Follicle Unit Transplant or Strip Surgery (FUT/S)

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Follicular Unit Transplantation (FUT) is an alternative method of taking hair from the donor site on a patient’s scalp for implantation in the recipient site to restore hair loss.


A follicular unit is a naturally occurring group of between 1 and 4 hairs and associated adnexal structures.


In the FUT hair transplant method, Dr. Nel will remove a strip of tissue from the donor area, as opposed to harvesting individual grafts one at a time as with FUE.


The patient’s scalp is anaesthetised and the strip of tissue is taken from the donor area at the back of the head (safe donor area), where the hair grows abundantly. Then the doctor and the surgical team will carefully dissect the strip, using microscopic dissection techniques, into individual follicular units.


These prepared follicular units are then implanted into the tiny holes the doctor has made in the recipient area.



The strategic and artistic placement of various types of follicle units (e.g., 1FU’s, 2FU’s, 3FU’s and 4FU’s) in specific areas of the scalp and the angles at which the follicle units are placed, combined with the number of follicles transplanted, contribute to achieving the required density and naturalness.


We develop a custom designed plan for each patient taking into consideration all of their facial characteristics, their hair loss pattern, their family history, personal history and their goals and objectives.


The transplanted hair will grow the way hair grows naturally, and is indistinguishable from the patient’s previously existing hair in the recipient area once it has grown out.



FUT Hair Transplant

FUT Technique and Trichophytic Closure

When Follicular Unit Transplantation (FUT) is performed, it leaves a linear scar in the area the surgeon removed the strip of tissue.


Up to recently this was one of patients’ primary concerns with FUT; but Trichophytic Closure is a technique used by the surgeon to make the scar almost invisible.
It’s a technique that leaves a far finer scar than previous techniques and gives a better cosmetic outcome for the patient, especially when they are wearing their hair cut very short after the procedure.


Trichophytic closure involves the surgeon bringing together the edges of the wound, and overlapping them as he sutures them together. He cuts one side of the skin at an oblique angle (bevelling), and then brings the adjacent skin flaps together to close up the wound.


Because of the angle at which the skin has been cut, the skin from both sides of the wound will then overlap.


One piece of scalp tissue now lies underneath the other one, and within that skin lie hair follicles which then slowly grow through the tissue, effectively concealing the scar as it becomes integrated into the hair.




It makes the results of the harvesting from the donor area during an FUT procedure far more subtle. This closure technique may also be used on patients who have had a previous procedure using FUT, excising the “old scar” at the time of harvesting the “new strip”, in order to improve the existing donor scar.

Read more about FUE Transplant.


Find out today if you are a suitable candidate
for this life changing procedure. Call us on 1890 202 203