Follicular Unit Transplantation (FUT)

In cases where there are not enough follicles to extract individually by FUE, then extracting a Strip of follicles will be the only option to consider. The Strip of follicles is extracted from the middle-portion of the back of the head, because that area is largely immune to the effects of Dihydrotestosterone (DHT), which is the ‘killer’ hormone responsible for thinning and loss at the top. The individual follicles are extracted from the lower- and middle-portion of the back of the head and if needed also from the sides.

This Strip method leaves a fine pale scar at the back of your head, which is easily covered by your own hair. Special attention is given to make precise incisions to ensure minimum scarring. Absorbable sutures are used, although we recommend removal of them between 8 and 12 days after the procedure.

Pre OP FUT forms

Post OP FUT forms

What is involved?

A FUT Hair Transplant procedure consists of 2 parts. Extraction and Suturing. This involves removing the strip from the donor site, followed by suturing the wound. This takes roughly an hour.

The strip that is removed is divided into approximately 1,000 to 3,000 tiny grafts containing an individual hair follicle with one to 4 hairs. After the grafts are prepared, the surgeon cleans and numbs the area where the hair will be placed.


This is part of the Implantation section. Once the area is prepared with tiny holes. each follicle is carefully inserted in the natural direction of hair growth.

Depending on the extent of the procedure, the transplant will take approximately four to eight hours. Additional sessions may be needed if you continue to lose hair or decide you want thicker hair.

What are the Risks?

As with any surgical procedure, hair transplantation carries risks. This include bruising and swelling following the procedure. Infection of the donor area is almost unheard of due to the scalp’s abundant vascular supply. Around the time new hair growth starts, some people experience inflammation or infection of the hair follicles (folliculitis). This can be treated with antibiotics. Another potential risk is the sudden loss of transplanted hair, called shock loss. This hair loss is rarely permanent.

For all these reasons Dr Nestor follows his patient’s closely in the first month and monthly after this, continuing their journey with them.

The “down time”

After hair transplant surgery, your scalp may be tender. You may need to take pain medication for a few days.

Most people are able to return to work after a week following surgery. Within two to three weeks after surgery, the transplanted hair will fall out, but you will start to notice new growth within a few months. Most people will have attained 60% of new hair growth after six to nine months.