So, you have hair loss and you have made plenty of visits to your local hair care doctor and he has told you that the best option for you to come back to your normal look would be to get a hair transplant procedure done. He has also informed you that there are mainly two types of procedures – follicular unit transplant and follicular unit extraction. He has suggested that the latter process would be best for you, but you still need to know whether this is the best procedure for you and whether you should go for it or not.

This article aims to look at the best and the not so good aspects associated with a follicular unit extraction method. After reading through this article, you will understand the procedure in a much more in depth manner and will be in a better position to make the decision.

So, firstly let’s take a look at what the procedure actually entails – follicular unit extraction or FUE. It is one of the newest techniques in the world of hair restoration. In this process, individual follicular units are harvested, stored in a physiological solution till required, and then carefully implanted on the recipient site. Since individual units are harvested, there are no obvious scars on the scalp, and you can wear hair short.

Now, let’s take a look at the advantages of follicular unit extraction in a little more detail:

  • Since the hair follicles are harvested individually, as opposed to removing an entire strip from the scalp (which is the method used for follicular unit transplantation), there are no linear scars. This is truly beneficial for people who prefer to wear their hair short.

  • As there are lesser scars, quite obviously, the time taken for healing is also lesser. This means that people who undergo this procedure can go back to their normal routines, much faster.

  • The lesser scars also ensure that there is minimal discomfort to the person who has undergone the process. Most people who undergo an FUE require minimal painkillers or sedatives for later.

  • As a matter of fact, if you are someone who plays a sport or indulges in strenuous physical activities, you can resume these within 10 to 14 days of procedure.

  • Younger people, people who have an extremely active lifestyle and people with either very tight are ideal candidates for FUE. This is the apt procedure for people who are a greater risk of having scarring in the donor area.

  • Should there be lesser hair in the donor area, for this procedure hair follicles can be harvested from even the nape of the neck or other parts of the body, such as beard or chest.

Now that we have completed looking at the advantages that can be reaped through a follicular unit extraction, let us move onto the disadvantages of getting the procedure done:

Overharvesting in FUE Hair Transplant

Overharvesting in FUE Hair Transplant

  • The number of follicular units that can be harvested in this procedure is significantly lesser than that in an FUT process.

  • If the quality of the grafts is not good, there is minimal chance of them growing properly.

  • Doctors might also observe an inability to harvest hair from the mid permanent zone, which will yet again lead to a lesser number of grafts.

  • The manner in which the donor area will get distorted will make future FUE sessions a tad bit more difficult.

Telogen Effluvium due to Overharvesting 1

Telogen Effluvium due to Overharvesting

telogen effluvium due to overharvesting

Telogen Effluvium due to Overharvesting 2

  • The percentage of follicular transection, as in damage to the grafts, is much higher in FUE, as compared to FUT in inexperienced hands.

  • The grafts that are harvested during an FUE procedure are much more fragile, because many a times, the grafts have less per follicular tissue to protect the same or fat.

  • In case, you are going in for a larger transplant, you might have to have your entire donor area shaved, because only then will the doctor be able to look at the roots.

  • It is also a disadvantage that in an FUE process, the follicular units are harvested from a much larger area, as compared to FUT. In the FUT process, an entire strip is removed from the scalp and all the grafts are removed from that strip. So the only part of the head that is touched is the part from the strip has been removed from. However, in FUE, a larger area has to be taken into consideration in order to obtain the sufficient number of grafts.

  • What is important to note is that over time, the donor zone might develop thinning and this will lead to the scars becoming visible.

  • In case the number of single hair grafts is not enough, microscopic dissection will be required. In addition, if there are hair fragments, there might be no other way out but to use a microscope to dissect the follicles.

Finally, FUE is much more expensive as compared to FUT, simply because it is a much more intricate process.


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So you know what a hair transplant refers to and what the basic tenets of the procedures are. However, you might not know much about BHT or body hair transplant. This article intends to look into the increasingly popular world of body hair transplant. Gone are the days, when transplants could be done only the head; but today, transplants are being successfully completed on other parts of the body too, including eyebrows, beard and even moustaches.
The most innovative facet of body hair transplant is when hair from other parts of the body are used to recreate a full head of hair. There are many cases, wherein the donor area on the head is not sufficient to complete a procedure on the head. In such a case, hair has to be harvested from other parts of the body. Many a times, hair is taken from beard, chest, back, arms, legs, and even the abdomen.
The reason why body hair is considered for transplant is because it might prove to be home to thousands of grafts. Since the hair is from your own body, it will take root and you will most certainly have a healthy head of hair, in a matter of months. These body hair are found to take up the characteristics of the scalp hair by a property called recipient influence after being transplanted to the scalp. With the larger donor area, it becomes easier for the doctor to provide greater density on the head and even fill in larger areas with ease.
In most cases, the hair from other parts of the body is removed using the follicular unit extraction method, because with strip removal, there will be obvious scars. The follicles that are harvested are normally implanted in the same manner as a regular transplant procedure.

Who is an ideal candidate for body hair transplant?
Normally, hair is harvested from donor areas on the head, especially the back and the sides of the head. However, if there is not enough hair in these areas, it means that the person does not have the physical conditions to have a healthy hair growth. Such a person would not be considered eligible for a hair transplant at all. There are rare cases though wherein hair harvested from other parts of the body can compensate for the hair in the scalp. This, however, is a decision that only a qualified doctor can make.
A doctor will utilise something known as the Torso Donor Index, in order to decide whether body hair transplant would be a food enough idea. There are five main criteria that need to be kept in mind:

  • The size of the actual donor area
  • Similarity between the body hair and that on the head
  • The actual length of the body hair
  • The number of follicular units available with 2 – 3 hair follicles
  • And most importantly, the hair density should ideally be above 40 FUs per cm²

Should the Torso Donor Index be less than 4, the person would be considered unfit for a body hair transplant. The ideal score should be eight or above, and such people would be considered the best candidates. However, in certain cases, people who score between 5 and 7 could also be considered.

Difference between traditional FUE and BHT FUE
Body hair transplant is based on the same concept as the follicular unit extraction; the main difference is that the donor area gets spread all over the body. The reason why other parts of the body are considered is because the donor area on the head has either been compromised due to previous extractions or is just not yielding enough follicles.
Body hair has a growth cycle that is slightly different from the head, which is why considering them for transplant has to be done with much deliberation. This is why, while the follicular units harvested from the head will vary from single to up to three hairs, in body hair extraction, only single hair is harvested.

A point wise dissection of the differences
The direction of growth of the follicular units is important as is the actual structure of the hair. It is important that the thickness of the hair be taken into account, as this will eventually lead to the natural look. While the structure of the hair is important, it is just as crucial to consider the skin and its nature. It is important to remember that the scalp and the skin on the rest of the body are different. Finally, the depth of the hair follicles is also important.

What the success depends on
The success of a body hair transplant depends on several factors and some of the most important ones include:

  • The actual experience of the doctor conducting the procedure
  • The creation of a natural looking hairline
  • The precise extraction of the donor hairs
  • Proper preparation and storage of the follicular units
  • Precise implantation of the grafts

There are a few limitations too
This is still an area where the amount of research being carried out is limited, which is why not a lot of doctors dabble in it. For even experienced doctors, this method is almost like a last resort. While the survival rate is high at 70 to 80 percent, there are still not a lot of people who prove to be ideal candidates. In addition, there is no absolute guarantee that the implants will all take root.

It is also important to note that after being transplanted, the structure of the hair might change, which means that your head might not look as natural as you would want it to.
So the more common custom is to mix body hair with scalp hair in patients who have a poor donor scalp or require more number of grafts so that the overall look is more natural.


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Follicular unit extraction is a more advanced version of the follicular unit transplantation. It might cost a little more, the comfort for the patient is certainly much more than in FUE. As a matter of fact, a majority of people are preferring this treatment as opposed to FUT.

The Procedure:

Just as the case with a FUT procedure, you will be asked to come a little before the time allotted for the actual surgical procedure. This time is utilised to talk you through the entire process one more time, ensuring there are no doubts in your mind. The staff at the clinic will also make sure that all the paperwork is in order and all the required consent forms are signed.

As is with FUT, the doctor will yet again mark the hairline in a clear manner, often utilising the photographs which would have been taken at the time of previous consultations. Once the entire hairline has been chalked out, a few more photographs will be clicked, which will go on to become a part of your permanent medical records. In case, you have any issues with the planned hairline, you can talk to the doctor, and get them sorted out immediately. This is important, because once the doctor starts making slits, then changes will become difficult.

You will be given sedatives, which will not only relax your body, but also your mind, both important factors before the start of the procedure. Most of the clinics will offer you the chance to watch a movie, your favourite television show, listen to music or even chat with their staff members. You will be able to take regular breaks to use the washroom or eat a snack or just simply stretch! The time taken for your procedure will depend on the number of grafts being implanted. Small sessions of upto 1000 grafts can get over in a half a day, while larger ones of 2000-2500 would take a full day.

  • Anasthesia

While the first sedative is given to you moments after reaching  the clinic, but the actual anaesthesia will be administered only before the surgical procedure starts. Normally, medications such as Lidocaine and Bupivicaine are used, but some doctors might also consider utilising high frequency vibration & anesthetic gel to the scalp for reducing the sensation of the needles. All this is done to ensure that the scalp is numb and the person undergoing the FUE procedure feels no pain. If the doctor feels that the anaesthesia is wearing off, they will administer more.

  • Donor Tissue

Follicular unit extraction is different from follicular unit transplant on several levels. For starts, there are no strips of hair being removed; rather individual follicles are removed using a micropunching technique. The donor area has to be chosen with extreme care within the permanent zone, because the hair being taken from here has to offer stability for a long time . In most cases, the hair is trimmed to a short length, as this allows the doctor to take a closer look at the follicles.

In the FUE process, you might be asked to lie down on the table with the head facing down or sit on the chair. The grafts will be removed very carefully, either by the doctor ( Take care that it is your doctor and not technician who is punching in your scalp) Each graft will be placed in a physiological solution, which will ensure that the grafts do not wither away. After the grafts have been harvested, the dressing will be done of the donor area which can be removed the third day only.

  • The Process of Dissection

There is no dissection as such in the FUE procedure, because it is individual follicles that are harvested in this method. However, there are some clinics where the grafts are trimmed and de-epitheliased. However, each of the grafts has to be examined at close range, because the doctor needs to make sure that there is nothing wrong with the grafts and that they can be used effectively. The number of hair is also determined during this procedure and proper sorting becomes possible.

  • Creation of the Recipient Sites

The recipient sites have to be created with extreme care, because these will decide how natural or unnatural your hair looks. In most cases, doctors will create slits in accordance with the natural angles of the hair and then place the grafts within these slits. Most doctors will ensure that the recipient sites are created in tandem with existing hair, so that camouflage becomes easy.

  • Insertion of the Grafts

The minute all the recipient sites are finalised and created, the surgical team will be able to start placing the grafts into the pre-prepared slits. The single follicular units are placed in the front of the scalp, to offer a softer look, while the larger grafts are used to provide a fuller look. This is perhaps the most time consuming part of the entire process and needs to be done with extreme care.

This would be the time when you would be asked to keep your head incredibly still, but you can sleep or listen to songs or watch a movie to make the time go by faster.

  • The End Steps

Once the grafts have all been placed, they are all checked yet again and you will be given a detailed list of instructions that you will have to follow, after the completion of the procedure. While the donor area will be covered with a temporary bandage, nothing will be required on the transplanted area. All the bandages can be removed the third day.


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In continuation from the previous article, this one proceeds to look at other aspects of follicular unit extraction (FUE) and follicular unit transplantation (FUT) and how each differs from the other.

  • The survival rate of the grafts or follicular units

As is the case with any other medical procedure, being careful is something that every doctor needs to keep as his or her top priority. Maintaining a careful approach is crucial in the world of hair restoration, because one wrong step and the follicles being extracted could be completely damaged. This would defeat the entire purpose of the extraction.

When a graft is extracted, it becomes exposed to the atmosphere and this could lead quite easily to the grafts becoming dehydrating and dying. The follicles still continue with the metabolic purpose, which could lead to a certain kind of poisoning. These are just some of the reasons why follicle harvesting needs to be done with care and in the appropriate environment. When the follicular units are extracted, they need to be kept aside with care, till the time their need arises. A proper physiological solutions needs to be prepared, in which these units should be stored and kept moist.

Whether the grafts are from an FUE or FUT procedure, the method of protecting them will be quite the same. However, in FUE grafts there is an elevated level of sensitivity, because in the extraction process, there is minimal protective tissue around the follicles.

If you have chosen a good doctor and a reputed clinic, you will have little to worry about.

  • The actual number of grafts and the density of the same

The number of grafts that need to be harvested depends completely on the area of the head that needs to be covered. The precise number of grafts is something an experienced doctor will be able to judge quite easily. Normally, 1000 to 5000 follicular units are required for a transplant which can be done in one or two sessions depending on the donor area and the experience of the surgeon. If done properly, extraction should be successful in either of the procedures. The density of the follicular units should ideally be between thirty to fifty FU per each square centimeter. This again can be attained through either of the processes.

Even when done by an experienced doctor, there is always the chance that some of the grafts are damaged during the extraction process. When there are lesser grafts, there will obviously be a lower possibility of a full head of hair. This is so because there are lesser grafts to work with and there is also the chance that more than one graft might not take root.

  • The actual implanting process

When an experienced doctor is at the helm, you can be sure that the right amount of grafts are harvested, they are placed in the correctly prepared physiological solution and then implanted in the precisely designated areas. When the grafts are implanted at the right density and in tandem with the direction of the natural hair, you will have a head of hair that looks truly stunning.

While the extraction process is important, the recipient area also needs to be treated with equal care. The incisions that are made in this area have to be made carefully and a good clinic will have customized blades, which are designed in accordance to each person. With such a blade in hand, the doctor will be able to ensure that the length, depth and angle of each incision is accurate and there is minimal damage to the follicles. It is important to note that the right incisions will lead to the grafts being able to connect with the all-important nerves and blood vessels much faster. This is something that will affect the rate of survival of the follicles and ensure that the hair transplant looks natural.

  • The eventual healing

There is no doubt that like any other surgical procedure, a hair transplant too can lead to some amount of discomfort. However, whether you are undergoing FUT or FUE, you will be given local anaesthesia and in certain cases, people have complained about feeling a sense of tension on their scalp. This, however is a temporary effect of the medication and will disappear in a few days.

Although the actual healing process is much faster in FUT, the numbness that is often associated with this process is altogether missing in FUE. But the slight swelling might appear with both procedures. However, if proper instructions are followed, then that can also be eliminated.

  • Shedding of transplanted hair in post-op period is imminent

One would think that after getting hair transplant done, there is no more hair falling out, but the fact of the matter is that there will be shedding after doing either of the  procedures. However, this loss of hair is completely normal and happens with 98% people undergoing a transplant. While for some people the loss might only be in the area where the transplant took place, there might be those who lose hair in the surrounding areas too. It is important to remember that the hair will grow back over time and this time to stay!

Choosing whether the FUE or FUT process is ideal for you, is something that would best be decided post an extensive session with your doctor. If the area is small where 2000-2500 grafts are required, then you can go for FUE and if more than that is required in one session then you can go for FUT or a combination of FUT & FUE. Hence, there are pros and cons to both and a doctor will be able to suggest the right course of action.


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We received an email from Hari, who wanted to know more about hair transplantation techniques, since he was considering one for himself.

Here are important parts of the information that we shared with him:

Hello Hari,

Thank you for writing to us with your query and here is the information that you were looking for.

hair transplantIn the simplest of terms, a hair transplant is a process in which, small section of hair, along with the follicles are carefully removed from the head and then transplanted into areas which have excessive hair loss or balding. The areas from which the hair is extracted is known as the donor area – this area can be identified only by amedical professional. Normally, the donor areas are the back or the side of the head. The bald area where grafts are implanted is the recipient area.

The actual transplant procedure involves two main steps – harvesting and implanting. In the first process, follicular units or grafts are extracted by strip or FUE technique. These grafts can vary from two to three strands of hair or more, depending on the density and viability. The next stage is the actual transplant process, where in, the grafts are carefully transplanted into the recipient areas. This is done by making small holes or slits on the recipient bald area and then implanting the grafts into these holes.

There are various techniques for hair harvesting which include,

  • FUT (Follicular unit transplantation) Strip technique: Here, a strip of skin with hair follicles is taken from the donor area, which is then dissected into individual follicular units. This strip area is sutured and this leaves a scar at the donor site upon healing which is covered with the longer hair.
  • FUE (Follicular unit extraction): In FUE, the grafts are taken individually using special instruments from the donor site. This is a suture free procedure.

The extracted grafts are implanted in the same manner in both the techniques. Another new technique is DHT or direct hair transplant, a modification of FUE, in which the grafts are implanted immediately after extraction without much delay. The results are found to be excellent with this novel technique.

And also, the combination of Bio- therapy( utilising your own growth factors extracted from your blood) with hair transplant has enhanced the quality of the results in the Bio- FUE and Bio- DHT technique.

As doctors, we are extremely careful about both processes – not only do we ensure that there is no damage caused to the donor site, we also ascertain that the transplant looks natural. For this, we place each graft in the same direction as the natural growth of the hair. We ensure the placement is carefully spaced, so that when the actual growth starts, it blends in with the natural hair. It is also our endeavour to ensure that there are minimal scars and the hair can be styled as per the individual’s choice.

If you wish to learn more, we would like to invite you to our clinics, where you can not only get first-hand information, but also take a look at some of our success stories!


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What is it about hair transplants that make people feel they should go for it, as though the ads that promote ‘cures to baldness’  weave a mesmeric spell?  Many surgeons state there is a certain risk. It gives the entire medical fraternity a bad name when fly-by-night operators make tall claims and then fail to deliver. A patient who had undergone 2000 hair grafts was depressed because of his surgeon’s attitude post-surgery. Before selling him the idea of a transplant, the patient was welcomed, convinced but the situation turned sour when the grafts did not grow. To make matters worse, the patient could not even have a short hair cut due to the terrible scar he was saddled with. The recipient area had healed but the surgeon was wrong in making the patient feel as though it were his fault. A surgeon first and foremost needs to be compassionate enough to treat every patient with not just medicines and operations but also proper counseling and adequate or qualitative feedback.  As for patients, they need to do thorough research before signing up for hair transplant or any such procedure and must not consider this to be some mysterious process where the outcome hinges on chance or luck. Most factors are within the control of the surgeon and his team.

However, many times women with undiagnosed conditions like alopecia may face some problems with hair grafts.

People should be aware that as they age they will face thinning hair and not fall prey to miracle peddlers and their false promises. A transplant done at thirty years of age will have different result than one which is done later. New procedures like FUE have made inroads into hair restoration, but before opting for it, a consultation with experts is vital to avoid disappointment later. Any person going in for any kind of treatment should feel free to ask questions such as density coverage, downtime, side-effects or any other concerns like a scar. The best bet would be to seek testimonials of those who have already been through the procedure. At A K Clinics we have a dedicated team of qualified professionals who educate the patient about the procedure and dispel doubts. Our centres in Ludhiana, Delhi, Mumbai are open to people from all walks of life, who want to change their tomorrow and face it with confidence.


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Our esteemed doctors Dr. Kapil Dua & Dr. Aman Dua from AK Clinics conducted a workshop on Hair Transplant in Aesthetics 2013 being held at New Delhi from 23rd Aug – 25th Aug. This conference is being attended by around 600 doctors from across the country and some neighboring countries. The most eminent doctors have been invited from across the globe to share their knowledge & experience.

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Dr Kapil Dua & Dr Aman Dua trained these doctors on various hair transplant techniques. They gave these doctors a hands-on experience of Follicular Unit Extraction ( FUE) technique. Most of them were amazed by the skill & expertise of the duo.

[Read more…]


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Dr Kapil Dua & Dr Aman Dua both attended recently 2nd Mediterranean FUE Workshop held in Madrid, Spain. The workshop was hosted by the International Society of Hair Restoration Surgery together with Dr. José Lorenzo and Dr. Alex Ginzburg. This 3-day workshop focused on the specialized donor harvesting technique of follicular unit extraction (FUE). Nine live surgical procedures were offered along with implantation with the implanter pen technique. Several FUE techniques, methodologies and instruments were discussed including both manual and motorized FUE.

[Read more…]


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The latest highly developed cost-effective technology for hair transplant is FUE also known as Follicular Unit Extraction. FUE is a procedure of donor hair extraction by which individual follicular units of hair are removed one-by-one and then transplanted to the beneficiary area. The cost of FUE hair transplantation depends on the total of number of follicular units required by the person. Nowadays it is not a costly affair in any of the states of India like Delhi, Andhra Pradesh, Arunachal Pradesh, Assam, Bihar,

Chhattisgarh, Goa, Gujarat, Haryana, Himachal Pradesh, Jammu and Kashmir, Jharkhand, Karnataka, Kerala, Madhya Pradesh, Maharashtra, Manipur, Meghalaya, Mizoram, Nagaland, Orissa, Punjab, Rajasthan, Sikkim, Tamil Nadu, Tripura, Uttar Pradesh, Uttarakhand, and West Bengal.FUE is a recent hair restoration technique available in many cities like Hyderabad, Itanagar, Dispur, Patna, Raipur, Panaji, Ahmedabad, Chandigarh, Shimla, Srinagar, Ranchi, Bengaluru, Thiruvananthapuram, Bhopal, Mumbai, Imphal, Shillong, Aizawl, Kohima, Bhubaneswar, Chandigarh, Jaipur, Gangtok, Chennai, Agartala, Lucknow, Dehradun, Kolkata. In FUE hair transplantation, individual hair follicles are extracted without any harm to the scalp. This process is performed with the help of special machinery that barely leave visible scars. Since each single follicle is extracted separately, this is a time consuming procedure. The advantage is that controlled and cautious extraction of donor hair is very soft to the skin and scalp. It is very hard to observe for scars even after only a few weeks. Complications are very rare. FUE hair transplant surgery is a lasting venture for your self-image and self-confidence. It is a cosmetic surgery in which the number of grafts depend on the patient’s degree of hair loss and thus the cost varies according to the transplanted hair. In this technique, we not only take hair follicles from the scalp (the “horseshoe fringe” portion, which goes from ear to ear) but also from the other body areas like, chest, abdomen, back, legs, etc. which are known as the donor sites. They are then transplanted into the bald recipient area. Hair transplant surgery is cost-effective in India now not only for people of India but also for those who reside abroad. Many foreigners prefer to come to India because of two reasons one they get quality treatment at low prices and secondly India is a tourists destination so they get to visit the lovely and beautiful places in India as well. Many cities are providing their best services at lower costs in India like Agra, Ahmedabad, Aizawl, Ajmer, Akola, Allahabad, Amritsar, Aurangabad, Bangalore, Bareilly, Belgaum, Bharuch, Bhopal, Bhubaneswar, Bikaner, Bilaspur, Chandigarh, Chennai, Coimbatore, Cuttack, Dehradun, Delhi, Dhanbad, Faridabad, Gandhinagar, Ghaziabad, Goa, Gurgaon, Guwahati, Gwalior, Hisar, Hubli, Hyderabad, Indore, Jabalpur, Jaipur, Jalandhar, Jammu, Jamnagar, Jamshedpur, Jodhpur, Kalyan, Kanpur, Katni, Kharagpur, Kochi, Kohima, Kolhapur, Kolkata, Kozhikode. Medical professionals in India are very experienced and skilled and their medical fees are quite logical as compared to other parts or developed countries of the world. Moreover Indian doctors provide the combination of caring, good skilled, well-trained team with comfortable ambience where you can spend hours with music, food and relaxation without fear. One of the important factors in deciding the clinic is not only the cost but also the experience and the reputation of the doctors. Many people think that all doctors are the same and opt for the minimum priced clinic. But the results are usually sub-optimal at these places and in the end, the patient ends up paying more than double the price for the revision hair transplant. And also, hair once lost are lost forever. Few doctors charge by graft while others charge by session. Some hair transplant surgeries can take only one session, while others may take up to two or three sessions as well. The session can last from three to six hours. Depending on personal preference (of both the doctor and the patient) and the extent of hair restoration, the price is determined. Often, the grafts will become cheaper with an increase in the number needed and if you get it done from the beginners. Usually it varies from 1-5 US $ per graft in India. FUE Hair transplant surgery has become a very popular in India and is now available in all cities like Lucknow, Ludhiana, Madurai, Mangalore, Mathura, Meerut, Mohali, Moradabad, Mumbai, Mysore, Nagpur, Nashik, NaviMumbai, Nellore, Noida, Panchkula, Patna, Pondicherry, Pune, Rajkot, Ranchi, Salem, Satara, Shillong, Shimla, Sirsa, Solapur, Srinagar, Surat, Thane, Thrissur, Trichy, Trivandrum, Udaipur, Vadodara, Varanasi, Vellore, Vijayawada, Vizag, and Warangal.


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There are various types of hair transplant methods existing today. Each hair transplant treatment center has their own specific procedures. In this modern era, hair transplant techniques have developed and refined into two main methods: the FUE (Follicular Unit Extraction) method and the STRIP method. Both the FUE and the Strip Excision procedures have advantages and disadvantages and after a consultation with a hair transplant specialist, you will know which method is right for you.

The main difference between FUE and STRIP is in the way hair follicles are extracted. The implantation process of the extracted hair follicles is usually the same. Follicular Unit Transplantation (FUT) is often referred to as the “strip” hair transplant procedure. It is an older way of extracting donor hair, whereby the surgeon excises a linear strip of hair and tissue from the back of the scalp.  This tissue is then dissected into individual follicular units, by surgical technicians, and then placed in thinning or balding recipient regions. Meanwhile, the wound is closed with the use of sutures. However, the donor area after a strip excision surgery will require more time before it is fully healed when compared to the FUE surgery. This scar will be detectable if the patient opts to wear their hair very short, and may even stretch over time. Strip procedures also permanently distort the direction of hair growth along the perimeter of the scar.

The strip excision procedure is more economical (typically half the price per graft of FUE). It is usually said that more number of grafts can be extracted by Strip but nowadays, it has become possible to give 2000-2500 grafts from scalp by FUE as compared to the previous days. However, if you need more grafts, then either a second sitting from scalp or more grafts can be extracted from the body (beard, chest, abdomen, etc.) in the first sitting only. Similarly, if more grafts are required from strip technique, even that is possible. In the FUE method, individual hair follicles are picked out and transferred from the neck to the crown. The FUE is a scalpel free and stitchless approach with faster healing. As every single follicle is extracted individually, this is a time consuming procedure. The benefit is that controlled and careful extraction of donor hair is very lenient to the skin and scalp. Complications are very rare, and scars are hard to detect even after only a few weeks. Moreover, FUE doctors can select the follicular units that will offer the most hairs per graft, and produce an optimal yield.  On the contrary, strip procedures limit surgeons to using only those hairs found in a single strip of scalp tissue. In addition, the FUE procedure is modestly invasive nature which produces very tiny scars in donor area and these are very hard to detect.

FUE hair transplantation, therefore offers a number of advantages over FUT or strip procedures like it does not leave a linear scar, nor does it distort the growth angles of hair, less invasive hair transplant procedure,  requires less healing and recovery time post-surgery. Though, with the help of new technology doctors can minimize the visibility of any scars produced by Strip. However FUE cannot reverse any lack of sensation in the area caused by a Strip. If you are planning to go for a hair transplant, FUE is the best option to restore the hair. FUE is also the most excellent choice when the doctor does not advise a Strip, such as when the skin on the scalp is too tight, has existing damage or has already undergone several Strip procedures. At the present time, FUE is considered by many as the latest and refined approach to a hair transplant. While it is essential to understand the main differences between the two methods, only a hair transplant specialist can tell you which method is best for you, considering your specific needs and desired outcome.


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