Follicular Unit Transplant - "FUT"


FUT hair restoration surgery has been a popular hair transplant technique for many years. This is due to the harvesting technique and the use of follicular unit transplantation. It allows the efficient harvesting of follicular units in a single day procedure. The hair density is calculated. The safe donor zone is measured. The follicular units are separated, then cleaned and divided into their natural units. Follicular Unit Transplant causes very little change to the overall hair density around the back and sides of the head. This is fundamental because the area is removed as opposed to only the hair being taken.

The FUT technique can be performed over multiple procedures on a good candidate. This allows for progressive hair loss to be treated over time. Due to the isolated nature of the linear scar this is also removed with subsequent procedures. As a result, with good characteristics, only the one line remains regardless of how many sessions have been performed.

PROS to Follicular Unit Transplant

  • FUT shaving is minimal and easily hidden under a little hair length
  • Makes little to no changes to the hair density in the donor
  • Can be performed multiple times and leave only the one linear scar
  • Will generally allow for more grafts to be removed over time
  • A one-day procedure

The Importance Of Team Work

A Strip procedure must run smoothly. There are many aspects and people involved during the procedure. It is vital that all areas are running on time and together. The doctor will oversee the entire procedure even though they may not be hands-on for some of it. 

Donor Area Characteristics 

As discussed the safe strip zone will be measured. The length and width are dependent on the graft numbers required, the donor hair density and the skin laxity. Scalp laxity will be a crucial factor when determining the width of the strip in FUT procedures. Too tight and it will require a narrower strip being removed. As a result, reduce the graft numbers harvested.  But it will ensure a neater closure with less room for stretch-back. The skin is generally quite pliable. This allows a good candidate to undergo multiple FUT procedures. An advantage to this is to only leave the one linear scar. As each subsequent procedures replaces the old existing linear scar.  The hair density can vary from genre and hair characteristics. Donor hair density can start as low as 50 FU cm2 to over 100 cm2, with an average donor density around 75 FUcm2. The sides commonly will have a slightly lower density of hair per cm2 compared to the back, or occipital area. 

Donor Hair Removal

The hair in this zone is shaved. The area to remove is mapped out. A strip can extend to a length of approximately 30cm around the back and sides of the head. It can differ in width from approximately 0.5-2.00cm. A local anaesthetic is applied to numb the area.  The strip is carefully removed avoiding damaging the surrounding hair follicles. The area is closed with a dissolvable or permanent suture. This can take some time depending on the skin characteristics, such as the laxity. If a permanent suture, it will need to be removed approximately 10-14 days after your hair transplant. 

The result, after healing, is a fine linear scar. Hidden under short hair and camouflaged by hair growing through the line. Developments in the closure technique have allowed for greater donor management. A thin lip is created on the top edge of the closure. This allows for the two edges to be brought together seamlessly.  This allows hairs to grow through the line to reduce the appearance of the scar in the future. This closure may not always be suitable is known as the Trichophytic Closure or by similar names.

Under Magnification

The donor slither is separated into smaller sections. These individual sections are divided between the team of hair technicians. Follicular Unit Transplant separates the natural groups of hairs.

Under magnification, the hair technicians trim, clean and check each hair unit one-by-one. Any damage can result in weak and impaired hair follicles. This can result in poor growth. Therefore the expertise and experience of the technicians are paramount. Working efficiently to maintain the quality of the hair follicles before the placement. This process can take a number of hours depending on the number of grafts involved. Follicular Unit transplanting separates the natural groups of hairs, from 1-4 hairs in each group. As a result, this enables the groups to be utilised in the optimum place in the recipient zone.

When the recipient sites are completed the hair follicles are ready for placement. Again, this is performed under magnification. This ensures attention is paid to the correct angle and orientation of placement. Single hair FU is to be used on the hairline. Two hair units behind, then three and four hair units to increase density. A follicular unit hair transplant is far more natural and can mimic nature.  With refined surgical skills to place each unit close enough together to give the illusion of natural hair density. 

Hair Loss Check Consultation Assessment
donor area strip
Follicular-Units- 2 and 3 hair

Learn more about hairline design, graft placement, and shock loss, also Follicular Unit Extraction (FUE) hair transplant technique.


The next step is having answers to your questions. With an online consultation, we want to make that as easy as possible for you. Not to mention, free and without obligation. Your personal assessment is designed to answer your questions. Are you a good hair transplant candidate. What is your hair loss stage? Are your goals and expectations realistic? How many grafts, which technique and the cost.

For an online consultation and request a quote use the consultation form and complete the details. Alternatively, request more information on a hair restoration treatment by sending your contact details to us. 

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