Which hair transplant technique is most suitable for you?

Reach out to us for precise information, or go through the article below to explore the available choices.

Which hair tranplant  technique is most suitable for you?

Consultations typically conclude with a puzzled expression and the question, “so, which technique is the best?” We always suggest the transplantation method that is most appropriate for our patients. However, after years of experience using both FUT (since 1998) and FUE (since 2003) methods, we’ve discovered that there isn’t a one-size-fits-all answer.

Moreover, our experience with BHT (since 2006) and LHT (since 2011) has demonstrated that no single method surpasses the rest. Each technique has its pros and cons, as well as specific indications and contraindications.

Every case is unique and requires a tailored approach. Each hair transplant method has its own set of benefits, drawbacks, and most importantly, ideal timing. To determine the best technique for you, we must carefully consider and evaluate each option based on your specific needs.

Which transplantation method is the best?

At the Tsilosani Hair Transplantation Institute, we specialize in three hair transplant techniques: FUT, FUE, and LHT. Our team, led by Dr. Tsilosani, has extensive knowledge and experience in all three methods, having successfully performed thousands of operations. To determine the best technique for you, we consider your individual case and the potential benefits for you before proceeding with the transplant. In this article, we’ll explore the advantages and disadvantages of each method, helping you understand which one might be the best fit for your needs.

FUT – Follicular Unit Transplant Method

The FUT method, also known as the strip method, is the first method we began utilizing at the Tsilosani Hair Transplantation Institute. It is also the earliest method available for hair transplantation procedures. As a result, this procedure has been refined and practiced to achieve an excellent performance. Here are some of the advantages of the method.

Benefits of the FUT method:

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    Pace

    The FUE method involves extracting individual follicular units from the donor area, which eliminates the need for a linear scar. This technique is suitable for patients who wish to wear their hair short or are concerned about scarring. The FUE method also has a faster recovery time since there is no strip removal. However, this method requires multiple sessions to achieve the desired coverage and can be more expensive than the FUT method.

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    Larger Number of grafts

    Each hair transplant method has its advantages and disadvantages, and the most suitable technique depends on your individual needs and circumstances. At the Tsilosani Hair Transplantation Institute, our expert team will carefully evaluate your case to determine the best approach for your hair restoration journey. Schedule a consultation to discuss your options and find the most effective solution for you.

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    Productive use of donor area

    Expanding on the earlier point, the FUT method is advantageous when the donor area density is consistent with the rest of the scalp. This technique allows for more efficient use of the donor area and makes it easier to harvest hair from the nape region. Additionally, the FUT method enables the collection of a higher number of grafts through multiple sessions.

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    Low transection fees

    Transection refers to the unintended severing of the hair bulb in the graft while performing transplantation. This problem is reduced in the FUT method, particularly when employing contemporary instruments like we use. Techniques such as the open donor approach, stereomicroscopic graft preparation, and others help in lowering transection rates. Furthermore, when the extraction and subsequent handling of donor tissue is done by a skilled surgeon like Dr. Tsilosani and a group of surgical assistants, the transection rate falls below 3% (indicating that only 3 out of every 100 hair roots are transected).

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    Low mortality rate

    The FUT graft technique has been extensively studied. The majority of researchers concur that this method results in a much higher hair survival rate (almost 100%). They believe that the FUE procedure carries a greater risk of graft trauma during extraction and implantation, particularly if proper preparation and modern techniques are not employed. Dr. Akaki Tsilosani’s 2004 study “Survival Rate of FOX grafts” was the first in the world to demonstrate that FUT and FUE grafts have identical survival rates when performed with appropriate preparation. Nevertheless, we feel it is important to inform you about the general agreement regarding these two hair transplantation methods.

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    Reduced rate

    The FUT hair transplant technique usually involves a greater workload for the surgical assistant rather than the surgeon themselves, leading to a less expensive procedure.

    Negative side of the FUT model

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      A bit longer recovery

      The FUT method, while effective, may cause some post-operative discomfort such as numbness, mild pain, and a sensation of stretching in the nape area. However, these symptoms are typically short-lived. After the procedure, it is advised to avoid exercise for 2 to 3 weeks to ensure proper healing.

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      Slight Scar

      One major downside of the FUT method is the presence of a linear scar at the donor site where the strip was removed. However, Dr. Tsilosani’s expertise, meticulous cleanup, and trichophytic-based wound closure techniques make the scar almost imperceptible. The scar is only noticeable if someone is specifically looking for it and when the hair is cut very short.

      Post hair transplant scarring

      FUE – Follicular Unit Excision Method

      The Akaki Tsilosani Hair Transplantation Institute has been performing the FUE procedure since 2003. Dr. Akaki Tsilosani MD has carried out thorough research on this technique and has obtained outcomes directly equivalent to the FUT procedure. The FUE approach is minimally invasive, with individual grafts being extracted directly from the donor region without any cutting, slitting, or stitching involved. This makes the experience less distressing compared to the FUT procedure.

      Benefits of the FUE method:

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        Scar-free

        This is a major benefit of the FUE technique. It does not leave a sizable scar from the procedure. Instead, only tiny individual micro-scars and depigmentation remain, which are hardly noticeable. Even with a short haircut or a bald head, these scars remain hidden.

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        Less intrusive

        As previously noted, the FUE technique is less invasive compared to the FUT approach. Postoperative discomfort is reduced following FUE surgery, with decreased numbness, less pain, and a shorter recovery period before resuming intense exercise.

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        Options of harvest areas

        If the back of the head (nape area) has sparse hair, hair from other body parts can be used for the donor. By employing the BHT (body hair transplantation) technique, grafts can be taken from the beard, chest, torso, legs, and pubic area. With proper execution of this method and careful planning of the transplant, a natural appearance can be achieved.

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        Superior density grafts

        The FUE technique involves grafts with a greater concentration of hair follicles. Surgeons consistently aim for multi-hair follicular units, each holding 3-4 hair roots, in order to optimize density. Research by Dr. J. Cole demonstrates that the hair-to-graft ratio in an FUE procedure performed by a skilled physician is nearly 3, while the FUT method typically reaches only 2.

        Drawback of the FUE method:

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          Small number of grafts per session

          The FUE technique permits the collection of fewer grafts compared to the FUT method because of time and donor site limitations. However, the FUE approach can achieve higher rates if the donor region is broader and has a greater density of grafts.

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          Bigger transection rates

          The FUE method involves collecting single grafts, leading to an increased chance of transection and, consequently, a higher occurrence. The number of follicles affected by the transection rate due to the FUE technique is significantly higher than with the FUT technique. In the most severe cases, the transection rate can reach 10-15% or more. Thankfully, using the right tools, a skilled surgeon, and a competent team can reduce the transection rate, making it more comparable to that of a FUT procedure.

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          Necessity for higher qualification

          Because of the process involved, FUE grafts encounter more trauma than FUT procedures, as they lack surrounding protective tissue. Thus, it is crucial for assistants to handle them gently to avoid reducing the procedure’s survival rate. Fortunately, when performed by a highly skilled surgeon like Dr. Akaki Tsilosani and his experienced team, this issue can be effectively addressed.

          LHT – Long Hair Transplantation method

          The Long Hair Transplantation technique is an adapted version of the Follicular Unit Transplantation method. This alteration was developed due to its benefits, with the primary advantage being the ability to transplant hairs that are 2-8 centimeters long, as opposed to the standard 2 millimeters.

          It is crucial to consider that the LHT technique carries all the pros and cons of the FUT method. However, it is not restricted to only those.

          Benefits of the LHT method:

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            Check out the result

            The LHT technique also enables the individual undergoing the process to immediately view the final outcome. For numerous people, the period following the procedure is often the most thrilling, as it elicits a great deal of positive feelings.

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            Accurate prediction

            The LHT technique enables a more accurate estimation of the hair regrowth percentage and transplant density for each specific case. Additionally, the process facilitates the collaborative identification of the optimal density for the patient.

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            Simpler procedure

            FUE and FUT methods do not enable surgeons to preview and accurately comprehend the outcomes of hair transplant procedures. Instead, physicians must depend on their expertise to anticipate the results 3 months down the line, as opposed to immediately seeing the hair’s appearance. The LHT technique resolves this issue, letting the doctor view the outcome during the operation itself. They can make real-time decisions about the procedure’s aesthetics, as the results are instantly visible. This leads to a more natural outcome by facilitating precise hair distribution, and assessment of angulation and density.

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            No cosmetic surgical marks

            The LHT hair transplant technique does not leave any noticeable signs of surgery right away. Individuals who have undergone this treatment can continue with their daily activities without the need for bandages, scabs, or swelling, and can style their hair nicely. A few of our clients can even attend work and social gatherings without anyone realizing they’ve just had a hair transplant procedure.

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            Direct Involvement

            If the patient wishes, they can participate in the procedure for the optimal desired outcome. 

            Downsides of the LHT method:

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              Less significant scar

              The LHT technique maintains the FUT method’s drawback. Following the process, a scar might form on the rear of the head. The Akaki Tsilosani Hair Transplantation Clinic employs the Trichophytic Closure method to reduce the scar’s visibility. Due to this cutting-edge approach, combined with state-of-the-art technology, we can render the scar nearly imperceptible to the naked eye, particularly with non-shaved hairstyles.

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              Complexity requires Proficiency

              The LHT technique necessitates a skilled and highly proficient surgeon and team to perform it. This procedure is considerably more labor-intensive compared to FUT and FUE methods. Therefore, the surgery should only be carried out by reputable teams, like the one at the Akaki Tsilosani Hair Transplantation Institute.

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              Expensive

              The operation’s complexity and labor-intensive nature lead to a higher cost compared to the standard FUT procedure.

              Which hair transplant technique is most suitable for you?

              Determining the most suitable hair transplantation method for you in advance can be challenging. To figure it out, it’s best to consult with a doctor and discuss your expectations, problems, and any relevant information. However, there are various factors that influence your eligibility for a specific procedure. Here’s a brief overview of which hair transplantation technique may (or may not) be appropriate for you, based on existing criteria.

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              FUT is suitible when:

              • You possess a densely populated donor region at the back of your neck.

              • You prefer long hairstyles.

              • You are experiencing significant male pattern hair loss and desire a lengthier hairdo.

              • You possess restricted finances.

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              Do not choose FUT if...

              • You tend to form Keloid scars. It is suggested that you consider the FUE technique.

              • You favor having brief hair or a bald head.

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              FUE is suitable when:

              • You lack a densely packed donor region at the back of your head.

              • You would rather have the donor area located on a different part of the body.

              • You would rather not have a straight-line scar on the back of your head.

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              Do not choose FUE if...

              • You favor having a lengthy hairdo. In this situation, it’s advised to initially explore the FUT technique.

              • You possess a densely populated donor region at the back of your head.

              • You possess restricted financial resources.

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              LHT is suitable when

              • Funds are accessible to you.

              • You possess a densely populated donor region at the back of your head.

              • You would favor a brief recovery time after surgery, without any visible aesthetic consequences like bandages, blood, or swelling.

              • You would prefer a short healing period following surgery, without any noticeable cosmetic effects such as bandages, blood, or inflammation.

              • Desire to have a longer hairstyle right after the surgery.

              M

              Do not choose LHT if...

              • You tend to form Keloid scars. It is advised to consider the FUE technique.

              • You have a thin donor region at the back of your head.

              • You possess restricted finances.

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