Service details

Simultaneous Graft Placement/ SGP

Simultaneous extraction and placement of FUE grafts is a novel technique of hair restoration that improves the efficiency and growth of transplanted hair. FUE hair transplantation has been gaining in popularity the last few years over the more traditional methods of hair restoration. Along with the increase in the number of FUE patients, we have been improving the efficiency of our procedures. The survival rate of FUE grafts has been the subject of many studies in the last few years. Included in those studies were comparisons of strip and FUE follicular grafts and comparisons of the FUE grafts that have been implanted by forceps and implanters. We now have more information about the methods we have available to minimize the manipulation of the fragile FUE grafts and how to improve our growth rate even more.

Service details

What is Simultaneous Graft Placement (SGP)

Simultaneous Extraction and Placement FUE is based on some modifications of our previous methods and some of our equipment that allows us to implant the extracted follicular unit grafts into the recipient areas shortly after they are extracted.

There are several elements involved in performing simultaneous extraction and placement techniques such as:

Creating Premade Sites

Chasing method of graft harvesting

Serial Extraction and Placement

Placement of Grafts with Double Forcecep Technique

In Vivo Grafts Preservation Technique

Use of magnifying loupes with high focal length


Hair transplant was traditionally done through a strip method so the initial FUE procedures in most hair restoration centers were not far from the extracting and placing of grafts in strip procedures. That consisted of harvesting all grafts, then making sites before placing them. With the old method, the grafts could stay out of the body for about 5 hours on average. This is one of the Major reasons for hair transplant failure.  Hence, there is a constant effort and struggle by the team to reduce this “out of body ischemia time” The use of premade sites in our FUE procedures has improved our average out-of-body-time (OBT).

The next step was to use the Serial Extraction and Placement method. This method involves breaking down the time of a procedure to two or three sessions to minimize the time that each graft has to stay out of the body. The shorter time grafts stay out of the body with this method is expected to maximize the viability of the FUE grafts. We have been successful in decreasing this time to less than only 30 minutes.

Our next step was to change the patient’s head orientation so a placer could implant grafts while the extraction was in process. It was challenging at first for the team of 3 to be able to do scoring and pulling grafts while implanting them at the same time. As our team became more acquainted with extracting and placing at the same time, we have improved our flow even more by having hair transplant technicians use magnifying loupes with longer focal distance. This allowed the team to keep working with a proper magnification while keeping a longer distance from the head of the patient. Our team has reduced the out of body time of grafts to about thirty minutes to one hour on average using simultaneous extraction and placement methods. This method has also reduced the overall time of the procedure. 

Your results depend upon how fast the grafts are moved from the donor area to the recipient area. Only good efficient teamwork and the best technique makes this possible. This is essential for a great outcome.


At Dermaplast, we have taken all the benefits of the inherent philosophy of DHI technique and utilized it towards better harvest and placement of grafts. Our team has never settled for the status quo in the last decade and is constantly striving to improve the quality of our hair restoration procedures. We believe in staying at the forefront of hair transplant methods rather than following trends in this medical field. We remain committed to providing the most current hair restoration techniques in order to give our patients the results they desire

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