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Hair Restoration Answers

How Long Do Stitches Stay in After a Hair Transplant?

Q: I’ve heard that healing after a hair transplant requires stitches. How long will they stay in? — S.R., Cresskill, N.J.

A: In a follicular unit hair transplant, the surgeon removes a thin strip of scalp from the patient’s donor area that supplies the follicular unit grafts for the hair transplant. After the strip is removed we use either sutures (stitches) or staples to close the wound. We now close most wounds in the donor area with staples, rather than sutures, because we have found that staples cause less injury to the remaining hair follicles compared to sutures; therefore, more hair will be available for future hair restoration sessions. See Why We Changed from Sutures to Staples in FUT Hair Transplants.

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Hair Restoration Answers

When Are Surgical Staples Removed After Hair Transplant?

Q: I hear you leave staples in sometimes up to three weeks after a hair transplant. Why do you leave staples in that long? – M.C., Boca Raton, FL

A: My reason for leaving some staples in longer is that the tensile strength of the wound continues to increase (significantly) during the first three week period after surgery — actually, it will continue to gain strength for up to one year post-op. To give the wound the best chance to heal, on average, I take out alternating staples at 10 days and the remaining staples at 20 days.

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Hair Restoration Answers

Why Change from Sutures to Surgical Staples in FUT Hair Transplants?

Q: I recall that you wrote an article about Monocryl for the donor closure in hair transplants. Why are you now using staples? — R.S., Park Slope, NY

A: I have been using staples in almost all of our follicular unit hair transplants since the beginning of 2006. Continue reading for the detailed explanation as to why I made the switch from sutures to staples.

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Hair Restoration Answers

Do You Use Sutures or Staples in an FUT Hair Transplant?

Q: Can you please comment on the use of sutures verses staples in hair restoration procedures? — S.S., Prospect Park, NY

A: Sutures are great on non-hair bearing skin and allow perfect approximation of the wound edges, but on the scalp they can cause damage to hair follicles below the skin’s surface. The reason is that a running (continuous) suture traps hair follicles and when the skin swells (as it normally does after hair transplants) the trapped follicles can strangulate and die.

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Hair Restoration Answers

What is the Benefit of Staples in Closing Hair Transplant Donor Incision?

Q: I have heard that staples are uncomfortable after the hair transplant, why do doctors use them? — B.E., Great Falls, V.A.

A: Staples are used for two main reasons.

The first is that being made of stainless steel; they don’t react with the skin and, therefore, cause little inflammation.

The second is that, unlike sutures which are used with a continuous spiral stitch, each staple is separate and this causes minimal interruption to the blood supply.

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Hair Restoration Answers

After FUT Hair Transplant Surgery, Can I Travel on an Airplane with Surgical Staples?

Q: I’ll be traveling from New York to Cincinnati the week after my hair transplant. Will I be able to get through airport security if I have staples? — D.B. Fort Lauderdale, Florida

A: Yes. Although the staples that we use to close the donor area after hair transplant or restoration procedures are made of stainless steel, they are too small to be picked up by metal detectors.

I generally prefer staples, as they are superior to sutures in preserving donor hair.

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