FUT: Follicular Unit Transplantation

Androgenetic alopecia, or male and female pattern baldness, affects the majority of men and nearly half of women over the age of 50. Medicated hair loss products and treatments can successfully control and manage ongoing hair loss, but they cannot regrow hair in areas of the scalp that have ceased to produce hair altogether.

At Cooley Hair Center, Dr. Jerry Cooley offers follicular unit transplantation (FUT) surgery to his hair loss patients interested in natural and seamless results. By harvesting healthy DHT-resistant follicles found on the back and sides of the scalp, Dr. Cooley can rebuild hairlines and restore his patients’ hair to a fuller, more youthful version, like they remember.

The Procedure

The patient is given a sedative and usually sleeps through the strip removal process. The scalp is first numbed using local anesthesia at the start of the FUT procedure, ensuring patients remain comfortable and feel no pain or discomfort throughout the treatment. Once the patient has been numbed, Dr. Cooley removes a strip of the scalp from the donor area, usually either the back or side of the head.

Hair located in these areas is resistant to hair loss and retains a high survival rate when moved to other areas of the scalp. The donor site is then sutured closed using stitches; the stitches will be removed in 2-3 weeks, either by Dr. Cooley’s office or by your own provider. 

The donor strip is dissected, separating the individual follicular units from the surrounding tissue, by using high-powered stereoscopic dissecting microscopes. The donor grafts are placed in a protective holding solution while the dissection takes place, providing vitamins and nutrients to ensure their survival.

Once the grafts have been prepared, the transplantation part of the procedure begins. During the FUT hair transplant, Dr. Cooley and one of his assistants place the individual hair follicles into the recipient areas of the scalp. The grafts retain their DHT-resistant properties once transplanted into the front and top sides of the head where balding typically occurs, meaning they should remain immune to future hair loss. 

Dr. Cooley takes great care in constructing a new hairline that appears natural, mirroring the patterns of surrounding hair growth for seamless results. The follicular unit transplant procedure can last between four to twelve hours, depending on the size of the area that has to be treated and the number of grafts required to complete the transplant. Results may vary on a patient-by-patient basis.

Since FUT cuts a strip of skin from the donor area, it leaves a linear scar, which the surrounding hair can easily cover. Both FUT and FUE procedures are popular hair transplantation procedures to restore hair growth. But whether you are a better candidate for FUT or FUE procedure, Dr. Cooley will decide that based on your hair loss classification, the extent to which thinning has occurred, and the quality and quantity of available donor hair. 

Recovering from FUT

The scalp will be slightly red following FUT surgery, and some swelling may occur. Most side effects will diminish within the first week of recovery.

The area of the head that provided the donor strip may feel tight and slightly sore for one to two weeks. Scabs and crusting will develop in the transplant sites. Patients should refrain from touching or rubbing their scalps during recovery as the grafts may become easily dislodged, harming results.

Because of the strip removal, patients recovering from an FUT procedure may require more downtime than those recovering from follicular unit excision, also known as follicular unit extraction or FUE. FUT transplant patients should expect to take three to five days off from work. You may resume doing some exercise and more strenuous activities about three weeks after surgery, but Dr. Cooley will give you specific instructions regarding your recovery that may be unique to you.

This will include instructions on post-surgical care, including when patients may shower.

Hair Transplant Results

Once the immediate side effects of follicular unit hair transplant surgery subside, the newly-transplanted hair will begin to fall out. The shedding process usually occurs two to three weeks following surgery.

The hair will then enter a resting period before producing new hair growth in two to three months. The transplanted follicles will not yield truly visible results until the six-month mark, as density and coverage emerge with new growth. By this time, patients can enjoy a thicker head that will dramatically improve through the first year.

Final FUT hair transplant results may continue to develop for up to 18 months as dormant follicles begin producing growth. Results following FUT surgery are long-lasting. 

While hair transplants can restore hair loss due to androgenetic alopecia, they will not eliminate ongoing hair loss. To best maintain results following surgery, Dr. Cooley recommends his patients adopt a comprehensive treatment plan that includes Rogaine, Propecia, and platelet-rich plasma to manage and slow down hair loss.

Get your self-confidence back

When you have surgical hair restoration at Cooley Hair Center, you will see not only new hair but renewed self-confidence and higher self-esteem. It is an investment in yourself!

It is an investment in yourself!
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Christopher Lee
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Dr Cooley and his staff are absolute professionals. From the very beginning they made every step of the process easy. Having doctor Cooley involved In every step of the Process including the grafting process truly speak to the quality of this business. Thanks so much for the hard work!
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Incredible hospitality by the entire staff. Dr. Cooley and his team really are true masters of their craft. I would highly recommend Cooley Hair Center if your seeking hair restoration as a option. Not to mention all the non surgical options that they provide. Just to throw this out there.. I originally opted for a 1200 graft procedure and come to find out Dr. Cooley ended up implanting an additional 250 grafts at no charge. Thanks again guys!
Les Reece
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My experience with Dr. Cooley and his staff was excellent. I had my first procedure almost two years ago and will be getting a second one very soon. He takes the time to listen to his patients and then makes recommendations based on what he thinks will look best. Everyone on his staff that I have dealt with was very friendly and helpful. If you are considering hair restoration there is no one better to do it.
Joe Tillman
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I've got nearly 15 years of experience in the hair transplant industry and currently I seek out and review hair transplant clinics as an independent patient educator. You can Google my name to see that I'm not a random reviewer. I have a lot lot of experience in this industry and I know what I'm talking about.
Mike Clague
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Cooley by name, cool by nature. Very professional practice. All staff are excellent and focussed 100% on you. All after care is explained deeply. Dr Cooley and Brandi stayed back late to ensure I got an excellent result. I can not fault the experience so far. I highly recommend Dr Cooley to any one considering a HT. Do your research, he is definitely top 5 in the world. Remember this is is your face, you wear it every day. Thank you to all.
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I have seen Dr Cooley for several hair transplant sessions and I can say with my experience from a few other hair transplant Dr's I have done sugery with that they don't even come close to Dr Cooley's work. This Dr is very professional and he takes pride in his work. I would love to do another surgery with him I just don't know if I have enough donor area left. Go see him you will not be disappointed I can say this with certainty!
Dave itisme
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Had a transplant with Dr Cooley in 2016. Best money I ever spent. He changed my life. I cannot recommend him enough.
Sameer Arora
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The most down to earth guy with amazing bedside manners and in depth knowledge of the subject. He is not somebody who will show off his expertise and as they say action speaks louder than words. If you want a genuinely skilled physician whose only goal to take care of patients in the honest possible way, he is the man. Great experience. Thank you Dr Cooley.
jay cee
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My experience with Dr. Cooley and his staff has been simply amazing....bottom-line excellent. I had my procedure done about 4 weeks ago, and he has been responsive every single time I asked questions throughout my initial healing period. During the procedure, Dr Cooley and his staff were unbelievable patient, professional and went above & beyond.

A picture is worth a thousand words, so make sure to visit our Before & After gallery to view real results on real patients. 


Cooley Hair Center

At Cooley Hair Center, Dr. Cooley and his expert staff are proud to provide a variety of hair loss restoration treatments to their patients. If you are interested in hair transplants or would like to learn more about the latest in hair loss treatments, then call us today at 704-542-1601 to schedule an appointment.