Email :    |

       FUT Hair Transplant


What is Follicular Unit Transplantation?
Follicular Unit Transplantation (FUT) is a procedure where hair is transplanted from the permanent zone, the area in the back and sides of the scalp where hair is more resistant to balding, to the bald or balding areas of the scalp. This is accomplished using naturally-occurring groups of 1, 2, 3, or 4 hairs, called follicular units. After the patient’s scalp is anesthetized, the doctor removes a strip of tissue from the donor area, an area within the permanent zone, and, once extracted, the donor strip is cut into many individual follicular units using microscopic dissection techniques. As these follicular unit grafts are being prepared, the doctor makes tiny holes in the scalp, called recipient sites, where the grafts are placed.
The arrangement and positioning of these follicular unit grafts determines the aesthetic qualities of a hair transplant, and so this arrangement must be decided on a case-by-case basis, depending on the patients’ history of hair loss and likelihood of future hair loss. Since follicular unit transplants mimic the way hair grows in nature, the results, in expert hands, will look completely natural and be indistinguishable from one’s original hair. See some of these results in our Before & After Hair Transplant Photos galleries.

Follicular Units

For years it was thought that scalp hair grew as individual strands, but scalp hair actually grows in tiny little groups of 1-4 hairs each. These groups are called “follicular units.” Surprisingly, even after doctors learned about the existence of these groups, they didn’t think to use them in the hair transplant.

The term “follicular unit” was introduced into the hair transplant literature by Dr. Robert Bernstein in his 1995 publication “Follicular Transplantation.

Graft Dissection

One of the most important aspects of Follicular Unit Hair Transplantation is stereo-microscopic dissection. This allows follicular units to be isolated from the donor strip without being broken up or damaged. During graft dissection, it is critical that the whole follicular unit is kept intact as this will maximize its growth. Intact follicular units will also give the most fullness to the hair restoration, as they contain the full, natural complement of 1-4 hairs. Read more about Graft Dissection »

Holding Solution

There are a variety of solutions that grafts can be stored in during the hair transplant procedure to maintain their viability and insure maximum growth. Our understanding of the ideal holding solution continues to evolve.

Recipient Sites

Recipient sites are the tiny slits or holes that the hair transplant surgeon makes in the patient’s scalp, where the follicular unit grafts are placed during a hair transplant procedure. At Bernstein Medical, the recipient sites in all of our hair transplants are made using lateral slits (also called coronal or horizontal slits). Lateral slits have the advantage of orienting the hair within the follicular unit to match the way it grows in nature. This gives the hair transplant surgeon the highest degree of control over the direction and angle in which the transplanted hairs will ultimately grow. Read more about Recipient Sites »

Donor Area

The donor area is the area of the scalp (generally the back and sides) where hair-bearing skin is removed during a surgical hair restoration procedure. For hair transplants to be effective, the hair in this area must be permanent (i.e. not subject to the effects of DHT).

Minimizing the scar from the donor incision is a critical part of a successful hair transplant procedure. A fine donor scar allows a person to keep his/her hair relatively short after the hair restoration (if one wants to do so) and increases the amount of hair that can be harvested (removed) in subsequent hair transplant procedures.

Graft Numbers

Determining how many follicular unit grafts will be transplanted in a hair transplant is an important aspect of planning and designing a hair transplant for the maximum possible aesthetic effect. The graft numbers page gives general guidelines for the number of follicular unit grafts needed in a patient’s first hair transplant procedure and for subsequent procedures, if more than one session is indicated. Read more about Graft Numbers in a hair transplant

Brief History of Follicular Unit Transplantation

Follicular Unit Transplantation was conceived by Dr. Bernstein and first described in the medical literature in his landmark 1995 publication, “Follicular Transplantation.”

FUT was a major advance over the, now obsolete, “mini-micrografting” hair transplant procedures that preceded it. In mini-micrografting, the graft sizes were arbitrarily determined by the hair restoration doctor, who would cut the donor tissue into different size pieces. These larger grafts, commonly known as “hair plugs,” might have contained up to 12 or more hairs, were bulky, and could produce a tufted appearance. They could also result in a dimpling of the underlying skin.

The major advance brought by Follicular Unit Transplantation is that the use of special stereo-microscopes enables surgeons to meticulously dissect the hair grafts. This helps preserve the integrity of the follicular units and enables the surgeon to keep all of the growth elements of the hair follicle intact. The survival of the grafts is maximized and, as a result, both the hair transplant and the underlying skin will look completely natural when the transplant matures. With FUT, thousands of grafts can safely be transplanted in one session, allowing the patient to complete the hair restoration as quickly as possible.

Follicular Unit Extraction uses similar methodology, with the main exception being that the follicular unit grafts are extracted directly from the donor area.

Hair Transplant Procedure

Saundarya City, leading hair transplants and patient care. From initial consultation to completed hair transplant, you’ll be attended to by professional, courteous, knowledgeable staff, whose sole aim is to provide you the best care possible.

When You Arrive

When you arrive on the morning of your procedure you will be greeted by one of our staff members. You will be asked to fill out some basic forms while your doctor and surgical technicians prepare for the hair transplant surgery. A technician will take your blood pressure and make sure you have followed the pre-operative instructions carefully. Although rarely needed, you may be offered a mild sedative. You will then be led into one of four state-of-the-art procedure rooms. Hair transplant procedure rooms are designed specifically for hair transplantation, facilitating optimal efficiency and patient comfort.

Procedure Review

Before the hair restoration surgery begins, your doctor will review your previously discussed goals and expectations and work with you to determine the most effective use of your donor hair. The doctor/patient review is an integral part of the process: the doctor will listen to your wishes and ideas, take them into account, and make suggestions based on thousands of successful hair restorations. The procedure will not move forward until you feel completely satisfied with the approach and design you and your doctor have agreed upon.

Donor Area Removal

Hair transplant surgery begins with injections of local anaesthesia into the donor area. The anaesthesia will ensure that you feel no pain. Once the area is frozen, your doctor will begin removing the donor strip. Donor strip removal takes about 45 minutes. During this part of the procedure, you will be lying face-down on a comfortable table very much like a massage table.

Once the strip removal is completed, your hair transplant doctor will close the donor site with surgical grade stainless steel staples designed for cosmetic surgery. While your doctor is closing the donor site, technicians will begin separating follicular units from the donor area.

Graft Creation

With the aid of stereoscopic dissecting microscopes, highly skilled technicians dissect follicular units (1 – 4 hair groupings) from sections of the donor strip.

A Break and Refreshments

Once this initial phase of your hair restoration is completed you will be able walk around to stretch your legs or use the washroom. One of the technicians will bring refreshments for you while other staff members prepare the procedure room for the second phase of your hair restoration surgery.

Recipient Site Creation & Graft Insertion

For this part of the procedure, you will be seated in a comfortable, reclining procedure chair. You will be offered a viewing menu of over 150 DVD movie titles. As the hair transplant doctor creates recipient sites—small incisions that will receive the donor hair—you can watch TV and movies and admire the spectacular view of Vancouver and North Vancouver mountains.

Recipient sites are created using the lateral-slit technique, pioneered by Drs Hasson & Wong. The Hasson & Wong Lateral-Slit Technique is the only surgical technique that mimics the alignment and distribution of hair as it occurs in nature.

After the initial recipient site incisions are made, two technicians will begin to place the first wave of grafts. All technicians that place grafts have undergone a vigorous training program to ensure accuracy and consistency.


Lunch will be provided if asked

The Transplant Continues

After lunch, hair transplant surgery will continue: technicians will place more grafts and the doctor will create more recipient sites. At most anytime during the day you can request a break to use the washroom or stand up and stretch.

Post-Op Package

Once the procedure is finished you will be presented with an after care post-operative package. This package consists of various medications such as an anti-biotic, mild pain killers and other assorted items to make your post-operative healing time go as smoothly as possible. You will be encouraged to write or call Hasson & Wong for any follow up questions you may have.