* The idea behind the implanter device was simple: to combine the act of making an incision site in the recipient area and the implantation of an extracted graft into one act. * The Pen Implanter is a pen-like device featuring a hollow needle attached to a tube and plunger apparatus. * During a hair procedure with the Pen Implanter, the hair restoration physician and/or technicians loads harvested follicular units into the implanter pen. * Using forceps, the graft is placed gently into the hollow needle (at the end of the implanter) and handed back to the physician. * The surgeon then inserts the needle at an appropriate angle in the scalp (making the incision site) and implants the graft by pressing down on the plunger. * Normally, anywhere from 2-6 Pen implanters are used concurrently during a procedure, and the device comes in a variety of needle sizes to fit single, double, and triple follicular unit grafts. Advantage * Adequate graft survival rates * Decreased bleeding during recipient site creation * Reduced trauma during graft handling *Decreased time of surgery (with an experienced Pen Implanter team) due to the combination of graft site creation/implantation