Who does the hair transplant work?

Who does the extracting of the grafts and who does preparing the recipient area and graft placing?

Category: FUE / CIT Hair Transplant FAQs

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All present-day transplants have one common tenant: to extract follicles from a donor area and transplant them to a recipient area. Seemingly simple, hair transplantation is actually quite complex and requires years to master. The greatest factor in a hair transplants' success is the clinic and surgeon themselves.

Follicular Unit Transplantation (FUT) is an older method that involves extracting a swath of scalp, dividing it into grafts of follicular units, and then transplanting those grafts into a recipient area. Follicular Unit Extraction (FUE), meanwhile, involves diffuse extractions of follicular grafts and then their transplantation to a recipient area. Far less invasive, FUE has a repute for its precision, discreteness, longevity, and less noticeable, if at all visible, scarring.

Regardless of the major hair transplant method, recovery, and results, depend on the body's natural ability to heal. Hair transplant grafts themselves are all natural -bits of adipose with one or more follicles. They also must originate from the patient themself or the body will reject the graft due to cellular dissimilarities.

Physicians often research formulas to better nourish follicles when outside the body, as this is integral to their viability before transplantation. However, the follicular grafts themselves presently receive no alteration. The scalp then naturally incorporates them upon tissue repair.

A number of FUE variants are available. None, though, currently surpass Cole Isolation Technique (CIT®), Dr. Cole's namesake FUE variant. Among the most minimally invasive options available, CIT® consistently leaves little to no visible scars and allows exceptional precision for graft placement. Most scientifically notable, CIT® is the only FUE variant that leaves stem cell remnants in donor areas. The addition of ACell, an extracellular matrix common in wound recovery, facilitates these stem cell remnant's regeneration; 30% to 40% recovery of donor follicles is the result. Put simply, that means CIT® + ACell enables patients to regenerate 300 to 400 hair follicles for every 1000 extractions. This both ensures less thinning in the donor areas and enables future transplants if necessary. Learn more about CIT® by visiting our Procedure Overview page.


You can read details about our Follicular Extraction hair transplant procedure on our website. In our procedure, the physician does the critical steps in extracting the grafts. Typically, we leave the grafts in their natural environment as long as possible prior to moving them to the recipient area. We feel the body's storage area is superior to man-made storage solutions. Once we are ready to place the grafts, we remove them from the donor region. They are then briefly placed in a storage solution or transferred directly to the recipient area. Our storage solutions contain a number of antioxidants designed to minimize the affects of ischemia-reperfusion injury (IRI). IRI results from exposure to toxic metabolites that build up in organs or tissue that are removed from their blood supply. Antioxidants decrease the amount of toxic metabolites that our grafts are exposed to. The recipient sites are prepared by the physician, as well. We feel preparation of the recipient area is critical to the success of your procedure. We do not like needles for the preparation of most of our recipient sites. Needles are not designed for cutting the skin. Needles are designed for injections and removal of blood. We prefer very tiny scalpels that we hand make and can be precisely cut to any size.


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