal hairline and a full head of hair. However, they can have slightly different outcomes, in some cases. 

Some say that FUE requires a more experienced and skilled surgeon, and it also takes longer compared to FUT. Most of the time, doctors take hairs from either the sides or the back of the scalp. These areas are considered donor areas.

When the situation requires it, a hair transplant surgeon could even remove hairs from other body parts such as the back, chin, or chest. After a successful procedure, you will enjoy having much thicker-looking hair, so most don’t mind where the donor hair actually comes from.

Your surgeon will certainly offer some advice regarding the things you should do or avoid after the operation. If you follow those instructions as well as avoid intense workouts for a couple of weeks, you shouldn’t generally encounter any problems