The follicular unit grafts extracted from the donor area are implanted one by one into the pre-prepared recipient sites in the balding area. In our clinic, several techniques are available to perform this process.
Implantation with forceps or implanter
The most common method is the manual (handheld) precision implantation using forceps, which is also used at the Sikos Clinic. This is an ultrafine, microsurgical technique, performed under high magnification and visual control, requiring great skill and precise execution. This allows us to ensure high hair density and full hair growth with maximum effectiveness. The complete survival of the transplanted hair follicles can be guaranteed with the proper technique.
There are also various techniques using implantation devices (e.g., Choi, Lion, or Knu implanter). Regardless of the extraction method, we perform the implantation of the hair follicles with a highly refined (ultrafine) implantation technique, which is entirely atraumatic, does not damage the grafts, and ensures their full integrity upon implantation. This technique enables a high graft density (hair density), which is essential for good hair coverage.
We pay special attention to creating a dense, scar-free, and natural-looking frontal hairline. With precise, ultrafine techniques, we can achieve excellent results in restoring this important area.
Storage of grafts during the surgery
The survival of the follicular unit grafts extracted from the scalp is extremely important for subsequent hair growth. These very small tissue pieces are highly sensitive to drying out, so we must keep them continuously in a cooled and moist environment until implantation, and even afterward. We ensure that the grafts are implanted within approximately 6-7 hours after extraction, as their viability decreases after this period. This is why marathon-length surgeries are not recommended: If the surgery lasts too long (until the evening or night), the sensitive grafts would spend much more time outside the body, significantly reducing their chances of survival. It would also cause unnecessary strain on the patients, not to mention the decrease in the concentration of the staff.
We store the grafts in a cooled solution to slow down the cell degradation processes. The storage solution has a natural physiological composition, and according to known studies, the use of special substances has no significant effect, although their use is possible.
Of course, the grafts must also be protected from damage to ensure full growth. Our atraumatic technique guarantees this.
