Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT) are two of the most common hair transplant methods. Popularised in the 1980s, FUT surgery is a more conventional procedure. However, scientific advances in the early 2000s led to the development of the more modern FUE hair transplant.
Read on to discover the key differences between an FUE vs FUT hair transplant and which procedure is the best option for your needs.
Reviewed by Dr Epameinondas Bonaros
Both Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT) are well-established surgical treatments for hair loss. However, there are several distinct differences between an FUE and FUT hair transplant procedure. These include technique, scarring, recovery time and costs.
It is essential to carefully consider these differences, as they will help determine which hair transplant method is most suitable for your unique situation. This plays an important role in the overall success of your hair restoration journey.
Here is a detailed overview of some of the main differences between FUT and FUE hair transplant procedures.
Both FUT and FUE hair transplants involve placing transplanted hair follicles into the scalp.
However, they achieve this through different surgical techniques.
FUE hair transplant surgery is a minimally invasive procedure. The surgical process requires surgeons to extract individual hair follicles directly from the scalp. Local anaesthesia is applied to the donor area, and the surgeon uses a specialised punch tool to extract each hair follicle. These follicles are then individually transplanted into the recipient area with forceps.
An FUT procedure (also known as the strip method) involves removing a strip of scalp tissue from the donor area. This donor strip is then divided into grafts, each containing several hair follicles. Grafts are carefully dissected to ensure each unit has protective tissue intact. Tiny incisions are made in the recipient area of the scalp, and hair grafts are then placed into these incisions.
| Technique | Description | Time & Sessions | Invasiveness | Graft Capacity |
|---|---|---|---|---|
| FUE (Follicular Unit Extraction) | Harvests and implants individual follicles | More time-consuming, often requires multiple sessions | Minimally invasive | Suited for smaller to medium graft counts |
| FUT (Follicular Unit Transplantation) | Involves strip harvesting of follicles | Less time-consuming, usually completed in a single session | More invasive | Allows transplantation of a large number of grafts at once |
An FUT hair transplant or ‘strip procedure’ results in a long linear scar at the donor site. This is often a noticeable scar, especially for patients who choose to wear their hair short. However, many patients who prefer to keep their hair longer can usually conceal the scar without any issues. The size and visibility of the scar can vary depending on the individual’s healing process and the surgeon’s skill.
An FUE transplant results in less visible scarring, as it does not require the removal of a strip of scalp tissue. Instead, tiny, round scars are left where individual follicular units are harvested. These scars are usually 1.5-1.6 mm in diameter and scattered across the donor area, making them less noticeable. Such minimal scarring is ideal for patients who prefer to wear their hair short, as they’re less likely to be visible.
During FUE surgery, the donor area experiences minimal trauma. This means the required recovery time is relatively short (usually a week) and non-intensive. Swelling and discomfort are usually mild and subside within a few days.
Due to the invasive nature of the procedure, FUT hair transplants have a longer recovery period of around 2 weeks. This involves the healing of the donor strip incision. FUT patients typically experience more discomfort and swelling in the days following surgery.
Whether you undergo an FUT or FUE procedure, it’s important to follow all aftercare treatment guidelines. This facilitates healing and helps optimise the results of your transplant.
The cost of a hair transplant depends on various factors like the surgeon’s expertise, transplant technique, hairline’s final design and number of grafts required. Generally, an FUE procedure is more expensive than an FUT transplant.
FUE hair transplantation is a meticulous procedure that requires significant time and precision, often resulting in longer surgeries and increased labour costs. The use of advanced technology and specialised tools can also contribute to the overall cost.
During an FUT procedure, a surgeon can harvest multiple hair follicles from a single strip of donor tissue. This process is less labour- and time-consuming than an FUE hair transplant, resulting in lower overall costs.
Are you experiencing noticeable thinning hair or hair loss?
Book a consultation with Dr Bonaros for a comprehensive assessment and tailored treatment plan.
We’ve answered some frequently asked questions to give you more information about FUT and FUE procedures.
When choosing which type of hair transplant is right for you, you should consider several factors, including the following.
Professional recommendation: It is essential to consult with an experienced surgeon before undergoing an FUE or FUT hair transplant procedure. After an in-depth consultation, your surgeon will decide which type of hair transplant they think is best for your unique needs.
Restore your looks and regain your confidence with a hair transplant procedure. Reach out to our team for more information and advice.
Based at his hair transplant clinic in Glasgow, Dr Bonaros is Scotland’s only full member of the International Society of Hair Restoration Surgery (ISHRS). He is also a full member of the British Association of Hair Restoration Surgery (BAHRS).
Our state-of-the-art hair transplant clinic prioritises a patient-centric approach. Dr Bonaros develops tailored treatment plans to meet each patient’s needs. These may involve surgical and non-surgical treatment options, including advanced FUE hair transplants.
Discover whether an FUE vs FUT hair transplant is right for you. Book an appointment with Dr Bonaros or visit our Glasgow clinic today.