FUT Hair Transplant

FUT or follicular unit transplant is also known as strip surgery. This is one of the most commonly used procedures for hair transplant and is the ideal choice for people, who have a large area that has gone bald. In this procedure, the hair bearing skin is removed by using a scalpel from the back of a person’s head and the gap at the back of the person’s head is sutured together. The strip then gets divided in grafts consisting of one or two follicles and then implanted in the same way as FUE.

FUT Hair Transplant Procedure

We read a lot of things on FUT & FUE on internet but when it comes to the procedure, there are a rare few who are truly aware of what happens during the procedure. In FUT, an entire strip of hair is removed from the scalp’s donor area and then the dissection takes place under a microscope. The area from where the strip is taken is stitched carefully, which leaves a linear scar on the scalp. The intention of a follicular unit transplantation is to take hair from a donor area, and transplant it into the area where the balding is most pronounced. Normally, small follicular units are harvested, and each unit contains anywhere between a single to four hairs.

FUT Hair Transplant Steps

Generally, on the day of surgery, you are asked to come a few hours before the surgery is schedule.This time will allow the staff to guide you through all that will happen and also complete the requisite paperwork including the informed consent form. This is also the last time to talk to your FUT surgeon and clear all your doubts. The surgeon will demarcate the area, in accordance to the prior consultations, including drawing the exact hairline. These markings will be the final ones.

Local Anaesthesia

You will be administered sedation, local anaesthesia or a combination of both, to ensure that you are comfortable and do not feel any pain or discomfort. In many cases, like at our clinic, anaesthetic gel & high frequency vibrations are also used to reduce the discomfort or pain caused by the injections. So we make sure procedure is virtually pain free

Donor Tissue

The doctor will make long vertical incisions to remove the strip of scalp with the hair grafts, which will be used for your hair transplant. The exact location of the donor area has to be chosen very carefully, because this has to be the area where the hair density is maximum, as only this can ensure long term stability of the transplanted hair. At AK Clinics we only use trichophytic closure to have a fine scar

Storage of Donor Tissue

As soon as the strip of hair is removed, it is placed in a physiological solution, which minimizes the body’s natural fluids and gives time to close the wound created by the strip removal.

Slivering & Dissection

The harvested strip is now divided into single layer of hair follicular units called the Slivers. Each sliver is then trimmed for any extra tissue. The grafts are then separated individually which will be finally implanted in the bald area.

Creation of the Recipient Sites

The creation of the recipient site has to be done with precision, because this will decide the complete look. Fine blades or needles are used to create the site and then the angle of hair is decided. A good surgeon will ensure that the sites are created in a way that the final look is completely natural. At AK Clinics, we use custom blades as per size of graft.

Implantation & End of Surgery

After the sites have been created the grafts will be transplanted into holes made by the surgeon. At the end of the procedure, each of the grafts will be checked again and you will be told about the post op schedule. You will also be given a printed copy of the same, so that you can follow all the instructions. Your donor area will be covered with bandage and you will be able to wear a bandana or cap to provide further protection.

Important facts about FUT Hair Transplant

FUT scar

Given that a strip of the scalp is removed, there will be an exposed strip of skin on your head. This will have to be stitched together, and over time, the same will heal, but a scar will be left behind. In most cases, there will be a linear scar, which in the hands of a good doctor will not be visible after a while. This will happen because the new hair will be transplanted in such a manner that when they grow to a certain length, the scar will be hidden beneath it.

FUT Advantage

FUT is still more prevalent due to the advantages it offers. The patients with large area of baldness should choose FUT Hair Transplant. The scar in most people remains hidden as more than 75% of people do not shave of head ever. And then there are many ways to cover it.

FUT side effects & disadvantages

If the procedure has been done by an experienced surgeons like at AK Clinics, there is little to worry about. However, if the procedure has been done by someone inexperienced, there are several things that could go wrong. For starters, the stitches or sutures could develop infection, pus, itching or redness. The downtime is more as compared to FUE Hair Transplant. The patients can also see some effluvium around the scar but can happen with FUE too.

FUT Strip Scars Restoration

Restoring scars after an FUT procedure is not easy and can be handled only by a surgeon with immense experience. There are mainly three methods by which the same can be done – by implanting new hair follicles using the FUE method, by using the W-plasty technique wherein the wound is excised and stitched and finally, there is the option of micropigmentation.

Implanting new hair follicles with FUE

This is perhaps one of the most popular methods for scar restoration and offers results that are completely natural. FUE is a minimally invasive procedure, which means that people are able to return to their normal routines, within a few days.Hair follicles are removed from the donor area, and then carefully placed around the scar, allowing for greater coverage.

Application of excision on the scar and stitching the wound using W-plasty

The scar will first be excised in W shapes and once the area around the scar has been mobilised, the wound is stitched, one layer at a time. The technique is called trichophytic closure and is an ideal option for scars that are of a medium or large width. However, the skin surrounding the scar has to be elastic or else the results will not be satisfactory enough.


Also known as medical tattooing, this is one of the easiest methods to cover FUT scars. Tiny spots or fine lines are created across the scar line in a colour that matches the natural hair colour. Tattoos being permanent will not only help cover the scar, but also last a lifetime, without requiring any maintenance.

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M-20, GK-I, Near M Block Market, Delhi
316, 100 Ft Rd, Indiranagar, Bengaluru
51-E, Sarabha Nagar, Ludhiana, Punjab