Modern hair transplantation is a procedure that utilizes microscopic dissection and implantation to relocate hair follicles from the back and sides of the head to the thinning or balding areas of the scalp. Modern hair restoration techniques implant individual follicular units in a fashion that creates fullest density and the most pleasing natural result.
Hair Restoration & Hair Transplants FAQ
Below are some of the frequently asked questions our Feller Medical hair transplant doctors receive from our patients. For further questions or inquiries, please contact our NYC office directly at (516)-487-3797.
What is hair transplantation?
What results can I expect?
The results of your hair transplant procedure can depend on a variety of factors, including on the supply of hair follicles in the donor area and the natural density of available hair. The factors can determine how many individual hairs can be placed in the balding areas. Your surgeon must seek age-appropriate results that account for the size of the available donor areas in case of possible hair loss in the future.
What is FUE?
FUE is an abbreviated term for Follicular Unit Extraction. It is a hair transplant technique in which the surgeon takes individual follicular grafts using specialized tools, including Dr. Feller’s personal manual or motorized extraction device. FUE has advantages and limitations that can determine whether the treatment is appropriate for the individual.
What is mFUE?
mFUE is an abbreviated term for modified FUE. The procedure was designed to offer patients with the same or similar results of a FUE without the linear donor scar.
During an mFUE procedure, small groupings of follicular grafts are isolated and superficially cut around with a larger FUE punch tool. The grouping of grafts is gently lifted before the surgeon uses scissors or a small blade to carefully cut around the follicles to free the grouping of grafts. The grouping is then cut into individual follicular units using the same microscopic dissection technique utilized in FUT. The holes created with the punch tool are then closed with a single stitch or staple, thus creating small “dash” scars in the donor region.
Many quality follicular units can be removed in one grouping, so patients are left with a small number of “dash” scars (only millimeters long) compared to hundreds or thousands of circle scars from FUE.
What is FUT?
FUT is an abbreviated term for Follicular Unit Transplantation. Like FUE procedures, FUT also consists of taking hair from the donor area at the back of the scalp, but instead the donor area is taken in form of a “strip.” A “strip” is a long and thin section of the actual scalp that is removed afterthe patient is given extensive anesthesia for less painful extraction.
Once extracted, the donor strip is cut into many individual follicular units using microscopic dissection techniques. As these follicular unit grafts are being prepared, the doctor makes tiny holes in the scalp, called recipient sites, where the grafts are placed.
It is important to note that whilst this procedure seems much more invasive compared to the FUE technique, it produces higher yields, more consistent results, and creates less damage in the donor. As such, many hair transplant experts consider FUT to be the industry standard
How long does the hair transplant procedure take?
The length of your hair restoration procedure is dependent on the technique used and the amount of grafts placed. Strip procedures of 5000 grafts or more can now be completed in one day. However, FUE procedures are very labor intensive and require more time to extract individual follicular units with minimal damage. Typically, FUE procedures over 1,500 grafts will require more than one day to complete to a high level. mFUE procedures can be completed in one day.
How much does hair transplantation cost?
Hair transplant costs can depend on the number of grafts required or the type of procedure. Please consider our costs page for a more comprehensive explanation of Feller Medical’s fees and cost structure.
How long does the new hair take to grow?
Transplanted hair can take up to 18 months to mature to its final and permanent integrity. Every head is unique: some people see huge growth at around 6 months, some people take 12 months. The growth rates depend on each individual’s physiology.
It is normal for newly transplanted grafts to fall out after 2 weeks. The actual follicular unit is intact, as are the individual nerve and blood supply connections. Eventually new hair will begin to sprout and mature from 2-3 months and continue to grow to the final results in 18 months.
It is important to understand the expectations of growth and to not feel any anxiety during this time.
What about scarring?
FUE, FUT, and mFUE procedures all leave some form of scarring.
FUE scars are small, circular punch holes that are difficult to detect due to the uniform spread of donor sites.
With FUT there will be a linear scar; however, Feller and Bloxham Medical uses the trichophytic closure technique. This method creates a bevel that allows a neat overlap of the two donor scars when they are joined to reform the scalp. The beveled edge allows a much neater scar line and also allows hair follicles to grow through the scar, thus softening any potential scarring even further.
The mFUE technique leaves small “dashes” spread throughout the donor area.
Scarring is also impacted by the individual’s physiology. Some people will naturally scar more than others. Feller and Bloxham Medical will create the smallest and least noticeable scar possible.
What would a typical day like for surgery?
On the day of the surgery, you will arrive at the clinic at 7:45AM. Dr Feller and Dr Bloxham will discuss the surgery expectations and where the transplanted hair will be placed. Pictures will be taken and the final expectations agreed upon by both you and the doctors. Please also refer to our pre-operative instructions.
You are will then be taken to have your donor regions anesthetized to ensure no pain during the procedure. Once the area has been numbed, your scalp will be tested to make sure you are free from pain.
The extraction position is designed to be relaxing and pain free. The donor area can be removed while you watch TV, use your smartphone, or read. After the donor supply has been harvested, the transplant team begin to trim and organize the follicles into one or more hair grafts for strategic placement into the recipient sites. While the technicians take care of your grafts, Dr Feller and Dr Bloxham will create the recipient holes for the grafts to be placed into. Completed grafts are then strategically placed into the scalp where the holes have been made. The true key to a natural-looking result is the placement of different hair grafts into the scalp.
Once the final graft is placed the scalp, the donor area and recipient sites are thoroughly washed and cleaned. A bandage is then placed around the donor area and pain medication is prescribed for a number of days. Your surgery is then complete and you are free to go home.
Patients will be asked to order lunch prior to the surgery that they will be encouraged to enjoy during a designated period.
What about after the surgery?
All patients are given postoperative instructions. General recovery instructions advise patients to sleep upright (usually at a 45 degree angle) for the first 3 nights. The new grafts will be locked in after 3 days, after which you can touch them freely. It is also common for downtime to take up to 2 weeks for some individuals.
It is normal for your recipient sites to scab up over a few days. The scabs will eventually flake off, and any redness and soreness will subside over the next two weeks.
Feller and Bloxham Medical recommends using any holidays and/or vacation hours if you are concerned about your appearance during this time. After 10-14 days, your staples/sutures are ready to come out (if you had a strip or mFUE procedure). If you are local to the clinic you can have these removed for you in our Great Neck, NY office. If you have access to a health care professional in your home town, the clinic can give you a staple remover to remove the staples.
Hair Growth Times
It’s important to remember that all patients are different and no two will “mature” in exactly the same way. On average, hair transplants mature as follows:
3 months – beginning of new growth (10% maturation max)
4 months 20% maturation
5 months 30% maturation
6 months 40% maturation
7 months 50% maturation
8 months 60% maturation
9 months 70% maturation
10 months 80% maturation
11 months 90% maturation
12 months 100% maturation
Additional maturing make take up to 18 months. Please note that percent refers to the amount of growth compared to the final matured result.
Many doctors have commented on time scales for growth. Their assessments may differ from the chart above, but the general consensus will be that you need to wait at least 12 months before assessing your hair transplant results.