Hair Transplant Procedure
The surgical hair restoration technique of Follicular Unit Transplantation is performed under local anesthesia. At Ziering Medical, we perform FUT Strip and Follicular Unit Extraction (FUE) procedures, using the most advanced technology.
There are four basic steps with every hair transplant procedure.
Step One: Donor Area Prep and Donor Hair Removal
During hair transplant surgery, you are both the donor and recipient during the procedure with hair being removed from the donor zone in the back of your head where your hair is genetically programmed to grow for life.
There are two methods of harvesting your donor hair:
Strip Harvesting in which a strip of tissue is removed and then the individual follicular units are dissected underneath a microscope.
Follicular Unit Extraction (FUE) in which grafts are harvested individually.
ARTAS (see Robotic FUE)
During (FUE) Follicular Unit Extraction the follicular units are harvested from the donor area individually using the manual SAFE System and do not need to be dissected under a microscope.
Step Two: Dissection of the Follicular Units
With FUT Strip procedures, the donor strip is placed under the Ziering Scope which is designed specifically for hair restoration surgery and the donor strip is dissected into individual follicular units, of one to four hairs.
Step Three: Creation of the Recipient Sites
Your hair transplant surgeon creates recipient sites in the proper angle, direction and orientation according to the artistic hair transplant plan he has designed specifically for you.
Step Four: Placement of the Hair Grafts
Finally, your hair grafts are transplanted into the balding and thinning areas of your scalp by a surgery technician who places each graft carefully and meticulously into those recipient sites.
Transplanted hair goes through the same resting and growing phases of your normal hair. The hairs of the transplanted grafts will begin to grow at approximately 4 months after your procedure and will continue to grow through months 10 – 12 post operatively.
With today’s technology, hair transplant results are perfectly natural and undetectable.
Follicular Unit Hair Transplantation (FUT)
Follicular Unit Transplantation (FUT) is performed using local anaesthetic.
A thin strip of donor hair is harvested from the donor area which is the region of hair on the back of the head. This hair is genetically programmed not to fall out. These hairs are permanent.
The donor strip is then placed under the Ziering Scope which is a microscope specifically designed for hair restoration surgery. The strip is then dissected into microscopic grafts of individual follicular units, of one to four hairs. This important step in hair restoration surgery must be precise in order to gain the best yield from your donor area. These precious grafts are placed in a cold, tissue storage and kept as such until they are meticulously placed in the recipient sites created by our hair surgeon.
Extreme attention is given to the exact angle and direction of each tiny recipient site in order to maximize the redistribution of your transplanted hair to achieve aesthetic and artistic density, meaning to give the most natural looking result and the greatest allusion of more hair.
In most procedures, the 1- hair grafts are placed in the frontal hairline and temporal peaks, the 2-hair grafts immediately behind the hairline grafts and the 3 and 4 hair follicular units are placed through central and forelock zones.
This may vary with Corrective Procedures where the repair of “old plugs” requires more creative design to soften the “pluggy” appearance of older surgical hair restoration techniques.
Surgical hair restoration patients are provided with a specific post-operative routine to follow for the first 10 days. After the procedure, if there is any discomfort related to the procedure it is normally treated with oral medications.
Transplanted hair goes through the same resting and growing phases of your normal hair. The hairs of the transplanted grafts will begin to grow at approximately 4 months after your procedure and continue through months 10 – 12 post operatively.
Suture Line Immediate Post Op
Suture Line 11 months Post Op
Follicular Unit Extraction (FUE)
Surgical hair restoration is a field of medicine that is constantly evolving as the result of physicians constantly seeking to meet the needs of their patients. Follicular Unit Extraction (FUE) is a method of obtaining donor hair for Follicular Unit Transplantation (FUT) procedures and one of those innovations that has been developed to give an alternative harvesting technique for patients who are looking for an option other than the traditional gold standard single strip method. Patients who are concerned about having a linear scar, who want to wear their hair very short or whose scalp is too tight for strip harvesting, are typically good candidates for FUE procedures. These are the patients that physicians had in mind when they were developing FUE as viable option and alternative.
Unlike the strip method in which only the precise donor strip is shaved and a linear incision made with the grafts being microscopically dissected from that strip, FUE requires that the entire donor zone be shaved and the follicular units are extracted directly from the scalp, one follicular unit at a time, which is a time and labor intensive process. The follicular units are taken from the known donor area by using a .8mm to 1mm punch, making a circular incision around the top of the follicular units and removing the follicular units directly from the scalp. Once the donor hair is harvested, the recipient sites are created by your surgeon and the grafts are placed with the proper angle and direction by the hair surgery technicians, as is with all follicular unit transplantation procedures.
Due to the extended length of time required to properly extract the follicular units, time for recipient site creation and graft placement may be proportionately decreased. This may shift the surgeon’s time and focus away from planning and designing recipient sites (the artistic component) to the donor area and the mechanical extraction of the follicular units unless the sessions are kept small or are done over several days in succession.
Follicular Unit Extraction Instruments
Follicular Unit Extraction instrumentation and techniques have evolved in recent years. The latest improvements have made FUE more viable, by offering instrumentation capable of harvesting more grafts with less damage and less scarring.
Recent improvements include:
- Smaller punches that reduce spotty scarring
- Motorized punches that refine the way Surgeons score the upper layer skin
- Restricted depth of scoring to better protect the follicular unit grafts
- Understanding the need to limit extractions in order to prevent obvious scarring
SAFE System for FUE
Ziering Surgeons utilise Dr. Jim Harris’s “SAFE System” instrumentation for Follicular Unit Extraction. The specially designed instrument is a motorized blunt dissection device.
- Isolates the follicular units from the surrounding scalp area
- Allows the Surgeon to extract follicular units directly from the scalp
- Minimises damage to follicles
FUE has moved forward with the latest technology and techniques and a good result can be achieved in the right patient, though it is certainly not the best option for all. The single strip harvest procedure used in Follicular Unit Technique transplantation remains the preferred method of graft harvesting for most patients.
ARTAS® System FUE Transplants
Now you can have a permanent and natural looking solution for hair loss. And nobody has to know you’ve had treatment.
With the ARTAS® System Procedure, your skilled physician utilizes advanced digital technology and precision robotics to give you fuller, healthy looking hair. Permanent hair from the back of the head is transplanted into thinning areas, growing naturally as before.
You’ll have natural looking hair – your own hair – that you can wear in any style with confidence.
What Is A Follicular Unit?
We all know what hair follicles are. But many people don’t realize that hair in your scalp grows in groupings. These groupings, called follicular units, typically contain one to four hair follicles. In hair restoration, single-hair follicular units are transplanted in irregular patterns along the hairline, like the original hairline. Multiple-hair follicular units are used in the interior to provide density and fullness. In this way, the transplanted hair grows back naturally and permanently.
ARTAS® System Machine Interface
Visualizes the surface of the scalp in three dimensions with micron-level precision.
Stereo digital imaging maps coordinates, angle orientation and direction for each follicular unit.
Determines the density and distribution of follicular units.
At 50 times a second, monitors and updates distinct parameters of each and every follicular unit.
Intelligent algorithms set the alignment and depth for individual follicular unit harvesting.
Calculated angle of approach minimizes transections by the two-needle system.
Only available in our Beverly Hills Clinic.