FUE Hair Transplant in Michigan | Ann Arbor Plastic Surgery

FUE Hair Transplant

FUE Hair Transplant in Ann Arbor

Many men and women suffer from either pattern baldness or thinning hair. In the United States, around 50 million men and 30 million women suffer from one of these conditions. Typically, by the time people recognize that they are losing their hair, 50 percent of their hair has already fallen out. At this time, they often decide to meet with a hair transplant doctor to discuss hair restoration.

Michigan’s Dr. Pramit Malhotra understands that it is natural to be fearful of the appearance of hair plugs, but this technique hasn’t been used in 25 years. The current techniques allow hair restoration to be an essentially undetectable procedure once the transplanted hair grows in. Dr. Pramit Malhotra himself has had a hair transplantation procedure so he understands what looks natural and undetectable.

Every Head of Hair is Different

All of the best hair transplant surgeons will tell you that each hair restoration case is unique. People have different types of hair, ranging from straight to curly, thick to thin, dense to sparse, and in a variety of hues.

It is notable that men typically lose hair in a predictable way, known as male pattern baldness. Women can suffer from female pattern baldness, but most females experiencing hair loss will see a diffuse thinning of all of their hair. For men and women, the hair loss is usually a combination of genetic factors and their sensitivity to a hormone called DHT.

Where Does the New Growth After Michigan Hair Restoration Come From?

The source of your new hair is your own body. Unlike organ transplants, where a person receives a new part from a donor, you will get a hair transplant from yourself. In pattern baldness, the hair stops growing in such areas as the crown, top, and front of the head, but it continues to thrive on the back and sides of the head. This hair is genetically programmed to be maintained and is not typically lost, even in severe cases of balding, making it a great source for donor hair.

FUE vs. FUT for Hair Transplant

When trying to choose the best method for a hair transplant, patients tend to consider the two main options available today: Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT). Both hair transplant types have their own unique advantages, and a few potential drawbacks. However, FUE is the far more common technique now.

Follicular Unit Extraction

FUE has a number of advantages, including the following:

  • Little to no scarring in either the donor or recipient area; any scars are tiny, around the size of pinpricks
  • Faster healing time since there are no incisions
  • No extended exercise restrictions after the hair transplant
  • Little pain during and after the procedure
  • Ideal for patients who want to wear their hair very short

This type of hair transplant surgery is ideal for people who have either a very tight or a very loose scalp, since FUT can’t be done as successfully on such patients. People who don’t have appropriate donor hair on their scalp may be good candidates for FUE, since the follicles could potentially be harvested from other areas of the body.

A potential drawback is that FUE harvests grafts from a fairly wide area of the lower scalp, whereas FUT focuses on harvesting only the middle scalp area. The mid-scalp has the strongest and longest lasting hair, so hair transplant grafts taken from this area tend to be more successful upon transplantation. This means that FUT grafts may last longer, especially when the FUE uses a wide harvesting area to get sufficient follicles. It is critical that your plastic surgeon only harvest follicles from the safe donor area to achieve a long-lasting result.

Follicular Unit Transplantation

FUT has some significant advantages of its own, including the following:

  • One single linear scar on the back of the scalp, which is typically covered by new hair growth very quickly
  • May be more efficient for patients requiring more than 3,000 grafts in a single hair transplant session
  • FUT is ideal for people who need large areas of scalp covered, as it harvests an entire strip of the scalp at one time

For many people, the main drawback of FUT is that the single long scar is larger than the tiny pinprick-sized scars associated with FUE. However, this disadvantage is offset by the scar’s location toward the middle of the scalp, where even short hair growth can cover it in a matter of weeks or months. FUT often does cause more pain, often necessitating pain medication or ibuprofen up to 10 days after the hair transplant, particularly if a staple closure is used. FUE has exploded in popularity and is projected to overtake FUT as the most common hair restoration procedure.

Follicular Unit Transplantation with FUE

Dr. Pramit Malhotra has personal experience with hair restoration techniques, and he chose FUE for his practice because of how easy it is for patients, the lack of telltale evidence after the procedure is complete, and, most importantly, its natural-looking and confidence-restoring results.

Dr. Malhotra had the old strip surgery before FUE became available but now feels that FUE is the best procedure for the majority of hair restoration patients. He feels that hair transplant surgery is one of the safest surgical procedures in cosmetic surgery (if not the safest), with the lowest complication rate and highest level of patient satisfaction.

FUE is a unique method of harvesting hair follicles using the state–of–the–art FUE (Follicular Unit Extraction) technique.

The FUE device uses a punch to surround a follicle in the scalp, then removes it with suction, as opposed to pulling or twisting it out. The follicles chosen for collection are scattered throughout the donor area, so there is no obvious sign of their removal. While each follicle leaves behind a tiny, circular mark, there is no noticeable pattern to draw the eye, unlike with Follicular Unit Transplantation, which leaves evidence of collection in the form of a linear strip scar.


Let our before and after gallery show you the expertise of Michigan’s plastic surgery specialists Dr. Pramit Malhotra and Dr. Tiffany Ballard. Place your trust in the skilled hands of our board-certified surgeons who understand that the difference is in the details.

What Does an Ann Arbor Hair Restoration Consultation Involve?

Once you have determined that hair restoration is right for you, it’s time to come in and have a consultation with Dr. Pramit Malhotra, who will lead you in a thorough medical examination.

Dr. Malhotra will determine how much hair you have available to donate or move from the back of your head to the areas where it’s needed. In addition, he will talk with you about your hair restoration goals.

After an initial consultation, you will work with Dr. Malhotra to draw out a proposed new hairline. There is considerable artistry involved in this design, so it is important for patients to discuss their problem areas and goals with Dr. Malhotra.

*Each patient is unique and individual results may vary.

Why Choose Dr. Malhotra

  • He is one of a select few plastic surgeons who are double board-certified in plastic surgery and otolaryngology.
  • Dr. Malhotra underwent an educational path that required 11 years of training.
  • He has been inducted into the American Society of Plastic Surgeons as an honorary member.
  • Dr. Malhotra has been recognized by his patients as one of the top Michigan plastic surgeons, as well as receiving the Best of Ann Arbor for Four Consecutive Years for cosmetic surgery.

Hair Restoration Procedure in Ann Arbor

Due to the length of the procedure, most patients should plan to spend a full day in the office. The procedure can last about six to eight hours. Dr. Malhotra will start by using a cosmetic wax marking pen to draw where the hairline will begin on the forehead, how the recession in the temples will be addressed, and how to achieve maximum hair density with the number of grafts allotted.

The hair will be trimmed so that the hair follicles can be viewed. A special antibiotic wash is used in the hair to decrease the chance of infection during the FUE procedure. Since the areas of skin removal are so small, the chance of infection is quite low: less than 1 percent.

Next, local anesthetic is administered to numb the scalp. Many of our patients are self-declared “wimps with pain,” so a specific mixture is used to make the numbing process quite easy. All areas are tested before the procedure begins, which allows the technician to confirm the patient is completely pain free.

The technician will first remove follicles from the “donor” area at the back of the scalp. Since each follicle has one to four hairs, only about a quarter of the hairs from the donor area will be harvested. The follicles will then be carefully separated. The hair restoration team uses a small motorized instrument called a punch to score the skin around each follicular unit set to be relocated. Next, the suction device sucks the graft into the punch. This is typically done with the patient in a face-down, massage-type position and is painless once the anesthetic has taken effect. Approximately 400 to 700 grafts are harvested per hour, so this process typically takes two to four hours. After the grafts are harvested, the patient enjoys a short lunch and bathroom break.

The technician then creates the hairline by making small incisions in the top of the head where the hair implants will be placed. The angle of the recipient sites is critical to maximize the effect of the hairs placed. A 1,000-graft hair restoration session done extremely well can look better than a 2,000-graft session done with poor skill and artistry.

Finally, the Ann Arbor hair restoration team will individually insert each follicle into the scalp where hair is thinning or missing. Since the transplanted follicles are the patient’s own, they are healthy and vibrant. Once grown out, they will be permanent, since the hairs retain their genetic programming from their origins in the “horse shoe” area, which keeps them from falling out. This process is painless, and patients typically watch movies during this portion of the procedure. Due to the effect of the Valium used for the procedure, some patients even sleep intermittently throughout the FUE process, or listen to music of their choice.

Hypothermasol Holding Solution

FUE hair grafts are thinner and can dry out quicker than FUT grafts so the holding solution creates an almost gelatinous like coating on the graft to keep moisture in.

Hypothermasol coats the grafts and they are often easier to place because they glide into the recipient site in the hairline with less pressure.

There have been some reports of grafts living for several days outside of the body and just in Hypothermasol solution. Our goal is to place all grafts within 6 hours of harvest.

Hair Restoration Recovery

Choosing a Plastic Surgeon for Hair Restoration in Ann Arbor

Selecting a plastic surgeon for hair restoration is not a process to be taken lightly. You will be changing your appearance, and it’s important to work with a plastic surgeon who is well acquainted with hairline design and has an artistic touch to produce a result that looks completely natural. At Ann Arbor Plastic Surgery, our hair restoration goal is simple: If you still have some existing hair on your head, the transplanted hair should be distinguishable from the hair already in place. A hairline must be created to suit your face and look natural not only now, but as you age. The key skill that differentiates average surgeons from excellent surgeons is how the hairline is designed.

Experience and Track Record

As is the case with any medical procedure, it pays to do comparisons before you commit to working with a physician for your hair restoration.

As you choose a provider, you really are choosing a team of individuals to help you meet your hair restoration goals. Each person has a specific and important role to make sure every step is followed to maximize your comfort and results. The patient care coordinator will serve as your main contact in the practice to answer your questions, calm your nerves, and make the process effortless. The surgeon will provide expertise and artistry for the procedure. The hair transplant technicians will make sure the grafts are harvested and placed without trauma so that they will grow into beautiful, thick hair.

It is important that you find out in what field the physician you are considering completed their “residency” or training. Many physicians in hair restoration are not plastic surgeons. If a person is not a plastic surgeon but is very experienced in hair restoration, we recommend you have an in-person consultation to confirm that you feel comfortable the office is professionally and safely run before proceeding.

In the end, choose a surgeon who is known in the hair restoration industry for knowledge, expertise, and a devotion to helping patients achieve their best appearance.

FUE Hair Transplant Michigan FAQs

The ability to completely hide your hair transplant depends on how much existing hair you have that can cover the grafts you received. Some patients may be able to shave the sides of their head but leave the top of the hair from 1 to 3 inches, depending on density. These patients would be able to return to work in five to eight days after their hair restoration, and no one should notice anything unusual. There are also topical products that work quite well to hide the transplant.  We also use a “hidden donor technique” for cases of 1200 grafts for less allowing quick return to work often even a weekend.

Automated FUE hair transplant costs can vary widely from one patient to the next. Generally, the more grafts required, the higher the cost will be. Some FUE providers charge by the graft, while others charge by the session. The typical cost range is from $6,000 to $10,000, depending on how many follicles must be transplanted to reach the patient’s goals. The per–graft cost varies between $5 to $7 nationally.

Someone who is almost completely bald and looking to completely replace a head of hair will need more hair grafts than someone who wants to fill in a bald spot. People start with about 20,000 hair follicular units. Once patients lose 50 percent of their hair, they will start to notice significant loss. However, with 4,000 to 6,000 hair grafts, an elegant hairline can be designed for someone who is bald. 500 hair grafts will cover an area about as big as a silver dollar. An area the size of a CD or DVD will require approximately 2,000 hair grafts. For denser or wider coverage, you’ll need more. Common goals in hair replacement include:

  • Creating a clean frontal hairline to frame the face.
  • Adding density to areas that are thinning or bald.
  • Increasing density in an area where a hair transplant has already been performed.

After 10 to 12 months, you and your doctor can decide whether you want a second transplant to add more hair, which will require additional hair grafts.

Hair for a graft is usually taken from the back and sides of your head. The number of hair grafts that can be harvested will depend on the density of the hair follicles in that area. During a transplant, you don’t want to leave the donor area looking thin or patchy. The thickness of your donor hair will determine how full-looking your hair restoration procedure results will be. Curly or wavy hair will also make hair implants look thicker. If you are light skinned with dark hair, you will need a higher graft count to help hide the color of the scalp.

The angle of implantation of each graft is very important. If the angle of the implanted hair is maximized, you can create a roof shingle effect that covers the scalp with the least amount of hairs. This is why certain 2,000 hair graft surgeries from one surgeon look so much fuller and natural than surgeries performed by other surgeons. It’s important to keep hair restoration cost in mind when you are looking at what can and cannot be done. Typically, patients have about 6,000 lifetime hair grafts that can be harvested from their scalp. A typical hair restoration case is 2,000 hair grafts.

FUE hair transplantation using automated FUE allows for a fast recovery after treatment. Activity restrictions are minimal. We ask our patients to avoid intense activity for 10 days after treatment. Most workplace activities can be resumed in just one to two days.

If you have thinning hair, hair transplantation is a possibility, whether you’re a man or a woman. We treat many women with female hair loss at our Jackson and Ann Arbor locations.

Many of our patients travel to Ann Arbor Plastic Surgery from across Michigan and around the country because of Dr. Malhotra’s natural-looking results. It’s worth traveling to achieve the results you want from your procedure.

Learn More About Hair Restoration in Ann Arbor, MI

Double board-certified plastic surgeon Dr. Pramit Malhotra can answer all your questions about a hair transplant at Michigan’s Ann Arbor Plastic Surgery. Call us at (734) 913-5100 or schedule a consultation online today.

Schedule A Consultation

Our Michigan plastic surgery specialists understand that the difference is in the details when it comes to achieving your desired results. Visit Dr. Malhotra and Dr. Ballard at Ann Arbor Plastic Surgery, schedule your consultation today.