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  Dr. Suresh Chaware answers the most frequently asked questions on hair transplantation.  
  • What is hair transplantation?

  • What is Follicular Unit Transplantation (FUT)?

  • What is Follicular Unit Extraction (FUE)?

  • What is a robotic hair transplant?

  • ARTAS System vs. Neograft?

  • Should I choose FUT or FUE?

  • Am I a candidate for a hair restoration procedure?

  • What does a hair transplant cost?

  • How long does a procedure take?

  • How long does it take to heal?

  • How do I set up a consultation?

  • Do I meet with the doctor?

  What is Hair Transplantation?  

A hair transplant is a surgical procedure in which hair is moved from the back and/or sides of the scalp, where it is permanent (donor area), to areas that are thinning or bald on the front, top, or crown of the scalp (recipient area). Once transplanted, the hair will continue to grow for a person’s lifetime. At Bernstein Medical we perform the two most effective types of hair restoration procedures, Follicular Unit Transplantation (FUT) and Follicular Unit Extraction (FUE). For the latter, we use new robotic technology.

  What is Follicular Unit Transplantation (FUT)?  

Follicular Unit Transplantation (FUT) is a hair restoration procedure where naturally-occurring groups of one to four hairs, called follicular units, are
transplanted from the donor area to the recipient area.

In FUT, after the patient’s scalp is numbed, the doctor removes a thin strip of tissue from the back and/or sides of the scalp. The donor strip is then separated into hundreds to thousands of individual follicular units using precise stereo-microscopic dissection techniques. As the follicular unit grafts are being prepared, the doctor makes tiny slits in the scalp (recipient sites), into which the grafts are placed.

If well executed, the use of follicular units will insure that the transplant will look completely natural and be undetectable. Follicular Unit Transplantation was conceived by Dr. Bernstein and first described in the medical literature in his landmark 1995 public.

  What is Follicular Unit Extraction (FUE)?  

Follicular Unit Extraction (FUE) is a method of extracting, or “harvesting,” follicular units one-by-one directly from the scalp. In FUE, an instrument is used to make small, circular incisions in the skin around follicular units, separating them from the surrounding tissue. The follicular unit is then extracted (pulled) directly from the scalp, leaving a small open hole that heals with a small white mark.

This method of donor harvesting is what differentiates the FUE procedure from Follicular Unit Transplantation (FUT), where the donor hair is removed in a long strip that is dissected into individual follicular units using a microscope. The creation of recipient sites and the placing of follicular unit grafts are essentially the same in both FUE and FUT procedures.

The FUE technique was conceived by Dr. Ray Woods in the 1990s in Australia and was introduced into the medical literature by Rassman and Bernstein in 2002. In 2011, Dr. Bernstein began performing FUE using robotic technology.

  What is a Robotic Hair Transplant?  

In Robotic FUE hair transplant procedures, follicular units are isolated using the ARTAS robotic system. The ARTAS system is a computerized, image-guided robot that automates the labor intensive process of extracting hundreds or thousands of grafts in a session. Its advantage over other FUE techniques is due to its precision and consistency in extracting grafts. All FUE procedures at Bernstein Medical are performed using the ARTAS robot

  Should I Choose FUT or FUE?  

In general, FUT yields the most donor hair. Therefore, the procedure is best suited for more extensive hair loss and in patients where the main concern is the maximum use of one’s donor supply. The hair is maximized because of the precise nature of stereo-microscopic dissection and the fact that all the hair is harvested from the mid-portion of the permanent zone where the hair is most dense and stable. A limitation of FUT is that it leaves a line scar in the donor area. With normal styling this is easily covered with hair, but it precludes someone from wearing their hair very short.

FUE is more appropriate for patients who would like to keep their hair very short or who can’t limit strenuous activities in the post-op period. In general, younger patients who need to keep their styling options flexible choose FUE, whereas those who desire the most coverage opt for FUT. Read a detailed comparison of FUT and FUE on our FUE Pros & Cons page.

  Am I a Candidate for a Hair Restoration Procedure?  

The best way to find out is to be evaluated by a board certified dermatologist or plastic surgeon specializing in hair restoration. The answer will depend on the cause of your hair loss, your age, the stability of your donor supply, how extensive you hair loss is, your expectations and a number of other important factors that will be taken into account.

  What Does a Hair Transplant Cost?  

The cost varies depending on the number of grafts transplanted needed and the type of procedure (FUT or FUE). Please see our fee schedule on the Hair Transplant Costs & Consultation Fees page. To get a general sense of the number of grafts that you might need go to the Graft Numbers page.

  How Long Does a Procedure Take?  

Smaller sessions of FUT (less than 800 grafts) can take about 4 hours, while larger ones (2500 grafts or more) can take all day. Sometimes large sessions of FUE are split over two days. The main determinant of the length of the session depends on the number of grafts being transplanted.

  How Long Does it Take to Heal?  

There is some redness and crusting after the procedure. Some patients experience swelling during the first week after surgery. Hair transplants are usually undetectable after 10 days. Follicular unit grafts are permanent in the scalp after 10 days. Read about FUT Post-op Care or FUE Post-op Care.

  How Do I Set Up a Consultation?  

To schedule a consult, you can call us at 0712-2442233 or 09324239805 or submit a consultation inquiry.

  Do I Meet With the Doctor?  

At Saundarya City , all appointments are for one-on-one consultations with Dr.Suresh Chaware. He will be conducting the entire evaluation and making all the recommendations — medical or surgical.

  Frequently Asked Questions – OC Hair Restoration  
  How does automated FUE work?  

1. What Is automated FUE Hair Restoration Surgery?

2. Why FUE Rather Than Linear STRIP?

3. What Are The Advantages Of Using An Automated Device?

4. What About STRIP (FUT) Excision?

5. What procedure should I have- FUE or STRIP?

6. Is Hair Restoration Surgery Safe?

7. Is FUE Hair Transplantation Painful?

8. What Are The Possible Complications?

9. When Can I Go Back To Work?

10. When Will My Newly Transplanted Hair Start To Grow?

11. What Is The Cost Of Hair Restoration?

12. How Many Sessions Will Be Required?

13. How Many Grafts Will I Need?

14. Will It Really Look Natural?


How does automated FUE work?


A FDA approved device is used to extract a single hair follicle “one-at-a-time” from the back of your head using a circular sharp punch. There are several devices used by the hair transplant surgeon for hair transplantation. Automated hair transplant devices assists the surgeon in extracting the hair follicle. The device is a secondary aspect to successful outcomes using the FUE technique. The most important factor in successful hair transplant surgery is the skills and artistry of the hair surgeon. FUE is less invasive than the traditional linear STRIP technique used by most doctors today. With the FUE technique, there is no removal of the scalp or linear strip. Since there is no excision of a linear donor strip, there is no suturing, and no visible linear donor scar. Another benefit of FUE is the reduced recovery time that allows you to practically return to your pre surgical schedule and activities.


What Is automated FUE Hair Restoration Surgery?


FUE is the most recently developed hair restoration surgery or procedure that does not involve any incisions, sutures, or scalpel unlike the linear STRIP method still used by most doctors today. The FUE method is the removal of individual hair follicles from the scalp in their naturally occurring groupings of about 1-4 hairs. The follicles are then transplanted back into a patient’s balding area. Another older FUE method involves manually removing the hair follicle without an automated device. It is called “manual” FUE and involves the use of a disposable punch biopsy. Manual FUE is considered slower and more cumbersome. It was original how FUE was performed. The major challenge with FUE hair restoration for the surgeon is the difficulty of acquiring the skill sets and hand eye coordination to successfully perform this technique. FUE is also a more labor intensive procedure for the surgeon compared to linear strip harvesting methods. Using the automated FUE devices greatly improves the total amount of grafts harvested in a single session. FUE is the least invasive procedure compared to the STRIP method with the fewest complications.


Why FUE Rather Than Linear STRIP?


Most offices are more comfortable with the linear STRIP method since it requires less labor and is quicker to perform. Also, the procedure has been well-established in the hair restoration industry for a longer period of time. In the United States, automated FUE is a relatively new procedure in hair restoration industry as compared to Asia and Europe. Automated FUE is also more labor intensive and time consuming. For these reasons, hair restoration offices have chosen not to offer hair restoration using the automated FUE method.
Automated reduces the cost of doing FUE because the procedure time is shortened and more follicles are harvested. The reduced costs can be passed on to the patient, allowing more people to have the FUE procedure.


What Are The Advantages Of Using An Automated Device?


There are many advantages. Our device allows more individuals to be candidates for the FUE method of transplantation. Performing FUE by hand limits the number of people who can have this technique because of the time factor which raises the costs. There is minimal pulling and twisting with hair graft extracting forceps that in turn increases graft survivability.
Compared to manual FUE, the hair restoration procedure is faster with automated devices. Therefore, more follicles can be re-implanted sooner which increases viability and better outcomes. With the traditional manual method used for FUE hair transplants, the patient must rely more on the skilful hand of a technician or doctor.


What About STRIP (FUT) Excision?


The linear STRIP excision or FUT, is the most common and traditional hair restoration procedure used by most doctors today. It is a good procedure and our office performs the procedure if requested. One of the concerns with this procedures despite the introduction the trichophytic closure technique, is the incidence of a donor linear scar. The scar may enlarge over time to overcome the tension of the skin created by cutting a strip and suturing the scalp together. Patients may also experience chronic pain or neuralgia from the STRIP surgery.


What procedure should I have- FUE or STRIP?


The final decision for the type of surgery depends upon an examination of the donor scalp, density of and quality of the donor follicles, and other intangible issues. The in office consultation- patient history and examination with the hair restoration surgeon will assist you in making the final decision In general, FUE can be performed on the majority of patients desiring this procedure.


Is Hair Restoration Surgery Safe?


From a surgical standpoint, all hair restoration surgeries are very safe when done under local anesthesia. It is considered a relatively minor ambulatory surgical procedure with minimal risks. Automated FUE procedures are also performed under local anesthetic and is considered less risky and invasive. Hair restoration surgery does not require intravenous or intra-muscular sedation.