Everyone has heard of, or even seen, horror stories about hair transplants, perhaps in a magazine, online, or worse than seeing the obvious “plug” of an older friend or relative. However, hair transplant has exploded in recent years to make it a viable, safe, and not too risky option for people with male pattern baldness, including many celebrities like Nicholas Cage, Brendan Fraser Mather MOcanhey, and Dwayne Johnson (“) The Rock Salman Khan (Bollywood) and even Italian Prime Minister Silvio Berlusconi have reportedly had a hair transplant.

History of hair transplantation

The origins of hair transplant surgery come from the Japanese dermatologist Dr. Okuda, who published a revolutionary method of using small grafts in a Japanese medical journal in 1939 that was similar to the current type of hair transplant. This method involved using hair transplants to correct lost hair in various areas of the body, including the scalp, eyebrows, and mustache.

In the late 1950s, a doctor, Dr. Norman Orentreich, with the idea to move or transplant hair on the back and sides of the head into bald areas. Dr. Orentreich’s experiments showed that resistant bald hair on the back and sides of the head retains its bald resistant genetic properties, regardless of where it was transplanted.

This principle, known as “donor dominance”, has shown that hair can be transplanted from the bald donor area to the bald area and continues to grow for a lifetime. This laid the foundation for a modern hair transplant. Hair transplants became increasingly popular in the 1960s and 1970s. However, the standard of care included the use of larger grafts that were removed in round strokes and often contained a lot of hair.

The hair restoration operation developed dramatically in the 1980s when large embossed grafts were gradually replaced by a sophisticated combination of mini-grafts and micro-grafts. In this “mini-micro-combined” hair transplant procedure, the buffer was no longer used to extract the bald and resistant grafts. On the contrary, bald hair was surgically removed from the back of the head and then cut into mini and micro grafts.

Types of hair transplants

There are two main methods of hair transplantation with follicular units. Follicular unit transplantation, commonly referred to as FUT or “strip surgery”, and follicular unit extraction, commonly known as FUE. The main difference is the method of extracting the transplanted hair. FUT and FUE are really complementary forms of HT and not competing methods to choose from.


In the 1990s, a very sophisticated surgical procedure was introduced, known today as “follicular hair transplant” or “FUT”. This demanding and laborious procedure transplants the hair into its natural “follicular unit groups” with one, two, three and four hairs, in which it grows naturally.

The concept of creating a hair restoration using only follicular units was developed by Dr. Robert Bernstein developed and proposed and described in 1995 in the publication “Follicular Transplantation” by Bernstein and Rassman. The introduction of the binocular microscope by Dr. was critical to the success of the follicular unit hair transplant procedure. Bobby Limmer from San Antonio, Texas, late 1980s.

Dr. Dimmer found that he and his team were able to use the microscope to examine donor tissue to isolate natural funicular units and break them down into individual grafts. Dr. Dimmer shared his techniques and knowledge with his colleagues and with Dr. Bernstein, Asmara and Eager, who firmly believed in funicular hair.

The funicular hair transplant process is considered the most effective among hair restoration methods. In funicular hair transplantation, the surgeon transplants hair from the permanent area on the back of the scalp into the affected areas.

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