This older technique will consist of taking a strip of skin at the back of the skull 8 to 15 mm wide and whose length varies depending on the number of follicular units required.

The hair is shaved at the crown on a rectangular area. This area is then anesthetized locally.

The scalp tape is then removed and the wound is closed with suture or staples. The scar is totally invisible as long as there is hair of more than 1 cm on the back of the skull. This strip is then carefully cut by several assistants under the microscope to separate the grafts and thereby obtain micro-grafts of 1, 2 or 3 hairs.

The area to be grafted is then anesthetized locally and prepared by performing many micro-incisions to precisely determine the location of transplant transplantation. The grafts are then implanted one by one inside microincisions.