FUT - Follicular Unit Transplantation

Also known as FUS or Strip, is a hair transplantation procedure used around the world when treating hair loss. It is used as an alternative to FUE, with major differences in how each is conducted an the time it takes to produce the results. 

Read more below.

What is FUT?

FUT - or Follicular Unit Transplantation - is a hair transplantation procedure that is used around the world along with FUE. FUT may also be known as FUSS, or MFUT, or Strip. Unlike FUE, FUT is a faster procedure. FUT involves the surgeon cutting a small piece of skin, taking hair from the area, and grafting it to the destination area. The cut is usually 1.5 cm wide. The cut heals easily after sutures are applied. 

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The FUT hair transplantation method offers many advantages over the FUE method. These are ​

  • The FUT process allows a higher number of grafts to be transplanted in a single session, compared to an FUE procedure. 

  • The harvesting of grafts from the donor area is easier and more efficient when compared to the FUE procedure. This allows for a higher number of successful grafts to be harvested. A skilled surgeon is able to harvest 7,000 to 12,000 grafts from the permanent donor area through the FUT procedure, compared to 3,000 to 6,000 with the FUE method.

  • Research shows that the survival rate of follicles grafted through the FUT process is higher than with FUE and approaches 100%. 

  • The incidence of transection for individual grafts is much lower with the FUT method, especially when modern tools and methods, such as the open donor technique and stereomicroscopic graft preparation, are used by an experienced surgeon. In the case of the FUT method, the rate of transection is 3%, meaning that only three grafts for every 100 grafts becomes transected. The rate of transection is several times higher for the FUE method. 

  • The FUT procedure allows a well practiced surgical teams to complete the process in 3 to 4 hours. FUE procedures might take much longer than this. 

 

 

There are, of course, also disadvantages of the FUT hair transplantation procedure: 

  • The postoperative recovery period is slightly longer. The immediate sensation of numbness, slight pain and the sensation of stretching in the nape area may last for a short period of time. Additionally, there will be some limitations on physical activity for 2 to 3 weeks in the postoperative period.

  • The FUT hair transplantation method may also result in a small scar where the donor area was. Though, because of the sophistication of the method used in surgeries performed at the Tsilosani Hair Transplantation Clinic, the scar remains barely noticeable, and is entirely invisible in cases where hair is not cut close to the head or shaved. See photos below for examples of cases. 

 

FUT method is very effective, especifically when a large number of grafts are needed at a time. Patients usually see results from the procedure anywhere from 6 to 12 months after the procedure.​

How does the FUT procedure work?

Step 1 - Hairline design

The first step in an FUT procedure involves designing the hairline. The patient and the doctor agree on the final look of the hairline. Once agreed upon, the doctor will outline the hairline on the patient's head and prepare for the next step.

Step 2 - Shaving

The donor area will be shaved, to make the taking of the grafts easier. The FUT procedure does not require extensive shaving of the entire head. Instead, a small, local area in the shape of a strip will be shaved. 

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Step 3 - Prepping the recipient area

The doctor will then proceed to prepare the recipient area to receive the FUT grafts. This will be done with the use of small needles. The diameter varies from 0.8 mm to 1.1 mm. The needles also have depth limiters.

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Step 4 - Preparing the grafts

Strips of hair are taken from the donor area. These strips are taken to the highly experienced team of assistants, who then separate individual grafts from these strips. This is done with the help of stereomicroscopes available to the team.

FUT hair transplantation procedure step 4.jpg

Step 5 - Transporting the grafts

The grafts are placed inside specially prepared petri dishes in order to ensure safe transportation to the patient. This keeps the grafts safe, clean and alive for as long as needed.

Step 6 - Implantation process

A team of surgical assistants immediately begins implanting the grafts. This is done under the head surgeon's close observation and his involvement. 

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Step 7 - Post operative care

Once the implantation process is complete, the team will clean up the patient and make sure the final look is as intended.

Step 8 - Post operative consultation

Once the operation is finished, the doctor will consult the patient about post operative care. Most of the time it involves a recommendation to not do heavy physical activity for a week or so, and to take pain killers if there is any pain. The doctor will also make sure that the patient is OK with the final look and do a 360 degree review of the final result.

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Step 9 - Scarring immediately after and 6 months later

The scarring on the back of the head, right after the operation, remains almost undetectable. This becomes even more so as time passes, making the FUT hair transplantation procedure undetectable to untrained or unlooking eyes.

When is FUT appropriate?

Selecting a hair transplantation procedure is highly individual to each case. FUT is designed for the treatment of male pattern baldness and is usually most effective at the front of the head. If the number of grafts that need to be done is large, as well as depending on a number of other needs of the client, the surgeon may opt for the FUT procedure. If you would like to find out what procedure might be more fitting for you, please contact us for a free online consultation. 

FUT at the Tsilosani Hair Transplantation Institute

Hair transplantation procedures are conducted at the Tsilosani Hair Transplantation Institute by Akaki Tsilosani MD, FISHRS himself. This is to ensure that the procedure is conducted at the highest professional level possible. With the support of the exceptional staff at the institute and modern facilities, all operations are conducted painlessly, quickly and with the guarantee of great results. Tsilosani Hair Transplantation institute also provides a money-back guarantee (for more information contact us). 

Tsilosani Hair Transplantation Institute is fully dedicated to providing results to our clients. We offer a comprehensive package of services, travel assistance, as well postoperative observation, consultation and support. We keep in touch months after the operation to learn how the results are coming along. Learn more about how our services work.

Hair transplantation before and after

FUT pricing at the Tsilosani Hair Transplantation Institute

Each FUT operation is highly individual to the patient and is determined per graft. This is why we cannot provide specific information on how much it the FUT hair transplantation operation may cost. This is why we recommend you get in touch with us, and send us your pictures for a free online consultation. We will come back to you with a personalized offer in less than 24 hours.

FUT operation before and after results at the Tsilosani Hair Transplantation Institute

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Female FUT patient, 2000 grafts.jpg
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FUT and LHT (Long Hair Transplantation)

At the Tsilosani Hair Transplantation Institute we offer our clients the chance to have a Long Hair Transplantation with the FUT method. The LHT procedure, similarly to FUT, does not require shaving the hair. This allows for the results of the procedure to be visible right after the operation. While the grafted hair will be shed after a short period of time, the grafts will remain healthy and produce results in the same time that a normal FUT hair transplantation procedure would. 

FUT and FUE combined

The hair transplantation procedure combining FUT and FUE was developed by Akaki Tsilosani MD, FISHRS specifically to work on cases that require 5000+ grafts (also known as “giga sessions”). The procedure takes a long time to complete and has a longer recovery period, but it provides the best results for cases of severe hair loss. 

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