TrichoStem® Surgical Hair Restoration – Hair Transplants

TrichoStem™ Surgical Hair Restoration (hair transplants) are performed by Dr. Amiya Prasad and his experienced hair restoration team at TrichoStem™’s pioneer locations in Manhattan (New York City), and in Garden City, Long Island. TrichoStem™ surgical hair transplantation is done in Joint Commission-certified operating facilities in both locations.

Scalp Examination Before any Procedure

Prior to TrichoStem™ Hair Regeneration non-surgical treatment or hair transplant surgery, Dr. Prasad will closely examine the patient using scalp microscopy and photography. Giving patients a clear understanding of their hair thinning and hair loss pattern is a top priority of Dr. Prasad and TrichoStem™ Hair Regeneration Centers.

Dr Prasad with hair microscope

Using Non-Surgical TrichoStem™ Hair Regeneration with a Surgical Hair Transplant

While TrichoStem™ Hair Regeneration can be an alternative to surgical hair transplant. People with more advanced hair loss where there isn’t enough thinning hair to thicken non-surgically may opt for a  hair transplant.
Non-surgical TrichoStem™ Hair Regeneration may still be applied to hair transplant patients to manage further hair loss, thicken remaining native hair, increase survival of transplanted hair, improve healing in graft donor area incisions, delay the need for succeeding hair transplants, and improve overall transplant results and density. TrichoStem™ Hair Regeneration can be applied before, during, or even some time up to 3 months after a surgical hair transplant if it was performed by another practice


Follicular Unit Transplant (FUT) Vs. Follicular Unit Extraction (FUE)

The traditional follicular unit transplant (FUT), AKA the Strip Method, involves excising a thin strip of skin with hair follicles attached to the skin. The strip is taken from the back of the head, from the donor area, also called the permanent zone, at the back of the scalp that contains hairs genetically resistant to balding. Hair technicians extract hair follicles from the strip of skin for the surgical implantation.

FUT vs FUE donor area

Follicular unit extraction (FUE) involves removing donor hair follicles individually. Many hair loss clinics harvest donor hair follicles by hand, while some use a robot. Since some hair needs to be left behind in the donor area so graft extraction doesn’t look obvious, a wider area of hair needs to be harvested, which often results in hair follicles taken from outside the permanent zone. Hair follicles outside the permanent zone can still be transplanted, but they are prone to thinning and eventual hair loss. Hair follicles may also suffer soft tissue damage and may not be intact after harvesting through the FUE method, requiring a wider area for donor hair to be taken. This problem is not seen in the FUT method since the hair follicle and surrounding soft tissue can be safely removed from the strip of donor skin.


hair transplant process

Dr. Amiya Prasad grafts hair follicles into the patient’s scalp using a Choi Implanter, while a veteran hair transplant technician prepares succeeding hair follicles into the implanters.

hair follicles using the Choi Implanter

Dr. Prasad and an experienced hair transplant technician implant hair follicles using the Choi Implanter.

Regardless of hair graft extraction method, donor hair is transplanted to bald areas using a Choi Implanter, often in groups of 3-5 individual hairs per follicular unit.

Whether it is the FUE or FUT method used, only between 2500-4000 individual hairs can be grafted and transplanted per surgery. Considering that the transplant site may have lost 50,000 or more hairs, surgical hair transplants have limited effectiveness and often require more than one transplant session.

Hair Regeneration before and after

Local Anesthesia with LITE™ IV Sedation to Improve a Hair Transplant

patient under local anesthesia with LITE™ IV sedation

The patient is in a painless, relaxed state under local anesthesia with LITE™ IV sedation so blood pressure doesn’t push out newly grafted hair follicles.

Besides the use of TrichoStem™ Hair Regeneration to improve transplant results and hair thickness, TrichoStem™ also exclusively uses local anesthesia with LITE™ sedation to improve the transplant process. A common problem in other hair transplant practices is increased blood pressure from a nervous patient pushing transplanted hair out during surgery, commonly known in the industry as “popping”. This decreases the likelihood of graft survival on the head as they’re transplanted repeatedly, and also increases time of surgery. It also decreases hair follicle survival rate as they’re out of the body for an extended period of time. By using local anesthesia with LITE™IV sedation, the patient is in a painless, relaxed state during surgery with decreased blood pressure. This provides a surgical conditions where grafts take to the scalp the first time, bleeding is reduced, and recovery from surgery is much quicker with local anesthesia versus prolonged healing associated with general anesthesia.