Types of Hair Transplants: Understanding the Difference Between FUE and FUT

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Hair loss affects both men and women and isn’t limited to older individuals, it can also occur in younger people. While some hair loss may be temporary, others may experience permanent loss.

When the scalp loses hair permanently, there may be limited natural options for regrowth. However, a hair transplant can improve hair density, potentially enhancing the overall appearance of the hair.

There are two main types of hair transplants, namely follicular unit extraction (FUE) and follicular unit transplantation (FUT). How do FUE and FUT differ? Let us find out in this article.

 

Understanding Hair Transplant

male with balding hair problem need some types of hair transplants as the solution

A hair transplant is a method to restore balding caused by hair loss. By transferring healthy hair follicles from a donor area to areas experiencing permanent baldness, the procedure aims to restore a natural hairline and increase hair density.

It’s important to note that the success of a hair transplant can be influenced by several factors, including the availability of healthy follicles in the donor area. Individuals with thinning hair in the donor region may have limitations in terms of the number of follicles available for transplantation, which can impact the overall results.

Consulting with a qualified hair restoration practitioner at hair clinic is crucial for assessing individual suitability for a hair transplant and managing expectations regarding the potential outcomes based on donor hair density and other relevant factors.

 

Types of Hair Transplant

Taking follicles from the donor area and transplanting them to the recipient area entails two different methods, FUE and FUT. Here, we’ll go over the details of these types of hair transplants.

 

Follicular Unit Extraction (FUE)

Follicular Unit Extraction (FUE) is a hair transplant technique that involves extracting follicular units from the donor area of the scalp. This process is crucial for restoring natural hair growth in areas experiencing baldness or thinning.

 

Manual FUE Hair Transplant:

Manual FUE utilises a micro punch tool to delicately harvest follicles from beneath the scalp’s surface. The surgeon manually rotates and extracts each follicular unit using a micro clamp, relying on their precision and expertise.

This method grants the practitioner meticulous control over the harvesting process, allowing them to assess the scalp condition concurrently. The extracted grafts are then carefully sorted and stored in a sterile solution while awaiting preparation for implantation into the recipient sites. This preparation involves creating tiny incisions to accommodate the grafts before their strategic placement.

 

Robotic FUE Procedure:

In contrast, Robotic FUE employs a specialised device to automate the follicle extraction process. Equipped with an automatic punch tool and a stereoscopic camera, the robotic system performs the extraction under the supervision of the surgeon.

As the technology advances, robotic systems can now create graft paths in the recipient sites, aiding the surgeon in determining optimal locations for transplanting hair follicles. However, while the extraction process is automated, the actual implantation of hair grafts into recipient sites remains a manual task performed by the surgeon.

The ongoing evolution of robotic FUE technology may eventually include automated implantation capabilities, potentially streamlining and enhancing the overall hair transplantation procedure in the future.

 

Hybrid Punch

This method combines manual and motorised punches to extract donor hair. During the process, the surgeon will use both a hand-held punch tool and a robotic system, so that they can effectively adapt to different types of hair donors.

Its adaptability is particularly useful for accommodating different characteristics of follicles, skin texture, and scalp thickness.

 

Direct Hair Implantation (DHI)

Direct Hair Implantation (DHI) is almost similar to traditional FUE in that hair follicles are extracted individually. However, the difference lies in how the donor hairs are implanted into the recipient area.

In DHI, harvested hairs are not stored before implantation. Instead, the surgeon extracts the hairs and simultaneously creates slits in the recipient area while implanting the donor hair.

This approach makes the procedure less invasive and minimises scalp trauma. It can also make the recovery process quicker and more comfortable compared to traditional FUE.

 

Weighing the Advantages and Disadvantages of FUE

Follicular Unit Extraction (FUE) hair transplantation does come with its sets of advantages and disadvantages. Knowing them is essential for you to gauge the potential outcomes and challenges associated with it.

 

Advantages of FUE:

  • Minimally Invasive: FUE is considered minimally invasive because it involves individual extraction of hair follicles, avoiding the need for a strip removal like in Follicular Unit Transplantation (FUT).
  • Minimal Scarring: The tiny incisions made during FUE heal quickly and leave minimal scarring, especially compared to the linear scar often associated with FUT.
  • High Graft Survival Rates: FUE typically results in high graft survival rates, around more than 90%, ensuring successful transplantation and natural-looking hair growth.
  • Customised Hairline Design: FUE allows for precise and customised hairline design, enhancing the aesthetic outcome of the transplant.
  • Faster Recovery: Patients undergoing FUE usually experience a faster recovery time compared to other hair transplant methods, enabling them to resume normal activities sooner.

 

Disadvantages of FUE:

  • Limited Graft Harvesting: FUE may have limitations on the number of grafts, as compared to FUT techniques where large amounts of grafts can be harvested at one go.
  • Higher Costs: The advanced techniques and meticulous nature of FUE may result in higher procedural costs compared to other hair transplant methods.
  • Time-Consuming: FUE procedures can be time-consuming due to the meticulous extraction process, especially in cases requiring a large number of grafts.
  • Potential Overharvesting: In some cases, particularly when performed by inexperienced or uncertified clinics, FUE may potentially lead to excessive harvesting, affecting the donor area’s hair density and appearance.

 

FUE Hair Transplant Recovery Process

Following a follicular unit extraction (FUE) hair transplant, patients should anticipate experiencing some temporary side effects, including swelling, pain, discomfort, and scabbing. These reactions are normal and can be managed effectively through proper hair transplant aftercare.

To minimise these side effects and promote optimal healing, we recommend the following instructions:

  • Keep your head elevated while sleeping: Elevating your head while sleeping can further reduce swelling and promote better blood circulation, aiding in the healing process. Use pillows to elevate your head to a comfortable position.
  • Take prescribed painkillers: If your surgeon has prescribed painkillers, take them as directed to manage any post-transplant pain or discomfort effectively. Follow the dosage instructions provided by your healthcare provider.
  • Avoid picking the scabs: It is crucial to avoid picking or scratching the scabs that form after the transplant. Picking at the scabs can damage the grafts and hinder the healing process. Allow the scabs to naturally fall off on their own, typically within a week or two.
  • Avoid strenuous activities: During the initial recovery period, refrain from engaging in strenuous physical activities or exercises that may strain the scalp or cause excessive sweating. Follow your surgeon’s recommendations regarding activity restrictions.
  • Protect your scalp from the sun: Exposure to direct sunlight can be harmful to the healing scalp and may increase the risk of complications. Wear a hat or use sunscreen to protect your scalp from sun exposure when outdoors.
  • Practise gentle washing: When washing your hair, use a gentle shampoo and avoid harsh rubbing or scrubbing of the scalp. Follow any specific post-transplant washing instructions provided by your healthcare provider.

By adhering to these aftercare instructions and maintaining regular follow-up appointments with your surgeon, you can help minimise side effects, promote healing, and achieve optimal results from your FUE hair transplant procedure.

 

Follicular Unit Transplantation (FUT)

Follicular Unit Transplantation (FUT) is a hair transplant technique that differs from Follicular Unit Extraction (FUE). In FUT, a strip of skin containing hair follicles is harvested from the donor area, typically the back of the head. This strip is surgically removed and then sutured closed for proper closure.

The harvested strip of skin contains follicular units, which are clusters of hair follicles. These follicular units are then carefully dissected by a hair transplant technician to separate individual follicles for transplantation into the recipient sites.

Unlike FUE, which involves extracting individual follicular units directly from the scalp, FUT involves removing a strip of skin containing multiple follicular units. This difference in extraction methods is a key distinction between the two hair transplant techniques.

 

The Advantages and Disadvantages of FUT

Weighing the advantages and disadvantages of Follicular Unit Transplantation (FUT) is crucial for making an informed decision about this hair transplant method.

 

Advantages of FUT:

  • Higher Graft Yield: FUT often yields a higher number of grafts compared to FUE. This is because a strip of skin containing multiple follicular units is harvested, allowing for a greater number of grafts to be transplanted.
  • Shorter Procedure Time: The process of extracting a strip of skin is generally faster than individually harvesting follicular units, leading to shorter overall procedure times.
  • Cost-Effectiveness: FUT can be more cost-effective than FUE due to the efficiency of harvesting multiple grafts at once and the shorter procedure duration.
  • Less Follicle Transection: With FUT, the follicular units are less likely to be damaged or transected during extraction compared to the individual extraction process in FUE.

 

Disadvantages of FUT:

  • Visible Linear Scar: FUT leaves a linear scar along the donor area where the strip of skin was removed. While efforts are made to minimise scarring, it can still be noticeable, especially with short hairstyles.
  • Longer Recovery Time: The linear scar from FUT may require a longer recovery period compared to FUE, as it needs time to heal and for the hair to grow back to conceal the scar.
  • Potential Nerve Damage: The removal of a strip of skin in FUT carries a slight risk of nerve damage in the donor area, although this risk is minimised with experienced surgeons.

 

FUT Hair Transplant Recovery

The recovery process after a Follicular Unit Transplantation (FUT) procedure requires careful attention to ensure optimal healing and minimise discomfort. Here are some guidelines to follow during the FUT hair transplant recovery period:

  • Gentle Scalp Care: Treat your scalp with care, especially during shampooing. Avoid harsh rubbing or scratching, as this can irritate the donor area and prolong healing.
  • Avoid Picking Scabs: It’s important to resist the urge to pick at scabs that may form around the sutures. Allow them to naturally fall off to prevent infection.
  • Pain Management: Take any prescribed painkillers as directed by your physician to manage any pain or discomfort you may experience during the recovery period.
  • Follow Antibiotic Guidelines: If your physician prescribes antibiotics, ensure to take them as advised. This helps prevent skin infections and promotes optimal healing of the transplanted hair follicles.

By following these post-operative care instructions diligently, you can support a smoother recovery process and achieve the best possible results from your FUT hair transplant procedure.

 

How To Determine If You Are Suitable For a Hair Transplant

Consulting with a qualified medical practitioner before opting for a hair transplant is crucial as it involves careful evaluation of various factors to ensure the procedure’s success and suitability for the patient.

  • Hair Density: The density of hair in the donor region is a key consideration. Sufficient healthy hair follicles in this area increase the chances of a successful hair transplant outcome.
  • Hair Loss Progression: Understanding the pattern and progression of hair loss is essential. If hair loss is actively progressing, undergoing a hair transplant may not be advisable as it could result in uneven or patchy results. In such cases, the physician may recommend hair loss medication to stabilise the condition before considering a transplant.
  • Feasibility of Hair Transplant: Based on the assessment of hair density and loss progression, the physician determines whether a hair transplant is feasible and beneficial for the patient. This decision is crucial to ensure optimal results and patient satisfaction post-procedure.

Overall, a thorough evaluation of these factors by a qualified medical practitioner helps guide patients towards the most appropriate hair restoration options and ensures a successful and satisfactory outcome.

 

Specific Medical Conditions

Before proceeding with a hair transplant, thorough evaluation of medical history is essential to identify any underlying health conditions that may impact the procedure’s feasibility. This assessment helps ensure patient safety and optimal outcomes.

It’s crucial to understand that individual results can vary after a hair transplant, regardless of whether it’s FUE or FUT. The final appearance largely depends on the availability of healthy hair follicles in the donor area. Managing expectations and discussing realistic outcomes with your physician is key to a satisfying experience post-transplant.

 

Final Thoughts

Hair transplants are commonly used to address hair loss and restore hair in areas with balding patterns. There are two primary methods for performing hair transplants: Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT), each with its own approach to transferring healthy hair follicles to areas with thinning hair.

FUE involves harvesting follicles individually, making it a minimally invasive procedure with minimal scarring. This technique is widely practised due to its effectiveness and reduced scarring.

In contrast, FUT involves removing a strip of skin from the donor area, allowing for a quick procedure that yields a high number of grafts for covering larger thinning areas.

Both FUE and FUT techniques offer unique advantages, but their suitability depends on individual factors. Consulting with a qualified hair transplant surgeon at hair clinic is crucial to determine if a hair transplant is suitable for you and which technique aligns best with your specific needs, scalp condition, and desired hair density.

 

FAQ

Can I use my beard or other hair for the transplant?

  • Using beard hairs and/or other body hairs for a hair transplant is possible, particularly in patients with thin hair around the donor area, although it’s less common.

How long do I have to take leave? Do I get a medical certificate for it?

  • It’s recommended to take a full rest for 7 days after a hair transplant due to scalp sensitivity. You may take leave for 5 days, assuming it includes the weekend. We provide medical certificates, but acceptance depends on your company’s policy regarding cosmetic surgery certificates.

Should I resume my medications after? If yes, when do I start?

  • That will depend on the type of medications that you are on. Please consult your hair transplant surgeon for details on when to continue your medications.

Can I shampoo my hair after a transplant?

  • You don’t need to wash your hair by yourself after a transplant. We’ll schedule a follow-up a day after, where our technician will wash your hair and teach you how to wash it yourself thereafter.

Can I wear a hat after the transplant?

  • Your doctor needs to first assess your condition a week after the surgery to determine if it is safe for you to wear a hat. During that time, it is best to avoid wearing a hat, as it can put pressure on your scalp, potentially damaging the implanted grafts. Refer to our hair transplant aftercare guidelines for further guidance.

Will my donor hairs regrow?

  • Donor hairs don’t regrow after they were taken, as the follicles are completely removed and transplanted to the recipient area.

 

DISCLAIMER: The information provided in this article is for informational and educational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition. Terra Medical recommends consulting a medical professional to determine the best treatment option for your specific needs.

About Terra Medical

Terra Medical is a dedicated hair loss clinic that specialises in various hair restoration treatments, as well as a holistic approach to overall hair wellness. The hair restoration clinic is led by an internationally credentialed (ISHRS) doctor, Dr. Joshua Chong alongside our resident doctor, Dr. Jia Cheng Heng and a team of hair restoration technicians. The clinic aims to provide treatment options focused on achieving results that align with each patient’s unique needs and circumstances.

We offer comprehensive consultations and personalised treatment plans tailored by the doctors. These treatment plans can be a combination of the following: FUE hair transplant, Regenera Activa (AMT), TrichoPAT, Post-Natal Hair Loss Solution and more.

We understand how challenging it is to face hair loss alone. As a hair restoration clinic, our specialised team aims to provide compassion, empathy and ongoing support throughout your journey, ensuring you feel heard, empowered and informed every step of the way.

Rediscover the joy of fuller, healthier hair. Schedule consultation with Terra Medical today.

consultation with Terra Medical today.