What is FUT?
FUT is an abbreviated term for Follicular Unit Transplantation. The procedure consists of again taking hair from the donor area at the back of the scalp but the difference compare to FUE is that the donor area is taken in the form of a “strip”. This literally means cutting a long and thin section of the actual scalp after extensive anesthesia, the patinet will not feel anything during this procedure.. 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. It is imporatnt to note that whilst this procedure seems much more dramatic and unfavorable vs FUE technique it does produce higher yields and more consistent results. Read the difference between FUE vs FUT
What would a typical day like for surgery?
On the day of the surgery you would arrive to the clinic early at 7am. You would then discuss with Dr Lindsey the expectations and final design of where the transplanted hair will be received. Before pictures will be taken and the final expectations agreed with both the patient and the doctor. You are then taken into a room where your donor area will be anaesthetised along the area where the donor supply will be taken from. Once the area has been numbed you will then be taken into the actual transplant room where you will be made to feel comfortable. Your scalp will be tested to make sure your are free from pain, The donor area will then be removed whilst you watch TV or a selection of videos to help keep your mind at rest. The experience really is very calm and pain free. When the donor supply has been harvested, the transplant team take the follicles and then begin trimming them and organizing them into 1,2,3 and 4 hair grafts for strategic placement into the recipient sites. Whilst the technicians are looking after the grafts Dr Lindsey will then create the recipient holes for the grafts to be placed into. Once the grafts are ready they are then strategically placed into the scalp where the holes have been made. The key to a natural and artistic result is the placement of different hair grafts into the scalp. You will have some lunch which will be ordered for you. Once the final graft is placed the scalp, donor area, (which has been stapled during the incision) and recipient sites are thoroughly washed and cleaned several times. A bandage is then placed around the donor area and pain medication is prescribed for a number of days. Your surgery is then complete and you are free to go home.
What about after the surgery?
After the surgery you are given post operative instructions, but in answering the common though here, you will need to try to sleep as upright as possible for the first day or two, the new grafts will be locked in after a good 48 hours and you should not feel too anxious in touching them. Down time can be upto 2 weeks, again it is an individual thing. Your recipient sites will possibly scab up over a few days, this is normal, they will eventually flake off, any redness and soreness will die down over the two weeks as well. It is now out of your hands and there is nothing you can do but allow nature to start working it’s magic. It is advisable to use any holidays and or time off if you are concerned about your appearance during this time. After 10-12 days if you have had a strip surgery your staples are ready to come out. If you are local to the clinic you can com ein and have these removed for you. If you have access to a health care professional in your home town the clinic will give you a staple remover which can be given to someone to remove he staples.
I get asked these questions all the time – “Will I only need one
session?”The answer to this is more than likely NO – Its very rare indeed that any patient only has one session unless they have a very small amount of loss – or limited donor supply, then you potentially aren’t a viable HT candidate unfortunately. Even if your hair loss is absolutely stable and doesn’t progress any further the chances are your first session will be the foundation for a potential second session to top up/refine/add density/close angles/ work further back ..etc – regardless of technique used. Hair is like money you always want more – You will always want to make it better, we ALL do!Top Dr’s will endeavour to achieve the appropriate no. / highest number of grafts possible without jeopardising you in order to create as much coverage/density as possible in one session where warranted – whilst maintaining your donor area/further supply’s integrity.The initial session will come in so slowly and gradually that you become so used to it that it becomes the normal and YOU will not necessarily notice the change bang on month 3! – The realization takes time!! It is only until you compare pre op pics that you actually realize how far you have come and have a glimpse at what your situation actally was.You will scrutinize your results constantly, inspecting it every chance you get – and feel that you will always want more hair – Even at month 5/6/7 patients are planning their 2nd session but my advice is WAIT and allow for the first session to reach its max potentialIt doesn’t matter how many times i say it to people or write it they still feel that their growth has stopped at month 4/5/6…… then come month 10/11/12 they say – wow you were right.. I did get more.Growth doesn’t stop for many many months – it can take upto 18 months to reach the max potential from your HT so why guys are convinced after 5 months their growth has stopped is just beyond me If you have received your HT from one of the reputable clinics around today then your growth will continue upto a year along with a great
deal of maturing.Many Dr’s have commented on time scales for growth and established posters as well who have all been through the HT process and they all agree that you need to assess your HT at at least the 1 year mark in terms of reaching full growth.You the HT recipient will not see the growth just occur – it takes months for the realisation to kick in. It is important to take pictures at monthly intervals to clearly see the progression.
Its important that guys realise that HT’s are a commitment long term and you must realise that you will always want to refine your hair and wish it were thicker/fuller/denser – This is the nature of hair.
Hair greed – be aware of it!
Grow well everyone!!!!