Incisions Determine Where & How the Hair Will Grow

One of the most important factors for a successful and natural hair transplant result are the incisions. This portion of the surgery requires a great deal of control and precision. Using a very fine blade, Dr. Sharma creates thousands of incisions into the scalp from which each individual graft will be placed. The depth and angle of each incision will determine how the hair will grow, hence it is of the utmost importance this step is performed with diligence and competence.

What is used to make each incision?

Each patient will require a different sized blade for their incisions based on a few factors. Graft thickness, quality, spacing, and straightness. To promote the best healing Dr. Sharma will attempt to use the smallest blade possible. This also creates a tight channel that allows each graft to sit securely throughout the surgery.

The blade shown in this image is an SP 89 Spear Blade. The diameter of the tip is only 1.25mm.

Hair Transplant Incision Size

The grafts removed from the donor site (located at the back of the head) are excised with a fixed punch that has a 0.8mm diameter. This ensures that each graft is thin enough to fit into each incision without compromising the integrity of the follicle. This is true for both the F.U.E. & F.U.T. hair transplant techniques.


Incisions to The Recipient Area


What makes the incision process different at our clinic?

Every clinic has different standards for its hair transplant techniques. At Sharma Skin & Hair Surgery every hair transplant is performed personally by Dr. Anil Sharma. During a surgery every incision is created by his hand with a fixed blade.

Reasons to select an experienced surgeon like Dr. Sharma.

  • Dr. Sharma performs each surgery himself.
  • The blades are modified to match the depth of the incision and the width of the follicular unit.
  • Every procedure is completed with the use of a blade, and never a needle.
  • Technical skill and an artistic eye are required when designing the new hairline.
  • Placement angle is of utmost importance. This will change depending on the recipient area and slowly shift throughout the procedure.

Lateral slit transplant technique

Natural hair does not grow in a random pattern. Hair gradually conforms to the shape of the head depending on the angle and area of the scalp. The lateral slit technique allows Dr. Sharma to mimic the unique growth patterns of each patient and make micro-adjustments throughout the incision process. As mentioned, both the angle, depth, and spacing of each incision will ultimately determine how the hair grows. With such a high amount of control Dr. Sharma is able to create an organic look – no matter where the transplanted hair is being placed.

This also remains true for the Beard Transplant procedure, where a smaller number of grafts are placed. When dealing with areas of lower density like the beard, it is integral that each incision matches the unique angles found on the cheek, chin, and neck.

Slit Orientation, parallel & lateral

Slit orientation for the F.U.E. hair transplant technique can be either lateral or parallel. 

  • Incisions made in a parallel direction are referred to as sagittal slits.
  • When made perpendicular to the direction of hair growth, they are called lateral slits.

Hairline Design

Planning, and preparation are integral to any surgical procedure, and this one is no exception. Before entering surgery the hairline is painstakingly designed and drafted out allowing accurate measurements to be made. This also gives the patient the ability to adjust and confirm the newly formed hairline. View some of Dr. Sharma’s before & after images here.

Is it Painful?

Before moving forward with the procedure the area is completely blocked with local anesthetic which ensures a painless procedure. The average procedure requires 2,000 or more incisions and each one is created prior to the placement of the grafts. Despite the large number of incisions required, this portion of the surgery is often completed within 90 minutes.

Find some of our most frequently asked questions about hair transplant surgery here.

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Hair Loss Evaluation

A Comprehensive Consultation will Help Us Identify The Best Treatment Route For You

Treatment is a great option for most people, though, certain factors will need to be discussed with Dr. Sharma to determine if the treatment is right for you.

A consultation with Dr. Sharma will allow him to assess your hair loss in depth. He will be able to determine if you are eligible for the Hair Transplant procedure and create a custom plan to meet your goals.

Learn about Hair Loss Evaluation

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Send us your photos and tell us a brief history of your hair loss. Our team will be able to determine if you are eligible for a Hair Transplant procedure. Take the first step towards your Hair Restoration.

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