The majority of elective hair restoration procedure are performed under local anesthesia on an outpatient basis using micro hair transplantation. Pre-operatively the surgeon marks the hairline design and the area on the scalp where the donor hair follicles are to be taken.
The two methods of choice for donor hair removal are FUT or follicular unit transplant, where a strip of tissue is removed from the back of your scalp and further dissected into small 1-4 hair follicular unit grafts using a stereo microscope.
The second method is FUE or follicular unit extraction, where a small mico-dissector is used to make a small, circular, incision in the skin around the follicular unit separating it from the surrounding tissue. The unit is then extracted (pulled) directly from the scalp, leaving a small open hole.
After the grafts are harvested tiny receipient sites are made in the balding area of the scalp using a fine needle point instrument. The follicular units are then placed into the recipient sites where they will grow into healthy hair producing follicles.
Other procedures include graft, flaps and tissue expanders however these procedures are usually reserved for reconstructive cases secondary to accidents, burns, cancer or other disfiguring trauma.