1. Removal of the hairs from the donor area

Phase 1 – Summary In traditional strip excision hair transplantation, the donor area is first anaesthetized using a needle or syringe. As the skin is stretched rather tightly across the scalp,
administering anesthetic using a needle can be rather painful. A sharp blade is then used to remove strips of skin from the donor area; this naturally causes significant trauma and bleeding.
The area must be stitched to close the wounds and highly visible scar formation is inevitable.

2. Preparation of the donor hairs for transplantation

Phase 2 – Summary In traditional strip excision hair transplantation, the removed strips of skin are cut and dissected into individual follicles before they are transplanted to the balding area. Sometimes the dissection is performed by technicians instead of the doctors.

The doctors will then decide whether to group the individual follicles into larger grafts for transplantation purpose. In order words, a lot of human interventions in the process.

3. Preparation of the recipient area

Phase 3 – Summary In traditional strip excision hair transplantation, the recipient area is anaesthetized by needles and incisions are commonly made in one of the following ways:

  • the punch method, where small holes of between 1.0 and 1.5 mm are made using punches
  • the slit method, where small slits are made using a sharp blade
  • the laser method, where the holes are made using a laser beam.

The grafts do not always fit nicely into the holes under this technique. Sometimes bandage has to be wrapped around the patient’s head after the surgery for 24-48 hours in order to keep the grafts in place.

4. Implantation of the grafts

Phase 4- Summary
Pros: Strip is more efficient than FUE. Large sessions can be performed more easily. Cost is usually less expensive than FUE, in some cases by over 50% or more. Doctors can obtain more donor follicles using strip technique over any given donor area. It is the preferred technique if the patient wants to max out the donor site.

Cons: the procedure is more invasive and more traumatic to the patient. Healing of the donor scar may take longer. Require use of knife, scalpel, and stitches. Patients will be left with a linear strip scar across the back of the head. The strip scar may sometimes stretch over time. Lastly, it’s strongly recommended that patient does consult with certified board of hair restoration surgeons only.