The NeoGraft is a robotic hair transplant system that extracts hair follicles from the scalp or other areas to be implanted on designated spot.
Before and After Gallery
Length of Procedure
Good candidates are patients who are experiencing hair loss and patterned baldness. Candidates that are looking for hair growth options and have hair that have matured, are good candidate for the Neograft procedures.
FUE Hair Transplantation, stands for Follicular Unit Extraction and is the method of using a small rotatory punch to harvest the individual “hair families”, including the shafts and root systems they share. All hair grows in 1,2,3 and/or 4 hair follicular units. The FUE system will harvest these important embryological units as they grow, rather than surgically excising scalp, as in Strip Graft.
The NeoGraft is one of the newest FUE devices available today for hair restoration. It is an automated and motorized machine for implantation of hair grafts. Dr. Mulholland was the first physician in North America to use and master the art and science of FUE hair transplantation systems and procedures.
The FUE method avoids the unsightly scar found in the Strip Graft procedure, allowing patients to wear their hair short, avoid the linear scar and, come back to harvest more FUE grafts over time, as hair continues to thin. Hair grafts that contain double, triple and quadruple hair shafts will allow the shafts to wrap around each other and provide a more “natural looking” transplantation result than techniques, such as overly cut down strip grafts, that rely on numerous non-anatomical, artificially cut and prepared single hair grafts.
The NeoGraft can accurately harvest 600-900 FUE’s per hour, allowing it to compete numerically with Strip Graft, without resulting in the unsightly linear scar.
Dr. Mulholland will outline with you during your consultation, the actual design of your hairline is the most critical part of your procedure. After the design, which is an artistic blend of understanding facial shape and proportion together with the donor site hair graft quality, density and the current and future pattern hair loss needs, Dr. Mulholland will collaborate with you to design a unique hair design that will work best for you.
You will discuss with the doctor the best mode of procedure to be taken place.
After the design of your hairline and the FUE harvest, the second half of your day will be the implantation. Follicular unit grafts, harvested with the NeoGraft robotic systems, can be gently inserted bulb first into a recipient bed that has been created.
At SpaMedica, Dr. Mulholland has advanced the art and science of “stick and place” FUE graft insertion. In this technique, we use a small hypodermic needle to create a small slit in the scalp, into which the follicular unit graft is placed. There are two types of placement, automated, “no touch” placement using an “implanter” and then, manual implantation. For the very delicate single hair grafts, Dr. Mulholland’s full time team of hair technicians will use the “NeoGraft implanter” to place the delicate single hair follicular units at the front of your hairline. The advantages of this automated implanter technique is that it avoids grasping the very thin single hair follicular unit grafts with forceps that may damage the bulb or bulge cells which are responsible for hair growth.
The larger two, three and four hair follicular units have a more robust dermal scalp matrix supporting the hair bulb and shaft and Dr. Mulholland’s very experienced hair technicians will insert these follicular units manually. .
NeoGraft machine has three important components to it, the Harvester, the Collector and the Implanter.
The Device has a foot pedal rotatory motor to which the Harvester attaches. The Harvesting hand piece, or “Harvester” allows the physician to select a punch of appropriate diameter for the hair grafts to be harvested. After the local anesthesia has been administered, the automated punch “cores” out the Follicular Unit. The most common size punch is the 0.9mm or the 1.0mm, which are used to harvest the delicate single and double hair follicular units.
One does not want a large 1.2mm punch to harvest the tiny single hair grafts as there will be too much non-hair bearing scalp tissue extracted around the hair.
The preferred FUE hair transplant grafts are always from the occipital donor site, as they are similar in coarseness, appearance, texture, thickness to the recipient scalp hair that is thinning. One of the most basic plastic surgery principles of grafting is taking “like for like” to ensure natural and attractive results.
However, patients who have “run out of donor” hair on the scalp, from too many previous strip graft procedures and scars, can, on occasion, be a candidate for non-scalp FUE Hair transplantation graft harvest. Sites that can be harvested from include chest, axilla, abdomen, back and legs.
These “fat” grafts will compromise the neovascularization of the bulb, necessary for survival of the graft and will disturb the appearance of “dense packing” with too much scalp between single hair and small double hair grafts. Hence the 0.9mm and 1.0mm rotatory and automated punches are ideal for the single hair grafts used along the all important and aesthetically critical frontal hair line. Often in a full frontal hair line restoration, patients will require 400-600 single hair follicular units.
Once the FUE hair grafts are harvested they are placed on a saline soaked ice cooled bed, and then, one-by-one, they are gently examined under the microscope and divided into the 1, 2,3 and 4 hair Follicular units. All grafts are kept moist and cool while awaiting implantation.
Another extremely important innovation and feature of the NeoGraft is the angled hand – piece. The angle on the harvesting hand piece allows the physician or technician to see the exact angle of the shaft while coring out the hair graft, which allows Dr. Mulholland and his expert team of hair technicians to have a transection rate less than 4%, one of the lowest reported automated or robotic hair shaft transections rates.
A transection occurs when the punch is angled incorrectly and cuts across the hair shaft before reaching the bulb and, without the bulb (follicle), the hair shaft will have a very low probability of surviving and growing normally. Some hair specialists ascribe to the theory that a transected shaft, cut below the bulge, but above the bulb, will survive on stem cells populating new bulb, BUT, Dr. Mulholland does not implant transecting shafts, relying on implanting only the finest, intact Follicular units, with complete shafts, bulb and dermal matrix.
The benefits of the procedure is fuller and vibrant hair on areas that had previous balding. Expect a more youthful look. Our patients are generally pleased with the results and come in to get more hair grafted due to the success of the procedure.
At SpaMedica we offer one the most high tech and experienced FUE Hair Transplantation systems in the country. Dr. Mulholland is a word recognized expert in both the NeoGraft Automated FUE Hair Transplantation device, as well as the Robotic Artas hair transplantation system.
At SpaMedica patients will receive the benefits of both the NeoGraft and the Artas. The Artas is automated and Robotic, deploying computerized software, algorithms and controls to direct the robot to harvest the larger 3 and 4 hair Follicular units. The Artas has been a big advancement in the fast and accurate harvest of larger follicular units.
Dr. Mulholland and his team will deploy the Artas Robotic Hair transplantation system to its best advantage in your hair restoration procedure. Dr. Mulholland will also use the NeoGraft Automated device both for follicular unit harvest of the delicate 1 and 2 hair FUE’s using the small 0.9 mm punch and the Artas Robot for the larger 3 and 4 hair grafts. Click on Artas Robtoic FUE Hair Transplantation System to learn more.
Risks and Complications
Many Toronto Hair Transplant patients are concerned that their Hair Restoration area’s will be painful after the procedure. There is almost no pain with automated NeoGraft FUE hair transplant, as there has been no scalpel or sutures used. The very tiny harvest holes and recipient slits are more itchy than painful.
After Care and Expectations
Following the NeoGraft procedure, most patients will require seven days off work, unless, of course you can work from home. The first two to three days the donor site is covered in a head wrap. The wrap is removed by the third day and gentle hair washing and shampooing, using a glass of water and fingertip pressure, will be demonstrated.
The tiny donor harvest sites are difficult to even see by one week and, if the recipient site is covered by existing genetic hair, patients can often return to work.
However, if there is very little normal, genetic hair to hide the transplants, it is often a good option to shave the top of the head pre-procedure in the recipient site to allow the grafts and normal genetic hair to grow out together, in which case, the recipient will often look acceptable, without scabs in 10 days.
Growth of the FUE Hair transplant grafts occurs in two phases. First phase growth includes 40-50% of the actual transplanted hair grafts which pick up a blood supply and begin growth within 3-4 weeks.
After the bulb “take” by picking up a blood supply, approximately 40-50% of the “OTHER” transplanted shafts will go into “shock hair”, fall out and start to grow again about 4-6 months. BUT, don’t worry, the bulbs of these transplanted FUE grafts survive just fine and will start to grow hair again in 4-6 months.
Patients can often expect good visible hair density enhancement in the first 3-4 months, which is then followed by second phase growth starting at 4-6 months. Over 85% of all FUE grafts “take” and survive, so it is not until 12-14 months that the final density and aesthetic appearance of the hair can be seen, after enough time is left for the two phase growth.
Dr. Mulholland and SpaMedica offer their Toronto Hair Transplantation and FUE Hair Restoration patients a comprehensive post transplant program consisting of high fluence, low level light therapy, topical minoxidil and nutrient serum as well as a medicated shampoo. This regime will help nourish the grafts and help natural genetic hair growth as well.
To read more about the post procedure care following automated and robotic hair restoration, click on FUE Hair Transplantation.
Patients who would like more hair grafted can come for a second or third treatment. Consult with Dr. Mulholland regarding the appropriate time for procedures following your first Neograft.
Cost and Payment Options
The cost for the procedure starts from $6,000 to $12,000. The procedural costs depend on the number of hair grafts. To discuss financing and payment options, speak to our consultants.