All the techniques used for hair restoration, FUE and FUT work by simply moving follicular units from place to place.


It is not uncommon for the dream of restoring hair that has given way to baldness to come up against a disappointing result that contradicts the patient’s expectations. Unfortunately, patients first have to be aware of their personal situation, and we’ll see what specifically. Then they need to know how and how a solution is proposed to them, which consists of a technique capable of solving the specific case, a surgeon and a clinic with appropriate references.

The illusory promises of a hair transplant

The patient must consult at least two specialists, one of whom must be a tricologist who does not perform a transplant, so as not to be in a conflict of interest. The sensitive point is that of illusory promises: when a surgeon to insure the patient deceives him. By playing more on the cost of surgery which is sometimes a fundamental point for the patient to decide. The lower the cost, the more the patient feels attracted to this aspect and puts in the background the fundamental points that are those relating to the possibilities of achieving what he expects as an end result.

The situation of the patient before the hair transplant

With regard to the particular case of the patient: first, it is necessary to consider whether his hair loss is permanent or temporary. Hair can fall out of stress, from taking medication, for other reasons that make it a transient phenomenon. Instead, they may also fall permanently, as in the case of androgenetic alopecia. It should be noted that the follicular units on the head are distinguished in two categories, those sensitive to dihydrotestosterone, which causes them to fall and which are located on the upper part of the head, and those who are not sensitive to this hormone and therefore do not fall and are in the back of the head.

Is the donation area sufficient for a hair transplant?

This latter zone is called the donor zone. It is in this area that follicular units are taken to be transplanted into the receiving bald area.
It is therefore necessary, after verification of the stabilization and sustainability of baldness, that the donor zone be considered, either as density of follicular units, or as a surface itself, i.e., in particular, it is necessary to calculate the importance of what is called the capital of follicular units available.

The choice of the technique of hair transplantation

At this point, once the patient’s situation is clear, we need to start looking at the techniques available. We’re only talking about patients who have never had a transplant before. We will then look at patients who, unfortunately, have already undergone a transplant. And we’ll see why too.
Well, it is important to know that techniques that are in the public domain, even if with different modalities, proceed by taking follicular units from the available capital in the donor zone and moving the receiving zone. Little by little, therefore, the number of follicular units in the donor area is decreasing and, in their place, after the levy, a shortage will be found.

Choose the FUT hair grafting technique

If the technique used is the FUT which consists in taking a whole strip of scalp from the back of the skull, the result will be a long scar which will unfortunately remain evident when wearing short hair.

Choose the FUE hair grafting technique

If instead the technique used is the FUE, then the individual follicular units taken will leave the skull with small bruises, in a kind of hole. In both cases, the donor zone will therefore remain impoverished by part of its follicular units. Naturally, if the donor zone is large enough and dense, this impoverishment will be bearable.
However, in the case of initially poor donor area, these withdrawals will lead the donor area to be fully utilized.

Boundaries of donor areas

It is impossible for a donor area, even in good condition, to provide a sufficient quantity of follicular units for significant restorations. In these cases, we must avoid falling into the hands of unscrupulous surgeons who will not hesitate to propose very high samples of follicular units to perform the procedure. We sometimes hear about samples of up to 5,000 follicular units. This is an aberration in many respects. Indeed, this quantity of follicular units, supposed to be actually available without going to collect outside the donor zone, that is to say not going to collect follicular units sensitive to dihydrotestosterone that will be destined to fall, is well above the amount that a donor area can offer without entering into a situation of total devastation. The consequences of these massive samples are: devastated donor area, possibility of necrosis due to the massive impact of injuries on the scalp, However, this result is not satisfactory because even with 5000 follicular units, it is not possible to completely restore a large baldness.

Previous transplant cases with devastated donor zone

The result will therefore be disappointing and what is dramatic is that it will not be possible to repeat a second intervention, because there will no longer be follicular units available in the donor area. There are many cases like this, people attracted by low-priced prices who have trusted unfeasible promises and who, if they have not had necrosis, have obtained an incomplete and unsatisfactory result and have not had the opportunity to remedy it.

Hair transplant with follicular unit multiplication: the HST technique

All this is because the possibilities that exist to give hope to patients in these conditions are ignored. There is indeed a technique that allows to regenerate after each intervention the donor area: the HST or Hair Stemcell Transplantation . This technique of taking portions of follicular units causes the hair stem cells to divide into two parts of follicular units. Each portion gives birth to the same original follicular aunty. This is clearly a way of doubling and thus multiplying the follicular units which, after a period of nine months, are regenerated and ready to be taken for a second operation. Recently in Italy, this technique is practiced in the Hair Science Clinic in Milan and is described in great detail at www.hasci-italia.it


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