Human hair emerges from the scalp
in small bundles called follicular
units that consist of about 1-4 (full
thickness) hair follicles, plus 1-2
finer hairs, oil glands, a small
muscle, tiny nerves, blood vessels
and a band of collagen.  On the
surface of the scalp, the tiny
groups of hairs appear to grow
together--but when viewed under a
microscope, individual follicular
units can be seen as well-formed
structures under the skin.

With hair transplantation surgery,
small groups of follicles are
carefully removed from a donor
site using a microscope in order to
avoid damage.  Typically, hair is
removed from the area in the back
of the scalp where hair loss has not
been affected by hormones.  Hair is
removed through small punches or
Follicular Unit Extraction (FUE).  
The doctor divides the follicular
units into naturally occurring
groups, removing and discarding
the excess fatty tissues and skin.  
These small grafts are then
meticulously inserted into the bald
or thinning areas of the scalp.  
Once inserted, the transplanted
hairs do not need suturing, heal
quickly, and soon become
undetectable once the new hair
begins to grow
.
What happens during and
after the surgery?

Hair transplant procedures take approximately 4-8 hours
and are performed using local or "twilight" anesthesia, on
an out-patient basis.  Depending upon the degree of hair
loss and desired density, the transplantation may involve
one to three procedures involving approximately 700-3500
grafts each.  During the procedure, there is typically little
or no pain.  In fact, most patients remain awake and can
talk, listen to music or watch movies and television.

Some people are concerned with how they will look after
the surgery.  Often, a light bandage/dressing will be placed
on the scalp in order to keep the grafts snug and secure
overnight.  In most cases, it is removed the next day.  
Although there may be some initial redness and swelling as
small crusts from on the grafts, these are shed
approximately 10-14 days after the procedure.  Most patients
resume normal activities, such as work, the next day.  The
hair can be cleaned gently with a special shampoo, and
after your first shower, no further bandages are required.

The transplanted hair seen above the scalp will be initially
shed; however, the roots will remain dormant for
approximately 6-12 weeks, after which the new hairs will
begin to grow.  After a period of four to six months,
90-100% of the grafts survive transplantation to blend
perfectly with the surrounding scalp.  The transplanted
hair will continue to grow for a lifetime.
In order to prepare hair follicles for transplantation, the doctor
must microsopically remove small groups of hair (follicular units)
from a donor site--typically from an area in the back of the scalp
where hair loss has not been affected by hormones.

Unlike the single-strip method, where an entire donor tissue area is
harvested using a scalpel-like blade, follicular unit extraction (FUE)
removes hair through a series of small punches.  These punches score
the skin and mid-dermis to a level of about 2 mm. around each
follicular unit.  The hairs are then gently extracted, one-by-one, from
within the punch area and are either used intact or divided
microscopically into smaller units for transplantation.

While the single-strip method requires sutures, the FUE method does
not--tye holes left behind after the follicles have been removed
typically heal on their own within a week.  Either method leaves
minimal scarring, which is normally not detectable once your hair
grows out.

Since each hair loss problem is unique, a consultation can best assess
your individual hair loss solution and help determine the best
available treatment options.
Follicular Unit Extraction
Follicular Unit Transplantation (or FUT) is the most progressive
method of hair transplantation available today. it is the only hair
transplant procedure used by the Chicago Hair Transplant Clinic to
ensure the most natural, consistent and permanent solution to hair
loss.  

Human hair emerges from the scalp in small bundles called follicular
units  that consist of about 1-4 terminal (full thickness) hair follicles,
plus 1-2 finer hairs, oil glands, a small muscle, tiny nerves, blood vessels
and a band of collagen.  On the surface of the scalp, the tiny groups
of hairs appear to grow together, but when viewed under a
microscope, individual follicular units, can be seen as well-formed
structures under the skin.

With a follicular unit transplantation procedure, small groups of
follicles are carefully removed from a donor site using a microscope
in order to avoid damage to the individual follicles.  Typically, hair is
removed from an area in the back of the scalp where hair loss is not
affected by hormones.  The hair is removed through small punches,
called Follicular Unit Extraction (FUE).  

The doctor divides the follicular units into naturally occurring
groups, removing and discarding excess fatty tissues and skin.  These
small grafts are then meticulously inserted into the bald or thinning
area of the scalp.  Once inserted, the transplanted hairs do not need
suturing, heal quickly, and soon become quickly undetectable once
the new hair begins to grow.

With detailed planning, individual consideration and an aesthetic
approach, Dr. Panine, uses the follicular unit method to carefully
place small grafts of hair at specific angles, depths, directions and
widths, allowing the resotration of your original hair pattern.  Ther
result is a natural, unnoticeable and permanent solution to your
hair loss.
Follicular Unit Transplantation
Copyright 2011 The Frohling Group, Ltd.
The Basics