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Is NeoGraft the Best Hair Transplant Method?

I Keep Seeing NeoGraft on the News. Is This Best Way to Do Hair Transplatation Now?

Doctor Answers 37

Experience of Your Surgeon is *Much* More Important Than Any Method or Machine Used.

NeoGraft was introduced about 5 years ago, and is simply a machine that a physician (or, more likely, a technician) uses to perform the follicular unit extraction (FUE) procedure.  It is more or less a motorized, hand-held circular punch, attached to suction.  I attended a physician's office in Florida in 2009 for a demonstration of the NeoGraft device.  I've been performing FUE procedures since 2003, and I was very interested to see this device.  While at this meeting, hosted by the NeoGraft corporation, it was interesting to note that I was the only dedicated hair restoration surgeon in attendance.  The others there to see and perhaps purchase the machine were spa owners, obstetricians, several family practice doctors, and a few business managers for doctors who dabbled in cosmetic surgery in general.  I was pretty surprised.  The graft placement feature of the NeoGraft device with positive pressure is a gimmick, as I asked the head trainer for the NeoGraft corporation to place a graft using this.  We were observing an live procedure, and we watched as he tried several times, but was not able to place a single graft with the machine.  

NeoGraft has done a tremendous amount of marketing, and I see physicians who have never done a hair transplant around the country acquire this machine, piggyback on the marketing done by NeoGraft, and start to offer this complicated, and permanent procedure to the public.  In much of the country, the doctor will simply hire a technician (the going rate for a NeoGraft tech in Atlanta is $70/hour) to perform the procedure.  It should be noted at this point that hair restoration technicians have the same exact medical training requirements as grass cutters: absolutely none.  The physician only need sign the papers and be on the premises.  No joke.  So, whether using the NeoGraft, or the much more advanced ARTAS robotic hair restoration system, or any other device, including a 50 cent 1mm biopsy punch, it is the experience and dedication of the surgeon and his team that will determine the outcome.  

Hair Restoration is it's own specialty now.  There's a global society (the International Society of Hair Restoration Surgery) and a Board.  Choosing a surgeon 100% dedicated to hair restoration is paramount.  If "NeoGraft" suddenly appears on a long list of other procedures a physician offers, I would be wary, as it is unlikely that the physician has a full-time, highly-trained team of hair restoration technicians, and is just hiring one of many "hired gun" technicians that will arrive at the office, and do the procedure for $70 an hour.  There are hundreds of subtleties and nuances in hair restoration, and assuming that because a physician now offers NeoGraft, in addition to all the other procedures offered, will be competent and excel at hair restoration surgery is simply foolish.  Look at the experience and dedication of the surgeon who will be performing the surgery, and make sure technicians are not actually the ones who will be performing the surgery.  Also make sure the physician you choose is actually a trained surgeon.  The majority of hair restoration "surgeons" are, in fact, not trained in surgery at all, and hold no board certificates in any surgical specialty whatsoever, so examine your physician's credentials carefully.  You should feel perfectly comfortable asking for a copy of the surgeon's resume to review.  Look for many years of dedication exclusively to hair restoration, not just cosmetic surgery in general.

This problem is so rampant and common that the International Society of Hair Restoration Surgery, the global community of physicians practicing hair restoration, issued a consumer alert about this issue.  I see patients every month who had a hair restoration performed by a technician with the NeoGraft device presenting to our office asking for help; asking me to repair the unnatural looking hair transplant results.  This is often very difficult, and occasionally impossible.  Because as we say in this specialty, "the good thing about hair restoration is that it's permanent.  The bad thing about hair restoration is that it's permanent."  Consult with more than one surgeon, make sure he or she is actually a trained surgeon, and get a feel for who you think will be the best for you.  A machine absolutely does NOT guarantee good, or even acceptable results.

Atlanta Hair Restoration Surgeon
5.0 out of 5 stars 39 reviews

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Having placed over 500,000 grafts with the device, automated FUE has proven to be a superior alternative to decreasing the morbidity associated with strip surgery.  You must consider the experience of the physician using the device.  It has a steep learning curve and in the right hands, much like many other procedures, offers a safe alternative to the conventional strip method.  



Dr. Malouf

Peter Malouf, DO
Dallas Dermatologist
4.5 out of 5 stars 82 reviews

NeoGraft Device for Hair Transplant

I am disappointed to see as many inaccurate statements in the above comments, and unfortunately they only serve to further confuse the public.  NeoGraft is a device that removes follicular unit grafts one at a time-  a well-used technique called FUE.  Just because the NeoGraft device is used does not mean that this is the only way to do the FUE technique, nor is this a guarantee of a high rate of regrowth.  It is only a tool, that does not assure an aesthetic result.

Jeffrey Epstein, MD, FACS
Miami Facial Plastic Surgeon
5.0 out of 5 stars 63 reviews

NeoGrafts verses Other Hair Transplant Instruments and Technologies

The Neograft device is a hand-held, powered Follicular Unit Extraction (FUE) tool that uses sharp edge dissection. Because Neograft relies on manual control and suction, it risks damage to hair follicles during harvesting from both the shearing of grafts from the suction and transection of follicles due to human operator error.

Instruments that address these shortcomings include the manual SAFE System which uses a two-step sharp-blunt dissection technique and doesn’t rely on suction and the ARTAS Robot which has these advantages and also use a robotic image-guided system to minimize human error.

Robert M. Bernstein, MD
New York Dermatologic Surgeon
5.0 out of 5 stars 2 reviews


I have had over 13 years of experience in hair transplantation, and I feel the NeoGraft FUE device is a great way of harvesting FUEs without leaving a visible linear scar on the harvest area (back of the scalp). Realize that some surgeons do the FUE with a manual skin punch and others use the new robotic hair transplantation system by Artas. Each of these have their place in hair restoration. I feel the NeoGraft is a great tool is harvesting large number of grafts (<2000) in the quickest time. However, it is dependent on the skill of the person using it. The Artas system uses a robotic system that is more consistent in graft quality results. I would not do NeoGraft if the case needed over 2000 hairs, since the surgeon might get fatigued and the later grafts might not be as good as the earlier grafts. Over 2000, I recommend the robotic system for consistent graft quality and results.

Best Hair Transplant Method

NeoGraft is a device used for FUE (Follicular Unit Extraction). Our office has been using NeoGraft exclusively for the past four years. With this technique we avoid the linear scar and reduce damage to the hair follicules extracted for our office. NeoGraft results are superior to traditional strip method.

Jeffrey W. Hall, MD
Austin Plastic Surgeon
4.5 out of 5 stars 15 reviews

FUE Hair Transplant with Neograft vs without

Neograft is essentially FUE harvest with a dental drill combined with suction extraction.  Very few hair transplant specialists use the pneumatic device to implant and as such this aspect is more of a gimic.  Other power assisted devices exist which are are also modified dental drills or dermabraders. The key feature is to avoid transection of the grafts which is best accomplished by using the sharped punches and careful handeling on removal.  This can be accomplished just as well manually if not better than with the use of the suction device. The future may be with Robotics however robotics does not eliminate the potential for transection as there is no tactile feel with a robotic device.


Arthur N. Falk, MD
Albany Facial Plastic Surgeon
4.5 out of 5 stars 9 reviews

Neograft Best method?

Neo graft is an instrument that is used to do FUE. Follicular Unit Extraction (FUE) is a revival of the old punch technique obtaining donor hair with a small circular cutting instrument. These punches are used to harvest follicular units one at a time from the donor area. Each harvest or extraction creates a small circular scar. Since this is a blind extraction from the surface, There are always some collateral damage to the surrounding hair thereby limiting the safe donor hair. Neograft has a bigger tip therefore leaves even larger circular scars and damaging more collateral hair. Since this does not require any training, many clinics that do not specialize in hair transplantation get these instruments and use it as a side job. Since your donor hair is limited, if the extraction is not done by a hair restoration specialist you may use up most of your donor hair, having thinned out donor area, and also damaged hair to use in the recipient area which limit any improvement from hair transplantation. So Is it a best method to do hair transplant? No it is not.

Michael Meshkin, MD
Newport Beach Hair Restoration Surgeon
5.0 out of 5 stars 4 reviews

Neograft Buyer Beware

I am very disappointed to see Neograft, an automated method of FUE promoted as the best method for hair transplantation. FUE graft survival is less than FUT graft survival. The Neograft machine in my opinion traumatizes donor follicles and results in poor growth and even poorer growth than other FUE methods.  I do not use the Neograft machine for my FUE procedures.There are numerous ads touting Neograft as a scarless procedure. These ads are false, misleading and an outright lie. For those of us who are full time hair transplant surgeons (less than 100 in the USA) and take our responsibility to our patients seriously do not lie to our patients. Many of us perform both FUE and FUT, desire perfection in our results and want hair restoration to be part of mainstream medicine.  The hype for Neograft is sickening. The vast majority of full time hair transplant surgeons do not use the Neograft machine. For the best artistic results and growth nothing replaces a skilled surgeon and their team of surgical assistants who has devoted their full time efforts to hair restoration. As you look for hair restoration do your research. You want to avoid a bad hair transplant.

Brian Goertz, MD
Seattle Hair Restoration Surgeon
5.0 out of 5 stars 8 reviews

NeoGraft is the best...

I have researched various hair transplant techniques and have concluded that FUE is the best out there.  I have researched NeoGraft for the last 5 years and came close to purchasing the device then but was not satisfied with a 82-85% graft survival rate. Now that the company has fine-tuned the process by putting saline in the suction tubing, graft survival is now up to 95% - impressive.  And I have seen this in my patients.  I only invest in technologies for my practice with proven results and greater than 90% satisfaction rating.  Everything else is not worth it.  And as you can see on Real Self, 100% satisfaction rating - that's no lie and a testament to the company and the Doctors that offer this great service.

T.G. Khan, DO, FACS
Fort Lee Oculoplastic Surgeon
4.5 out of 5 stars 16 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.