For those patients that desire a maximum number of transplants, but also a have a desire to utilize the most advanced technology, a combination surgery is the best option. For this method, Dr. Ross uses the ARTAS robotic technique to extract follicles from the mid-occipital region of the scalp, moving forward laterally. He then uses the Devroye handheld device to reach the additional areas in the donor region that the ARTAS machine is unable to reach (upper and lower occipital regions, temporoauricular areas).