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What to choose: ARTAS robotic hair transplant surgery or manual follicles transplant surgery (FUE) by a highly specialized surgeon? People suffering from alopecia and interested in hair transplant surgery frequently find information about the ARTAS robotic hair restoration procedure.

  1. Is the robotic hair transplant system really beneficial for the patient?
  2. Should the patient be satisfied that hair transplant surgery can be done by an automated, logarithmic and passive robot?
  3. Is hair transplant surgery associated with the ultimate aesthetics procedure of our body? Or is it considered a “production line” transplanting hair into non-personalized subjects.

Modern robotic hair transplant systems (including ATRAS) provide patients with many limitations. ARTAS technology is only licensed to extract follicles in dark-haired patients with straight hair. The disadvantage is the fact that men with fair, red or grey hair must first dye their hair to allow the robotic system to work properly.

However, it is well-known that even dark-haired people have different shades of hair color and weaker hair structure. That is why it is easy to make mistakes and damage healthy grafts during the robotic hair transplant procedure.

What is more, the ARTAS robotic hair transplant is problematic in patients with curly hair so they are recommended to undergo manual FUE hair transplant surgery. There are many false reports saying that the ARTAS robot works on its own without the doctor’s and medical personnel’s assistance. However, ARTAS is only the surgeon-assisted technology. The robot only extracts the follicles and creates sites for the grafts. The remaining procedures are done as in the case of other hair transplant techniques including FUE.

ARTAS or FUE hair transplant?

Dr. Piotr Turkowski emphasizes that key elements of the highest quality hair transplants are the following:

  • to determine the natural hairline
  • accurate and professional grafts selection for different recipient areas
  • and precisely prepared sites for follicles at appropriate angles and positioning in the recipient area.

All the above procedures are so challenging that they should not be performed by robots. They may result in mistakes in terms of medical and aesthetic effects.


ARTAS robotic hair transplant system

Marketing slogans saying that a robot is better than an experienced surgeon are inaccurate and misleading to patients. They should not be available to the public. A robot does not work on its own. People interested in technological innovations can find it tempting. However, when you consider choosing a hair transplant method and a surgeon, you should not experiment with your body and take only the surgery cost into account. A doctor’s professional skills and experience are of the utmost importance. Marketing superficial messages about robotic hair transplants are supposed to encourage people to use this method and hide its disadvantages. The same refers to ARTAS technology. Dr. Piotr Turkowski emphasizes that he does not follow new trends. His priority is knowledge, manual accuracy of hair transplants and natural final effect.

FUE hair transplant

Automatization or skills?

A skilled and experienced surgeon cannot be compared to an ARTAS robot which quickly extracts grafts. Experienced surgeons work quicker than robots but it is not so important. What is more, contrary to robotic hair transplant procedures a skilled surgeon is much more accurate and guarantees the highest standards of medical knowledge in the course of hair transplant surgery.

Dr. Piotr Turkowski points out that the world-famous hair restoration surgery specialists only focus on using improved FUE hair transplant devices and not robots.

Robot or human?

A human factor in the FUE hair transplant method is irreplaceable. A robotic hair transplant system does not provide natural looking results as compared to a manual FUE hair transplant technique. Hair transplant surgery results can be compared to permanent make-up or other aesthetic medical surgeries. The most important factors are skills and good taste which cannot be substituted by robots. Everyone expects to be treated individually in terms of precious health and body condition. It is important to take such factors into account when you decide to undergo aesthetic medical surgery. We should not follow defined patterns and instructions as e.g. in the case of life saving procedures.

Hair transplant clinic

When you look for a hair transplant clinic you should not only focus on the famous name or the advertisements. You should also pay attention to a doctor and his/her experience. The fact that a clinic uses the robotic hair transplant system does not guarantee a higher quality surgical result. The robot can only assist in the hair transplant procedure. Still the key factors of efficient hair transplant surgery are knowledge, experience and the professional skills of a surgeon and his team. In the majority of the most reputable clinics in the world doctors only use manual methods with micro drills. Patients considering hair transplant surgery should take the above facts into account.

ARTAS vs FUE – comparison

Below you can find photos from ISHRS (the international society of hair restoration surgery). The difference between the ARTAS (on the left) and manual hair transplant wound size (on the right). The effects of both methods used are unquestionable.

artas method

Hair transplant ‘art’

The manual FUE hair transplant technique can be compared to a unique painting technique. In particular a technique using a unique texture or a single brush stroke. They are not symmetrical, represent a piece of creative imagination and are considered a distinguished work of art.

    ‘Art is meant to disturb. Science reassures.’ – Georges Bregue

Similarly, hair transplant surgery procedures require sophisticated skills and good taste. Symmetrical and ‘artificial’ grafts positioning on the scalp performed by a robotic hair transplant system will not look natural. Therefore, a robotic hair restoration procedure can be compared to a schematic piece of art. They are similar but different. The choice is yours.

5/5 - (1 vote)


  • Sir
    The article published on my website about the ARTAS robot is the quintessence of experience from recent years regarding repair procedures in patients after ARTAS hair transplantation. This is not only my opinion, but the opinion of many hair transplant specialists and pioneers in this field. At present, hair transplant robots are simply inaccurate. I do not deny that in the future they will be so improved and will do most of the work that the doctor should do. However, currently the robot is highly inaccurate and underdeveloped. Beginning with the size of the punch, the limited donor area for transplantation, ending with incisions making in an unnatural way. The robot has no intelligence in the choice of hair follicles, it will not adapt different sizes of the punch to the size of the transplants, it does not decide about the depth of the graft collection, or the angle at which the punch should collect the hair follicles. It will also not decide how extensive the donor area for hair follicle grafting can be. ARTAS cannot make decisions other than those that have been programmed for it.

    • Awatar Michal Michal says:

      Hi Everyone,
      The above article by Dr. P Turkowski is a real eye opener and good guide before making decision what method of hair transplant to choose. I wish I came across this piece earlier so my personal story would have had a different outcome.
      Two years ago I have underwent a hair transplant with a use of Artas
      FUE in one of the recognisable clinics in Poland. Unfortunately the whole process of the treatment turned out to be an extremely disappointing experience. My initial research in the subject of hair transplant procedures convinced me that Artas FUE would be the right choice however now I understand it was the worst decision I have ever made! And I truly regret it!
      From start to end all went just wrong and my dream of having my good look and confidence back was just completely shuttered in 1 day! With final outcome of only 25 max 30% harvested transplants re-growth on my head I was devastated! Also the post-harvesting donor areas after the procedure did not look as good as I expected! With visible scarring and incisions marks after robot’s imprecise or I would rather say random punches. Which as stated by Dr. Turkowski in his article as well as my deeper research into this field proves to be less visible with manual FUE transplant method.
      However so far no clinics mention these kind of risks and only focus on positives of robotic procedure what blindfolds potential patients.
      Summarising on my Artas FUE disaster procedure I ended up with barely any hair growing back, lack of hair density in the donor areas and scarring! Not to mentioning the financial pressure and complete loss of self-confidence!
      Now I am trying to pick up the pieces with real hair transplant specialists and hopefully with time things will look better. But from perspective of time, better research, specialists consultations and liaison with similar
      patients cases I understand that manually driven FUE procedure gives you more guarantee for accuracy and precision of harvested hair follicles which leads  to a successful hair re-growth and quality of final effect.
      I have learned that it is important that your procedure is performed by a qualified doctors who specialise in hair transplantation field and not
      “cow-boys” operating a robot!
      I wish I could take back time as now I am more than sure I would have gone for human driven FUE procedure! Good luck and DON’T fall into the trap!

  • Awatar Eric Charles Eric Charles says:

    Dr. Turkowski, in your article, you make a number of bold and unsubstantiated claims, such as “Robotic hair transplant system does not provide natural looking results as compared to manual FUE hair transplant technique.”
    Can you provide the data to back this up? I’m willing to bet that in a blinded study you could not tell the difference between a patient with an ARTAS procedure or handheld FUE. Until you have that data, it’s not appropriate to make claims like that, just as you say it’s not appropriate for other doctors or manufacturers to make unsubstantiated or misleading statements.

    Some of the world’s most experienced and respected hair transplantation doctors in the world (who are also ISHRS members) use the ARTAS system. They would disagree with many of your assertions.

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