The roots of modern day hair transplantation firstly evolved. In the year 1939, the dermatologist described the procedure of surgical hair restoration intended for burnt victims in detail. Later in the year the other dermatologist popularly known refined the work and explained that each follicular unit consists of more than one hair roots which ranges between 1-4 follicular units and applied the elliptical incision to extract the donor’s tissue and then dissected each individual graft.
Later, in the year dermatologist named, Oreintreich performed the very first hair transplantation in the on a man suffering from male pattern baldness. It was the time of re-inventing and re-defining the procedure of hair transplantation. And now it is the best option for a patient, who is suffering from the male pattern baldness and similarly applies in the case of female pattern baldness as well.
In FUT, the grafts are harvested via the strip of the skin, usually taken from the back and sides of the scalp termed as the ‘safe donor zone’ and transferred to the recipient zone to achieve the aesthetic goal of the procedure.
The hair transplant procedure finds its root in 1952 with the revision restoration procedure of Dr Norman Oreintreich that introduces the process of punching for extraction with 4mm punches. The same later got transformed into the procedure of Micrografting and minigrafting. And thenceforth, later in the year the most compatible technique of harvesting the grafts has came to the picture which involves the strip of the skin that contains the follicular units. In the technique of Hair transplant in turkey & hair transplant the extraction involves the use of punching machine which leaves to the process of extracting the grafts, one-by-one from the scalp and if needed used to target the unsafe zone too for extracting the hair roots. As the deviation in the punching that can occur due to the random motion of the punching which automatically put the limitation for extracting the roots from the scalp. Since there is a need of keeping the aesthetic distance to take the grafts. The extraction of graft in the FUE hair transplant leaves a small open hole which heals with a small white mark.
In the procedure of FUT, an acronym of follicular unit transplant involves the shifting of follicular units that usually pairs in the number of 1-4 from the donor portion to the recipient one via the excision of the strip of the skin. In the procedure of FUT, the patient’s scalp is numbed to excise the strip and make an incision to take the strip and the portion is closed by the advanced Trichophytic closure to avoid the chances of scars. If well executed, the results of FUT will look completely natural and will be undetectable.
This article presents a review of different aspects of FUT such as the prerequisites of doing FUT hair transplant, indications, and myths & facts, steps, limitations and the budget cost perspective of FUT procedure.
PRINCIPLE OF FOLLICULAR UNIT TRANSPLANTATION
In the procedure of FUT, the strip of the skin harvested from the donor area (back & sides of the scalp), the donor strip is then separated into the individual follicular units using precise stereo-microscopic dissection techniques. After dissection of the follicular units, the further step is followed by making the hairline design on the scalp to place the grafts. The incision portion of the scalp is closed by the advanced Trichophytic closure that avoids the chances of scars and makes the procedure devoid of scars.