Scalp recipient holes are made 0.5 to 0.75 mm smaller than the donor graft. Minigrafts are placed in a random fashion over the recipient site, and into holes just slightly smaller than the diameter of the graft. The holes are placed one graft width or less apart from each other in the frontal hairline, requiring multiple transplant sessions. Micrografts are placed in front of the minigrafts to provide a transitional zone, mimicking a natural hairline. The holes and slits must be angled in the direction of the desired hairstyle.
Advantages are that fewer session are required and improvement is noted sooner.
Antibiotic ointment or cream is applied. The hair is then dried and styled. The patient may return to work, but should avoid bending, straining or lifting x 1 week. Shampooing is allowed. Local anesthesia in the scalp skin superior to the donor site is usually temporary, resolving in weeks to months.