FUE+FUT+BHT Combine Technique For Hair Transplant

Combination Method of FUT, FUE & BHT (FUT+FUE+BHT) Hair Transplant

Hair transplant world is undergoing phase of evolution and is almost at its best as can deliver absolutely natural results. Much is been done to make the procedure as comfortable and effective as possible for both patients and hair transplant surgeon. To make the procedure as natural as possible, we need to use the most updated techniques.

Hair transplant is among the most popular cosmetic technique as due to increasing incidence of hair loss among men and women. Earlier the techniques were outdated and primitive which were inefficient and produced plugged results. Thanks to the researches and technologies which are constantly paving a successful path for hair loss sufferers in achieving the best hair transplant outcomes.

Advancement In Combination Technique

FUT, FUE and BHT (chest, beard and pubic hair):

Medispa hair transplant clinic is very popular in performing Combination technique with expertise. Every now and then we are introducing innovations to the Combination technique.

Now is the time, when we can harvest more than 5000 hair grafts in single session via this technique. In this technique, both FUT and FUE from different parts of body are performed together.

FUT hair transplant is performed at the back and sides of the head. FUE hair transplant is performed at the scalp, beard, chest and possibly the pubic area.

Hair grafts obtained:

1. FUT hair transplant: around 2800 hair grafts
2. FUE hair transplant (Scalp): 700 hair grafts
3. FUE hair transplant (Chest): 500 hair grafts
4. FUE hair transplant (Beard): 1000 hair grafts
5. FUE hair transplant (Pubic area): 500 hair grafts

The high density harvesting allows us to perform Giga session with harvesting of more than 5000 hair roots in single session.

Benefits:

1. The higher density harvesting allows the coverage of an extensive bald area in single session. It allows harvesting of more than 5000 hair roots in one session.
2. The technique allows harvesting a limited amount of hair roots from each area. Thus, the donor site is saved for the future harvesting in case of progressive baldness.
3. The preferred hair roots could be selected for the transplantation at the selective sites. Like, single hair grafts are preferred at the front line and the multiple hair grafts are planted at the rear rows.
4. The strip width could be reduced which allows lesser scarring and possibility of future harvesting via FUT hair transplant.

Trivellini Machine:

The three 1.5 mm layers of scalp, each with a distinct consistency, are necessary for the punch insertion used to harvest the hair roots. Because they contain connective tissue and fatty tissues, the deeper layers are softer and may be less resistant to punch, which might result in damage from improperly trimmed hair grafts.

Depending on the tissue firmness, the Trivellini machine may perform cutting, rotation, oscillation, and vibrations, causing minimal harm to the hair roots. To get better control over the insertion, the punch is held near to the tip during the harvesting process.

These actions might be carried out automatically by a mechanism known as “Smart React” or manually by pressing the pedal. This machine produces the oscillatory motion that harvests hair grafts by suctioning the same from deeper soft layers.

Benefits:

1. A significant decrease in the rate of damage to hair grafts.
2. The safety of the retrieved and the surrounding hair roots is made possible by the punch’s improved internal accuracy.
3. The hair follicles’ surrounding tissues can be recovered in greater quantity allowing safety of the hair roots.

Choi implanters:

In South Korea, Choi implanters were first introduced in 1992. The tip of the needle on the Choi implanter pen has a diameter ranging from 0.5 to 1.5 mm. The pen is cylindrical in shape and has a sharp tip. The structure of hair follicles and pens are similar. Additionally, the pen has a little motor behind it called a micro motor.

When doing FUE hair transplants, this pen serves two purposes and offers several extra benefits.

1. It may be effectively utilized to collect hair roots from the donor location.
2. The hair transplants are implanted by swapping out the pen’s tip needle. A 40–45-degree tilt is used to place the hair grafts.

Benefits:

1. There is less harm to the hair roots or transection rate.
2. Since the hair grafts may be inserted directly, there is no need to prepare the slit.
3. The recipient location recovered from the hair transplant procedure more quickly since there was no need to make slits.
4. One might skip shaving right before a hair transplant.

FUT and FUE: which to choose when?

FUT and FUE are two primary techniques which are employed to perform hair transplant. These techniques underwent much advancement to negate the disadvantages of either technique. To a certain extend these techniques have been successful in delivering the best they could as per their indications. The procedure of hair transplant includes the harvesting of follicular grafts from the donor area which is commonly the back and side of the head followed by their implantation at the recipient site. Both of these techniques employ the same procedure with the difference in graft harvesting method.

FUE technique employs extraction of hair follicles by digging down the punch to retrieve the follicle with its root along with some surrounded intact tissues. These follicular grafts are then implanted at the desired recipient site taking care of aesthetics. FUT hair transplant technique (strip technique) involves harvesting of a strip from the back and side of the head which comprised of thousands of follicular grafts. The strip is then dissected for retrieving individual follicular unit surrounded with adequate tissue under high loop magnification. These individual units are planted at the desired recipient site.

Discussions and debate is still on to decide which technique is better but ideally no technique is superior to other. Each technique is opted as per the indications depending on certain aspects ruled during consultation. The most crucial factor for deciding the technique is the number of hair follicles required or extent of baldness. When the extent of baldness is large as in Norwood grade IV or V FUT technique for hair transplant is preferred which could provide 3000-3500 grafts. On other hand in initial bald cases or facial hair transplant FUE technique is preferred as it could successfully retrieve 2000-2500 grafts.

Why Combination technique of FUT, FUE & BHT came into existence?

Nowadays, desire of getting high density hair transplant is very common among the bald people. Most of the patients come to us with the expectation of getting maximum coverage in higher grade of baldness. We always try to deliver maximum possible outcome under surgical limitation. But sometimes it’s unfortunate when the patients donor hair density isn’t appropriately available to achieve  higher coverage in single session. Dr Suneet Soni has adopted a modern approach to extract maximum grafts by the combination of FUT + FUE + BHT (Body Hair Transplant) technique.

Norwood grade VI and VII are extensive and advanced bald stages which creates larger extent of bald area and just leave behind a band of hairs at the back and side of the head. These patients would need a larger number of follicular grafts to gain acceptable coverage of bald area by hair transplant. Though the number of grafts required could not be fulfilled by either FUT or FUE hair transplant technique alone, Combination technique of FUT, FUT and BHT came into picture. Combination technique offers the provision of extracting more than 4000 follicular grafts thus is a good technique to perform hair transplant in extensive bald cases. The chosen harvesting area from beard is termed as “shadow area” which is present under the chin. Earlier it had been not a positive option due to the probabilities of scarring. But now Dr Suneet Soni preferably uses a 0.75 mm punch device which negates the probabilities of scarring. Therefore, because of introduction of combination technique it has become possible for extensive bald cases to have pleasant coverage of hairs on the bald scalp.

Medispa hair transplant clinic is specialized in performing combination technique of FUT, FUE and BHT and has performed N number of patients with best possible desirable aesthetic results. Dr Suneet Soni is the one who has introduced PRP therapy with combination technique in Delhi and Jaipur. He is well known in the country to provide best hair transplant results and provide best coverage in extensive bald cases using combination technique.

Some examples video of the aesthetic results of our patient can be Seen & Checked through the following link to Video

How combination technique of hair transplant is performed?

Administration of local anaesthesia:

Dr Suneet Soni has specially prepared a cocktail of multiple anaesthetic agents which provides long duration of action and required to be administered only once during the whole procedure. Repeat injection of local anesthesia is not required as the effects lasts for approximately 12 hours which is beyond the maximum time required to perform hair transplant by any technique.

Graft harvesting:

Graft harvesting by combination technique is performed by combining both FUT and FUE hair transplant techniques. FUT technique is performed for harvesting maximum number of follicular grafts followed by FUE technique to retrieve residual number of grafts.

FUT (Follicular unit transplantation or strip technique):  A thin strip is harvested from back and side of the head of approximately 1-1.5 cm based on the laxity of the scalp skin and number of grafts required. Approximately 2 cm of area under the harvested strip is left which is preserved for future sittings in cases of progressive hair loss in pattern baldness and extensive hair loss. This procedure could contribute approximately 3000-3500 follicular grafts in single session which is further dissected along with some surrounded tissue under high loop magnification by highly experienced technicians. An advanced technique of closure of the incision line is performed termed trichophytic closure which provides almost invisible scar.

FUE (Follicular unit extraction): FUE hair transplant technique is performed after FUT technique for extracting the residual number of grafts. Approximately 500-1000 grafts could be extracted by this method. As maximum numbers of grafts are harvested from FUT technique very less number of grafts are required thus FUE technique is used to extract the residual number of grafts.  This technique offers added advantage of extracting hair follicles from a distance as lesser number has to be extracted. This favors reduced damage rate of grafts and prevent overharvesting. It also helps in avoiding the violation of safe donor area and density depletion at the donor area.   

BHT (Body Hair Transplant): The chosen harvesting area from beard is termed as “shadow area” which is present under the chin. Earlier it had been not a good option due to the chances of scarring. But at Medispa, Dr Suneet Soni preferably uses a 0.75 mm punch for beard hair extraction which negates the probabilities of scarring, around 500 to 1000 thick grafts can be extracted which can be used in order to improve the density of middle or vertex part of the scalp. Usually, these grafts contain only single hair root but the caliber of these hair are much better as compared to the scalp hair, hence they produce more volume.

Transplantation of grafts: After graft harvesting the individual grafts are transplanted at the desired bald recipient area. While transplanting the expertise and skills of the surgeon matters a lot in achieving aesthetic results. The arrangement of the hair follicles should maintain irregularly irregular zigzag pattern. The angulations of the follicular grafts should be directed appropriately to achieve natural look. Single grafts should be planted in the front line and temporal triangles to deliver natural and aesthetic look. Multiple thick grafts obtained by FUE technique are planted in rear rows probably from the third row to deliver fuller look and maximum coverage of bald area.

Dr Suneet Soni has expertise in performing hair transplant with any technique FUT, FUE or BHT with best results. He is well known to perform hair transplant with least damage rate of <1%. His judicious and holistic approach makes him take sound decision of choice of technique in the best interest of patients. His artistic vision and creative skills has made him unique in delivering natural results as the transplanted hairs could not be differentiated from the existing natural hairs.
Some examples of the aesthetic results of our patient can be Seen & Checked through the following link to photographs

What are the indications of combination technique of FUT+FUE+BHT (Body Hair Transplant)?

FUT, FUE, and BHT have certain indications and limitations but these techniques are best in their own ways. But when it comes to extensive bald cases like Norwood grade VI & VII case either of the techniques seems inefficient as they could not provide adequate number of grafts when used alone. Henceforth, combination technique comes into picture as is a highly effective modality in extensive cases. It could provide harvesting of more than 4000 grafts in single mega session without violating the safe donor area.

Below are jotted few of the indications for combination technique including:

1. When there is extensive baldness and larger number of grafts
2. When the donor area is inadequately dense
3. Pattern baldness which tend to progress further in later life
4. Demand of high density hair transplant
5. Demand of natural results with advanced baldness

Medispa hair transplant clinic is pioneer in delivering world class natural outcome. We have latest technology equipments, well maintained operatory, India’s largest graft segregation room with video assisted microscope and India’s biggest hair transplant team. We have maintained international hygiene standards in operatory and every corner of our clinic. Dr Suneet Soni is famous for his genuine suggestions and sound decision making for making the appropriate choice carefully keeping every pros and cons in mind. Our team is highly efficient and delivers the best hair transplant results in minimum possible time.

Why FUT+FUE+BHT combination techniques are preferred?

1. Combination technique offers the provision of harvesting larger number of grafts thus could be preferably used in extensive bald cases.
2. Combination technique has the biggest added advantage of preservation of follicular grafts despite harvesting higher number of grafts. This offers long term benefit of the technique which is partially possible with FUT hair transplant technique. Because of preservation of grafts it offers provision of multiple sittings for upto 3 times in future. If multiple sittings are performed by FUE technique it would lead to overharvesting and density depletion at the donor area.
3. Combination technique is aesthetically pleasing as minimize the chances of scarring after healing. Trichophytic closure technique is opted for suturing the donor site in FUT hair transplant technique which provides almost invisible scarring. In FUE hair transplant technique grafts are extracted from a distance which reduce the scarring to minimal and becomes almost invisible. Some follicular grafts extracted by FUE technique are planted surrounding the linear scar formed by FUT technique for hiding the scar completely.
4. Combination technique is performed by harvesting a thin strip and leaving approximately 2 cm of strip below it followed by harvesting grafts by FUE technique from under the left out strip. This provides the benefit of using this 2 cm left out strip for future sittings in progressive hair loss and extensive baldness.
5. Combination technique, when added with Body Hair Transplant (BHT), gives advantage to increase the coverage area.
6. Combination technique employs majorly FUT technique which has an advantage of least damage rate to follicular grafts of less than 1% when performed by expert hands. FUT technique is performed by dissection of strip under high magnification which offers clear visibility thus avoids damage to follicular grafts. Unlike FUE technique which is performed by digging the punch in scalp with an approximate idea and extracts the graft which could lead to more damage of hair follicles as it is a blind procedure
7. When combination technique is performed by expert hands with sense of art, surely you would achieve natural results. The graft harvested from either technique alone would not be able to provide such excellent hair transplant results in extensive cases of baldness. Single grafts obtained by FUT technique are preferred for planting in front line and temporal triangles. Including, multiple thick grafts are planted in the rear line which were extracted from FUE technique.
8. Combination technique provides high density hair transplant in single session and thus is time saving. With this technique patient’s desire of denser look could be successful in single visit.

Therefore, from the above mentioned advantages of combination technique it is clear that this procedure is worth opting for extensive bald cases. But this procedure is highly technique sensitive and bit complicated thus require a highly experienced and expert surgeon. If this procedure is performed by inexperienced surgeon it could lead to irreparable damage to thousands of grafts which would shatter your hope to get your hairs on bald head again.

Medispa clinic is one of the best destinations for hair transplant in India with assured permanent and natural results. The cost of combination technique at Medispa clinics is an affordable option, despite treating a larger area of baldness with extracting heavy amount of hair follicles.

So if you have extensive baldness and looking for an affordable option with good coverage of bald area, visit our team at Medispa clinic for the best experience of hair transplant with us..