How and when to perform a Perkutan hair transplant

The term Perkutan hair transplant refers to performing a hair transplant using the Perkutan, or percutaneous, channel‑opening method.

Together with the microfibromatology technique, it is one of the two main approaches used at Clinicana for FUE hair transplants in Turkey to create recipient channels.

During the Perkutan method, tiny channels for the hair follicles are opened in the recipient area with a titanium micro‑needle.

This allows precise control over the depth and direction of each graft, helping the surgeon implant the follicles securely and achieve a dense, natural‑looking final result.

How is hair surgery using the Perkuthan method performed?

The operation is carried out under local anaesthesia and is designed to be virtually painless for the patient.

It usually lasts between five and seven hours, depending on the size of the bald area, and is completed in a single session during which up to 4,000–5,000 grafts can be taken from the donor region.

Hair follicles are always extracted using the standard FUE process: grafts are removed one by one from the donor area with a micro‑punch measuring approximately 0.6–0.8 mm in diameter, then carefully sorted and prepared for implantation in the thinning or bald zones.

To open the channels, the surgeon may choose the percutaneous, or Perkutan, technique, using a very fine, sharp instrument to create tiny, closely spaced incisions.

This makes it possible to place the grafts at high density while following the natural direction of the existing hair, unlike the classic FUE approach that uses steel blades.

During implantation, the hair grafts are inserted one by one into the recipient area, always respecting the natural pattern of growth.

Single‑hair follicles are placed along the frontal hairline to create a soft, natural outline, while multi‑hair grafts are implanted in the areas behind it to increase overall density.

What are the benefits of using this technique?

When performing a Perkutan hair transplant, the medical team considers the elasticity and thickness of the scalp, the calibre of the hair follicles (fine, normal, or thick), and the degree of baldness, then opens the channels in a way that avoids damaging existing hairs.

The main benefits of the Perkutan method include:

• Achieving high density, often around 70 follicular units per cm², compared with a natural density of about 90–120 units per cm².
• Faster healing and less formation of scabs in the implanted area thanks to the very fine incisions.
• More natural‑looking results due to precise control of the angle and direction of each graft.
• In density‑increase procedures, the use of ultra‑fine needles helps protect existing hairs so they are not harmed while new grafts are implanted between them.

Can I choose this method for my hair transplant surgery?

There are two main techniques used to open channels in the recipient area: the Perkutan method and the micro‑fibromatology method.

The most suitable option is decided during your medical consultation, because it depends on several individual factors.

Key factors the medical team evaluates before choosing the Perkutan technique include:

• The pattern and degree of baldness on the scalp.
• The quality of the donor hair (thickness, density, and colour).
• The thickness and elasticity of the scalp skin.
• The size and length of the grafts needed to achieve the desired density.
• Any previous scalp conditions or general medical issues.

Based on these elements, the doctors select the safest and most effective method for your case, and you can always contact Clinicana for a free, no‑obligation assessment of whether the Perkutan hair transplant technique is right for you.