A hair transplant is a surgical procedure in which hair is moved from the back and/or sides of the scalp, where it is permanent (donor area), to areas that are thinning or bald on the front, top, or crown of the scalp (recipient area). Once transplanted, the hair will continue to grow for a person’s lifetime. At Bernstein Medical we perform the two most effective types of hair restoration procedures, Follicular Unit Transplantation (FUT) and Follicular Unit Extraction (FUE). For the latter, we use new robotic technology.

Follicular Unit Transplantation (FUT) is a hair restoration procedure in which naturally-occurring groups of one to four hairs, called follicular units, are transplanted from the donor area to the recipient area.

In FUT, after the patient’s scalp is numbed, the doctor removes a thin strip of tissue from the back and/or sides of the scalp. The donor strip is then separated into hundreds to thousands of individual follicular units using precise stereo-microscopic dissection techniques. As the follicular unit grafts are being prepared, the doctor makes tiny slits in the scalp (recipient sites), into which the grafts are placed.

Follicular Unit Extraction (FUE) is a method of extracting, or “harvesting,” follicular units one-by-one directly from the scalp. In FUE, an instrument is used to make small, circular incisions in the skin around follicular units, separating them from the surrounding tissue. The follicular unit is then extracted (pulled) directly from the scalp, leaving a small open hole that heals with a small white mark.

This method of donor harvesting is what differentiates the FUE procedure from Follicular Unit Transplantation (FUT), in which the donor hair is removed in a long strip that is dissected into individual follicular units under a stereo-microscope. The creation of recipient sites and the placing of follicular unit grafts are essentially the same in FUE and FUT procedures.

Follicular Unit Extraction (FUE) is a method of extracting, or “harvesting,” follicular units one-by-one directly from the scalp. In FUE, an instrument is used to make small, circular incisions in the skin around follicular units, separating them from the surrounding tissue. The follicular unit is then extracted (pulled) directly from the scalp, leaving a small open hole that heals with a small white mark.

This method of donor harvesting is what differentiates the FUE procedure from Follicular Unit Transplantation (FUT), in which the donor hair is removed in a long strip that is dissected into individual follicular units under a stereo-microscope. The creation of recipient sites and the placing of follicular unit grafts are essentially the same in FUE and FUT procedures.

The best way to find out is to be evaluated by a board certified dermatologist or plastic surgeon specializing in hair restoration. The answer will depend on the cause of your hair loss, your age, the stability of your donor supply, how extensive you hair loss is, your expectations and a number of other important factors that will be taken into account. Read more about Candidacy for Hair Transplant Surgery.

In general, FUT yields the most donor hair. Therefore, the procedure is best suited for more extensive hair loss and in patients where the main concern is the maximum use of one’s donor supply. The hair is maximized because of the precise nature of stereo-microscopic dissection and the fact that all the hair is harvested from the mid-portion of the permanent zone where the hair is most dense and stable. A limitation of FUT is that it leaves a line scar in the donor area. With normal styling this is easily covered with hair, but it precludes someone from wearing their hair very short.

FUE is more appropriate for patients who would like to keep their hair very short or who can’t limit strenuous activities in the post-op period. In general, younger patients who need to keep their styling options flexible choose FUE, whereas those who desire the most coverage opt for FUT. Read a detailed comparison of FUT and FUE on our FUE Pros & Cons page.

Smaller sessions of FUT (less than 800 grafts) can take about 4 hours, while larger ones (2500 grafts or more) can take all day. Sometimes large sessions of FUE are split over two days. The main determinant of the length of the session depends on the number of grafts being transplanted.

There is some redness and crusting after the procedure. Some patients experience swelling during the first week after surgery. Hair transplants are usually undetectable after 10 days. Follicular unit grafts are permanent in the scalp after 10 days. Read about FUT Post-op Care or FUE Post-op Care.

Platelet rich plasma (PRP) is concentrated blood plasma which contains approximately three to five times the number of platelets found in normal circulating blood. In addition to the platelets, it contains growth factors and other bioactive proteins that aid in wound healing and hair growth.

PRP is used to halt or reverse miniaturization, the process that causes common baldness.

Your doctor uses PRP to stimulate the growth of follicles, thereby reversing the hair miniaturization (thinning hair) seen in androgenic alopecia (common baldness).

Platelet rich plasma offers an additional way to stimulate hair growth, especially in people who cannot use other forms of treatment. For example, it may be useful if someone is not a candidate for a hair transplant, or cannot use finasteride. It is also useful in the treatment of crown thinning where a hair transplant may not be appropriate.

We use the Emcyte Pure PRP system – a double centrifuge technique – that allows the active biologic factors to be administered at the most effective concentration. The treatments are administered by a Bernstein Medical physician and take about a half hour. The physicians at Bernstein Medical will make sure that your type of hair loss has the potential to respond to PRP and, if appropriate, they will offer other medical and surgical options as well.

If PRP hair loss therapy is appropriate, we can begin your treatment at the time of your consultation. We will administer the next two treatments at 6 week intervals. You will be asked to return 3 months later. At this visit (6 months from your first treatment) your response will be assessed. If you show improvement, follow up treatments will be given twice yearly depending upon your progress.