From the end of the 1980s, band surgery became the solution to obtain a hair transplant without apparently complicated results. Before that, doctors used large blows. These had a diameter of approximately 2 to 4 mm. This left donor areas on the head with large round scars. And the inserted grafts were thick and looked like doll hair.
Band surgery introduced the concept of follicular units. In the head, the hair tends to grow in groups of 1 to 5 follicles. The follicular units are essentially grafts composed of these groups. The transfer of these groups from one area of the head to another can produce very natural results. Therefore, band surgery also bears the name, follicular unit transfer.
This technique allowed doctors to reproduce the appearance of natural hair growth patterns. This has also helped to change the stigma associated with transplant surgery, since many people have learned to associate these procedures with the appearance of hair plugs.
The scar of band surgery.
The band surgery grafts are derived from narrow sections of the scalp on the back (or sides) of the head. And when the edges of the excision are closed, a permanent linear scar occurs.
Many men are afraid to expose these scars because they certainly indicate that a hair restoration procedure has been performed. Patients often grow their hair much longer. While some people feel perfectly comfortable with these styles, others prefer a shorter and more conservative look.
What happens if you have had a band surgery?
Although the FUT scars are permanent, no one should worry about their visibility for the rest of their lives.
The extraction of follicular units can be used to harvest new grafts. The surgeon would essentially use FUE typing instruments to remove the follicles from different areas of the head. And these donors would be inserted into the scar tissue where the strip was removed.
The scar tissue consists essentially of disseminated collagen fibers present throughout the skin. Hair does not grow through this tissue. Therefore, camouflage the remnants of the split of the band with the hair should be a deliberate process.
The final result of the use of the extraction of follicular units is often quite remarkable. Of course, the key factor would be to use enough transplants to get the best coverage. Often, hair can be used. But there are many cases in which the patient has undergone several surgeries. And there may not be enough grafts to hide all the scars.
Nowadays, it is easy to overcome the shortage of grafts in the head by a hair transplant. With these procedures, it is possible to collect follicles from different areas of the body. These hairs can be used to provide additional coverage to the areas of the head that require these additional resources.
Once this is achieved, the scar band is much less visible (if it does). There are even many examples of patients who feel confident enough to use short, modern cutting styles.