Hair transplant and autotransplant: FUT and FUE
Baldness treatment and surgery are linked to the degree of hair loss, the type of local situation in the donor area, and the patient's expectations. Therefore, there is no surgical therapy that can be valid for all situations.
There are two cutting-edge techniques available to us today: the F.U.T. and the F.U.E.
Hair transplantation with F.U.T.
The F.U.T. (Follicular Unit Transplantation) uses the removal of a strip of scalp removed from the occipital region, an ideal donor area because it is not subject to hormonal influences that favor hair loss.
The donor area is sutured with a particular technique which, respecting the hair growth angle, leaves a very thin linear scar (about 1-2 mm.) That is easily camouflaged and often unobtainable (aesthetic scar).
F.U.T. scarring outcomes
The strip of scalp that has just been removed is "processed" by highly specialized personnel who, with the aid of optical stereomicroscopes, subdivide the find into thousands of follicular units of 1,2,3 or 4 bulbs.
The grafts thus obtained are then counted and aligned according to their size and supplied to the surgeon who transplant them into the appropriate micro-incisions made in the recipient area.
Hair transplantation with the F.U.E.
The F.U.E. (Follicular Unit Extraction) is a method considered minimally invasive for hair thickening, because it does not involve the use of scalp lozenges taken from the nape region; on the other hand, to practice the F.U.E. it is necessary to cut the hair completely to the root and this is often not accepted willingly, especially in the female sex.
Furthermore, this technique, slower than the previous one, has the disadvantage of not allowing a large number of grafts in the unit of time. The F.U.E. it leaves punctiform scars that can only be noticed upon careful observation. From the donor area (occipital and parietal) the follicular units are extracted with a special tool of 0.8 / 0.9 / 1.0 mm with a little traumatic technique. The small holes generated by the micro scalpel for the extraction of the follicles close on their own without the need for stitches in a few days, resulting in thousands of whitish micro-scars of one millimeter in the donor area.
The follicles are immediately transplanted into the recipient area with special implant tools. The F.U.E. it is particularly indicated in patients with alopecia in small areas or for limited aesthetic regions such as the eyebrows, eyelashes, mustaches; in patients with insufficient elasticity of the scalp due to the excision of a strip; in patients who tend to form large or thickened or keloid scars; when the body or beard serve as donor areas. The F.U.T.technics and F.U.E. they can be used extremely in combination, in order to increase the capacity of the donor area and extract more grafts.
How do hair transplant and autotransplant operations take place with FUT and FUE techniques?
The interventions are performed in the operating room under local anesthesia plus a light sedation practiced by an anesthetist who will be present at all stages of the intervention to allow you to face the procedure with the utmost serenity.
At the end of the surgery, the patient will have neither turbans nor dressings, he is made to sit in a rest room and after the anesthetist's clearance he can go home.
The next day, a shampoo is made by specialized personnel and all the grafts are double-checked, indications and instructions on home cleaning treatments are also given.
After about 12 days, the stitches in the donor area are removed by the surgeon.
The transplanted hair will start to appear after about 3 months, it will grow about 1 cm. per month, and after 6-8 months they will have grown to 80%. After one year, the final result will be obtained.
Alternatives to surgery are medical therapy based on drugs and supplements that slow and stop the fall, and the P.R.G.F. (plasma rich in growth factors) or P.R.P.H.T. which uses the growth factors present in the blood platelets of the same patient, which, once activated, are immediately re-injected into the scalp, stimulating the stem cells present in the miniaturized or resting bulbs to produce thicker and stronger hair.