Hair Transplant Techniques:
When individuals begin to experience hair loss, they usually start by researching the issue online. The process tends to follow a similar path for almost everyone. After initial research, many people begin using products such as “rosemary oil,” “hair serums,” and “dermarollers” on their own. Although some individuals may see partial results in the early stages, these approaches are often insufficient in the long term, leading people to seek medical support.
While searching for medical solutions, individuals typically encounter recommendations for supportive treatments and hair transplantation. However, if these treatments are not applied in the correct order, patients may experience unsuccessful outcomes and be left with unnatural-looking hair for life. Those researching hair transplant methods often come across countless technique names, which can complicate decision-making and cause confusion. Contrary to the many names used for marketing purposes, according to internationally recognized and independent associations, there are two main techniques used in hair transplantation: Follicular Unit Transplantation (FUT) and Follicular Unit Extraction (FUE).
Each method has its own advantages and points that require attention; therefore, understanding the differences well is essential to determine the most suitable option for each individual. Below, we provide a summarized list of the main hair transplant techniques accepted worldwide, explained according to the International Society of Hair Restoration Surgery (ISHRS) as the primary reference. Link
1. Understanding Hair Transplantation: An Overview
Hair transplantation has emerged as a revolutionary method offering a permanent and natural-looking solution for individuals struggling with hair loss. The procedure generally involves transplanting hair follicles taken from areas resistant to hair loss—typically the back and sides of the scalp—into thinning or bald areas. The transplanted hair continues to grow naturally and provides a long-term solution against hair loss, significantly improving a person’s appearance and self-confidence.
Hair transplantation is not a new practice; it has evolved over several decades. The first recorded hair transplant procedures date back to the 1930s in Japan, primarily performed for burn patients. However, the method became widespread in the United States in the 1950s thanks to the pioneering work of Dr. Norman Orentreich. Over the years, advances in technology and techniques have made hair transplantation more effective and accessible.
Today, hair transplantation is performed worldwide and offers hope to millions of people suffering from various types of hair loss. The procedure has been refined to minimize discomfort and maximize results. Due to its high success rates and life-changing outcomes, hair transplantation has become increasingly popular and is now considered the most effective permanent treatment for baldness.
2. FUT (Strip Method)
A strip of scalp is removed from the donor area (usually the back of the head). This strip is then dissected into individual follicular units under a microscope and transplanted into the recipient area. Since a high number of grafts can be obtained in a single session, it is suitable for extensive bald areas. However, it leaves a linear scar that can usually be concealed with longer hair. Today, this method is less commonly preferred.
3. FUE (Follicular Unit Extraction)
Individual hair follicles are extracted one by one from the donor area using a special punch and implanted into thinning or bald areas. Compared to FUT, it is less invasive and does not leave a linear scar. The recovery period is generally shorter; however, for large areas, the procedure may take longer and may require multiple sessions.
4. Variations Based on the FUE Principle
Although ISHRS identifies FUT and FUE as the main techniques, the following sub-variations are widely accepted and commonly used in practice:
4.1 DHI – Direct Hair Implantation
Hair follicles extracted using the FUE principle are implanted directly with a Choi implanter pen without creating channels beforehand.
ISHRS references indicate that this is not a separate method but rather a different implantation technique based on the FUE principle. Link
4.2 Body Hair Transplantation (BHT)
When necessary, body hair (such as beard or chest hair) can be used as a donor source instead of scalp hair.
ISHRS refers to this approach as “body hair transplantation.”
4.3 Sapphire FUE
An advanced version of FUE in which channels are created using sapphire-tipped blades, allowing for finer incisions.
4.4 Unshaven Hair Transplant
Considered a variation of FUE/DHI in which the procedure can be performed without shaving the hair.
4.5 Stem Cell or PRP-Supported Approaches
Supportive treatments are added to surgery to increase graft survival rates. ISHRS still considers these as adjunct therapies.
4.6 Hybrid Hair Transplant
A term used for the variation in which manual forceps implantation and DHI implantation methods are used simultaneously. The two implantation techniques are applied to different areas of the scalp at the same time.
4.7 Micro-FUE Hair Transplant
Based on the same FUE principle; it is referred to as Micro-FUE because smaller surgical instruments are used during follicle extraction.
5. Hair Transplantation vs. Other Hair Loss Treatments
Although hair transplantation is an effective solution, alternative options exist and may be more suitable for some individuals.
5.1 Medications
Minoxidil and Finasteride can slow down hair loss; however, they require continuous use and may not be effective for everyone. Side effects may occur.
5.2 Non-Surgical Methods
Laser treatments or PRP therapies may stimulate hair growth but generally require multiple sessions and may not provide permanent results. Wigs and hair systems offer quick solutions for those who prefer non-surgical options.
Each method has its own pros and cons. The most appropriate approach should be determined based on individual needs, expectations, and the degree of hair loss. Consulting a hair restoration specialist helps in making the right decision.
6. Conclusion
Having this information before deciding on a hair transplant technique can help guide your decision-making process. Variations based on core techniques generally differ during the implantation (placement of hair follicles) stage, while other steps are usually the same. The most appropriate method is the one you decide on together with your physician, tailored to your individual condition. For a second opinion, you may contact us.
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