Hair transplant glossary: the vocabulary, without the marketing
Consultations and forums assume you speak the language — graft counts, Norwood stages, device brands, three near-identical credential acronyms. 28 terms, defined plainly, with the numbers from our ten-city index attached where they exist. Definitions describe usage, not medical advice; treatment decisions belong in an evaluation with a physician.
Techniques
- FUE (follicular unit excision/extraction)
- Harvesting individual follicular units from the donor area through small circular punches, then placing them into recipient sites. No linear scar; per-graft cost is typically higher than FUT. The dominant technique in marketing — stated in effectively every market we review.
- FUT (follicular unit transplantation, “strip”)
- Removing one strip of donor scalp, dissecting it into follicular units under magnification, and placing them. Leaves a linear scar; allows large single sessions and typically a lower per-graft rate, since strip dissection concentrates the labor. Offered by 7 of 22 reviewed clinics.
- Combination / hybrid case
- FUT and FUE in the same patient — usually strip for volume plus FUE to supplement. Only practices offering both techniques can propose it.
- DHI / implanter-pen FUE
- A marketing name for FUE in which grafts are placed with a spring-loaded implanter pen rather than forceps into pre-made sites. A placement-tool variation, not a separate technique — the questions about who performs each step apply unchanged.
- BHT (body hair transplant)
- Using beard or body hair as donor supply when scalp donor is depleted. An advanced-case tool with different growth characteristics — a topic for an in-person evaluation, not a menu checkbox.
Devices
- NeoGraft
- A pneumatic-assisted FUE harvesting device — the most-stated device in our index (8 practices across 6 markets). It standardizes extraction mechanics; it does not design hairlines, set graft counts, or place grafts. A brand of tool, not a credential.
- SmartGraft
- NeoGraft’s closest competitor: a pneumatic FUE harvesting device with a closed graft-storage system. One practice in our index states it — and runs NeoGraft in its other cities, which says everything about how interchangeable the two are.
- ARTAS
- A robotic FUE harvesting system that automates punch alignment using image guidance. Robotic harvesting still does not answer the recipient-site and placement questions; no clinic in our current index states it.
Anatomy of a procedure
- Graft / follicular unit
- The transplanted unit: a naturally occurring bundle of 1–4 hairs with its follicles. Quotes are typically per graft, not per hair — a “3,000-hair” promise may be under 1,000 grafts. Always get the graft number.
- Donor area
- The band of permanent hair at the back and sides of the scalp from which grafts are taken. Finite for life — donor management across future loss is a core planning question, and a reason honest evaluations sometimes recommend waiting.
- Recipient sites
- The incisions into which grafts are placed. Site angle, depth and distribution determine how natural the result looks — the ISHRS position is that creating them is physician work. “Who makes the recipient sites?” is the single most revealing consultation question.
- Hairline design
- The drawn plan for the new front line — age-appropriate placement matters more than density. Ask who draws it and who approves changes on surgery day.
- Graft survival
- The share of transplanted grafts that grow. Handling time, storage and placement technique drive it; results are judged at 12–18 months, not at 3.
- Shock loss
- Temporary shedding of existing (and sometimes transplanted) hair in the weeks after surgery, from surgical trauma. Common, usually reversible — but a reason transplant timing around ongoing loss needs a physician’s judgment.
- Megasession
- A very large single session (commonly described as 3,000+ grafts). Feasibility depends on donor supply and team capacity; “as many grafts as possible” flat packages are an ISHRS-flagged warning sign because a deal is not a diagnosis.
- Trichophytic closure
- An FUT closure technique that lets hair grow through the strip scar, making the line less visible. A detail worth asking any FUT practice about.
Patterns and planning
- Norwood scale
- The standard classification of male-pattern hair loss, from I (no recession) to VII (horseshoe). Clinics and forums describe cases in Norwood stages — our illustrated guide shows each stage and what it typically means for planning.
- Ludwig scale
- The equivalent classification for female-pattern loss (grades I–III, diffuse thinning with a preserved hairline). Women’s candidacy questions differ substantially from men’s — diffuse loss can make transplantation inappropriate; evaluation matters more, not less.
- Crown / vertex
- The circular area at the top-back of the scalp. Crown work consumes grafts quickly and continues to lose native hair around the transplant — why many surgeons stage it after the front.
- Minoxidil / finasteride
- The two most established medical treatments for pattern loss, often discussed alongside surgery to protect non-transplanted hair. Prescription decisions belong with a physician — we mention them because an evaluation that never discusses stabilizing loss is incomplete.
Credentials and bodies
- ABHRS
- American Board of Hair Restoration Surgery — the one certification specific to hair restoration: exam plus casework, voluntary, checkable in a public registry. Stated by 3 of 22 clinics in our index.
- ISHRS
- International Society of Hair Restoration Surgery — the field’s largest professional society; membership signals engagement, not examination. Stated by 4 of 22. Its consumer campaign on who-performs disclosure underlies our comparison criteria.
- IAHRS
- International Alliance of Hair Restoration Surgeons — a selective, invitation-based referral organisation. One letter from “ISHRS” and routinely confused with it; stated by 2 clinics in our index. Different body, different meaning.
- Physician extender
- A licensed clinician (PA, NP) working under a physician. Relevant because the ISHRS position places donor harvesting and recipient-site creation with a physician or physician extender — not unlicensed technicians.
- Traveling technicians
- Contract surgical technicians who move clinic to clinic, versus a full-time in-house team. One practice in our index raises the distinction itself. Ask: are the technicians on my case employees, and how long have they been here?
Money
- Per-graft pricing
- The industry’s standard quote structure: rate × graft count. Only one clinic in our index publishes its rates ($5 FUT / $6 FUE). A written quote should show the rate, the evaluated count, and what is bundled.
- Financing cadence
- An advertised recurring payment — “$50 a week” — presented without a total or term. Not a price: the same cadence equals $5,200 over two years or $10,400 over four, before interest. Our calculator does the missing arithmetic.
- All-inclusive pricing
- A claim that one figure covers surgery, anesthesia, facility and follow-ups. Meaningful only when the figure itself is stated — one clinic in our index claims it without publishing the number.
The Norwood scale, illustrated → · How to verify credential claims → · Printable consultation checklist →