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Strip Method vs. NeoGraft Des Moines

There are two general types of techniques that are used for surgical hair transplantation: the “strip method” and NeoGraft. Both techniques are types of follicular unit transplantation, which simply refers to a technique of moving healthy hair follicles from a donor site of the scalp to a bald or thinning area of the scalp. There are pros and cons to both techniques, and it will be important to openly discuss your goals with Dr. David Robbins at Des Moines Plastic Surgery.

The “strip method” of hair restoration is a more common technique. The strip method involves surgically excising a single or multiple strips of tissue from a donor site of the scalp. Often, the donor strip is taken from the rear of the scalp, where follicular density is the highest. The strip of tissue ranges from about 1-1.5 cm in width and 15-30 cm in length.

After the strip is taken, the incision is closed using a specialized trichophytic closure technique, which was developed by facial plastic surgeons to allow for optimal hair coverage of the scar. Techniques gently harvest follicular units from the graft, taking care not to damage the follicles.

The NeoGraft method is an alternative follicular harvesting method which employs some of the latest techniques. This type of follicular unit extraction method uses the NeoGraft Automated Hair Transplantation System, which is an FDA-cleared system for harvesting and implantation. Des Moines Plastic Surgery is currently the only center in central Iowa offering this latest method of hair restoration.


The NeoGraft technique minimizes the need for removing strips of scalp from a donor site and uses a minimally invasive technology that targets hair follicles from a donor area and quickly extracts them. The device is handheld and is the only system on the market that is a complete, automated harvest and transplant system with “no touch” implantation technology. NeoGraft uses controlled pneumatic pressure to slide out hair follicles. The overall recovery time is shorter and is said to be more comfortable due to the lack of the linear incisions involved with the strip method.

Both techniques result in the transplantation of healthier hair, which will continue to grow in the new site for the rest of your life. Both the “strip method” and NeoGraft can provide natural-looking results. The basic idea of implantation of follicle grafts for both the “strip method” and the NeoGraft technique are similar. The hair follicles are implanted into the donor site by using micro blades or fine needles to puncture sites for the follicle graft to be placed. With the NeoGraft technique, this step is automated. With both techniques, the pattern for placement is planned for the most natural results. The main difference is the method involved with harvesting hair from the donor site, and removal of the challenges from a prominent scar.

The transplantation process is traumatic for hair follicles, so there is an initial period of “shock loss” where hair falls off, but new growth will begin within 3 to 4 months.

Dr. Robbins and Des Moines Plastic Surgery are pleased to offer NeoGraft as an alternative to the traditional method of hair replacement.  Call today to schedule your free consultation at 515-221-9999.

Individual results may vary.