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NeoGraft Automated FUE Hair Transplant System

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What is NeoGraft® Automated FUE Hair Transplantation?

The NeoGraft® Automated FUE Hair Transplant System is one of the newest automated FUE Hair Transplantation and Hair Restoration devices available today. It is an automated, motorized rotatory punch, aspiration graft harvester and automated, “no touch” implantation machine.

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How long has NeoGraft been around?

Dr. Mulholland was the first physician in North America to use, refine, pioneer and master the art and science of Automated and Robotic FUE hair transplantation, having purchased the first automated machine in 1997!

What does FUE stand for and how does NeoGraft help?

NeoGraft MachineFUE Hair Transplantation, stands for Follicular Unit Extraction and is the method of using a small rotatory punch to harvest the individual “hair families”, including the shafts and root systems they share.  All hair grows in 1,2,3 and/or 4 hair follicular units and FUE Hair transplantation will harvest these important embryological units as they grow, rather than surgical excising scalp, as in Strip Graft Hair Transplantation. The FUE Hair transplantation method avoids the unsightly scar found in the Strip graft procedure, allowing the patient to wear their hair short, avoid the linear scar and, most importantly come back to harvest more FUE grafts over time, as hair continues to thin. FUE Hair grafts, when they contain double, triple and quadruple hair shafts will allow the shafts to wrap around each other and provide a more “natural looking”  transplantation result than techniques, such as overly cut down strip grafts, that rely on numerous non-anatomical, artificially cut and prepared single hair grafts.  FUE Hair Transplantation and Hair Restoration can be preformed manually, with manual FUE, Automated with the NeoGraft, or Robotically with the Artas FUE Hair Transplantation system.

Figure 1.  Dr. Mulholland’s first automated FUE Hair Transplantation system, the 1997 Calvitron, the very First one in North America. The Calvitron was the first to automate FUE harvest and Extract the Follicular unit grafts in the same motion. A great Early advance over Manual FUE Hair Restoration popular at that time.

How Does NeoGraft work?

FUE Hair Transplant MachineThe first automated FUE harvest system was the predecessor of the NeoGraft device, called the Calvitron.  Dr. Mulholland acquired the Calvitron in 1997, a first for North America, thus beginning his journey of refining his expertise as North America’s leading automated and robotic Hair Transplantation center. Since 1997, advancements in the technology has greatly reduced or eliminated early concerns with Automated FUE Hair Transplantation, including reducing transection to under 4%, eliminating the risks of over handling, barotrauma and desiccation of the grafts and the development of “no touch” automated implantation. Over 12 years of improvements in speed, accuracy and delicacy gave rise to the modern and current NeoGraft automated FUE Hair Transplantation system. The NeoGraft has a Harvesting hand piece, a” Collector” for the aspirated FUE grafts and the “Implanter” hand piece.  Expert automated centers can accurately harvest 600-900 FUE’s per hour, allowing FUE Hair Transplantation to compete numerically with Strip Graft Centers, without resulting in the unsightly linear scar.

Figure 2. The modern NeoGraft Automated FUE Hair Transplantation machine.

What is the NeoGraft harvester hand piece and collector for the FUE grafts?

NeoGraft machine has three important components to it, the Harvester, the Collector and the Implanter. All three components reside on the NeoGraft device.

The Device has a foot pedal rotatory motor to which the Harvester attaches.  The Harvesting hand piece, or “Harvester” allows the physician to select a punch of appropriate diameter for the Follicular Unit grafts to be harvested. After the local anesthesia has been administered, the automated punch “cores” out the Follicular Unit. The most common size punch is the 0.9mm or the 1.0mm, which are used to harvest the delicate single and double hair follicular units.  One does not want a large 1.2mm punch to harvest the tiny single hair grafts as there will be too much non-hair bearing scalp tissue extracted around the hair. These “fat” grafts will compromise the neovascularization of the bulb, necessary for survival of the graft and will disturb the appearance of “dense packing” with too much scalp between single hair and small double hair grafts.  Hence the 0.9mm and 1.0mm rotatory and automated punches are ideal for the single hair grafts used along the all important and aesthetically critical frontal hair line.  Often in a full frontal hair line restoration, Toronto Hair Transplant patients will require 400-600 single hair follicular units.

NeoGraft Harvesting hand-piece in TorontoAnother extremely important innovation and feature of the NeoGraft automated FUE harvester, is the angled hand – piece.  The angle on the harvesting hand piece allows the physician or technician to see the exact angle of the shaft while coring out the hair graft, which allows Dr. Mulholland and his expert team of hair technicians to have a transection rate less than 4%, one of the lowest reported automated or robotic hair shaft transections rates .  A transection occurs when the  punch is angled incorrectly and cuts across the hair shaft before reaching the bulb and, without the bulb (follicle), the hair shaft will have a very low probability of surviving and growing normally. Some Hair physicians ascribe to the theory that a transected shaft, cut below the bulge, but above the bulb, will survive on stem cells populateing  new bulb, BUT, Dr. Mulholland does not implant transecting shafts, relying on implanting only the finest, intact Follicular units, with complete shafts, bulb and dermal matrix.

Figure 3.  The NeoGraft Harvesting hand-piece.  The angled tip allows excellent visualization of the shaft during harvest minimizing greatly the risk of transection.  The suction tubing allows the “cored out” follicular unit to be extracted and gently aspirated into the collection chamber, the “collector” which is kept moist at all times with saline irrigation. This “no touch” harvest technique minimizes the risk of “over handling” often seen with Strip Graft procedures leading to a higher Telogen Effluvium or “shock hair” risk.

NeoGraft Procedure

Figure 4. The NeoGraft automated harvester hand piece coring out a delicate single hair Follicular Unit. The extracted follicular unit is never actually touched with a forceps, but rather, after being cored, is gently aspirated down the moist extraction tubing into a moist extraction “collection” container, all in one automated elegant step.

NeoGraft vs Artas

At SpaMedica we offer one the most high tech and experienced FUE Hair transplantations in the country.  Dr. Mulholland is a word recognized expert in both the NeoGraft Automated FUE Hair Transplantation device, as well as the Robotic Artas hair transplantation system. At the SpaMedica Hair Restoration center, Toronto Hair Transplantation patients will receive the benefits of both the NeoGraft and the Artas.

The Artas is automated and Robotic, deploying computerized software, algorithms and controls to direc the robot to harvest the larger 3 and 4 hair Follicular units. The Artas Robot has been a big advancement in the effective, fast and accurate harvest of larger Follicular Units and Dr. Mulholland and his team will deploy the Artas Robotic Hair transplantation system to its best advantage in your hair restoration procedure.  

Dr. Mulholland will also use the NeoGraft Automated device both for follicular unit harvest of the delicate 1 and 2 hair FUE’s using the small 0.9 mm punch and the Artas Robot for the larger 3 and 4 hair grafts. Click on Artas Robtoic FUE Hair Transplantation System to learn more.

How are the FUE Hair Transplantation grafts inserted, once the are harvested ?

Once the FUE hair grafts are harvested they are placed on a saline soaked ice cooled bed, and then,  one-by-one, they are gently examined  under the microscope and divided into the 1, 2,3 and 4 hair Follicular units.  All grafts are kept moist and cool while awaiting implantation.

Follicular Unit Extraction

Figure 5.  Piles of very well hydrated, moist Follicular Unit grafts on Moist Telfa pads in a petri dish on top of ice packs, optimizing healthy graft implantation and survival.

Can the Automated and Robotic NeoGraft or Artas FUE transplant devices harvest FUE grafts from non-scalp body areas?

Hair Donor SiteThe preferred FUE hair transplant grafts are always from the occipital donor site, as they are similar in coarseness, appearance,  texture, thickness to the recipient scalp hair that is thinning.  One of the most basic plastic surgery principles of grafting is taking “like for like” to ensure natural and attractive results. However, Toronto Hair Transplantation and Hair restoration patients who have  “run out of donor” hair on the scalp, from too may previous strip graft procedures and scars,  can, on occasion, be a candidate for non-scalp FUE Hair transplantation graft harvest.  Sites that Dr. Mulholland and his SpaMedica team have AND can harvest from include chest, axilla, abdomen, back and legs.

Figure 6.  Automated and Robotic NeoGraft and Artas chest hair donor site immediately after harvest.  Within a week, new chest hair stubble has grown and the small donor holes have virtually disappeared and the donor site is usually not apparent or visible to the naked eye from a conversational distance.

How are the NeoGraft automated FUE hair transplant grafts implanted?

Dr. Mulholland and his hair transplant team have perfected the art of delicate implantation.  As Dr. Mulholland will outline with you during your consultation, the actual design of your hairline is the most critical part of your procedure. After the design, which is an artistic blend of understanding facial shape and proportion together with the donor site hair graft quality, density  and the current and future Male and Female pattern hair loss needs, Dr. Mulholland will collaborate with you to design a unique hair design that will work best for you.

Automated FUE graft implanterAfter the design of your hairline and the FUE harvest, the second half of your SpaMedica Hair Transplantation day will be the implantation.  Follicular unit grafts, harvested with the NeoGraft or Artas automated and robotic systems, can be gently inserted bulb first into a recipient bed that has been created.  At SpaMedica, Dr. Mulholland has advanced the art and science of “stick and place” FUE graft insertion. In this technique, we use a small hypodermic needle to create a small slit in the scalp, into which the follicular unit graft is placed.  There are two types of placement, automated, “no touch” placement using an “implanter” and then, manual implantation.  For the very delicate single hair grafts, Dr. Mulholland’s full time team of hair technicians will use the “NeoGraft implanter” to place the delicate single hair follicular units at the front of your hairline. The advantages of this automated implanter technique is that it avoids grasping the very thin single hair follicular unit grafts with forceps that may damage the bulb or bulge cells which are responsible for hair growth.

Figure 7. The Automated FUE graft implanter. The Follicular Units grafts are aspirated into the chamber shaft first, with bulb down. By depressing a foot pedal, an implantation rod, gently pushed the graft, bulb first, into the prepared recipient slit.

The larger, 2,3 and 4 hair follicular units have a more robust dermal scalp matrix supporting the hair bulp and shaft and Dr. Mulholland’s very experienced hair technicians will insert these follicular units manually.  The two full time SpaMedica Hair technicians have 30 years of hair transplantation experience between them and they have placed over 1 million grafts, ensuring you are receiving the absolute most reliable, delicate and reproducible insertion skills to optimize  your graft survival.

NeoGraft Toronto

Figure 8. The Automated implanter inserting a single hair follicular unit into its prepared slit.

Hair Transplant NeoGraftFigure 9.  The SpaMedia Hair transplantation team performing the delicate hand implantation “Stick and place” technique and dense packing of the large 2, 3 and 4 hair follicular units that are interspersed artistically behind the single follicular units that were placed with the Automated “no touch” implanter along the frontal hair line.

What is the post NeoGraft automated FUE hair transplantation care like?

Following the NeoGraft procedure, most patients will require 7 days off work, unless, of course you can work from home.  The first 2-3 days the donor site is covered in a head wrap.  The wrap is removed by the 3rd day and gentle hair washing and shampooing, using a glass of water and finger tip pressure, will be demonstrated.

The tiny donor harvest sites are difficult to even see by one week and, if the recipient site is covered by existing genetic hair, patients can often return to work.

However, if there is very little normal, genetic hair to hide the transplants, it is often a good option to shave the top of the head pre-procedure in the recipient site to allow the grafts and normal genetic hair to grow out together, in which case, the recipient will often look acceptable, without scabs in 10 days.

Many Toronto Hair Transplant patients are concerned that there Hair Restoration area’s will be painful after the procedure. There is almost no pain with automated NeoGraft FUE hair transplant, as there has been no scalpel or sutures used. The very tiny harvest holes and recipient slits are more itchy than painful.

Growth Time

Growth of the FUE Hair transplant grafts occurs in two phases.

First phase growth includes 40-50% of the actual transplanted hair grafts which pick up a blood supply and begin growth within 3-4 weeks.  After the bulb “take” by picking up a blood supply, approximately 40-50% of the “OTHER” transplanted shafts will go into “shock hair”, fall out and start to grow again about 4-6 months. BUT, don’t worry, the bulbs of these transplanted FUE grafts survive just fine and will start to grow hair again in 4-6 months.

Patients undergoing a SpaMedica Automated and Robotic Hair transplantation procedure can often expect good visible hair density enhancement in the first 3-4 months, which is then followed by second phase growth starting at 4-6 months. Over 85% of all FUE grafts “take” and survive, so it is not until 12-14 months that the final density and aesthetic appearance of the hair can be seen, after enough time is left for the two phase growth.

Dr. Mulholland and SpaMedica offer their patients a comprehensive post transplant program consisting of high fluence, Low level light therapy, topical minoxidil and nutrient serum as well as a medicated shampoo. This regime will help nourish the grafts and help natural genetic hair growth as well.

To read more about the post procedure care following automated and robotic hair restoration, click on FUE Hair Transplantation.

Good Candidates

Patients should simply fill out the appointment request form or “ask a question” form and upload up to 3 photos for Dr. Mulholland to review.


To schedule a consultation with Dr. Mulholland and his hair restoration team, simply call 877-695-2835 or fill out our online consultation request form and a SpaMedica representative will promptly respond to your request.  Call now to schedule a consultation and create the natural, thick, dense hairline and hair pattern that you desire.


Cosmetic Surgery and Laser Skin Care Spa:
66 Avenue Road Suite 4
Toronto, Ontario M5R 3N8
Tel: 1-877-695-2835