FUT Hair Transplant

Follicular Unit Transplantation, also called the “strip” procedure, is the most widely used hair transplant procedure in the world. It is considered the gold standard among all the available procedures.

It is easy to grasp:

Painlessly remove hair roots from the back and sides of your head and place them in the balding areas and top. The roots are re-implanted into the skin after a few days and hair will grow out of the new location. The hair can be styled and cut just as it was before. A single visit can result in thousands of grafts, which will make a significant cosmetic improvement.

How an FUT (Strip) procedure is done:

licensed doctor must perform a follicular unit transfer. This procedure is not performed in a hair salon, barbershop or shopping mall setting. It is performed in a doctor’s office with a dedicated room for hair transplantation and sterilized instruments.

The procedure is safe and comfortable. After the local numbing medication has kicked in, it’s almost painless.


The entire process begins with a visit to a physician for a consultation. The doctor will assess the extent of hair loss and predict future hair loss. He also determines how many transplantable hair roots are available. The doctor will then create a plan and discuss costAfter the plan is formulated, the patient will be encouraged to consider it for several days. They can then call the front desk to make a booking and to leave a deposit.

Preparation before scheduled hair transplant procedure:

Once the patient has booked their surgery date, they are asked to stop drinking alcohol and taking vitamins. They also need to refrain from working out for 10 days prior. Because all of these substances can thin blood, making it difficult or even impossible to perform the hair-transplant. Vitamins and alcohol, including those in power drinks, can chemically derail platelets that are essential for clotting. Running, which is strenuous, can cause physical damage to the platelets. The blood circulation to the feet is accelerated by the foot stomping, which increases the pressure in the area. This causes some platelets to burst and reduces their ability to clot. We advise patients to be careful not to do anything that could compromise the blood’s ability for it to clot properly. The patient can resume intense workouts one week after the hair transplant.

Patients who take medication for diabetes or high blood pressure are generally instructed to continue taking their medication as usual, unless directed otherwise by their primary care physician or one of our doctors.

Day of Hair Transplant:

Although patients are advised to sleep well before the procedure, most patients don’t do so. Patients are often excited about the possibility of having their hair done and can be restless for up to three nights. It’s okay, most patients end up getting back their sleep after realizing that the procedure is not as difficult or scary as they thought. Since our inception, we have treated thousands of patients over the past 25-years and never experienced any major medical complications or problems. This includes patients with pre-existing conditions. This is a measure of how safe modern hair-transplant procedures are.

Patients are encouraged to arrive at least 15 minutes earlier if they can. Antiseptic sprays can stain clothing so we ask patients to arrive 15 minutes early. It is not a good idea to wear nice clothes or a suit.

Breakfast on the day of your hair transplant:

Patients are not allowed to eat for at least 24 hours before any medical procedure. For hair transplant patients, this is not the case. It is important to have something on your stomach before you visit. You can choose from a muffin, bagel or cereal. Three eggs with bacon are probably not the best choice. We recommend that patients consume sugar in the morning before they visit. Because of the excitement associated with a procedure, normal blood sugar levels can be lower. You can get the perfect treatment with a glass of juice or a piece of morning pastry. You can bring snacks or your favorite food. You may eat during your procedure.

To Drive or Not to Drive:

If patients live within 40 minutes of the office, they can drive to and from it themselves. We don’t use general anesthesia, and seldom require sedatives. Patients who live farther away should consider staying in a nearby hotel the night before to avoid stressing about getting to the office in the morning, and then dealing with traffic jams in the afternoon. We have seen patients drive from Philadelphia to Long Island, receive their procedure, then drive back the next day. Although we don’t recommend it, it is possible. This is yet another indicator of how easy modern hair transplants can be for patients. It is best to have someone drive you to and fro the procedure. We have comfortable waiting rooms, cable TV and Wifi available for those who wish to wait. They can also shop on the Miracle Mile nearby if they so desire. They can join the patient in the procedure area for lunch.

Bloxham and Feller offer free parking in two levels. You can park anywhere that does not have a reserved sign. You’ll still have plenty of parking spots to choose from. We have not seen the parking lot full after 25 years of living in the same building. Follow the elevator to the second floor. Take a left. You can find the double doors at either end of the hall. The office is located on the entire west side. It reads Feller and Bloxham Medical PC. The door does not include the words “Hair Transplant”

In the hair transplant office:

The receptionist will greet the patient once they arrive at the hair transplant clinic. Dr. Blake Bloxham will welcome the patient to a consultation room. Patients may either come alone or with a support person or family member. The patient can decide what they want. To make sure that all questions are addressed, the plan is reviewed and discussed. The doctor will then take out a sterile surgical mark from the package and begin to draw lines in order to demarcate the areas to be grafted. This usually includes the hairline. However, it doesn’t have to. A mirror is then given to the patient so that they can see exactly where the new hair will go. Photos are taken to allow for comparison with new photos taken 6 months later, 12 months later, and 18 months afterwards. It is a great way to gauge the outcome than to look at how patients looked from different angles before and after their procedure. Patients are encouraged to take photos with their smartphones.

Bathroom breaks:

The patient is then taken into the procedure room. The patient can use the private bathroom located in the suite directly across from the procedure area. The patient is never in a position that prevents them from getting up and using the bathroom at any time.

Preparing the skin for the procedure:

The procedure chair is now ready for the patient to sit in. The chair looks somewhat like a dental chair, but is much more comfortable and larger. Two highly trained medical technicians will be present and start to clean the scalp with antiseptics. The two experienced medical technicians will then begin to comb the hair and secure it with medical tape. Just below the swept-up hair, a small strip of skin will be cut. This area is called the “donor”. This is the area that holds all hair roots that will need to be moved on that day.

Numbing the Skin:

The doctor will inspect the shaved area. The doctor will disinfect the strip again and then lay the patient on their back. The doctor will then apply local anesthetic to the head. It is similar to a pinch but it is not as painful as some people think. The medicine is absorbed by the skin with a tiny needle. We do not need general anesthetic at any time.

Removing the Donor Strip:

The patient will then be seated backwards in the chair. The doctor will then stand beside the patient and take out a small amount of the skin. The patient can watch television, read the newspaper, and text while the doctor works. The patient is unaware of what’s going on behind them and doesn’t feel any pain. Once a small strip has been removed, the doctor immediately stitches or staples it shut before moving on to the next. It will look as though the doctor removed one long strip from the donor area and then stitched it shut. However, it was actually done in small sections.

It is important to realize that the scalp, especially the donor area, has greater flexibility than it requires. The small gap left after the strip has been removed can be easily closed by pulling the ends of your skin together. Although there may be some pulling during the staples or stitches, this will disappear once they are gone. This is a great property that hair transplant surgeons take advantage of.

Each section of the hair is removed and then handed to the medical technicians for dissection. Each technician will begin removing hair roots from the strip using the most advanced stereo microscopes available. Usually, there are 8 technicians at Feller or Bloxham.

After the medical tape is removed, the hair falls down to cover the entire donor area. A person who is standing next to the patient won’t be able tell that a strip was taken just hours earlier.

Making the Recipient Sites:

After a quick stretch and some food, the patient can then be repositioned in a semi-reclined position on the chair. In the same way as the donor area, the hairline and top are numbed. The doctor examines the grafts that have been taken from the donor strip as the medication soaks in and notifies them of their different sizes. He custom cuts the blades to be used in making tiny slits on the scalp for those grafts. These blades can range from.7mm at the hairline to 1.1mm at the top. Each slit measures approximately 4mm in depth, which is roughly the same length as a small grain or rice. The doctor and staff must use magnifiers to see all these details.

After the blades have been cut, the doctor will begin to make the recipient’s slits according to the pattern that was drawn in marker on the scalp during the pre-op consult. Most patients fall asleep within an hour. When the doctor has completed the thousands of slits, patients are encouraged and encouraged to stretch out and use the restroom if needed.

Placing the new grafts

After the patient has sat down in the chair, three technicians will enter the room to stand behind the patient and on the other side. The technicians will then place the hair roots in the slits. Patients don’t usually feel pain and can sleep or watch a film during this time. Depending on the size of your procedure, the implantation process can take anywhere from 3 to 5 hours.

Once the whole strip has been cut into grafts (called the Follicular Units), technicians will work in shifts in teams of three until all the transplants have been placed in the balding and thinning areas of the scalp. Staff are not fatigued during this part of the procedure. If necessary, the doctor may make additional slits to accommodate more grafts or if it is necessary for him to access more donor areas.

Quality Control and accountability:

This procedure is all about quality control. Each technician monitors the other’s work and works together as a professional team to ensure the best results. The doctor monitors every aspect of the procedure and takes photos and videos that can be viewed as it progresses. The patient can view all of these videos and photos online so that they can verify what was done. This is a rare level of transparency and surgical accountability that hair transplant clinics around the world can boast. We are confident that the work done in our clinic is of the highest quality that we will post photos and videos with permission from the patient for everyone to view. Bloxham and Feller invented this protocol and only the best clinics offer it.

Concealing the Procedure:

The once-bald area will look like someone who had their scalp trimmed and sunburned. It will quickly heal. To conceal the fact that the procedure was performed, a hat is given to protect the scalp and grafts. A post-operative talk is given to the patient. It also includes instructions on how to shower and sleep for the next few nights. Although patients can return to work the day after surgery, we recommend that they stay there for at least three days. Many patients who work remotely work only the next day.

Post operative care:

The patient may wash their hair and shower the following day. Patients can swim in the ocean within three days of their procedure if they want to go on vacation, as many patients do.

The patient is asked to come back ten days later to take out the staples or sutures. We can often recommend someone in the area who can do it for free if they’re not from their local area. If none of these options are available, any urgent care center or doctor can help.

The tiny scabs from the grafts will begin to fall off after three days. This will leave you with short hair. Although the skin may be reddened for up to 14 days, it will eventually return to its normal color. Within 2 weeks, the hairs will start to fall out. This is normal and to be expected. The hair roots remain well-anchored in the skin, and are healing stronger every hour. All of the new hairs will eventually fall out. This is known as the “sleeping stage”, but they will awaken and start to regrow around the fourth month. The hairs should be long enough by the sixth to seventh month to make a noticeable cosmetic difference. It should be obvious after 9 months. These transformations are almost magical for most people.

Growth Success:

Since our office opened 23 years ago, we have never seen a patient with a hair loss or any other medical condition. We have never seen a patient with a serious medical condition as a result or related to their hair transplant. Although this is not an absolute guarantee, it does reflect the history of our clinic over many years of performing hair transplants on literally thousands of patients.

Follow up visit and photos:

No follow-up visits are necessary after sutures have been removed. We ask that patients undergoing follicular unit transplants visit us at 6-12 and 18 months to see how the healing is going. To document the overall progress, we also encourage patients to take photographs. We ask patients to take photos on their phones and send them to us if they are unable to make it to the office. The After photos will be paired with the Before photos to create a Before/After presentation. Feller and Bloxham is so confident that the results will be remarkable that we offer to conceal the patient’s faces digitally and upload their before and after photos for everyone to view and compare. This is something that very few hair transplant clinics offer in the United States. There are only six of them in the United States. This is a great way to objectively evaluate and choose the best hair transplant surgeon for you.


The hair will continue growing as it grows. You can use your favorite barber for a cut and style that is exactly the same as before. There’s nothing more to do. Your body takes care of everything. There is no need for shampoos, ointments or special medication. Enjoy your new hairstyle and go about your day.