Traditional Stripe Method of FUT

Step 1: Donor Harvesting

The goal of donor harvesting is to remove tissue of scalp from the permanent donor area in a way that limits transection of hair follicles. Additionally, the scar should be minimal and possibly undetectable.

A strip of scalp, approximately 1-2 cm wide and 20-25 cm in length, is removed from the permanent donor area.

This donor site closure is done with trychophytic closure .

It is important to remain within the permanent fringe area when removing the donor strip because grafts taken from outside this area may be lost over time. Patients with a tight scalp are poor candidates for the strip technique.


Step 2: Graft Preparation

  • The strip-harvested donor tissue is converted into grafts in two steps.
    • Slivering: The donor strip is cut into thin slices or slivers containing a single row of follicles. This procedure is performed under a microscope or magnification.
    • Grafts or FU dissection: From these slivers, individual units containing 1-4 follicles are separated under magnification. All grafts are stored in a retaining solution, usually Chilled Ringer lactate solution, with the temperature maintained below 4 degrees.

Step 3: Creating Recipient Sites

Recipient site incisions vary in size from 0.65 to 1.2 mm wide, with smaller incisions used for 1-2 hair FUs and larger incisions used for the 3-4 hair FUs or curly hairs. While making slits, the surgeon should create a pattern that imitates nature. The incisions also have to enter the scalp at the same direction and angle as the pre-existing hair follicles.

Step4: Placing Grafts:

The skill and ability to place grafts successfully are critical steps in hair transplant surgery. The potential for graft trauma leading to poor growth occurring at this step is high. Fine-tipped jeweler’s forceps are used for placing grafts in slits. During this procedure, loop magnification is essential to avoid injury to hair follicles.

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