Strip Graft Hair Transplantation
The old fashioned approach to hair transplantation
Strip Graft Hair Transplantation

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Strip Graft Hair Transplant Procedure in Toronto

Strip Graft Hair Transplantat has been performed for over 20 years and is still the most common way for hair transplantation to be performed. During a strip graft the donor site at the back of the head, in the preferred donor site is anesthetized with local anesthesia.

A strip of scalp approximately 1-1.2 cm wide and 14-16 cm long is removed, by cutting the chunk of scalp right out. The Strip of hair bulbs and their shafts are then handed off to hair technicians that spend several hours cutting down the chunk of scalp hair into small grafts.

The grafts themselves may be cut down and divided into many single hair grafts without regard for the FUE pattern of normal hair growth. Thus when implanted, that grafted hair may lack the natural wavy look of automated and robotic FUE hair transplantation and restoration techniques.

The strip graft is usually manipulated by 2-4 hair technicians working under a hot microscope cutting the strip graft down into 1-4 hair mini and micro grafts.  All this handling and manipulation is a trauma to the hair bulbs and the procedures have a very high reported incidence of Telogen Effluvium of the transplanted hairs, likely as result of excessive manipulation.

strip graft toronto

Figure 2. Residual soft tissue defect at the back of the scalp once the strip graft has been removed.

strip graft hair transplant torotno

Figure 3. Strip donor site closure. Regardless of the closure technique the strip graft will either leave a long thin scar, or a long thick scar, but with short hair, the white scar will always be visible with short hair.

How successful is a strip graft hair transplantation?

strip graft hair transplant toronto

Figure 4. Hair Transplantation technicians cutting down a strip graft under a microscope, cutting the strip graft down into small grafts.

The strip graft procedure can be very successful with very good long term graft survival. With an aesthetically skillful physician the results of your hair transplantation surgery can look very natural.

The issue is not early Telogen Effluvium and then good long term survival of the recipient, but rather the features of the donor site and donor scar, which will often make a strip graft a less desirable option. The site itself can be very painful and this pain can last days and sometimes weeks, fortunately, although not always, it goes away eventually. Numbness over the scar, or even over the whole back of the scalp can rarely occur.

Strip Graft Scar

Figure 5. Previous patient showing a very wide, thin and depressed strip graft scar from a previous procedure. Dr. Mulholland and his SpaMedica Hair Transplantation team have developed a treatment for unacceptable strip graft scars that can be preformed at the time of the Automated and Robotic Hair Restoration and Transplantation procedure.

The strip graft scar itself is always white and noticeable with very short hair and often looks very wide, spread, flat and depressed. The likelihood of wide scar results goes up with tension on closure, so strip grafts taken up over the ears can be very wide. If a patient goes back for a second or third strip graft then the scar can be even wider, due to the increased tensile load on a tighter scar or, a second scar is placed.

Thus, patients are often reluctant to go back for subsequent procedures as their hair thinning progresses for fear of even more donor site scarring and then their hair transplantation starts to look thinner, insubstantial, unnatural and often unattractive.

If I have a strip graft, am I a candidate for an automated and robotic NeoGraft and Artas hair transplantation procedures?

before and after strip graft

Figure 6. A previous donor site patient who came to Dr. Mulholland for an automated, robotic NeoGraft and Artas FUE hair Transplantation. This picture is day 5 and you can barely see the 3,000, 1.0 mm FUE donor site holes and some hair has been left long to cover the previous strip graft so it is not as visible as it might have been.

The simple answer is ABSOLUTELY YES! Many of Dr. Mulholland’s FUE hair transplant patients have had previous procedures, with thin white scars or wide white scars, want more hair, but they don’t want another deforming donor site strip graft hair restoration procedure.

Dr. Mulholland and his FUE hair restoration team will harvest follicular unit grafts from above and below the existing strip graft and, to help camouflage the scar itself will leave fringe hair long over the scar to better hide during healing.

What can I do if I have a noticeable scar? Can I have it fixed or removed?

Patients that are self conscious or unhappy with the appearance of their scar can now undergo a corrective procedure. Dr. Mulholland has created a treatment, improvement and removal process that can be performed by itself or can be initiated at the time of your FUE hair transplantation. To read more about improving your strip graft scar click on How to Improve my Strip Graft Scar?.

How can I show Dr. Mulholland my concerns and see if I am a candidate?

Toronto hair restoration 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.

How do I schedule a hair restoration consultation with Dr. Mulholland?

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