Older, blind methods
Generally, the older versions involve blind and quick methods of dissection, which result in the transection of follicles in large numbers.
Hair transplant techniques · Hyderabad
The open method of graft dissection
Experienced. Expert. Ethical.
We don't cut if we don't see
Each hair follicle is very precious and invaluable for a bald person, so dissection should not damage even a single live hair follicle. In the open method, only what is clearly magnified and visible is cut.
Photo or diagram: donor strip held open with four hooks under the microscope1200 × 900 px, WebP (the old site's diagram open-method-dessection.gif can be redrawn)images/open-method-dissection.webp
Why it matters
Blind dissection or the open method
The open method
Clearly magnified and visible things only are cut. Even though it takes more time and precision, it saves the follicles to the maximum extent possible, so the wastage of follicles is minimised.
Only a handful of surgeons practise this method.
Step by step
How the open method works at Dr. Madhu's
Holding the strip open
In FUT, the donor strip is held open with four hooks while it is dissected, so every follicle stays in view. Using four hooks is one example of the open method.Slivering under the Mantis microscope
The strip is slivered lengthwise under the Mantis microscope, under immersion, on a silica gel surface.Cutting only what can be seen
Only what is clearly magnified and visible is cut, so the blade passes between follicles and not through them.Refining every graft
Each graft is then refined under Zeiss stereo microscopes, the URFUG method, so it is small enough for dense packing.Sorting and counting
The refined grafts are sorted into trays of 20 and counted, so you know exactly how many grafts you receive. See how we count grafts.
With FUE, there is no strip to dissect: grafts are taken one by one under 8× Zeiss magnification loupes, and then examined and refined under the same microscopes.
What you gain
More time and precision, more grafts saved
Fewer transected follicles
Cutting only under magnification keeps transection, the cutting through of follicles, to a minimum.
More grafts from the same donor area
When fewer follicles are wasted, more of your donor hair becomes usable grafts, which matters in large sessions.
Grafts fit for dense packing
Intact, refined grafts can be placed close together for density and a natural look.
Less blood loss
Dr. Madhu's own dissection method was developed for minimal transection and minimal blood loss.
Dr. Madhu's method. Dr. Pathuri Madhu was the first hair transplant surgeon in India to practise the four-hook method and open-method dissection. He later developed his own method of dissection, with minimal transection and blood loss, and trained the team at the centre in it.
Questions
Open method: frequently asked questions
What is the open method of graft dissection?
It is a way of dissecting the donor strip in which only what can be clearly seen under magnification is cut: we don't cut if we don't see. It aims not to damage even a single live hair follicle.
How is it different from older methods?
Older methods used blind, quick dissection, which transected (cut through) follicles in large numbers. The open method takes more time and precision, but saves as many follicles as possible.
Is the open method used for FUE too?
The open method is how a FUT donor strip is dissected. With FUE, grafts are taken one by one under 8× Zeiss magnification loupes, and every graft, from FUE or FUT, is then examined and refined under the microscopes.
Who developed the method used at Dr. Madhu's?
Dr. Pathuri Madhu first practised the four-hook method and later developed his own dissection method, with minimal transection and blood loss. The team at the centre is trained in it.
Next step
Talk to the doctors' team
In-person consultations in Jubilee Hills, Hyderabad, or an online consultation if you live outside Hyderabad.
Call+91 90004 11511 / +91 90004 11522
Emailhairhospihyd@gmail.com
VisitFlat No. 301, Aditya Jayrag, Road No. 36, Jubilee Hills, Hyderabad 500033
HoursConsultations: all days, 12:00 PM to 6:00 PM, by appointment
Information on this website is general and does not replace a consultation with a doctor.
Consultation
Consult Dr. Madhu's team
Send your hair loss details and scalp photos for an online evaluation, or speak directly with our doctors on WhatsApp or in-person in Jubilee Hills, Hyderabad.