A Historical look at Hair Transplants

March 18, 2016 12:54 pm



Dr. J. S. Parsegan advertised a hair restoration procedure in a science and invention magazine. His machine took women’s hair and implanted the hairs to the scalp of a male patient stimulating the patient’s dormant hair follicles.


The “Punch Technique” is developed by Dr. Okuda, a Japanese dermatologist and hair transplant pioneer. The technique involved hair restorations in 2-4 mm punch grafts.

Okuda published five series of articles called “The Okuda Papers” in 1939. However, these papers were not discovered outside of Japan nor translated until 2004. If found earlier, these papers could have changed the history of hair transplantation.


Okuda’s technique is refined by Dr.  Haijime Tamura who uses smaller grafts and dissects individual grafts. These individual grafts gave a natural appearance compared to other techniques. It was reported that 127 cases in 1937 failed, but 136 cases after 1939 showed good results.


New York dermatologist Dr. Norman Orentreich performed the first modern hair transplants using large hair grafts in his office in NYC. Dr. Orentreich published the theory of “Donor Dominance” to the New York academy of science stating that the hair grafts from the back of the head was the most resistant to the balding process.


Hair transplants start to become a common cosmetic surgery procedure. These procedures used the strip harvesting method from the back of the head. However, results ended in an extremely unnatural appearance.


Dr. Jose Juri introduced scalp flap procedures. This is an extremely invasive procedure that requires removing a large piece of tissue from one area and rotating it to another area where the hair is needed.


Surgeons begin to move away from strip methods and transplant smaller 1-5 inch hair grafts in an effort to mimic the earlier practices.


Dr. Robert M. Bernstein and Dr. William Rassman introduce the technique of Follicular Unite Hair Transplantation. (FUT)


Robotic FUE devices were discussed at the 2007 meeting of the International Society of Hair Restoration Surgery (ISHRS)


Neograft hair transplants, using follicular unit extraction, are the most advanced, minimally-invasive hair transplant method today. Neograft allows for the harvesting of individual follicles from the donor area without a scalpel incision or stitches, and therefore leaves no linear scar. The Neograft machine uses pneumatic pressure to extract the follicles and implant them as well. This eliminates the need for handling the grafts with forceps which can damage them.

Great Hair Restoration of Oklahoma only uses the minimally invasive, FDA-approved NeoGraft procedure. Great Hair Restoration provides natural looking results and gives patients their hair and confidence back into their lives.