Follicular Unit Hair Transplantation-
FUT Technique (Strip Method)-
“This is the golden method used world wide for better results.”
1-Local Anesthesia and Sedation.
2-Receival of Hair Grafts from the Donor Site
a) Dissection of the Follicular Grafts
b) Collection of the Dissected Grafts One by One
3-Microchannel Development in the Recipient Site
4- Implantation of the Grafts
a) Removal of the Flap of Predetermined Length and Width from the Donor Site
A strip of scalp is removed from the donor site in between the ears. The crucial point of the process is the accurate determination of the flap size, which should not exceed 1 cm in the ear zone and 1.5 cm at the posterior scalp in width and will have the length to correspond to the number of grafts planned. The flap whose size is determined according to the number of grafts required is then removed as a strip of scalp from the donor site.
b) Suturing the Donor Site after the Flap Removal
After removal of the flap, the open wound in the donor site is sutured back. The depth of the scar that may remain after suturing is affected by the elasticity and softness of the skin under the hair, and the type of stitching material and the suturing technique. We have preferred 4/0 no absorbable prolene surgical suture and 4/0 absorbable polyglycolic acid based pegalak surgical suture to stitch for the transplantation we have performed until so far. The scar that may when healing is complete after FUT transplantation
We have implemented the “Special Trycophytic Closure” technique declared in the ISHRS Congress after 2006 synchronously with the world and have detected that the suturing scars which remain after the treatment are minimized when Trycophytic Closure is employed.
c) Dissecting the Flap Removed into Follicular Units (Grafts)
we consider this stage as one of the most important steps in the FUT method. For how large the flap you remove may be or how many micro channels you develop, sufficient hair will grow on the recipient site only when the numbers of follicles obtained vivid are maximized in number. One of the crucial principles to obtain solid follicular units is performing the dissection of the grafts into the follicular units under the stereo microscopes. Especially in the mega session transplantation sessions, graft dissection takes time and sufficient number of well-experienced staff should be present throughout the procedure. The follicles dissected are immediately preserved within special cooling solutions and are made ready for transplantation.
The surgery is very fast. More than 5000 grafts can be done in a single session. It is economical as compared to FUE. We don’t have to cut or trim the donor side unlike FUE. With a special type of closure technique called Trycophytic closure, the scar you get at the back side is very minimal & hardly visible. Patient can resume his office duty from next day. This procedure is safe and complication free and result oriented. Hair is natural, permanent and growing forever.
You can feel a little bit of strain in the stitches for a few days. Only back & sides of the head can be used as a donor area.FUT method differs from the FUE method in the process of hair removal from the donor site (2). The rest of the stages (1,3,4) are the same as the FUE method. In other words, the main difference between the two methods is the way the hair grafts are removed
It differs from the FUT method in that no strip in the scalp is produced, namely scalpel and blades are not used to incise the donor site and the follicular units are extracted one by one by special biopsy needles.In the first years of application, only a limited number of grafts, about 300 to 400 in one sessions, were produced. Thanks to the developments in the instrumental tools, the number of grafts produced increased up to 2000. This condition enabled both the physicians making transplantation and the patients tend to prefer the FUE method.
We have stated the difference between the FUE method and the FUT method. The only difference is in the removal of hair grafts from the donor site (2) and the rest of the processes (1,3,4) are the same with FUT method
For those considering a hair transplant with the strip method, the possibility of being left with a long, linear scar is often one of the biggest concerns. In recent years, a wound closure method called “Trycophytic closure” has been introduced and is now practiced by many highly respected hair transplant doctors.
A traditional hair transplant strip incision procedure means that the doctor will harvest a strip of hair bearing skin from the back of the head, where after the skin is pulled and the wound is sutured or stapled together. This method often results in a visible scar that can be hard to cover, especially if the client does not have long hair. For those concerned about the visibility of this scar, the Trycophytic closure can be a great solution.
Though there are several different variations to the Trycophytic closure technique, this method can be described as one where the edge of the incision is trimmed and closed in such a way that hair can grow through it. What all the different variations of the Trycophytic closure method have in common is that they can make hair grow through the scar. Having hair grow through the scar can provide great camouflage and make it very hard for anyone, even a doctor, to notice the scar.
The Trycophytic closure technique is a well studied and proven method. The very first doctor who introduced it, Dr. Mario Marzola, conducted a comparison study where clients had one side of their scar closed with the Trycophytic closure technique and the other side with the traditional method. After several months, the scars that were closed with Trycophytic closure looked significantly better and were much less visible. Some hair transplant doctors believe that the Trycophytic closure will result in an undetectable scar, while others who use it believe that it is only good in minimizing the visibility of the scar, not completely eliminating it
In FUT method (strip method) we not only use the latest method called Trycophytic closure we modified the technique of closure and developed further so as to give you almost insignificant scar. Our modified method is called as Trycophytic closure by HTM Technique. Trycophytic closure is a combination of Trycophytic closure & triple layered closure. In general, FUT method is the most preferred method worldwide as it yields more number of grafts which helps to cover wider bald area in a session. FUT has given more results than FUE .It gives denser packing, more no of grafts, more coverage and less expensive.
Patient has to stay away from heavy exercise for a month. Daily activities or office work can be resumed from the next day.
Some more benefits are-
- Achieve dense packing at 60-80 grafts/cm with a Follicular Unit Hair Transplant (FUHT).
- Stitch scar immediately after stitch removal.
- Very minimal Scar 2 month post OP with Trycophytic closure