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1. FOLLICULAR UNIT HAIR
TRANSPLANTATION (FUT) OR STRIP
METHOD

2. WHAT IS FUT?
• This technique is gold standard for hair
restoration. Follicular Unit Transplantation
(FUT) is a surgical procedure where hair is
transplanted from the permanent zone (safe
donor area) to the bald or balding areas of the
scalp. This is accomplished using naturally-
occurring groups of 1, 2, 3, or 4 hairs, called
follicular units (grafts).

3. • Hair loss (androgenic alopecia) occurs in front
and crown but usually never at sides and back
of scalp as these hair are independent of
genetic control which cause hair loss. Hence
hairs in this permanent zone are used as
donor hair for hair restoration.

4. HOW THE FUT
PROCEDURE IS
PERFORMED?
• In strip technique after the patient’s scalp is
anesthetized, the doctor removes a strip of occipital
scalp 8-10 cm long and 1 to 1.5 cm width, including
hairs with hair roots and skin from safe donor area.
The defect is closed with sutures or staples …we
prefer two layer suturing which gives best
closure……..in addition to this we employ tricophytic
closure where hair grows through scar making it
almost indiscernible.

5. • Harvested donor strip is cut into many
individual follicular units by microscopic
dissection and around 2500-3000 grafts
obtained; number of grafts depends on donor
density. As these follicular unit grafts are being
prepared, the doctor makes tiny holes in the
scalp, called recipient sites, where the grafts
are implanted using no touch technique.

6. WHAT POST OP
CARE IS NEEDED?
• Normally minimal…..Sutures are removed in
two weeks following surgery.
• For outstation patients we use absorbable
sutures so no need for removal as they tend to
dissolve by 2 weeks
• A detailed postop care written instruction
leaflet is given to patient.

7. ADVANTAGES OF FUT
TECHNIQUE
• As dissection is performed under microscope or
loupes transection rate of hair follicle is minimum ie
up to 3% compared to 8-9% in FUE.
• Larger no of grafts harvested and implanted in single
session.
• No need to trim hair unlike in most cases of FUE and
no one can make out from donor area that patient
had hair transplant immediately after the procedure

8. • DISADVANTAGES
• The suture takes 10-15 days to heal. This technique is
associated with little more pain than FUE….
• COMPLICATIONS
• None…in well-trained hands like us complications are
very rare….
• IS SECOND STRIP EXCISION POSSIBLE FOR REPEAT
TRANSPLANT?
• Yes, in second surgery the previous scar will be excised
so that finally you will be left with only one scar…

9. • Thank you