Hair Transplant Surgery 2021-05-27T07:28:40-05:00



Hair loss, while common, can be distressing for many individuals. When nonsurgical treatment methods are not enough to slow, stop, or restore hair loss, there are other effective solutions worth considering. Plano, TX hair transplant surgeon, Dr. Joseph Yaker, performs Follicular Unit Extraction (FUE) for patients desiring fuller, natural looking hair. FUE is a minimally invasive hair restoration surgery that uses advanced technology to track and extract hair follicles with precise accuracy and control. The process involves using a small (0.8mm – 1.0mm), rounded instrument or “punch” to remove individual hair grafts. While the FUT (“strip method”) procedure produces wonderful results, the FUE procedure is often preferred because it is minimally invasive as it does not involve the use of a scalpel or stitches, nor does it leave any noticeable linear scars to the back of the scalp. Dr. Yaker offers the state-of-the-art SmartGraft™ hair transplant system for FUE, a technology that blends art and science with technology to create outstanding outcomes for both men and women that last a lifetime.


“I started losing hair fast, no reason, no thyroid problem. Dr yaker suggested me to
use laser cap, his hair care product line and hair formula to apply on scalp. In few
months, I saw a big difference , lot of…
– R.L. / Yelp / Jun 13, 2016


Dr. Yaker is proud to be the first in Texas to offer his patients the most innovative automated surgical FUE technology. Using the SmartGraft™ system, individual hair follicles are gently removed by an advanced, suction assisted hand-piece. These follicles are then safely collected and stored in a temperature controlled, sterile holding solution. These hairs remain hydrated and robust, while awaiting implantation.

Since the SmartGraft™ FUE is a minimally invasive procedure, it does not require a scalpel or stitches, and it leads to virtually zero discomfort for the patient. As a result, this superior method allows for shorter procedure time, enhanced patient experience, and faster recovery.


SmartGraft™ FUE is recommended for both men and women of all hair colors and textures that do not want an invasive hair transplant approach. It is performed on patients with advanced hair loss, as well as those who wish to increase thickness to thinning areas Patients that wear their hair short and live an active lifestyle will also benefit from this approach. Dr. Yaker can also perform SmartGraft™ FUE to help achieve aesthetic improvements to the scalp for patients who have scarring such as from a previous FUT hair transplant procedure where a linear scar resulted.



With so many promising hair loss treatments available today, it can be challenging to find the best one. Dr. Yaker understands this and it is his goal during the consultation to provide as much information as possible so that each patient feels confident they are making the best personal choice. The majority of SmartGraft™ FUE procedures start in the morning at Dr. Yaker’s accredited surgical facility, and end in the late afternoon—the length of time varies depending on the volume of hair being transplanted. Our team will use a local anesthetic and an oral sedative during treatment. Patients are encouraged to wear comfortable clothing and are able to watch TV or listen to music during the procedure.


During the consultation, Dr. Yaker will go over the aesthetic goals of the patient, and be able to provide an approximate number of grafts that will need to be extracted to obtain the desired results. The donor area where the hair will be extracted is located in the back of the head, as this is an area where hair growth is constant and permanent. For medium-to-large SmartGraft™ FUE cases, the entire back and sides of the scalp may need to be shaved. For smaller cases (less than 1,000-1,200 grafts) patients may only need to have a small, strip of hair shaved, which will be camouflaged by the hair above it. As a result, the shaved donor areas will not be noticeable at the conclusion of the procedure. The donor hair, removed in follicular units, typically includes a group of about 1 to 4 hairs. The hair removal process is performed in a meticulously randomized pattern, so that the hair around the extracted grafts will grow back and camouflage the virtually undetectable, flat “micro-dots” left from the SmartGraft™ FUE procedure. Once transplanted, each hair follicle will grow permanently in its new location.


The transplanted area, or recipient sites where the donor hair will be relocated to, are artistically created by Dr. Yaker, according to the correct angle, depth, orientation, and density required to achieve natural results. The number of grafts and/or number of procedures required to achieve the patient’s desired look depends on individual patient characteristics, such as degree of hair loss, donor hair quality and texture, and follicular density.


PRP, or platelet rich plasma, is a concentrated mixture of powerful growth factors that is produced from a small quantity of the patient’s own blood. Dr. Yaker bathes the extracted hair grafts and injects this concentration of growth factors into the treated areas to help with tissue repair, healing, and hair growth.


Because SmartGraft™ FUE is minimally invasive and does not require the use of a scalpel or stitches, there is minimal post-operative pain. Most patients can return to their normal activities within 1 to 2 days. It is important to follow Dr. Yaker’s specific post-operative instructions to ensure effective and proper healing and hair growth. Patients are provided with a customized post-operative kit, which includes a specialized hair follicle growth spray, Dr. Yaker’s very own therapeutic shampoo, conditioner, and specific amino acid complex hair repair supplements. On the first day following the procedure, small scabs the size of a pinhead surrounding the transplanted hair follicles will likely be visible. These scabs usually go away within 7 to 10 days. Patients should expect to see the donor site at the back of the head return to normal about 7 to 10 days after surgery. A few weeks after surgery, the transplanted follicles enter a resting phase that lasts for 3 to 4 months, and will fall out to make way for new, healthy hair. This is to be expected. The follicles are alive and healthy under the skin. At this point, most patients will look very much like they did prior to surgery until the new hairs begin to grow.


New hair growth begins about 3-4 months after the procedure. By 7 months, around 50% of the newly transplanted hair begins to grow, and by 9 months, close to 80% of the hair grafts will be growing. By 12-18 months, the areas where hair loss once occurred will be filled in with thicker and fuller hair, leaving patients excited about their results.


The cost of SmartGraft™ FUE will depend on the amount of grafts needed to fulfill the patient’s goals. Sometimes, multiple sessions may be needed to achieve the proper coverage and/or density requested. General pricing can range from $7-$8.50 per graft. Determining the cost of your hair transplant procedure depends on the degree of hair loss, and the number of grafts needed. For some patients, 1,000 grafts are enough to make a noticeable difference. For others, as many as 3,000 or more may be needed to attain the desired results.



With the SmartGraft™ advantage, natural appearing hair restoration is crafted with a delicate touch and allows Dr. Yaker the ability to use his artistic eye to create life-changing, permanent results. Patients can wear their hair any length or style, as the transplants produce natural, normal hair growth. It’s important to note that hair loss is a progressive disease and that hair transplant surgery does not stop non-transplanted hair from continuing to thin and eventually bald. Therefore, further nonsurgical and/or surgical treatments may be needed to keep up with the rate of continuing hair loss.


The extracted grafts removed during the hair removal process will leave virtually undetectable, flat “micro-dots”. While SmartGraft™ FUE does not result in any noticeable scarring, these tiny “micro-dot” scars may be visible if the hair is completely shaved. You may shave your hair down to 1/8th of an inch (1 guard on an electric razor) without anyone noticing your scars.


The SmartGraft™ FUE technology can be performed on any color and type of hair. During the consultation, Dr. Yaker will specify any special requirements that must be taken prior to surgery.


Small graft extraction using the SmartGraft™ FUE approach offers numerous benefits, including:

  • Minimally invasive without the use of a scalpel or stitches
  • Precise and efficient extraction, collection, and storage of hair grafts
  • Minimal post-operative pain
  • Quicker recovery
  • Virtually undetectable flat “micro-dot” scarring

Regardless if a patient decides to go with SmartGraft™ FUE or FUT (“strip method”), the results will appear similar. The difference is in the graft extraction technique along the donor area. You can learn more about the differences between these techniques by visiting our FUT/SMARTGRAFT™ FUE comparison page.


If you are experiencing thinning hair or balding and are living with anxiety over losing your hair, we encourage you to call our office today. Dr. Yaker will provide you with a thorough consultation and a detailed treatment plan, to provide you with an effective, lasting solution.



Hair transplant surgery has evolved significantly over the past 20 years. During the first several decades of its practice, patients were able to restore their hair, but the process was associated with a “dolls hair” look. This is no longer the case. Significant advances in surgical technique and technology have made it possible to move the “plug” method to a “follicular unit” approach where small clusters of one to four hair follicles are transplanted. Today, the superior process is used for all hair transplant surgeries. Plano, TX hair restoration surgeon, Dr. Joseph Yaker, performs the Follicular Unit Transplantation (FUT), or “strip method”, as one surgical option for hair restoration.


FUT is a procedure that removes a thin strip of hair from the back and/or sides of the scalp where hair growth is permanent and not subject to balding. This strip is then dissected into hundreds to thousands of individual follicular unit grafts using microscopic dissection. These individual grafts, which typically contain between 1 to 4 hairs, are then transplanted into tiny sites created by Dr. Yaker in areas where hair is desired. The results from FUT appear natural and with great hair thickness. Thin linear scarring, however, on the back of the head does occur with this procedure and is something to consider when weighing the options for hair restoration.


“I started losing hair fast, no reason, no thyroid problem. Dr yaker suggested me to
use laser cap, his hair care product line and hair formula to apply on scalp. In few
months, I saw a big difference , lot of…
– R.L. / Yelp / Jun 13, 2016


Follicular Unit Transplantation is recommended for both men and women with advanced hair loss who are looking for a permanent solution to restore their hair and have adequate donor hair to cover current and future areas of loss. Those who wear their hair very short (less than 1/2 an inch) may not be suitable for this procedure because of the linear scar that is left on the back of the scalp. As a result, the SmartGraft™ FUE procedure may be an appropriate choice for you.



Patients undergoing FUT will arrive to Dr. Yaker’s accredited surgical facility in the morning and will generally stay until the late afternoon. The length of time for the overall procedure will vary depending on how many grafts are needed to obtain the desired results. A local anesthetic and oral sedative are given before treatment. Patients are advised to wear comfortable clothing, and they are able to listen to music, watch TV or nap while the procedure takes place.


The area where the donor hair is removed is located on the back of the scalp where the most hair density arises, as well as the best probability for permanent growth. During surgery, Dr. Yaker removes the donor tissue in a single thin strip. Once removed, the strip is closed using sutures. After the skin is closed, the hair above the donor site incision will easily conceal it, so that it’s hidden immediately following the procedure. The scar that will result will be a thin line, usually 1-2 millimeters in width. The total number of follicles that can be transplanted overall depends on your individual donor area characteristics such as hair texture, follicle density and scalp elasticity.  


Once the strip has been removed, it is meticulously dissected into individual follicular units using a microscope to ensure each hair is separated with accuracy. These follicular grafts may contain anywhere between 1-4 hairs follicles. The recipient sites where the hair is to be transplanted is created by making tiny incisions. These sites are placed according to the correct angle, depth, orientation and density required to achieve the best cosmetic result.

The number of grafts and/or number of procedures required to achieve the patient’s desired look depends on individual patient characteristics, such as degree of hair loss, donor hair quality and texture, and follicular density.


Dr. Yaker bathes the hairs grafts and injects the transplanted area and donor area with platelet rich plasma (PRP) to maximize the healing and growth process. This autologous therapy consists of a concentrated mixture of powerful growth factors that is made from the patient’s own blood. 


After FUT surgery, patients are given a specific post-operative hair care plan to follow at home. This involves a customized post-operative kit that includes a follicle growth spray, shampoo, conditioner, and Aminoplex hair repair supplements. Following the procedure, small scabs will form on the transplanted sites, but will go away within 7 to 10 days. Patients can return to their normal activities within a couple of days, but exercise should be avoided for at least a week. Beginning 3 to 4 weeks following the procedure, the transplanted grafts will begin to shed and go into a resting phase. This is a normal process as the follicles underneath push out the old hair, making room for new, healthy hair.  The new hair will begin to grow at around 3 to 4 months following surgery. Patients will need to return to the office for suture removal at around 10-12 days.


By 7 months, the majority of patients will have about 50% of new hair growing in, and by the end of 9 months typically 80% of the hair grafts start to grow. During this time, areas that showed thinning will become denser, and new hair will appear where the grafts were placed, blending in with your native hair. It generally takes a full year, or longer, for all of the grafts to show its full growth. Regardless if a patient chooses to do FUT or FUE, the results are the same. The only difference between the two procedures is in the way the donor hair is removed from the back of the scalp. Patients are able to get back their youthful look they’ve been missing with naturally appearing fuller, thicker hair.


FUT allows for much larger graft extraction in a single session, and is more economical than FUE. Prices for FUE are slightly more than FUT as it is more labor intensive for the physician and his staff. Both FUT and FUE range from $7 to $8.50 per graft, depending on the size of each case.



While FUT does result in a linear scar, a skilled surgeon will minimize the scarring as much as possible. Using a trichophytic closure approach, once healed, the linear line will be faint (1-2 mm) and can be camouflaged as long as the hair is not shaved or very short.


The average recovery time for FUT is about 5-7 days. Patients will have noticeable scabbing with pinkness over the transplanted area that last from 7 days to 10 days. Some may retain pinkness over their scalp for up to 2 weeks if they have fair skin.


For almost all hair transplant patients, virtually all of the transplanted hair is permanent and lasts a lifetime. It’s important to note that hair loss is a progressive disease and that hair transplant surgery does not stop non-transplanted hair on top of the scalp from continuing to thin and eventually bald. Therefore, further nonsurgical and/or surgical treatments may be needed to keep up with the rate of continuing hair loss. 


With so many innovative hair loss treatments available today, it can be challenging to find the best one. Patients seeking surgery have two very effective solutions with either FUT or FUE.


Follicular Unit Transplantation has produced outstanding outcomes for countless patients, allowing them to live confident and carefree lives with fuller heads of hair. If you have been considering hair restoration surgery and are ready to take the next step, we invite you to call the office of Dallas, TX hair transplant surgeon, Dr. Joseph Yaker, and schedule your consultation today.



For years, hair transplant surgery has changed the lives of countless men and women around the world. Despite whichever surgical option is selected, the most important feature of a successful hair transplant involves its natural appearing cosmetic outcome without any signs of the treatment being detectable. Plano, TX hair transplant surgeon, Dr. Joseph Yaker, has the experience, acumen and artistry to produce excellent results by naturally framing the face and improving hair density using living and growing hair.


Follicular Unit Transplantation (FUT) and Follicular Unit Extraction (FUE) are both safe and effective hair transplant procedures that are performed to restore one’s hair loss. In the past few years, FUE has gained popularity due to its minimally invasive nature. However, FUT is still the most common procedure performed worldwide. The primary difference between the two is in the way the donor hair is removed from the back of the scalp. FUT, the “strip method”, uses a scalpel to remove a thin strip of donor hair from the back of the head. The edges are then sutured together. With FUE, individual follicular units are isolated and extracted from the same donor area, using a circular micro-punch device. No stitches are required. Both approaches separate refined, healthy hair grafts that contain natural groupings of 1 to 4 hairs each, and thousands may be used during the transplant process.


There are differences between the scarring that forms on the donor area following surgery. With FUT, each patient will develop a narrow, linear scar that measures less than 1-2 millimeters in width. The scar is essentially undetectable, as the hair above it will conceal it. In order to minimize the chances of showing the thin scar it’s necessary to typically keep your hair no shorter than ¼ to ½ an inch. In many instances the scar may not be evident at all except on careful examination.

Patients who prefer to wear their hair relatively short will appreciate the FUE procedure. Instead of having one thin scar across the back of the scalp, patients who undergo FUE will have multiple tiny micro-scars. Since the hair grafts are extracted in a randomized pattern, the surrounding hair camouflages the flat circular scars so that they are virtually undetectable. For most cases, extensive shaving of the back of the scalp is required for larger cases.


A main advantage of FUT is that more hair can be transplanted in one session so patients who want more density over a larger area of hair loss would benefit from this procedure. For FUT, Dr. Yaker generally does not transplant more than 2,500 to 3,000 grafts in a day, due to the long duration of the case. For hand held motorized FUE, Dr. Yaker limits his procedure to 2,000 to 2,500 grafts due to the tedious nature of graft extraction. The ability to create dense results is no different with either technique.


For both FUT and FUE procedures, recipient site creation and hair graft implantation are performed with the same aesthetic principles in mind, thereby achieving a hair density result that looks completely full and natural.


Pain is a subjective feeling so patients will have different experiences with each procedure. Hair transplantation is always done under local anesthesia and with an oral sedative, so pain during the procedure is minimal and mostly related to receiving the local anesthesia into the scalp. Postoperative pain is mild to moderate, and may last up to 7 days following an FUT procedure. Pain is usually on and around the incision line. The pain from an FUE procedure is minimal, typically lasting at most 3-4 days, as the tiny micro-dot incisions heal relatively fast.


Both FUT and FUE range from $7 to $8.50 per graft, depending on the size of each case.


Both techniques, FUT and FUE, will provide each patient with incredibly youthful results. There is no best method, as each procedure has its advantages and disadvantages. Choosing which procedure is right for you is a personal decision, however, Dr. Yaker will go over both techniques in great detail during the consultation and help you determine which surgery is best suited for you.


Use of Scalpel or Sutures No Yes
Invasiveness Less More
Hair Length Preference Short Medium
Donor Area Required For Large Sessions Shave entire donor area Long, thin strip
Scarring Multiple, virtually undetectable micro-dots One linear strip
Maximum Follicies Harvested per Session 2,000 – 2,500 Grafts 3,000 Grafts
Pain Level Minimal Mild to Moderate
Healing Time of Donor Site 3-4 Days 10-14 Days
Return to Moderate Activities 3-5 Days 7 Days
Subsequent Session 4-6 Months 12 Months
Cost $6-$8 per graft $6-$8 per graft