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Hillside Hair Clinic - UK-based Hair Transplant Specialists

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There are two surgical techniques by which hair can be removed from the donor area of a patient’s scalp - Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT). Some hair clinics are strong proponents of either FUE or FUT (Strip) procedures - but not both. This is because their leaning can often depend on the experience of their own surgical staff, rather than what's the best option for the patient.

Here at Hillside Hair Clinic, we believe that each method, both FUE and FUT, actually have key advantages and disadvantages and therefore the decision about which treatment option to go for should be based around the specific needs of the individual patient. Of the two options, FUE is the most common procedure being carried out currently.

We offer FUE hair transplants, which is a market-leading procedure. Many patients prefer FUE because it doesn't leave a scar.

FUE (Follicular Unit Extraction) is a method of hair transplantation, where grafts are harvested by a surgeon from what is referred to as the donor area (usually the back and sides of head).

The extracted grafts or follicles are then implanted into what is called the recipient area which in short is where the patient is suffering from hair loss. In the case of a scalp hair transplant, the recipient area is usually the top of the head.

We take hair grafts from the sides and back of the head, as hair in these areas are not sensitive to the DHT hormone. After transplantation, they will grow forever. So, implanting hairs that are not sensitive to this hormone, into the recipient area of the scalp means that this hair is perfect to use to transplant.

FUE Surgery Dr Mamontova

What's the difference between FUE & FUT?

Follicular Unit Extraction (FUE) refers to the extraction part of the procedure and there are key differences between the FUE and FUT methods. In the FUE method, individual grafts are extracted directly from the patients donor area (back and sides of the head), one graft at a time. Patients can typically also style their hair shorter at the sides and back after the procedure. In an FUT hair transplant, a thin strip of hair is removed from the donor region leaving a small linear scar. The strip is then grafted into the recipient area.

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FUT is another alternative for hair transplant procedures, often popular with women

During an FUT (Follicular Unit Transplantation) procedure, local anaesthetic is injected into the donor area of the scalp and a long, linear strip of skin is removed. The anaesthetic may sting a little (a bit like having a dental procedure) but will very quickly go numb. T

he extracted strip is then dissected into thousands of grafts using stereo-microscopic dissection by the technicians who ensure to keep them healthy and intact. Whilst this is occurring the surgeon will stitch the incision using an advanced tricophytic technique designed to minimise any scarring. T

he sutures are usually absorbable and will fall off in weeks to come or if you prefer non-absorbable sutures they will need to be removed between 7-12 days following surgery.

The primary benefit of FUT is that each strip of hair contains many grafts ready to be harvested in a small amount of time, allowing the process to be completed quickly. The large number of available grafts and the small size of each unit also allow hair to be distributed more evenly, resulting in a hair pattern that appears natural. Further, using a “trichophytic closure” at the back of the head, our surgeons can almost always achieve a very thin if not entirely undetectable scar.

Hair Analysis Equipment

In reality, 80% of hair transplant procedures are FUE and only 20% are FUT.

The latter is usually offered mainly to patients with extreme baldness and a good donor area who are prepared to leave the hair a little bit longer at the back (Norwood Grade 6-7).

FUE Surgery Dr Mamontova

Who is FUT suitable for?

Women are often offered FUT as opposed to FUE as they usually have the advantage of having longer hair in the hair styling and will cover the fine linear scarring.

Given our experience at Hillside Hair Clinic, for those patients who need a very large number of grafts (over 3000) occasionally we recommend combining and profiting from both FUE and FUT procedures in the same patient. In extreme baldness, we may also add further grafts from your beard area if the donor hairs in this region are good in the hope of avoiding a second procedure.

Comparison of FUT Versus FUE

FUE

  • Commonest Procedure of 80% of Patients

  • Men up to Norwood 5

  • Multiple very small scars (not noticable after healing)

  • Difficult to repeat in later years

  • Better for those who suffer keloids or scar badly

  • Can have short hair at the back

  • Can exercise after a few days

  • Less risk of complications

FUT

  • Currently 20% of patients have this procedure

  • Preferred for women

  • Fine linearscar

  • Can repeat strip procedures after many years

  • Need to wear hair at back longer

  • Need to wait 4-6 weeks before strenous exercise

  • Ludwig and Savin Scale for Women

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