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Benefits
of Follicular Unit Transplantation
Why has follicular unit transplantation become the most widely used
form of hair restoration surgery today?
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The reason for using only Follicular Units
The fact that scalp hair grows in follicular units, rather than individually,
is most easily observed by densitometry, a simple technique whereby
scalp hair is clipped short in a very small area and then observed via
magnification in a 10mm2 field. What is very obvious when one examines
the scalp by this method, is that follicular units are relatively compact,
but are surrounded by substantial amounts of non-hair bearing skin.
The actual proportion of non-hair bearing skin is probably on the order
of 50%, so that its inclusion in the dissection (or, conversely, its
removal) will have a substantial effect upon the outcome of the surgery.
When multiple follicular units are used (as in minigrafting and micrografting)
the additional skin that is included will adversely affect the outcome
of the surgery, by necessitating larger wounds, making the healing slower
and often causing irregularities of the skin surface.
A great advantage of using individual follicular units is that the
wound size can be kept to a minimum, while at the same time maximizing
the amount of hair that can be placed into it. Having the flexibility
to place up to 4 hairs in a tiny recipient site has important implications
for the design and overall cosmetic impact of the surgery. This is one
major advantage that follicular unit transplantation has over extensive
micrografting. Follicular Unit Transplantation can minimize or eliminate
the "see through" look that is so characteristic of micrografting.
The main reason for transplanting only individual follicular units
is to duplicate the way hair naturally grows. By mimicking the way hair
grows in nature, the doctor can insure that the transplant will look
totally natural. Any grouping larger than the naturally occurring follicular
unit will run the risk of a pluggy, tufted look.

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Recommended
Resources |
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- Ask questions and get information on Hair Transplants
in our Men's
Forums and Women's
Forums!
- Information provided courtesy of the New
Hair Institute, taken from "The Patient's Guide to
Hair Transplantation" William R. Rassman, MD and Robert
M. Bernstein, MD
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