FUT / FUSS Technique

In the classic FUSS (Follicular Unit Strip Surgery) technique, a strip of scalp is removed from the back of the head through a surgical cut with a scalpel. The surrounding skin is then stitched back together with sutures, which are typically removed about two weeks later. This procedure results in a linear scar that can be concealed by the surrounding hair.

The hairy strip of skin is handed over to a team of technicians who are responsible for creating grafts by dissecting it into follicular units, which are then placed.

The methods of implantation can be similar to FUE, but with this procedure, grafts are typically thicker (chubby grafts), which may limit the use of implanters.

Advantages of the FUT Method

  • Can provide a larger number of Follicular Units (only in mega-sessions).
  • No need to shave the head.
  • The procedure is faster.

Disadvantages of the FUT Method

  • More invasive method.
  • Generates a linear scar, which may become dehiscent or hypertrophic.
  • Higher risk of neurovascular injury.
  • Depends on the elasticity of the scalp.
  • Greater postoperative discomfort (pain, hypoesthesia, wound care, temporary limitation of some movements).
  • Does not allow for wearing short hair.
  • Requires a larger team.
  • Alters the natural hair growth angles.
  • Limited ability to obtain donors with more hair per graft, affecting the density of the result.
  • Technicians handle 80% of the procedure, while the surgeon only handles 20%.

Scar management

The Trichophytic Closure is a suturing method designed to reduce the visibility of the scar in the donor area. Here’s an explanation:

During the procedure, after the strip is extracted from the donor area, the two ends are brought together with a suture in three layers. This method enhances the aesthetic result of the scar by ensuring hair growth within it, making it nearly imperceptible.

The trichophytic suture involves a triple suture of the incision in the donor area, after separating the epithelium at the lower end or both ends. This technique can improve the final appearance of the scar, even in extensive operations.

It’s important to note that the healing process also depends on individual conditions, and the aesthetic outcome cannot be precisely predicted, despite good surgical management.