Posts Tagged: FUT

What is Hair Transplant Cost for Hair Plug Removal?

August 30th, 2006

Q: I was looking at your prices for repair work and you mentioned that you charge $75 per graft removed. I had a hair transplant and received follicular unit grafts (one-hair follicles) but I think my hair loss is going to continue so I might in the future want to remove them. Am I interpreting your fees correctly, or does this price apply to people who have had the plug like transplants?

A: The fee applies to the removal of plugs and includes graft (plug) excision, suturing of the site, dissection of the plug into individual follicular units and re-implantation.

Generally the best way to reverse a procedure of follicular unit transplantation is with laser hair removal. This is particularly true if the hair restoration was done properly and the underlying skin is normal. Alexandrite and diode lasers are the best for hair removal. Typically, there are too many small grafts in FUT procedures to make excision practical.

Removal via Follicular Unit Extraction (FUE) will leave scars in a cosmetically important area. As an aside, if you received all “one-hair follicles”, your procedure was NOT follicular unit hair transplantation and may explain why you are unhappy and want to reverse it.

Visit the page on hair transplant costs and consultation fees for more information.


Posted by Robert M. Bernstein M.D. at 5:39 am

How Do You Determine Size of Hair Transplant Donor Strip?

July 3rd, 2006

Q: I am interested in FUT. How do you figure out how large a strip to use for the hair restoration when transplanting all follicular units?

A: The length of the donor strip incision is determined by the number of follicular unit grafts required for the hair restoration.

There are slightly less than 100 follicular units/cm2, so if a 1cm wide strip is used, a hair restoration procedure requiring 1800 grafts would need a strip that measured slightly more than 18cm in length.

A 2800 graft procedure would measure slightly more that 24cm if the strip were 1.2cm wide.

The width of the strip is determined by scalp looseness or laxity.

For more information, please see the Donor Area page on the Bernstein Medical – Center for Hair Restoration website.


Posted by Robert M. Bernstein M.D. at 7:17 am

Which Gives More Donor Hair in Hair Transplant, Follicular Unit Transplantation or Follicular Unit Extraction?

May 11th, 2006

Q: I am Norwood Class 6 and have read about both Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT). Which will give me more hair?

A: In general, FUT will give you more hair since, in FUT, the best hair from the mid-portion of the permanent zone of the scalp (also called the “sweet spot”) can be utilized in the hair transplant.

With FUE, since only the hair follicles are extracted and not the surrounding bald skin, if too much hair is removed, the donor area will begin to look thin as hair is removed. This will limit the amount of hair that can be harvested.

Although in FUE additional areas of the scalp can be utilized to some degree, this will generally not compensate for the inability to access all of the hair in the mid-permanent zone and the total amount available for the hair restoration will be less.


Posted by Robert M. Bernstein M.D. at 9:07 am

How Did Hair Transplant Techniques of Follicular Unit Transplantation and Follicular Unit Extraction Get Named?

January 11th, 2006

Q: How did Follicular Unit Transplantation and Follicular Unit Extraction get their names?

A: The first paper on Follicular Unit Hair Transplantation was published by Dr. Bernstein and Rassman in 1995 in the International Journal of Aesthetic and Restorative Surgery. The title of the paper used the abbreviated name Follicular Transplantation. The longer name “Follicular Unit Transplantation” was formalized by Bernstein et. al. in the paper “Standardizing the classification and description of follicular unit transplantation and mini-micrografting techniques.” This paper appeared in Dermatologic Surgery in 1998.

Follicular Unit Extraction derived its name from Rassman and Bernstein’s publication “Follicular Unit Extraction: Minimally invasive surgery for hair transplantation” that appeared in Dermatologic Surgery in 2002.


Posted by Robert M. Bernstein M.D. at 8:41 am

What is Effect of Multiple Hair Transplant Procedures on Scalp?

October 12th, 2005

Q: I have had 4 hair transplants with strips taken out for a total of 2600 grafts over 15 years. The last one was 1,650 grafts. My doc says my donor site is good for a few more but I think it has been probably stretched to its max. Is it believable that the skin can be stretched to such extremes safely?

A: The scalp is very resilient to stretching, particularly in those with a loose scalp to begin with. After removing a strip, the laxity often returns to normal or very close to it within 6 months to a year.

The problem with multiple hair transplant procedures is not only that scalp laxity may decrease, but that the donor density decreases as well. If too much hair is harvested, the donor area may eventually appear too thin. This may happen with either Follicular Unit Transplantation (FUT) or Follicular Unit Extraction (FUE).

Therefore, it is important the doctor not only assess the scalp laxity, but the residual donor density.


Posted by Robert M. Bernstein M.D. at 2:20 pm



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