FUSS Technique (Follicular Unit Strip Surgery)


The FUSS (Follicular Unit Strip Surgery) technique is a surgical procedure where the follicles are extracted by removing a strip of skin from the scalp in the nape area from which the follicular units are then separated using a scalpel.

It is also known as the 'strip' technique and is one of the definitive treatments for male and female alopecia.

Unlike the FUE technique, this procedure does leave a larger scar, but it will only be visible with hair shaved to 'zero', since the hair that surrounds the wound will hide it without problems.

This type of hair graft is usually chosen when the patient's capillary density is not adequate to perform the FUE technique.

The FUSS technique is the classic procedure in hair surgery, which has the advantage of obtaining a greater number of follicular units; In addition, it is not necessary to shave the head to carry it out or shave the donor area to avoid that the scar of the strip is noticeable.

It is estimated that, with an optimal methodology, it is possible to remove between 70/80 follicular units per square centimeter. Likewise, in the same session, a maximum of 10,000 hairs can be transplanted.

What is the technique?

In the FUSS technique, the hairs from the donor area are extracted by means of a thin strip of skin with hair, from the posterior and lateral areas of the scalp, between 15 and 20 cm in length (depending on the length required) by 1 cm of width approximately.

The procedure is done under local anesthesia. Due to the long duration of the intervention (from 5 to 12 hours) in some cases sedation is combined, if the patient requires it.

When the donor area is removed, the wound is closed with the technique known as trichophytic closure, it is aesthetically imperceptible as long as the surrounding hair has a minimum length of about 0.5-1 cm.

Follicular unit grafts are made by incisions in the scalp by using special micro-scalpels.

When do we start to see results?

It is around 3 months when the growth of the new hair begins to be appreciated, which will gradually appear and grow approximately 1 cm per month.