FUT strip hair transplantation benefits procedure and recovery stages

Are you concerned about hair loss and looking for a natural and effective solution? The FUT hair transplant technique offers you the opportunity to restore your hair density naturally and permanently. In this article, we will discuss the benefits of FUT, the procedure steps, the recovery time after the surgery, and how to maintain the results of your hair for as long as possible. Whether you suffer from extensive baldness or want to improve your hairline, this guide from Dily Medical will be your complete source for all the essential details.

What is the FUT Hair Transplant Procedure?

The FUT (Follicular Unit Transplantation) technique is an effective method for restoring natural hair. It involves taking a strip of scalp from the back of the head, usually about 0.5 to 1.5 cm wide and 5 to 30 cm long. After that, the area is closed with precise stitches. The strip is then divided into small follicular units, which are transplanted into the balding areas.

The big advantage of the FUT technique is that it allows for a large number of hair follicles to be transplanted in a single session. However, the main disadvantage is the presence of a linear scar at the donor site, which is usually hidden under longer hair.

Who is a Suitable Candidate for FUT Hair Transplant?

Individuals over the age of 22.
Those who suffer from permanent hair loss and have reached a certain stage of baldness.
People with healthy hair follicles that are suitable for transplantation.
Individuals in good overall health to ensure proper recovery after the procedure.

Is the FUT Hair Transplant Painful?

The procedure is done under local anesthesia, so the pain during the transplant is minimal.

You might feel some pain or tightness at the donor site after the procedure, which is normal.

Most cases only require mild painkillers to alleviate any discomfort during the recovery period.

When Will the Results of FUT Hair Transplant Appear?

The results start gradually appearing within 3 to 6 months after the transplant.

The transplanted hair will reach its final growth after about a year, becoming natural and dense.

Does the Linear Scar from the FUT Technique Disappear?

No, the scar from the FUT technique is a permanent linear scar.

It can become less noticeable over time.

It is also possible to transplant hair into the scar using other techniques like FUE to cover it, but it will not completely disappear.

Which is Better: FUT or FUE?

Modern techniques like FUE have become more preferred because they:

Do not leave a noticeable linear scar.
Provide a faster recovery time with less pain.

The older FUT technique was more common in the past, but it left a scar and required a longer recovery period.

How Long Does Recovery Take After the FUT Procedure?

Initial recovery after stitch removal: around 10–14 days.

You might feel tightness or numbness at the donor site, which could last for several months after the procedure.

Is FUT Suitable for Women?

Typically, women prefer FUE or DHI techniques because they:

Sometimes don’t require a full shave of the hair.
Do not leave a visible linear scar, which reduces embarrassment.

How Many Hair Follicles Can Be Transplanted in One Session?

FUT allows for the transplantation of 2000 to 4000 follicles in a single session.

In some rare cases, it can exceed 5000 follicles if the donor area is large and adequate.

Does Transplanted Hair Last a Lifetime?

Most of the transplanted hair from the back of the head is resistant to balding and grows permanently.

The key to maintaining results is to follow the doctor’s instructions after the procedure.

Is the Procedure Painful?

During the procedure: No, because it is done under local anesthesia.

After the procedure: There might be mild pain at the donor site, but it usually disappears in a few days with simple painkillers.

Advantages of the FUT Technique in Hair Transplantation

Large Number of Follicles in One Session
The FUT technique involves taking a strip of scalp from the back of the head, which usually contains strong, resistant-to-balding hair.
The strip is divided into small follicular units, each containing 1–4 natural hairs.
This allows for a large number of follicles to be transplanted in a single session, which is highly beneficial for severe baldness or large bald areas.
Natural Results
The follicles retain their natural form as follicular units.
When transplanted to balding areas, the hair grows in the same natural direction and density as the original hair, leading to very natural-looking results without any artificial appearance.
High Growth Rate
The follicles are taken intact and healthy, which means their growth rate after transplantation is very high.
The transplanted hair typically grows permanently, especially if the follicles are taken from the back of the head.
Effective for Large Bald Areas
FUT is very suitable for individuals with extensive baldness or significant hair loss.
It allows for the transplantation of a large number of follicles in one session, which is difficult to achieve with other techniques like FUE.
Lower Cost for Large Follicle Numbers
When there’s a need to transplant a large number of follicles, FUT is often less expensive than FUE.
The reason is that FUT is a single procedure, whereas FUE requires extracting each follicle individually, increasing time, effort, and cost.
Shorter Procedure Time for Large Numbers
In a FUT session, thousands of follicles can be transplanted in one session.
The same number of follicles with FUE would require longer hours or multiple sessions.
Suitable for Those Who Don't Want to Cut Their Hair Very Short
FUT leaves a small linear scar at the back of the head, but it is usually hidden under long hair.
It is suitable for those who want to maintain the length of their hair after the procedure.

A Note on Disadvantages

There is a linear scar at the donor site.
The recovery time is longer compared to FUE due to the strip taken.
It is not ideal for those who prefer very short haircuts, as the scar may be visible.

Types of FUT Hair Transplants

Traditional Strip FUT Transplant
Description: The classic type of FUT, where a strip is taken from the back or sides of the scalp.
Method: The strip is divided into small follicular units and transplanted into the balding areas.
Advantages:
- A large number of follicles in one session.
- Very natural results.
  Disadvantages:
- Leaves a linear scar.
- Longer recovery time compared to modern techniques.

2. Micro-FUT Hair Transplant

Description: An enhanced version of traditional FUT using precise tools to reduce the size of the strip and transplant follicles with high accuracy.

Method: Each follicular unit is carefully dissected under a microscope to increase the precision of the distribution and density.

Advantages:

Smaller, hidden scar.
Very natural growth of transplanted hair.
Suitable for those seeking high density with fewer side effects.

Disadvantages:

Requires high skill from the surgeon.
Higher cost compared to traditional FUT.

3. Extended FUT Hair Transplant

Description: Involves taking a longer or wider strip to obtain a larger number of follicles in one session.

Advantages:

Suitable for extensive baldness or those needing high density in large areas.

Disadvantages:

Longer scar that may require longer hair to cover it.
Longer recovery time.

4. Dense FUT Hair Transplant

Description: Focuses on transplanting follicles into specific areas like the front hairline or advanced regions of the scalp.

Advantages:

Very natural look, especially for the front hairline.
High density in key visual areas.

Disadvantages:

Fewer follicles in the side or back areas, requiring a smart distribution of follicles.

FUT Hair Transplant Procedure

Preparation Before the Procedure
- Full Medical Consultation: The doctor determines if you're a suitable candidate for FUT, assessing hair density, bald areas, and scalp condition.
- Medical Tests: Blood tests, blood pressure measurement, and sometimes a heart check to ensure safety during the procedure.
- Pre-Surgery Instructions: The doctor may ask you to stop certain medications or smoking a few days before the procedure.
Anesthesia Stage
- FUT is typically done under local anesthesia in the area from which the strip will be taken.
- This means you will remain awake but won't feel any pain during the procedure.
Extraction of the Strip
- The doctor identifies the back area of the head where the hair is strong and resistant to balding.
- Using a surgical scalpel, a thin strip of scalp, typically 15–25 cm long and 1–2 cm wide, is extracted based on the number of follicles required.
- Afterward, the area is closed with fine stitches, leaving a small linear scar hidden under longer hair.
Dissecting the Strip into Follicular Units
- The strip is carefully divided under a microscope into small follicular units, each containing 1–4 hairs.
- This step ensures natural growth and proper density distribution.
Preparing the Recipient Area
- The doctor identifies the bald areas on your scalp and draws the transplant design.
- Small incisions or tiny holes are made in the scalp to ensure each follicle grows in the natural direction of hair growth.
Implanting the Follicles
- The follicles are implanted one by one into the prepared incisions.
- The follicles are distributed naturally with density matching the surrounding hair.
Post-Procedure Care
- The transplanted area may become slightly red or swollen, which is normal.
- Recovery time is longer than FUE due to the scar at the strip area.
- The transplanted hair typically falls out within the first two months, and new growth begins in 3–4 months, continuing to improve up to 12 months.

Advantages of the FUT Procedure

Large Number of Follicles in One Session
- FUT allows the extraction of a large number of follicles in one session, which is beneficial for extensive baldness or large bald patches.
Very Natural Results with High Density
- The follicles are taken intact and retain their natural growth pattern, ensuring the results look very natural.
High Growth Rate
- Since the follicles are harvested complete and healthy, the growth rate post-transplant is high, ensuring long-term results.
Effective for Extensive Baldness
- FUT is ideal for those with large bald areas or significant hair loss. It allows the transplantation of a large number of follicles in one session.
Lower Cost for Large Numbers
- FUT tends to be more cost-effective than FUE when a large number of follicles are required.
Shorter Procedure for Large Volumes
- A single FUT session can transplant thousands of follicles, whereas FUE may take longer or require multiple sessions.
Suitable for Those Who Don’t Want to Cut Their Hair Short
- FUT leaves a small linear scar at the back of the head, but it is typically hidden under longer hair, making it ideal for people who prefer to keep their hair longer.

Side Effects of the FUT Technique

Linear Scar at the Donor Area
- The most significant disadvantage of FUT is the linear scar at the back of the head.
- This scar is typically hidden under long hair but can be visible with short haircuts.
Pain or Tightness
- There may be mild to moderate pain at the donor site, extending to the surrounding scalp.
- This usually subsides within a few days with simple painkillers.
Swelling or Redness
- Swelling around the forehead or eyes may occur temporarily.
- Redness in the transplanted area is normal and gradually fades over two weeks.
Itching and Scalp Peeling
- Itching is common during healing, especially as small scabs form on the transplanted follicles.
- It is important to avoid scratching to protect the transplanted follicles.
Temporary Hair Shedding (Shedding Phase)
- A few weeks after the procedure, some of the transplanted hair may shed, which is a natural part of the cycle.
- The follicles enter a resting phase before new growth starts.
Temporary Numbness in the Scalp
- Some patients may experience temporary numbness or tingling in the donor area.
- This typically resolves gradually within weeks to months.
Risk of Infection or Inflammation
- Very rare if post-operative care instructions are followed.
- As with any surgery, there's a risk of infection if not properly cared for.
Bruising or Minor Bleeding
- Some bruising or minor bleeding may appear at the donor or recipient sites.
- This usually resolves within a few days with proper care.

Tips Before FUT Hair Transplant

Consult a Specialized Surgeon
- Choose a doctor with extensive experience in FUT. Discuss the details of the procedure, number of follicles, and design of the hairline.
Evaluate the Scalp and Hair Condition
- The hair in the donor area must be dense and strong. The doctor may request tests to determine the available hair for transplantation.
Undergo Medical Tests
- Blood tests, blood pressure monitoring, and other additional tests may be required to ensure your suitability for surgery.
Discontinue Certain Medications
- Certain medications, such as blood thinners or anti-inflammatory drugs, may need to be stopped before the procedure.
Stop Smoking and Alcohol
- Smoking and alcohol affect wound healing and follicle growth, so it’s recommended to stop using them at least two weeks before the procedure.
Prepare Mentally and Physically
- Ensure adequate rest before the procedure and take time off post-surgery to minimize stress.
Prepare Post-Surgery Environment
- Use a comfortable pillow to sleep with your head elevated to reduce swelling. Have a gentle shampoo and cleanser ready, as instructed by your doctor.
Set Realistic Expectations
- Discuss expected hair growth rates and desired density with your doctor to avoid disappointment.

Comparison Table Between the Pros and Cons of Traditional FUT Hair Transplant

Advantages (In its Time)	Main Disadvantages (Current Concerns)
High Harvest Efficiency: Allows for the extraction of a large number of follicular units in one session, reducing the total number of sessions.	Permanent Linear Scar: A scar stretches across the back of the head and is difficult to hide with short hair.
Quality of Grafts: Follicles are dissected under a microscope, ensuring a high survival rate.	Longer Recovery Time and More Pain: Due to the incision and stitches, recovery takes longer and is more painful.
Preserved Donor Area: Harvesting from a small strip leaves the donor area largely intact for future use.	Risk of Numbness or Tingling: Some patients experience numbness or tingling at the donor area for months.
Shorter Time for Advanced Baldness: The procedure may be quicker than FUE when a similar number of follicles is harvested.	Limitations on Hairstyling: Short haircuts may reveal the scar, limiting styling options.

FUT Hair Transplant Recovery Timeline

First Day After Surgery:
- The scalp may appear red and slightly swollen in the transplanted area.
- Mild pain or tightness in the donor area is normal. Use painkillers if needed.
- Avoid touching or scratching the transplanted follicles during the first two days.
First Week:
- Clean the donor site daily as per the doctor’s instructions, usually with a mild antiseptic.
- Swelling around the forehead or eyes may appear temporarily.
- Small scabs or dryness on the transplanted hair is normal.
- Avoid sun exposure and heavy physical activity.
Weeks Two to Three:
- Redness and swelling decrease gradually.

4. Month 1 to 3

The transplanted follicles go through a temporary shedding phase, after which new hair begins to grow.
The new hair is initially fine and thin, but gradually thickens and increases in density over time.
It is crucial to continue avoiding any pulling or scratching of the transplanted area to protect the follicles.

5. Month 4 to 6

The transplanted hair becomes more visible and gradually thickens.
A noticeable difference in the appearance of the scalp can be seen.
Most people can resume their normal daily activities without any issues.

6. Month 6 to 12

The transplanted hair reaches its final density and length.
The final results are usually very natural and stable in the long term.

Important Tips During Recovery

Avoid Scratching or Rubbing the Transplanted Area:
- This is essential to protect the transplanted follicles.
Follow the Doctor’s Instructions Regarding Washing Hair and Shampoo:
- Use only the recommended products and techniques for cleaning the transplanted area.
Avoid Direct Sun Exposure and Swimming Pools During the First Few Weeks:
- These activities can cause irritation or infection in the transplanted area.
Sleep on an Elevated Pillow to Reduce Swelling:
- Keep your head raised for the first few days to minimize swelling.
Stick to Follow-up Appointments with Your Doctor:
- Regular check-ups help monitor the healing process and ensure optimal results.

Failure Rate of FUT Procedure

Success Rate of FUT
- Typically, the success rate of FUT ranges from 90% to 95% of the transplanted follicles growing naturally.
- This means that 5% to 10% of the follicles may not grow or may fall out permanently, which is normal for any hair transplant procedure.
Factors Affecting the Success of the Procedure
- A. Surgeon’s Skill and Experience:
  - Proper dissection and precise implantation of the follicles reduces the risk of failure.
- B. Condition of the Scalp and Donor Hair:
  - Strong, dense hair in the donor area provides the best results.
- C. Adherence to Post-Procedure Instructions:
  - Gently washing the hair, avoiding pulling or rubbing the transplanted area, and protecting the scalp from the sun are critical for success.
- D. General Health of the Patient:
  - Chronic conditions such as diabetes or blood clotting issues may reduce the success rate of the transplanted follicles.
- E. Genetic Factors:
  - Some individuals may have weaker hair or a less suitable scalp for transplantation, which can affect results.
Reasons for Follicle Failure
- A. Damage to Follicles During Extraction or Dissection:
  - If the follicles are damaged during the process, they may not grow once transplanted.
- B. Incorrect Placement or Angle of Follicle Insertion:
  - Follicles need to be implanted at the correct angle to match the natural growth pattern.
- C. Infection or Inflammation Post-Procedure:
  - If proper care isn’t taken, infections can occur, leading to follicle failure.
- D. Non-compliance with Post-Procedure Instructions:
  - Failing to follow the doctor’s care instructions after the procedure can significantly impact the success of the transplant