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How does FUT handle grafts with multiple hair follicles?

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How Does FUT Handle Grafts with Multiple Hair Follicles?

Initial Answer

Follicular Unit Transplantation (FUT) carefully handles grafts with multiple hair follicles by extracting a strip of scalp from the donor area, dissecting it into individual follicular units, and transplanting these units to the recipient area. This method ensures that each follicular unit, which may contain one to four hair follicles, is preserved and placed correctly to achieve natural-looking results.

Expanded Information

Understanding Follicular Units

Follicular units are naturally occurring groups of one to four hair follicles, along with sebaceous (oil) glands, nerves, and a small muscle. These units are crucial for achieving a natural appearance in hair restoration.

Extraction Process in FUT

During FUT, a strip of scalp is removed from the donor area (typically the back or sides of the head) where hair is more resistant to balding. This strip is then dissected into individual follicular units under a microscope. The process is meticulous to ensure that each unit, whether it contains one, two, three, or four hairs, is preserved and not damaged during extraction.

Handling Multi-Follicle Grafts

Handling grafts with multiple hair follicles requires precision to maintain their integrity and viability:

  • Dissection Under a Microscope: The strip of scalp is carefully dissected into individual follicular units under high-powered microscopes. This precision ensures that the hair follicles within each unit remain intact and undamaged.
  • Sorting and Preparation: The dissected grafts are sorted based on the number of hair follicles they contain. This allows for strategic planning during transplantation, ensuring that single-hair follicle grafts are used for areas requiring finer detail, such as the hairline, while multi-follicle grafts are used for areas needing more density.


Transplantation of Multi-Follicle Grafts

During the transplantation phase, the carefully prepared grafts are placed into the recipient area to achieve a natural and dense appearance:

  • Recipient Site Creation: Tiny incisions or recipient sites are made in the balding or thinning areas of the scalp. The angle, depth, and orientation of these incisions are carefully controlled to match the natural growth pattern of the hair.
  • Strategic Placement: Single-hair follicle grafts are typically placed at the front of the hairline to create a soft, natural look. Grafts with multiple hair follicles are placed behind the hairline and in areas where more density is needed. This strategic placement ensures a natural transition from the hairline to the denser areas.
  • Handling with Care: Each graft is handled with utmost care to avoid damaging the hair follicles. Special instruments and techniques are used to insert the grafts into the recipient sites without causing trauma to the surrounding tissue.

Benefits of Using Multi-Follicle Grafts

Utilizing grafts with multiple hair follicles offers several benefits in hair restoration:

  • Increased Density: Transplanting grafts with multiple follicles in areas requiring density provides a fuller, thicker appearance, which is crucial for a natural look.
  • Natural Aesthetics: Properly distributing single and multi-follicle grafts mimics natural hair patterns, ensuring the results look as natural as possible.
  • Efficient Use of Donor Hair: By carefully managing and placing follicular units based on the number of hairs they contain, surgeons can maximize the use of available donor hair, making the most of each graft.

Post-Operative Care for FUT

Proper post-operative care is essential for the success of FUT, particularly for ensuring the survival and growth of the transplanted grafts:

  • Follow Surgeon’s Instructions: Adhere to all post-operative care instructions provided by your surgeon, including how to care for the scalp, medications to take, and activities to avoid.
  • Avoid Trauma to the Scalp: Protect the transplanted area from physical trauma, such as scratching, rubbing, or excessive manipulation, to prevent dislodging the grafts.
  • Regular Follow-Up: Attend all scheduled follow-up appointments to monitor the healing process and address any concerns promptly.


Follicular Unit Transplantation (FUT) effectively handles grafts with multiple hair follicles by meticulously extracting, dissecting, and transplanting follicular units. This technique ensures that each unit is preserved and placed correctly, resulting in natural-looking, dense hair restoration. Proper post-operative care is crucial for the success of the procedure, ensuring the best possible outcomes for patients.

For more information on hair restoration techniques and post-operative care, explore our detailed articles on FUE Surgery and FUT Surgery.

Our company, FUE Surgeons Directory, exists to ensure that the doctors in our directory are vetted and medically trained. If you have any concerns or need assistance, chat with our support team to help you choose the right surgeon from our directory for your particular situation.

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