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Why most hair specialists choose FUE hair transplantation over strip grafting

June 5, 2019

In a world of much uncertainty, one thing is for sure: no one opts for hair loss and baldness. The extraordinarily common yet much maligned issue affects both men and women and is often caused by aging and genetic hormonal factors. The good news for many is the rather constant evolution of hair restoration technology. While strip grafting, aka Follicular Unit Transplantation (FUT) was once the go-to transplantation procedure, there have been many advancements since then, and experts consider the modern-day Follicular Unit Extraction (FUE) transplantation to be far superior. If you’re considering a hair restoration program, read on to learn more about the difference between FUE and FUT procedures!




The key difference between FUE and FUT is the technique used for extracting follicular units. With FUE, a specialized punch of less than 1 mm in diameter is used. FUT, on the other hand, uses the donor site strip extraction method, meaning that a long strip of hair-bearing skin is removed using a scalpel from the donor site of the head, and the area is then stitched up. At SpaMedica, our FUE technique uses an automated “stick-and-place” methodology, resulting in the densest, most natural-looking hair possible! Since the grafts are extracted from the preferred site at the back and sides of your scalp, the areas genetically programmed not to lose hair, the results of your hair restoration are considered permanent and lifelong. During your consultation, Dr. Mulholland will outline a program of hair restoration treatments that can be performed over a 10-20 year period in the case of ongoing genetic hair loss.


Success rate


Robotic FUE harvest technologies Artas and NeoGraft are the quickest, most accurate and successful way of harvesting hair without linear scarring. This strategy is a huge improvement on the older and more traditional FUT strip grafting technique, known to cause more pain and scarring. At SpaMedica, you can expect your FUE procedure to achieve a graft survival rate of over 85%, a transection rate of under 4%, and a very natural, customizable hair design.




Although both FUT and FUE procedures are generally considered safe and effective, there are several important differences when it comes to scarring. With FUT, there is a low rate of follicle damage, and your hair can be left long enough to cover up your incision. However, in an unfortunate number of cases, the strip graft scar can get very wide and noticeable even through long hair. Luckily, we offer SpaMedica patients a thorough strip graft scar improvement protocol—ask us about this during your consultation! FUE on the other hand, requires that the back of the scalp be shaved to the skin. Rather than one linear incision, a tiny individual hole is left with each punch. The tiny, white dot scars that remain after the procedure can be difficult to see even with short hair. This makes FUE popular with people who crop their hair or prefer keeping it very short.


Book a consultation at SpaMedica in Toronto today to learn more about the fantastic hair restoration options available to you. Interested in a non-transplantation alternative? Ask us about PRP hair restoration!


Dr. Stephen Mulholland, MD
Posted by Dr. Stephen Mulholland, MD
has been practicing plastic surgery for over 20 years. He is one of Canada’s most renowned and best plastic surgeons in Toronto with his wealth of experience, artistry, and humbleness towards his patients.

Dr. Mulholland's Google Scholar | Dr. Mulholland's Wikipedia

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