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Follicular Unit Transplant (FUT) hair transplant procedure is the modern version of the traditional strip harvesting or pluggy hair transplant. This is the invasive hair transplant surgery that involves surgical excision of a single linear strip of skin off the patient’s back of the scalp/donor zone containing thousands of follicular units which are then separated from the skin strip in naturally occurring 2, 3, 4 and 5 hair follicular unit grafts ready to be implanted to the recipient area.

FUT hair transplant in London is the yet the most commonly sought after and performed procedure since it overcomes the limitations of the outdated mini-grafting processes of strip harvesting wherein larger chunks of grafts were plugged to the bald area which gave out unnatural results, but now with the advancement of micro-grafting techniques the follicular unit strip hair restoration surgery allows maximum yielding of 2-5 hair grafts of best and even quality with finer scars that stays hidden in the folds of hair and the end result looks undetectably natural.

FUT hair restoration procedure:

Surgeries at Harley Hair Transplant Clinic take place at the clinic and morning shifts. The FUT hair transplantation usually takes 6-7hours to complete and can be done under one session. Patients are given a pre-operative instructions chart and are continuously assisted by our nurse counselors to rightly prepare for the surgery.

The surgery is begun with an injection of local anaesthetic to the scalp, with optional oral sedation. The injection is supposedly the only pain the patient feels throughout the surgery. An injection can be a little or much painful as per the patient’s tolerance to an injection.

The donor area is at the back of the scalp taking from back or below the ears cutting from one end to the other. The angle and thickness of the donor strip is pre-determined at the consultation session at Harley Hair transplant clinic London by examining the best donor hair density, quality and skin elasticity. Only 2-3cm skin at the donor area is clipped short to 1cm hair and marked with the excision angle. And once the area is numbed and tumescent with the anaesthetic the surgeon will start to cut along the marked strip of donor skin with a surgical scalpel and punches.

The Donor Strip is cut in the length and depth that is pre-determined at the consultation session examining on the patient’s skin elasticity. Usually the skin strip is about 20cm long from one ear to the other and not more than 2cm thick. Once the strip of skin is safely removed it is put into a holding solution that mimics the same properties as the body fluids that is required to restore the hair follicles from shock. And the wound of the skin opening is closed and sewn together with either dissolvable sutures or staples.

Graft Dissection is the next step that takes place while the donor area is being closed and the recipient area prepared. The stripped tissue is put under a stereo microscope; and in that one strip of skin will contain more than 2000 hair follicular units that are genetically resistant to balding. The skin strip is put under a stereo microscope where the follicular units will be carefully and skillfully dissected with a little amount of fatty tissue that binds the hair follicles intact and are divided into grafts of 2-6 hair strands. If the patient requires more donor hair then another strip of skin tissue can be harvested from the same donor area, close to the old scar in the same process, yet leaving only one scar.

While the graft dissection is under process, the surgeons will create the recipient site, where the grafts will be ultimately implanted.

Recipient Site is prepared making small slit incisions with a thin blade scalpel carefully maintaining the proper angle and topography making way for a tight hold of the implantable grafts. Once the recipient site is prepared by the surgeon, the last step of the hair transplant surgery is conducted wherein each hair graft is individually implanted to the slits manually.

And the hair transplant surgeon follows an instinctive artistry in skillfully placing the grafts that purposes a fuller yet natural appearance in the final results.


Once the anaesthetic wears off some amount of soreness, pain and discomfort is most likely to be felt in first night for which prescribed painkillers can be used if necessary. Some amount of swelling of the forehead is normal, all of which supposedly wear off within the next 1-2 days.

By the end of 3days the patient will get rid of all discomfort and swelling both. The sutures will be cut within 10-12 days wounds will completely heal within a 3weeks. It will take 4-5months for the scars to fade out of recognition to close inspection.

The patient will be given be given a set of post-operative’ instructions which will include thorough advice on looking after the treated area, washing your hair and new hair growth.

Sometimes immediately few days after a hair transplant surgery there might be some amount of hair loss experienced. This is called shock loss and is a normal side effect that can trigger much panic to the patient. However, this is only a temporary side effect and does not deter in the expected density, hair will start to grow as normally it would within days following surgery but noticeable emergence of new hair can be seen at the end of 4-5 months. Final results take 10-12 months to show up, which is predictable.