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hair transplantation Delhi
Hair Transplantation Delhi
Follicular Hair
Transplantation The best technique for Hair Replacement in
bald areas
FREQUENTLY
ASKED QUESTIONS ON HAIR TRANSPLANTATION
What is Hair
Transplantation?
Hair transplantation is a surgical procedure
in which hair from the back and sides of the scalp is moved to
the bald areas.
When Can a Hair Transplant Be Done?
A Hair Transplant can be done in the early stages of hair
loss when the hair is just beginning to thin, as well as in
the later stages when baldness is more apparent.
In What Type of Baldness Has This Treatment Been
Helpful? It is most commonly used to treat male pattern
baldness. Hair Transplantation has, however, been
performed with excellent results in the treatment of genetic
hair loss in women, as well as in scars resulting from face
lifts and other facial surgery, burns, accidents, or as a
result of various hair loss diseases. This surgery is also
done to help replace thinning eyebrows and eyelashes.
How Long Will the Transplanted Hair
Last?
Transplanted hair should grow normally in the
recipient area as long as it would in the donor site from which
it was taken.
Do All Transplanted Hair Grafts Grow?
In almost all cases, the vast majority of
transplanted grafts should yield growing hair. Pre and
postoperative instructions are provided to minimize the risk of
graft injury and subsequent compromised growth. It is
important to realize that the number of hairs growing from each
graft will vary, depending on the density of the hair at the
donor site and on the size of the graft selected.
How is this Surgical Hair Restoration
Procedure Performed?
Hair Transplantation is a long office
procedure, which requires only local anesthetic. There is
initially some discomfort associated with the administration of
the anesthesia, but this is of very short duration. We have
developed techniques to reduce this discomfort, and most
patients tolerate this brief period very well.
The donor area (the back or sides of the scalp) as well as
the recipient area (the bald or thinning area) are made numb
with the local anesthetic. Up until several years ago,
round grafts (plugs) were always used throughout the hair
transplant process. The desired number of round grafts were
removed from the donor area and then transferred to the bald
area. Today these larger grafts have been mostly replaced
by smaller grafts (follicular units, micro, mini or slit
grafts), since these grafts produce a much more natural
transition from thinning or baldness to increased hair
growth. In most cases where very small grafts are used,
this surgery can be accomplished almost undetectably.
Specific recommendations are discussed at a personal
consultation.
When smaller grafts are to be transplanted, the
following technique is used:
The hair to be transplanted is trimmed close to the scalp,
and the desired amount of donor skin and hair are then
removed. This donor site is then sutured closed, resulting
in a fine scar which is only detectable on close
inspection. The donor hair-bearing skin is then divided
into very small pieces which generally contain 1-3 hairs.
These grafts are then rapidly inserted into small openings
made in the recipient area.
When there is a Large Area of Baldness,
is it Possible to cover the Entire Bald Area?
This depends on the size of the bald area as well as on the
donor area. When there is extensive baldness, a procedure
called a scalp reduction may be useful in order to decrease
the size of the bald area. Subsequently, grafting is done
as described above.
How Many Sessions are required in a Hair
Transplant?
The number of sessions varies, and will depend on the:
Area of scalp treated
Number and size of grafts used
Density of hair desired by the patient
Individual characteristics such as coarseness or
fineness of hair
Current stage of hair loss and future rate of hair loss
Timeframe in which patient wishes to replace lost hair
Is There a Minimum or Maximum Time
Period that is Allowed Between Individual Hair Replacement
Surgery Sessions?
Minimum time intervals will depend upon individual
circumstances. However, there is no maximum interval
between sessions. Certainly, the shorter the intervals
between sessions the more rapidly the hair transplant is
completed.
How long does it take for Transplanted
Hair to Grow?
The transplanted hair generally sheds within the first 2-3
weeks after the procedure and new hair begins to grow
approximately 2-4 months later. The hair then grows at the
normal rate of 1/2 inch each month. The transition from
thinning or baldness to greater fullness of hair is very
gradual.
What is a Scalp Reduction?
A scalp reduction is a procedure, which is performed under
local anesthetic in which a large bald area of skin is
removed. This leaves a scar on the scalp which must later
be camouflaged by grafting directly into the scar.
What is Scalp Flap Surgery?
Scalp flap surgery is a procedure in which an entire segment
of hair-bearing scalp is transferred into a bald area. This
is a relatively uncommon surgery and few surgeons perform
it. The risks include improper hair direction at the
hairline, as well as the more serious risk of partial or
complete loss of survival of the flap and the hair within
it.
Why Have I Seen Hair Transplants That
Have a Pluggy Look?
In the past, hair transplant surgery often resulted in a
very artificial look sometimes referred to as a pluggy,
doll's head or corn row look. This was
usually seen in the intermediate stages between hair
transplant sessions, or if a person decided not to complete
the
required number of surgeries. With the advent of
the tiny grafts being used today, the result can be very natural
even after a single surgery.
Are Lasers Used in Hair Transplantation?
Laser hair transplantation has been used with
some success. To date, results with lasers have been shown
to be inferior to those obtained with traditional non-laser hair
transplant surgery. For this reason, they are not in common use.
How Long After a Hair Transplant Would I
Be Able to Go Back to Work?
Depending on the type of procedure you have
done and the type of work you do, it is often possible to go
back to work in one or two days.
What are the Risks of Hair Transplant
Surgery?
Hair transplantation is an extremely safe out-patient
procedure that is generally without significant risks or
complications. However, as is the case in any surgery,
there are risks, and these are always presented and
discussed in detail at your personal consultation with the
doctor.
What Type of Preparation is required
prior to Hair Restoration Surgery?
All patients must have normal results to standard
pre-operative blood tests prior to confirming a surgery date
and arranging travel plans. Detailed pre-operative and
post-operative instructions are forwarded to each patient
prior to the surgery date. Patients also complete Consent
for Surgery form prior to the surgery.
Definition of FUE
Follicular Unit Extraction (FUE) is the most scientific &
advanced technique of hair restoration. In this procedure:
Hair follicles are extracted individually from the back side
of the head, beard or other body parts with the help of special
micropunches (size varying from 0.7mm - 1.3mm).
Implanted in the bald area of scalp, beard, moustache,
eyebrows or chest.
These transplanted hair grow, you can get a hair cut and
style them in whatever way you want.
Advantages of FUE
Stitchless
No linear visible scar
No infection or reaction to sutures
The patient can wear short hair
Virtually painless
Follicular Unit Extraction Technique (FUE)
Donor Area
The hair in the scalp are arranged in the form of groups called
grafts. Each graft consists of 1-5 hair. These grafts are removed
from the permanent zone of back and sides of the head. The hair in
these grafts do not have a receptor in the area of the hair root and
do not respond to the male hormone, testosterone. Also other sources
of hair include: beard, chest, abdomen, legs.
Recipient Area
These hair are then implanted in the recipient area.
FUE Hair Transplant
WHAT IS AN FUE HAIR TRANSPLANT?
Hair transplantation originated in Japan in the early
1900s and has evolved greatly over the past century. In the
1980s, as part of this evolution, came the advent of
follicular unit extraction (FUE). FUE, wherein the
practitioner extracts follicular units (natural groupings of
1 to 4 hairs) one at a time, is now the ideal method of
extraction for hair transplantation.
FUE hair transplant is a no-stitch procedure that
involves implanting the grafted follicular units into the
balding recipient area. While FUE hair transplantation
requires the practitioner to possess a higher skill set in
order to perform the procedure successfully, this technique
continually yields the most successful outcomes in hair
density, natural-looking hairlines, and minimized scarring.
FUE hair transplantation is generally pursued for the
treatment of androgenic alopecia, also known as pattern
baldness. This genetic hair loss condition results in
balding of the crown, front, hairline, and temple points.
But with the innovations of the FUE hair transplant, it is
nearly impossible to tell a natural head of hair from one
that has undergone hair transplantation.
FUE hair transplant patient before and after a
successful surgery.
PREPARING FOR AN FUE HAIR TRANSPLANT
Once you’ve had a one on one consultation with your
physician and decided to proceed, you will be given the
necessary instructions to prepare yourself for your day of
surgery. Some of these instructions may be tailored to your
particular needs. Put the instructions into place whenever
specified and follow them carefully. On the morning of your
surgery, you should have a bountiful breakfast and arrive
with a thoroughly shampooed scalp. Upon arrival at the
clinic, “before” photographs will be taken of you. The donor
area, being the back of the head in most cases, will then be
shaved and prepared for surgery.
Hairline design and blueprint for implantation.
WHAT HAPPENS DURING AN FUE HAIR TRANSPLANT
PROCEDURE?
First, the patient is made to lie face down on the
operating table. Local anesthesia will be administered to
the donor area, as well as intramuscular hypnotics for the
patient to ingest orally, for the purpose of relaxation.
Your surgeon will then begin to extract carefully
selected follicular units from the donor area. The surgeon
will use a micropunching tool, needle devices, and
magnification for the extraction process. (Vacuum-based mass
production machines may compromise your results, and robots
lack the necessary human touch that contributes to an
optimal procedure. These mass production line cookie cutter
FUE machines are at their primitive stages of development
with much room for improvement. They are no substitute for
an experienced FUE surgeon with a verifiable portfolio of
patient results.) Each follicle extracted may consist of
anywhere from one to four, or even five hairs. The extracted
grafts are then preserved in a holding solution. This part
of the surgery is the most laborious and time-consuming,
since unlicensed technicians are legally forbidden to
perform follicular extraction. Your FUE surgeon or an
experienced associate (one who is licensed to perform
surgery by the state) should perform this entire process
himself, to ensure the integrity of each extracted graft.
Body and facial hair are harvested in a similar but more
nuanced manner by experienced practitioners, skilled in
advanced forms of FUE hair transplant.
After all extractions have been done, the patient can
turn over to sit face up. Many would use this time to listen
to music, or watch a movie or television. Local anesthesia
will be administered to the bald recipient area at this
time. Using customized blades, microscopic slits are made in
this area for implantation of the extracted follicles.
Implantation of the follicles is the step requiring the
highest level of skill, as the resulting design or “look” is
determined by the slit preparation. Hairline creation, which
should have been discussed in detail during your
consultation, happens here. The hairline is the most
creative work in the FUE hair transplant process. The utmost
care is given to produce a natural looking hairline. In
order to achieve this, the follicles containing a single
hair are implanted at the front of the hairline to build a
gradual wall of hair, which is filled in by units containing
two to three hairs to provide the area with density.
Donor area immediately following transplant.
AFTER THE FUE HAIR TRANSPLANT PROCEDURE
After you receive detailed instructions from the medical
assistant—which include everything from showering to
exercising—you will be given a prescription for mild
painkillers, antibiotics, and topical medication.
Signs of wounding in the donor area should deplete by day
seven, as well. Typically, the donor area will continue to
heal to the point where scarring is highly unnoticeable.
Scabs in the recipient area will usually fall off within
seven to 14 days. This area will go through a phase of
shedding until the eighth week. Typically, your FUE hair
transplant will boast new hair growth by three and a half to
four months, usually maxing out at 12 months. However, for
up to 18 months, the new hair will continue to thicken and
mature, blending in more with the surrounding hair.
WHY CHOOSE FUE HAIR TRANSPLANT OVER DIFFERENT
HAIR RESTORATION OPTIONS?
There are different options for treating hair loss, not
all surgical:
Minoxidil, commonly known as Rogaine, and
finasteride, commonly known as Propecia.
Surgery is the most popular means of permanent hair
restoration with three main techniques at the forefront:
scalp reduction
temporoparieto-occipital (TPO) flaps and other
variations of flaps
Punch graft, minigrafts, and micrografts
Hair transplantation, including follicular unit
strip surgery and FUE hair transplant
Rogaine and Propecia are the two FDA approved,
prescription-based hair restoration drugs on the market.
These drugs must be used continuously in order to stop hair
loss, unlike FUE hair transplantation, which is a permanent
procedure.
Scalp reduction and temporoparieto-occipital flaps, or
TPO flaps, have become obsolete due to consistently botched
results, a high probability of permanent scarring, and the
potential for nerve damage. Also, they are considered hair
restoration surgeries, unlike the FUE hair
transplant, which is transplantation surgery.
The FUE hair transplant is an improvement of the punch
graft technique. Punch grafts are 4mm grafts which result in
what we call “doll’s hair.” Another unsightly outcome
of punch graft surgery is the 4mm round bald marks left
permanently on the back of the head. Minigrafts and
micrografts were developed as an improvement of this method,
but still yield unnatural, pluggy-looking results as
compared to FUE hair transplant.
First-time FUE hair transplant patient sees successful
results.
FUE Hair Transplant vs Strip Surgery:
Follicular unit strip surgery (FUSS) also known as “strip
harvesting,” is considered the traditional method and has
been the recent leader in hair transplant surgery. FUSS
extracts a strip of flesh from the rear and/or sides of the
head, which will be microscopically divided to provide donor
follicles for transplantation. A
disadvantage of FUSS is that it promises a permanent
linear scar to be left as a result. The patient must then
wear a longer hairstyle in order to conceal the scar.
FUE hair transplant does not extract follicular units in
a strip of flesh like FUSS. This means FUE hair
transplant is more labor intensive for practitioners,
requires longer operation time, and is more expensive for
patients. However, consumer demand agrees that the pros of
FUE hair transplant as compared to FUSS far outweigh the
cons. FUE hair transplantation offers:
A less invasive procedure
A quicker recovery time
The possibility to use finer hairs, such as those
found at the nape of the neck, to better refine the
hairline
No linear scarring; only tiny round, cosmetically
negligible marks in the donor area. This also means
patients will be free to wear short hair styles, not
bound to long hair styles for concealing a strip scar.
Less likelihood of permanent nerve damage.
An infinitely larger pool of donor hair, as FUE hair
transplant enables body hair transplantation (BHT)
Body Hair Transplantation:
Furthermore, advanced FUE practitioners such as Dr.
Umar—a pioneer and world leader in this technique—are able
to markedly broaden the pool of donor hair through the
advent of body hair transplantation. BHT allows for the
extraction of donor hair from the beard, chest, stomach,
arms, and legs, with cosmetically negligible scarring.
Patients who lack head donor hair and were therefore
considered poor candidates in the past now join the ranks of
potential FUE hair transplant patients.
FUE hair transplant repair using non-head hair.
GOOD CANDIDATES FOR FUE HAIR TRANSPLANT
Potential candidates for FUE hair transplant using head
hair only are those who do not suffer a total depletion of
scalp donor hair. An FUE clinic that does not practice BHT
would be unable to service a patient without sufficient head
hair remaining in tact.
A clinic that does put body hair transplantation into
practice, such as the Empathy Clinic of Los Angeles, would
be equipped to service patients whose scalp hair loss is so
severe that their head donor hair is not sufficient for
transplantation. This includes FUE hair transplant patients
who:
Suffer from severe pattern baldness
Have excessive scarring from previous surgery
Have endured some sort of accident or burn that has
left them bald
POOR CANDIDATES FOR FUE HAIR TRANSPLANT
While follicular unit extraction using body hair
transplantation has changed the face of hair loss, there
remain some people who still will not qualify for this type
of surgery.
People who lack the supply of good quality head,
body, or beard hair will not be candidates for any type
of FUE hair transplant, even with the use of BHT.
There is a relative contraindication for hair
transplant generally in patients who are too young,
i.e., below the age of 24. This is due to the fact that
a person under the age of 24 who suffers from androgenic
alopecia has likely not finished balding. Also, this age
group may be psychologically and financially unprepared
to grasp the long term implications of hair transplant.
That said, after careful counseling, even young patients
can undergo an FUE hair transplant. Counseling must
fully take into account: future hair loss, total
available donor pool, and the patient’s ability to
countenance future follow-up transplantation (which
could create an unnatural look if not done).
Some People with extremely curly or kinked
follicles, such as most of African descent. These
patients should ideally under go a test procedure to
determine their transection rates and consequently their
suitability for FUE hair transplant.
People with an abnormal tendency to scar, as in scar
hypertrophy, or keloids.
People with bleeding or clotting abnormalities.
People with allergies to local anesthesia.
Would have been a poor FUE hair transplant candidate
without BHT.
FUE hair transplant on a younger patient.
COMPLICATIONS OF FUE HAIR TRANSPLANT
Follicular unit extraction is a safe and minimally
invasive method of hair transplantation. Patients can
minimize their risk by following all pre- and
post-procedural instructions and by selecting an experienced
surgeon. However complications may yet arise even in the
best of circumstances. Factors that increase the chance of
complications of FUE hair transplant could include:
Physiology of the patient
An inexperienced practitioner
A practitioner who values quantity over quality
A practitioner who abdicates his skills to
unlicensed personnel or flawed machines ( eg vacuum
based technologies or robots that lack the human touch)
Unknown and unforeseen complication factors may
arise on rare occasion
WHY FUE TOOLS SUCH AS NEOGRAFT AND ARTAS COULD BE
THE WRONG OPTION
In the opinion of the author, “hands-free” extractors
such as the artas robots and vacuum suction are fraught with
to many potential problems to be the answer for your FUE
hair transplant. No automated device can discern a prime
follicular unit as an experienced physician can, nor extract
it with the care required to preserve its life for
implantation into the recipient area. While the NeoGraft and
Artas are both faulty for this obvious reason, they also
each carry individual problems.
NeoGraft:
Uses an air vacuum to extract donor follicles. This
very mechanism opposes the nature of FUE hair
transplant, as it dries out the follicle, potentially
killing it.
When used to implant grafts, it would not
allow follicles to be tightly packed into the recipient
area, as the implantation device is too large for such
specificity.
The vacuum sucked follicle on its way to the
receiving bottle will collide violently against
the tubing of this device, further harming it and
compromising its survival.
If used to place grafts in the recipient would
increase the risk of buried grafts due to the relative
loss of depth control. This leads to cysts and pitting
on the scalp.
Artas:
Higher transection rates of up to 15% has been cited
for this device although its manufacturer’s and vendors
claim the transection rate is improving with time, this
is difficult to ascertain at this point. In the hands of
an experienced FUE practitioner a transection rate
of 2-5% is common.
Can only be used on people with straight dark brown
or black hair.
Since it uses a sharp punch followed by a dull
punch, there is an increased risk of buried grafts s the
dull punch may push the partially separated grafts
furthe into the scalp increasing the risk of cyst
formation, not to mention the graft that is damaged in
the process.
Since the machine would have punch out hundreds of
grafts before the physician typical check in, if
transection rates are high, many grafts would have been
wasted before the procedure is aborted.
It is a cumbersome process. The patient is placed in
a particular position while an area of about 5 by 10 cm
is isolated for the machine to gauge. The distance from
the machine is set. The machine then goes to work.
obviously any movement on the patients path would be
problematic. After this area is worked, the physician
then removes the grafts with a forcep. Then the process
of strapping the patients head in a different position
and machine calibration is done all over again. The
procedure is clearly too cumbersome for the patient and
not efficient when compared to an experienced FUE
surgeon using a hand held device to feel around each and
every grafts as it is removed. Control is by the seconds
rather than between hundreds of graft separation.
FUE HAIR TRANSPLANTATION CONTINUES TO PROVE ITS
VALUE
The FUE hair transplant is, hands down, today’s leading
surgical technique for hair restoration. While it does
require practitioners to take their time implementing the
utmost skill, the life-changing results patients enjoy makes
it a highly rewarding process overall. FUE hair transplant
using body hair transplantation has also become much more
widely used and accepted because of its undeniable success
rates in the hands of experienced practitioners
Growth of transplanted hair
after surgery
The transplanted hair grow for 2-3 weeks, then the hair shafts
fall off, the roots remaining in the scalp and the shafts start
coming back after 2-3 months of surgery.
The hair come back at a very slow pace and a great deal of
patience is required during this period. About 40-50% hair come back
after 6 months and 75% after 9 months and about 90% of transplanted
hair come back after 1 year of surgery.
FUE Post OP Instructions
After the surgery, you will have minimal discomfort but not that
much to keep you awake all night. It is advisable to lie down in
supine position and keep the towel at the back of your head while
sleeping.
Painkillers will be prescribed which you would require for first
3-4 days only.
Please do the forehead massage starting from the middle of your
head towards outside 10- 15 times a hour or 100-150 times in a day
for 5 days.
Please remove the back bandage (of donor area) on the 3rd day
after surgery. You can do this yourself. After removal start
applying antibiotic cream for 7 days.
Bandages on the forehead must not be removed till the swelling
goes off(may be 5-6 days).
Eat a healthy diet - ( high protein )
Non - Vegetarian :- Fish, chicken, eggs
Vegetarian :- Soyabean, paneer, daals, almonds, (with skin, 5-6
daily)
Avoid direct sun light, sweat for 2-3 weeks. No upper body
exercise/ heavy exercises (Gym) till 3 weeks.
You can follow your routine activity from the next day onwards.
Please use the spray to moisten the transplanted area, every 2
hourly for the first 2 days, then 4 hourly for next 3 days.
You can have shower on 5th day without hands, without shampoo.
On 7th day, have shower with baby shampoo, but no hands to be
used.
On 10th day onwards, normal shower with baby shampoo can be done
by using hands.
Microfollicular Hair Transplant Procedure
Hair transplant is a comfortable procedure performed
as a Day Care procedure, performed under local
anesthesia,while the patient may work on his laptop,
mobile or simply read a novel. After the numbing effect
of the local anesthesia has taken place.
A strip of hair bearing skin is taken from the back of
the head. This area is relatively unaffected by the male
hormones which are responsible for baldness. The hair
bearing strip is separated to single follicular units
under magnification. It is to be noted that each
follicular unit contains more than 1 follicle. A good
team performing hair transplant manages each unit to
contain 1-4 hair follicles. On an average each graft or
a follicular unit contain 2.5 hair follicles or hair.
While the assistants are separating grafts from
the strip, the surgeon makes micro slits in the area of
the transplant. This step is the most important step
since the surgeon decides the density of the transplant,
and the direction of the transplanted hair at this
stage. The next step is implantation of the grafts into
these pre formed slits. This procedure can take 3- 6
hours depending on the number of grafts. Usually these
two procedures are done side by side, so the whole
process can be expected to last 4-6 hours. For the front
of the head about 1500-2000 hair follicle units are
required. For a complete coverage, about 6000 units may
be required. It is preferable to make a second
replacement after 6-8 months.For 1000-1200 grafts, it
takes 3 hours, while a 2000-2200 graft session takes 4.5
hours.
Hair transplant for
bald areas
This involved
hair transplant in areas where there is no hair,
and that patch is effectively bald. Extremely
satisfying results are obtained in this group.
Hair transplant for
density increase
This is more
difficult, since any injury to existing hair is
to be avoided. Extremely satisfying results are
achieved. The instrumentation for this procedure
is slightly different.
Pre Procedure
Protocol
Patients are
required to complete a Consult Form ( ATTACHMENT
WITH THE MAIL. – SHOULD OPEN IN A DOWNLOADABLE
WINDOW WHEN CLICKED). Any medicines being used,
particularly anti diabetics, blood thinner
medicines must be revealed.
All patients should do the following tests –
Haemoglobin, blood sugar, blood urea, HIV,
HbsAg, Anti HCV. For patients above 35yrs, ECG
is also advised.
Rationale
The hair is taken
from the back portion of the head, which is
relatively resistant to action of male hormone
responsible for hair loss. Thus this hair
persists nearly life long. The hair that is
transplanted carries with it the genetic
property of its original position, so it resists
hair fall.
The techniques for hair transplant are -
Microfollicular hair transplant with
Strip procedure.
Follicular hair transplant – extraction
of roots one by one Body hair transplant –
use of hair from the chest, arms, pubic
area, underarms etc.
Refinements
Hair
transplant has undergone a number of
refinements. In the microfollicular technique,
the earlier used punches have given way to use
of micrografts. These are follicular units with
1-3 hair follicles, giving a very Natural hair
line appearance. The use of fine and delicate
instruments like microneedles, micropunches,
micro forceps etc have made handling of tissues
more delicate and with no damage to hair
follicles at all.
Use of microscopes and magnification has allowed
larger hair follicle harvesting and better
survival of grafts.
Long acting anesthetic agents, allow long term
pain relief, allowing the procedure to be more
comfortable.
Post Transplant Care
We advise
the following medicines and care after a
transplant -
Tablet levoflox 750 mg once daily for 5
days.
Tablet ketanov thrice daily for 5 days.
Nupatch 100 mg twice daily for 5 days.
Please keep the head band on for 3 days.
The purpose of the head band is to reduce
the swelling that occurs in the forehead
region.
Head washing is to be started on the 4th
day after removing the head band. The
washing is to be gentle over the
transplanted region, and scrub over the area
of the stitches to keep them clean. This
needs to be done daily from the 4th – 18 the
day
You will notice scabs around each hair
follicle, please do not pull them out, they
will wash off gradually
No showering is allowed for 3 weeks,
have a bath with mug
Baby shampoo is advised for the first 14
days
Stich removal is to be done on Day 14
Please avoid all exercises, gym,
exertion and even bending movements for 3
weeks
Please continue all medicines as had
been advised to you in the pre procedure
preparation form
Avoid smoking and drinks for at least 7
days. Smoking causes hair loss and you are
advised to quit smoking to maintain good
hair growth. Cigarettes contain nicotine,
which is responsible for hair loss
avoid t-shirts and round neck sweaters
for 3 weeks
avoid colouring your hair for 3 weeks
restrict the use of helmets to avoid
hair loss
Follow up schedule -
You will be asked to review at the
clinic at 14 days, 3 months, 4 months and 6
months post procedure.
Please remember that in the initial few
weeks ( 2- 6 weeks) the transplanted hair
will shed off. PLEASE DO NOT WORRY FOR THIS
HAIR LOSS since the roots are firmly in, and
hair growth will occur in about 3 months
post procedure.
Occasional pimples will occur in the
transplanted region. These are not a cause
for concern
Numbness in the front and back can
persist for 3 weeks or longer, please be
assured that this is temporary and will go
away on its own
Hair
transplant has undergone a number of
refinements. In the microfollicular technique,
the earlier usedThere are no side effects to the
procedure. if the patient undergoes the strip
technique the scar that is given is usually very
fine and invisible through the hair. No
complications are expected over the transplanted
region. Dandruff and acne must be prevented and
actively treated should they develop.
Follicular Unit
Extraction (FUE)
Follicular unit
extraction is a relatively new procedure for
hair transplant. This technique involves
individual extraction of follicular units rather
than the entire strip. This is useful in
patients who keep short hair and do not want the
scar to show.
The advantages of this procedure are -
Strip is not removed – thus no scar
more comfortable in the initial post op
period
very useful for small sessions, touch up
procedures, eyebrow, hair line procedures
Disadvantages of this procedure are -
lesser number of grafts can be done in
one session – a maximum of 1400-1600 grafts
( equivalent of 4000 follicles) can be done.
If requirement is more, then the next
session will be done after 3 months
there is about 10 % wastage of grafts
since this is a relatively blind procedure
of extraction
the hair per graft yield is a little
less than in the strip procedure due to
transection of some roots in the FUE
procedure
The result in both the techniques is
almost the same, there is almost no difference
in terms of density, distribution and appearance
after a transplant in the 2 techniques
Body Hair Transplant
(BHT)
Body hair
transplant utilizes the FUE technique to perform
chest hair transplant, beard transplant, axilla
hair transplant, pubic hair transplant. However
the density of hair in this region is very poor,
and often the grafts contain only 1 or 2
follicles. Further the growth cycle of body hair
is very slow, taking more than 6 months to start
their growth. Body hair transplant is reserved
only if scalp hair is not available.
Hair Transplant Surgery in Delhi - Frequently
Asked Questions
Why I need hair transplant i.e., surgery,
when medication and other non-surgical means
are available?
Medications
Medication can thicken and lengthen
(regrowth) hair in some and not in all
who take them.
Medication is effective at the back
(Vertex) and middle (Mid scalp) but
almost ineffective in the front (esp.
Hair line) where one needs the hair
most.
Medication can work only until you
keep taking if you stop taking
medication the benefits achieved by
medication soon start disappearing
(because the hormones once again start
working their ill effects). Medication
although reasonably safe should be taken
for lifetime –the idea normally puts off
many.
Medications although fairly safe are
not without any side effects
Other Non- Surgical means
Wigs and Concealers are other
possible solutions to baldness.
Concealers are temporary hair cosmetics,
good for thinning hair and as temporary
solution such as before going to party.
They require regular care and expense.
They are not cheap either.
As for the wigs: 10 reasons why
people don't choose wig
It gives constant feeling of weight
and discomfort in hot days.
Sweat cannot be cleaned properly and
bad hygiene can lead to skin problems.
Its fixing methods like weaving,
bonding, pinning etc. can pull on the
natural remaining hair and add to your
hair loss and can even lead to scarring.
It gives same look all the time that
looks and feels artificial and
unnatural. You have Fixed style all
hours of use.
Its high level of detectability
becomes a butt of jokes and teasing by
the friends, collogues and media.
Its cost run from few hundred
dollars to many thousand dollars
depending upon quality.
You need regular maintenance every
few weeks for the rest of your life.
Attachment may become loose- constant
state of low-level paranoia and anxiety
about his public discovery.
Long-term financial investment
because of regular maintenance may be
more than that of hair transplant
surgery. With life time maintenance &
few monthly replacement & frequent
visits to wig maker- it becomes very
expensive.
You need to change it every few
months.
Not done by doctors.
Surgery by Follicular Hair Transplant
is better in many respects
Hair after Hair Transplant Surgery
Looks and feels natural unlike wig and
concealer.
Hair after hair transplant surgery
remains undetectable among the other
hair.
After hair transplant surgery, hair
grows and keeps growing permanently
unlike the hair of wig and the regrown
hair by Medication.
After Hair Transplant Surgery, you
do not require extra maintenance or care
unlike wig, which require lifetime care.
The hair from hair transplant
surgery can be cut, colored and styled
as well.
Hair Transplant Surgery normally has
one time expense unlike medication or
wig which require lifetime expense.
Hair Transplant Surgery is a One day
Procedure performed by numbing your skin
so you can talk with hair transplant
surgeon , watch TV, listen to music,
read, take a nap, have lunch and juice
and even go to toilet!
No bandages at the end of Hair
Transplant Surgery.
You can take shoulder bath from the
day of the hair transplant surgery and
can shampoo your hair from 3rd day of
hair transplant surgery.
You can even do light office work
from second day of hair transplant
surgery.
If you are from out station you may
travel back on the day of the hair
transplant surgery or the next day.
Minimum follow-up is required after hair
transplant surgery.
What is the guarantee that, after
hair transplant surgery, the implanted
hair will grow? Why don't they too fall
under the effect of hormones like other
hair?
The Common Baldness or Pattern
baldness in males and Female is
programmed by heredity or genes i.e. the
hair in the top middle part of scalp
become susceptible to the effect of the
hormones and the fringe of hair at the
side and back remain genetically immune
to the effect of hormones. These hairs
grow permanently or at least till late
age and they also maintain their quality
unlike the susceptible hair of middle,
which shorten and thin out in caliber as
well. These hairs are called permanent
hair. In hair transplant surgery, we
remove the hair roots from permanent
area and graft them in front or any
other part of scalp or body they keep
growing like they used to do in their
native area. The hormones even in new
area don't affect these hair. Over 90%
of the implanted hair are destined to
survive with modern techniques of hair
transplant surgery.
Do I have to wait till all my hair
fall out or can I under go hair
transplant surgery to increase my hair
density?
Like any medical problem, one should
not wait for hair transplant surgery
till the last stage of manifestation of
deformity of baldness. As the density of
hairs gets down, one can safely plant
the follicles in-between existing hairs,
to compensate for the loss, without
looking bald.
Can girls and women undergo hair
transplant surgery?
Yes, girls and women can take
benefit of hair transplant surgery for
the correct indications.
Can hair transplant surgery be done
if there is no hair on head?
Usually hair transplant surgery is
refused if there is no hair on the
scalp. Body hair transplant can be an
inferior possibility.
Can hair transplant surgery be done
for eyebrow, moustache, eyelashes or
other body areas?
Thinning, total or partial loss of
eyebrow, eyelashes, moustache or beard
or sideburns since birth or due to other
causes like injury or burns can be
corrected cosmetically by Hair
Transplant Surgery.
At what age one can have hair
transplant surgery? Can a child undergo
hair transplant surgery? Can a 70 years
old person undergo hair transplant
surgery?
Age is no bar for Scarring baldness.
For pattern baldness unusually hair
transplant surgery is refused before 20
years and if the quality of donor hair
is good even at late age hair transplant
surgery can be done.
Do I have to undergo tests before
hair transplant surgery?
Yes usually you need to undergo the
following tests before hair transplant
surgery:
Complete blood count
HbSAg (Australian Antigen)
P.T & APTT
Blood Sugar (Fasting and Post
prandial)
H.I.V.
What care do I take before hair
transplant surgery? Pre operative Care
Before hair transplant surgery:
In order for us to provide you with
the highest quality medical care; the
following instructions are important for
you to follow:
Medications: Do not take
aspirin & other blood thinning
agents, Betablockers (for Blood
Pressure), anti-inflammatory (like
Ibuprofen, etc), Tricyclic Anti
depressants & MAO inhibitors,
multivitamins including vitamin B, a
week prior to your hair transplant
surgery.
Avoid alcohol for a days
prior, & tea/coffee on the
day of hair transplant surgery -
that may increase bleeding.
Don't smoke at least 24
hours prior to hair transplant
surgery –that will reduce healing.
The morning of your hair
transplant surgery take a bath
or shower and wash your hair
thoroughly using regular
shampoo. After shampooing, please
rinse thoroughly and use a fresh
clean towel to dry your hair. Do not
apply sprays or gels to your
hair. If you wear a wig,
please make sure it is removed prior
to your morning shower and not
replaced before your hair transplant
surgery. Wear cap after
shampoo to keep the hair free of
dust.
Eat light breakfast the
morning of your hair transplant
surgery..
Wear comfortable clothing
the day of your hair transplant
surgery. avoid T shirt or thermal.
Wear simple shirt.
Please do not bring any
valuables to the clinic on hair
transplant surgery day.
You may be receiving medications during
the hair transplant surgery that can
make you drowsy. Because of this we
strongly recommend not to drive home the
day of your hair transplant surgery. If
you are unable to have you driven home.
If you are coming from far we will
arrange for lodging at a hotel near our
office so that you may stay overnight.
Can I talk or meet your previous hair
transplant surgery patient?
Yes we can arrange that on personal
meeting with hair transplant surgeon or
in one of our seminars.
How much will hair transplant surgery
cost?
For the scalp area hair transplant
surgery cost is $3.50 to $4.00 per
follicle . The cost is different for
special areas like eyebrow, moustache,
and beard etc.
How do I make payment for hair
transplant surgery?
By cash is most preferred other
modes you may personally enquire.
I come from outstation can I get pick
up facilities from station, or Airport?
Yes, on few days' prior information
we can arrange that.
Can my accommodation be arranged?
Yes, on few days' prior information
we can arrange that.
Can hair transplant surgery be done
if I am Diabetic or if I have Blood
Pressure or other medical problems?
Medical problems under good control
by medication do not stop you from
undergoing the hair transplant surgery.
What are the side effects and
complications of hair transplant
surgery?
Hair transplant surgery is one of
the safest procedures devised by medical
science and leaves you with hardly any
long-term problems. Discomfort, swelling
of forehead, numbness at the back
trouble you only for a while. Serious
complication with competent hair
transplant surgeons is unheard of.
Can hair from other parts of my body
be transplanted?
Technically hair transplant surgery
from other parts of the body is possible
but hair follicle from the other parts
of the body when planted on the head,
does maintain its genetic
characteristics, and hence it does not
look, feel and grow as good as scalp
hair.
Do I need to get my hair trimmed
short before the hair transplant
surgery?
We recommend, not to undergo short
trimming. Longer hair may make our
plantation a bit difficult but these
existing long hair will help to hide
(cover) plantation site and donor site
in such a way that no one can make out
that you have under gone hair hair
transplant surgery.
How many follicles will I require for
hair transplant surgery?
Number of follicles required for hair
transplant surgery is based on factors that
vary among individuals.
Degree & Progress of hair loss.
Hair characteristics
Area where hair transplant surgery
is desired
Expectation by patient
The total number of hair on the head remains
the same as before or after Hair Transplant
Surgery. The hair root from 'permanent hair
growing area" from the back and side of the
head (medically known as Hair Bank or Donor
Area) is transferred to the front and /or
top of the head. In Hair Transplant Surgery
no new hair is grown. Only the transplanted
hair roots are arranged in such a way that
head looks fuller with hair.
We have approximately 1,00,000 hair on head.
In the last stage of baldness i.e. Stage 7
baldness; he is left with almost 25,000 hair
on the back and side of his head (medically
known as Hair Bank or Donor Area). From this
area, we can harvest up to 60 % or 15000
hairs, without looking obvious. One sq. cm
of Donor Area contains 100 follicles, but
each follicle (Root) may have either 1.2.3
or 4 number of hair. If you have more
follicles containing 3 or 4 hair, you will
have more density than one having 1 or 2
hair in each follicles. On an average each
hair follicle contains 1.5-to2 hairs. So, on
an average 100 follicles will contain up to
200 hairs. 15,000 hair means up to about 7
500 follicles are available for transplant
from your donor site. These follicles are
planted in such an artistic and Staggered
pattern to create what is called an
Organized Disorder Pattern over the bald
area that head looks full of hair. Hair
transplant surgery is the combination of Art
and Science both, which gives most natural
result.
Normally, you have density of 100
-follicles/sq cm on the head. We do not see
the bald skin until we lose up to 60% of
hair in the area. So in view of the limited
availability of longer lasting follicles in
the bank, we should aim for the maximum
density of up to 40% plus /Sq.cm esp. in
vital areas like frontal forelock. You do
not get the same density all over, as before
but you can make it look like near normal
density.
It goes without saying for the Number of the
hair that " More the merrier". But
unfortunately you have 4 acres of seeds to
be used for 12 acres of land! On an average
6 to 7000 follicles should be distributed
for a person with Grade 7 baldness. The
number is often the minimum requirement i.e.
What density will I get after hair
transplant surgery?
Hair Density (mass or fullness) is
more with
Length of each hair
Thickness of hair
Number of hairs per sq.cm. (Density)
Acuteness of angle of exit of hair
from the skin. This factor depend on the
artistic ability of hair transplant
surgeon
More perpendicular (coronal)
direction of hair to the hole while
inserting hair follicle. This factor
depend on the artistic ability of hair
transplant surgeon.
Number of Hair per follicle like,
3-4 hair per follicle give more density
Curliness of hair
Low Contrast between color of hair
and color of scalp
Time: Hair starts growing after
about 8 to 12 weeks from plantation and
continues to grow at the rate of 1 cm
per month. So, only with the passage of
time, the hair mass will increase.
Normally, you have density of 100
-follicles/sq cm on the head. We do not
see the bald skin until we lose up to
60% of hair in the area. So in view of
the limited availability of longer
lasting follicles in the bank, we should
aim for the maximum density of up to 40%
plus /Sq.cm esp. in vital areas like
frontal forelock. With hair transplant
surgery, you do not get the same density
all over, as before but you can make it
look like near normal density.
DURING HAIR TRANSPLANT SURGERY
What Time Hair Transplant Surgery
Takes?
Hair Transplant Surgery takes Only a
day that you have to spare. Hair
Transplant Surgery takes 2-8 hours
usually depending upon the number of the
follicles to be implanted .
Do I have to bring someone with me?
It is not necessary but you cannot
drive back home after hair transplant
surgery. You may hire a vehicle or some
one should drive you back.
Will it pain at the time of hair
transplant surgery and afterwards?
We take utter care so that you
remain comfortable while numbing your
skin after that the hair transplant
surgery is pain free. Pain killer
tablets take care of some discomfort you
may have in the donor site for 2-3 days.
Grafted site virtually remains pain
free.
Will there be any bleeding during
hair transplant surgery?
After all you cannot cut skin
without few drops of blood shedding but
it is not significant.
Will there be any effect on my mind?
This is one of the safest surgeries
devised and it limits itself to the skin
your brain remains much deep beneath and
safely protected in the natural helmet
of your skull.
If hair transplant surgery lasts long
how shall i have my lunch?
We usually provide some snack
hygienically packed and juice etc as
well during the break hours for you.
How do you implant the hair? Do i
have cuts and stitches?
This will reduce the possibility of
micro trauma to the follicles. There are
micro punctures done but there are no
big cuts or stitches taken at the site
of grafting.
Do you do megassion and dense
packing?
Megasession of over 1500 grafts
usually up to 3500 follicles in one day
has benefit of avoiding multiple small
sessions for bigger area of baldness. We
do it routinely due to our well-trained
team of over 8 people. Dense packing
consumes many more grafts because one
sq. c.m. is implanted with 25 to 50
grafts. This is normally done in the
area of frontal forelock so as to have
fullness in the front without exhausting
the donor area.
AFTER HAIR TRANSPLANT SURGERY
What is the after care of hair
transplant surgery? Post-operative
instructions.
You will leave the hair transplant
clinic on the same day with no bandages
on - but you should wear a cap for a
week to protect grafted from dust, sun &
heat.
Take medications as directed. (Avoid
Aspirin for 2 weeks)
Sleep in the position in which
you're most comfortable but sleep with
the head on 2-3 pillows for a few
nights.
Place wrapped ice pack on your
forehead & eyes but not on the graft
sites for 48 hours to avoid swelling.
Swelling will go away in a few days of
the hair transplant surgery. These days
swelling is uncommon due to medications
taken post operatively.
After 6 hours of the hair transplant
surgery shampoo the graft site & donor
site gently without rubbing and wash the
head with shower. Blow dry or dry
without rubbing the graft site until all
scabs fall out.
If bleeding occurs apply a light &
steady pressure for 20-30 minutes with a
clean cloth at the site of bleeding.
Sutures in the donor area gets
dissolved & need not be removed.
Avoid alcohol for 48 hours after
hair transplant surgery.
Avoid smoking for as long as you can
after hair transplant surgery.
No swimming in chlorinated water for
2 weeks after hair transplant surgery.
Rest for 1 day after hair transplant
surgery.
Light work for a week after hair
transplant surgery.
Heavy work, exercise or sex after 2
weeks of hair transplant surgery.
Visit your hair dresser for hair cut
after 3 weeks & for hair styling after 6
weeks of hair transplant surgery.
Diet: Healthy nutritious diet with
more proteins is beneficial. A diet that
contains high quantities of animal fat
can lead to an increase concentration of
testosterone in the blood stream,
increasing your risk of hair loss. High
protein diet in pulses, milk, and white
of egg, red meet and fish are good.
Green vegetables and fruits are good
source of minerals and antioxidants. A
lot of water keeps your hair texture
good.
Cold laser for 3-6 weeks if
prescribed.
You may be receiving medications
during the hair transplant surgery that
can make you drowsy. Because of this we
strongly recommend the not to drive home
the day of your hair transplant surgery.
If you are unable to have someone drive
you home after your hair transplant
surgery and you live near our office we
can arrange to have you driven home. If
you are coming from far we will arrange
for lodging at a hotel near our office
so that you may stay overnight.
Report to the hair transplant clinic
or call the hair transplant surgeon if:
any excessive pain or excessive
bleeding
any rise in temperature over –
100oF
sudden swelling of forehead or
eyes
How will the result of hair
transplant surgery look?
Advantage of follicular hair
transplant surgery is that the result is
not only natural looking and natural
feeling but hair transplant surgery
remains undetectable.
If hair transplant surgery is a day
treatment will I have full-grown hair
when I leave the hair transplant clinic?
The treatment of grafting the hair
roots is over in few hour of the day and
you may have short hair sticking out
from the roots but it takes 8-18 months
for the full grown results (average 1
year).
What time it takes to grow hair after
hair transplant surgery?
The hair start sprouting by average
3-4 months and it takes 8-18 months for
the hairs to grow in length and
thickness.
What care will I have to take for the
newly grown hair?
You don't need any special care for
the newly grown hair after hair
transplant surgery, at least not more
than your other hair.
What if the implanted hair falls?
Implanted hair fall within first
month of hair transplant surgery. The
transplanted root form new hair in 3-4
months time. They become of combable
length by 6-9 months and grow like any
normal hair i.e. In cycle. So they may
cyclically fall and in few weeks also
start re-growth. The final result is
achieved by 1 to 1 and a half year when
the texture and thickness of
transplanted hair becomes fully mature.
How long do I have to take rest after
hair transplant surgery?
You may not require rest but rest of
2-3 days may be sufficient. You should
avoid heavy exercise or sex, weight
lifting etc. for a week or more after
hair transplant surgery.
When can I go for swim?
10 days after hair transplant
surgery.
When can have my haircut? When can I
shampoo, style, and colour my hair?
Haircut is possible after 3 weeks
and colour and styling after 6 weeks of
hair transplant surgery.
Will I have bandages or dressing?
You leave the hair transplant clinic
with no bandage. But it would be wise to
use baseball cape when outdoors, to
protect from sun, dust and pollution for
2 weeks.
Can I drive back home?
You may be receiving medications
during the hair transplant surgery that
can make you drowsy. Because of this we
strongly recommend not to drive home the
day of your hair transplant surgery. If
you are unable to have someone drive you
home after your hair transplant surgery
and you live near our office we can
arrange to have you driven home. If you
are coming from far we will arrange for
lodging at a hotel near our office so
that you may stay overnight.
When can I work?
Usually from the day after hair
transplant surgery for the light work
but heavy work is avoided for 7-10 days
after hair transplant surgery.
When can I take bath after hair
transplant surgery?
Shoulder bath on the same day as
hair transplant surgery and shampoo and
shower by patting and without rubbing
the grafted site from next day onwards.
After hair transplant surgery, When
can I go to gym?
2 weeks after hair transplant
surgery to allow healing and
consolidation of stitched tissue. Avoid
weight lifting for few months if
possible so that your scar does not get
stretched.
After hair transplant surgery, When
can I have sex?
2 weeks after hair transplant
surgery.
After hair transplant surgery, when
can I have alcohol?
Avoid for a week.
After hair transplant surgery, when
can I smoke or consume tobacco?
Avoid for as long as possible
because it can affect your healing and
hair growth.
After hair transplant surgery, when
can I have tea or coffee?
Avoid for a day before and after.
What diet should I take after hair
transplant surgery?
Take high protein with milk, white
of eggs, pulses, green vegetables,
fruits, lots of water. Avoid fast food,
fatty food.
Will I have headache?
You may have tightness in the stitch
area for a few days after hair
transplant surgery, but soon it
disappears.
Will I have any scar from the hair
transplant surgery?
You will have a thin line of scar
from where we remove the strip but rest
assured it will remain undetectable
because it will be covered under the
hair on the top.
Do I need to remove the hair
transplant surgery stitches?
Usually the hair transplant surgery
stitches get dissolved by 12-15 days.
Do I need to take the medication and
for how long after hair transplant
surgery?
Usually we prescribe antibiotics for
a week and painkillers for 5 days after
hair transplant surgery. Additionally
you may take finasteride and minoxidil
for thinning hair or preventing hair
fall by telogen effluvium.
Do you use laser for Hair Transplant
Surgery? What is Low Level Laser Therapy
or Cold Laser?
Few years back hair transplant
community used laser to drill micro
holes for implanting hair roots. They
soon found out that the hair growth was
poor and laser was doing more damage to
the wall of the hole and its blood
supply then it helped. As a result no
hair transplant surgeon of good standing
in the world uses laser for hair
transplant. But for Low Level Laser
Therapy (lll) or Cold Laser as it is
called is proclaimed promising for
improving the thinned out hair
harmlessly are used by us after hair
transplant surgery to enhance the
results.
How soon can the same hair transplant
surgery be repeated in the same area?
Theoretically, to increase the
density one may repeat the plantation
within 6-8 months of the hair transplant
surgery.
Why Hair
Transplant Works?
Hair in the front and top of head is lost
because it is Genetically hormone susceptible.
Hair on the sides and lower back are genetically
immune to hormone sensitivity and are
genetically programmed to grow a lifetime, it
will continue to grow ven though it is
transplanted to a different site. This is the
medical fact, and has been repeatedly proven for
more than 50 years.
Follicular Unit Hair Transplant is the only
method by which one can grow permanently
growing, natural looking, and undetectable hair
in the bald or thin area. In olden days people
used Punch or plug grafts where bunches of 15-25
hair in a plug taken from the side or the back
of the scalp (Donor Area) were implanted in the
front. This gave the typical pluggy (Cornrow,
baby doll, tooth brush or cobble stone)
appearance.
They were later replaced in 1980s by Mini and
then Micro grafts, which were randomly, cut
smaller grafts of 5-8 hairs and 1-3 hairs
respectively. The results improved but were
still not near natural looking. 1983 it was
discovered that nature grows our hair in groups
of 1,2,3 or 4 hairs. These were called the
Follicular Units. So surgeons started cutting
and transplanting the grafts in the nature's way
i.e. as Follicular Units and that gave
completely natural looking hair and therefore
Follicular Unit Transplant although is a highly
skilled and labour and techno intensive
procedure, has become the Gold Standard today.
Facts- Hair loss & Baldness
Hair Loss (ALOPECIA) and Baldness
come in 3 Forms: Pattern, Patchy and
Diffuse
Pattern
(Particular Shape)
Most Common Type
Patchy
(Localized, Focal)
Diffuse
Characteristics
You lose hair in front and on the
top but a horseshoe shaped area at
the back and on the sides is un
affected.
You lose hair only in patches on the
scalp and rest of the area hair
growth is normal.
You lose hair on entire scalp and
not on just a particular area
leading to generalized thinning or
generalized baldness.
Common Causes
Male Pattern Baldness (MPB/AHA
Androgenetic Alopecia)
Common Baldness
Female Pattern Baldness (FPB)
Alopecia Areata
Scarring Alopecia
Trichotelomania
Traction Alopecia
Alopecia due to various skin
problems like Lupus, Scleroderma,
Pseudopalade, Tinea Capitis etc.
Telogen Effluvium
Anagen Effluvium
Rare Hair Shaft Disorders
Brief Description
Common Baldness (MPB or AHA) and FPB
Androgenetic Alopecia (AHA) is by
far the most common cause of hair
loss. This is due to 2 reasons
1. Genes
2. Hormones
Alopecia Areata:
This as a common Autoimmune
disease where the body 's immune
system perceives the hair as its
own enemy and start attacking
and destroying them. This is
treatable only in early stage
but recurrence may not be
prevented. It may recur in other
part of scalp, beard or other
part of scalp. Chronic disease
is difficult to cure when many
roots are destroyed. Hair
Transplant is usually not done.
Scarring or Cicatricle Alopecia:
After burns or other injuries to
the scalp there can be permanent
damage to the hair roots and in
that patch hair do not grow.
Usually due to scarring the
blood supply in that area is
poor.
Traction Alopecia &
Trichotelomania:
Due to the tight hair style in
women or in Sikhs like braiding
or the use of weave or pins of
wig continually pulls on the
hair and the roots may get
damaged in long run and can
cause hair loss. In Obsessive
psychiatric disorder called
Trichotellomania the patient is
in a habit of pulling the hair
in one area and ends up in a
patchy hair loss in that area.
Telogen Effluvium:
A period of Physical or mental
stress, delivery of a baby in
females etc. can lead to
generalized loss of hair from
scalp within few weeks due to
shortening of Growth cycle and
entering of hair in Telogen
phase. This is temporary because
after 6 months of relief in
stress period the hair starts
regrowing. Telogen effluvium can
precipitate or even aggravate
pattern baldness if one is
genetically susceptible to
develop MPB or FPB
Anagen Effluvium:
Chemotherapy or certain Toxins
can stop further growth of the
growing hair and the already
grown hair brakes and sheds over
few days.
If you have Androgenetic Alopecia, like many
other people, you were destined to lose hair
from the time you were conceived. You have a
group of genes that act together to make
your hair susceptible to natural hormones in
the body. You inherited these genes from
either side of the family or from both sides
and these genes may affect you more or less
than other members of the family.
Androgens, the so-called male hormones, are
produced by both men and women, in the
testicles, ovaries, and adrenal glands. The
adrenal glands are small glands above the
kidneys. Testosterone is the most well-known
androgen. At puberty, testosterone levels
rise and, among other effects, cause the
fine, short, "velus" or baby hair in the
pubic areas and in the armpits to become
coarser hair.
In the scalp, testosterone is converted, by
an enzyme called "5-alpha reductase", to a
different androgen called
"Dihydrotestosterone (DHT)." DHT, more than
any other androgen, causes genetically
sensitive hair to be lost. In genetically
sensitive hair, DHT causes each generation
of hair to become progressively smaller.
This process is called miniaturization. DHT
causes each generation of hair to become
more narrow, short and lighter in color.
Eventually the root stops producing hairs
altogether.
There are two medications that have been
proven to slow down Androgenetic Alopecia.
Finasteride (Propecia or Proscar) blocks a
type of five alpha reductase to decrease the
amount of DHT. Minoxidil (Rogaine) seems to
work directly on the hair cells and prolongs
the growing phase. Medications can slow down
the process on a temporary basis but they
cannot stop it. Follicular unit hair
transplantation, however, can provide a
lasting improvement.
Some hairstyles, like braiding can cause
hair loss.
Styles that pull or put tension on the hairs
- such as tight ponytails or cornrows - can
cause hair loss.
Hair loss can be aggravated by other
conditions.
Iron deficiency can make hair loss worse and
is fairly common in vegetarians and women.
Iron deficiency is not a diagnosis by itself
and the cause must be found. Correcting iron
deficiency can slow down the progression of
hair loss but is not likely to cause a major
improvement in your hair. Severe
malnutrition and protein deficiency can also
contribute to hair loss but hair loss would
be the least of your worries. Thyroid
disease can aggravate hair loss. Hair loss
can occur with either an under active
thyroid or an overactive thyroid. Elevated
Hormones can speed up hair loss. Men (or
women) who take anabolic steroids for
bodybuilding often notice accelerated hair
loss.
Does stress contribute to hair loss?
Both psychological and physical stress,
especially if they are intense and
prolonged, can contribute to temporary hair
loss. They do this by perhaps altering the
hair cycle: shortening the growing stage or
lengthening the resting stage. Stress may
also have a negative impact on the immune
system leading to a more severe type of hair
loss called alopecia areata. When the
stressful situation is over or the body
adjusts to it, the hair usually grows back.
Delhi is a
highly developed and advanced
city, where you will find all
types of services and
facilities. It offers several
treatment options, as well to
people coming from other cities.
It is a hub point for many
people and so Hair
Transplant in Delhi would
be the most convenient and
comfortable option for one and
all. Above all, the core benefit
of coming to Delhi for any sort
of hair treatment is the
provision of hair care
facilities that are accredited
internationally. The modern
technologies and facilities used
here are comparable with any
other hair care centers
throughout the world.
In the DHI technique,
the hair follicles are extracted
from the donor area one by one
and then, are directly implanted
without making any holes or
slits. In some cases, they are
placed immediately after
extraction. This is called
Protocol A and in other cases,
there is a slight delay in
placement after extracting the
hair follicles. This is called
Protocol B.
Have a review on some of the
benefits of DHI
Technique -
Diminished desiccation
and less scarring of grafts
Less invasive and
traumatic
Punches are up to a
small diameter of about 0.7
to 0.85 mm, hence less marks
and instant healing
Microscope not required
and so hair follicles
exposure to intense light
and heat is avoided.
Risk of infection is
very low
Direct implantation of
grafts results into less
trauma of skin, less damage
to local blood supply and no
scarring
Patient experiences no
or very little tiredness.
Currently we are offering Hair
Transplant in Delhi which
are highly cost effective and
preferred option of many people.
Do you know what the reason is
for the same? Simple, the
doctors and medical
professionals here have proved
their mettle throughout the
world in their specialties after
completion of their basic
medical course. From many years
back, Pune is looked upon as the
most exciting alternative for Best
Hair Transplant India.
The main reason for preferring
Pune as the destination for Hair
Tourism is
considerably its low cost
therapy.
Our hair and facility
qualifications are verifiable
and meaningful. We boast a long
medical academic tradition with
strict laws that standardize
hair training and
qualifications. The medical and
hair personnel involved in Hair
Tourism speak
better English. You get better
price advantage ratio because of
higher US vs. our local currency
exchange rates. In addition, you
also get better lodging
facilities that are of good
standard, high quality and
cost-effective.
Direct Hair Implantation
(DHI) Procedure
The DHI procedure starts when
you book your first consultation
to plan your DHI procedure once
you have chosen clinic. It
includes when you go to have
your DHI procedure (when you are
given the opportunity to ask any
last minute questions and when
your team prepares you to have
your local anaesthetic all the
way through the procedure itself
and all of your after care and
any repeat sessions that you may
require.
Planning Your DHI Procedure
Your DHI
transplant surgeon will come up
with a plan that is specific to
the hair around your body that
you wish to use as your donor
hair and the covering that you
wish to have on your head at the
end of the procedure. The
planning of the transplant will
enable your transplant surgeon
to ensure that the transplanted
hair grows on your head in a way
that blends in with the rest of
the hair on your head (so that
it is the same texture and grows
in the same direction). Previous
DHI procedures have shown that
the transplanted hair blends in
well with the rest of your hair
but planning will ensure that
you get the most out of your DHI
procedure (by removing your
unwanted hair as well as
providing you with the finished
result on your scalp that you
want).
The DHI
Procedure
Your DHI
procedure will start once you
have been given a local
anaesthetic. This means that you
will be awake and able to
communicate with your DHI
transplant surgery team
throughout the entire DHI
procedure. This means that you
are free to ask questions during
your DHI procedure and also
allows your DHI surgeons to show
your replaced follicles as your
results progress. However, you
may also want to nap during your
DHI procedure and use the
lavatory which are both possible
whilst you are still under local
anaesthetic. In this way your
comfort will be the focus of
your DHI transplant team.
A
specialised instrument is used
to extract individual hair
follicles from your donor area
which is the area at the back of
your neck and around the sides
of your head where hair exists.
This hair is removed a single
follicle at a time and each time
a follicle is taken from the
donor area it is immediately
implanted into the area where
you are experiencing hair loss.
This means that your hair spends
less time outside your body
compared to other (older)
techniques of hair replacement
and partly explains the higher
success rate of the DHI
technique. More specialised
instruments are used to place
the hair follicles into the
areas where you wish to see more
hair. It is implanted in a way
that ensures it lies at the same
angle and direction as the
nearby hair at a depth that
means it will never fall out.
In a
single DHI procedure your DHI
transplant team will extract and
implant around 6000 individual
hair follicles leaving you with
an immediate result. Hair is
usually implanted at a density
of around 50 follicles per
centimetre squared (which leaves
about 1mm between each hair)
leaving you with an immediately
denser hair covering.
Your DHI
procedure will typically take
between four to six hours.
However the exact length of the
procedure will vary between
clinics and depend on the size
of your head and the size of the
area where you wish to see a
denser hair growth. During this
time you will be able to use the
lavatory, have small amounts of
food (if you wish) and talk to
your DHI transplant team.
Results
after Having Your DHI Procedure
As soon
as you leave the clinic you will
have a larger amount of hair in
the area where your follicles
were implanted. You will have a
less dense amount of hair in
your donor area (around the back
and sides of your hair) but this
reduction in density will be
matched by the increase in
density of hair at the front of
your head so that you will end
up with a more even hair
distribution over the entirety
of your scalp. The hair in your
donor area should continue to
grow enabling it to be used
multiple times as donor hair if
you require subsequent
treatments. The implanted hair
will never fall out, although
your natural hair in the
implanted area may continue to
fall out.
You will
not have any bandaging to wear
after your DHI treatment (this
means that you will immediately
be able to see the results) and
you will be able to go straight
home to recover from the local
anaesthetic. DHI leaves no
scarring, requires no stitches
and will not leave you with any
shaved areas. The implanted hair
will start to grow in around six
weeks, depending on how long it
takes your hair follicles to
imbed into your scalp and how
quickly capillaries are able to
form in these areas. Capillary
growth is necessary around the
newly implanted follicles so
that blood can flow to the hair
and provide it with the
nutrients it requires to grow.
DHI Direct Hair Implantation
Technique
a revolutionary and advanced "no
touch" hair restoration hair
transplant procedure offered by
DHI clinics worldwide for men
and women with hair loss,
thinning hair and various hair
conditions.
below summary provided by DHI
Global
THE DIRECT HAIR IMPLANTATION
TECHNIQUE™ IS THE LATEST
REVOLUTIONARY DHI TECHNIQUE
For years many have been waiting
for a hair restoration medical
procedure this simple! The
latest revolutionary DHI
technique eliminates the use of
scalpels, there is no scarring
and best of all the procedure is
pain free. For most people, they
will experience wonderfully
natural results in just one
visit to one of DHI clinics.
Once the procedure is completed,
new hair continues to grow
naturally for life. The main aim
of this new, advanced technique
is to increase the survival and
growth of the hair follicles by
diminishing human handling and
the time they stay out of the
skin. This amazing new technique
is available now at DHI clinics
worldwide.
How is the Direct Hair
Implantation technique
different from other
techniques?
The DHI Direct Hair
Implantation
Technique does not
involve any of the
following: FUE,
STRIP, SCARS OR
HOLES !
It's simple and yet
so advanced medical
procedure with
outstanding and 100%
natural results!
Minimal
postoperative
medication is needed
because the whole
procedure is
performed quickly
and painlessly.
The procedure
eliminates the need
for reception holes
because the
placement of new
hair follicles is
performed using the
DHI Implanter.
Medical assistants
no longer need to
handle hair
follicles during the
procedure.
Previously with
older techniques,
the handling of hair
follicles was
necessary during
certain phases of
the procedure, such
as to examine them
under a microscope,
when preserving them
in a saline solution
in Petri dishes,
when counting them
and also when
loading the
implanters.
Advantages
Smaller diameter
punches
(0.7-0.85 mm)
lead to faster
healing & less
marks.
Direct
implantation of
grafts without
receptions
results in less
trauma of the
skin, less
damage to the
local blood
supply and no
scarring.
Less invasive.
Less traumatic.
Significantly
reduced
bleeding.
Minimal risk of
infection as the
hair follicles
are transferred
immediately from
the donor area
to the recipient
area.
Less scarring
after the
procedure.
No microscope
needed, so that
the exposure of
the hair
follicles in
intense light &
heat is avoided.
No handling of
the grafts is
required, thus
increasing the
survival of the
hair follicles.
Less fatigue for
the patient
(seated
position).
Diminished
desiccation of
the grafts
(minimal time
out of the
skin).
Less anesthesia,
less medication
needed.
Increased graft
survival.
Early hair
growth as most
transferred hair
follicles enter
the anagen phase
immediately.
When each hair follicle is
extracted separately and
transferred immediately to the
recipient, the time that the
hair follicles remain out of the
body is diminished from hours to
only a few seconds. This is a
sophisticated, fast, and
revolutionary new technique that
have change many men and women's
lifes.
Click below to see a comparison
chart prepared by DHI outlining
the differences between DHI
Direct Hair Implantation
Technique and other procedures.
Real
Differences Between the DHI
Total Care System™ and FUE.
In the last decade, there have
been great advances in the field
of hair restoration. In 2002 DHI
Medical Group was one of the
major innovators in Follicular
Unit Extraction. After years of
refinement, DHI replaced FUE in
2004 with the DHI Direct Hair
Implantation™, the centrepiece
of the DHI Total Care System™.
This cutting-edge system offers
many benefits over FUE.
Here are just a few:
By definition, FUE means
Follicular Unit Extraction. In
the FUE method, there are no
specific or uniform advances in
hair placement. Most often,
forceps are used for placement
which can cause “over handling”
of the follicle leading to shock
and less viable implants.
DHI Medical Group’s specialized
tool for extraction, the
DHI Implanter, allows
us to precisely control
placement, depth, and direction
of implanted hair. This means
that DHI can create a totally
natural hairline free from the
pitting and discolouration
sometimes associated with FUE
and other traditional methods.
In one session, DHI’s
surgeons can remove up to 6000
individual hairs. FUE
is limited to approximately 2000
hairs per day, extracted in
bunches of up to 5 hairs. FUE
patients are obliged to shave
their entire scalp prior to the
procedure. The DHI Direct
technique does not need a shaved
scalp, so there is no need to
explain that you received a
treatment. DHI Direct can be
applied to all hair types
whereas FUE candidates must be
tested to determine if their
hair type is compatible with
FUE. In addition, at DHI,
specialized doctors perform the
entire procedure. Our
competitors who use the standard
FUE protocol often use a team of
nurses to handle the scalp and
grafts. While FUE is available
in different forms at specific
clinics, the DHI Direct
Technique is a proprietary
technique that is part of the
DHI System™ and available
only at our
clinics. The DHI Total Care
System™ provides a comprehensive
procedure for all degrees of
hair loss and scalp conditions.
What
can I expect during my hair
transplant procedure?
Every DHI client receives VIP
service and every effort will be
made to ensure your comfort. You
can take frequent breaks, use
the restroom at any time, rest
during the procedure and even
take a nap. The entire procedure
is carried out under local
anaesthesia so you will be able
to talk with us and ask
questions at any time throughout
the procedure. In addition, you
will have frequent opportunities
to see how your follicles are
placed and aligned to match your
hairline, orientation, growth
angle and direction of your
natural hair.
How does
body hair implantation work?
If your scalp has been damaged
from previous strip surgeries or
you have an advanced stage of
hair loss, we can now move hair
follicles from nearly every part
of the body such as the back and
chest. Amazingly enough, the
body hair we select will look
and feel like scalp hair after
it’s implanted. In fact, body
hair that only grows an inch or
two on the body will grow as
long as scalp hair, after a
transplant. An added benefit is
that this procedure eliminates
hair from unwanted places such
as the chest and back.
Is
Direct Hair Implantation
painful? The procedure is
virtually painless and
causes less irritation than say
getting a tattoo. DHI applies
local anesthesia and the client
can relax, listen to music,
watch TV, enjoy a light lunch
and even nap during the
procedure. Overall, the entire
procedure is completed within 4
to 6 hours. There is only a
simple bandage applied to the
application area, so our clients
leave looking virtually the same
as when they came in.
When
will I see growth?
Growth of your transplanted
hairs will be visible after 16
weeks, depending on how quickly
the capillaries form around the
newly relocated follicular
units. This newly transferred
hair grows naturally in its new
location for the rest of your
life, because the donor region
is genetically programmed
against hair loss.
How
many sessions will be necessary
to complete my hair restoration?
The number of sessions depends
on the size of your balding
area, donor yield and your own
personal goals. In order to
ensure optimal density
throughout their lifetime, our
clients often opt for two
sessions or more. With our
diagnostic tools, specially
designed equipment and
mathematics, we will inform each
client of the precise amount of
donor hair available to them.
Can
grey hair be transplanted to the
thinning area?
Yes, however if the hairs are
very white, we may need to
temporarily dye the hairs for
ease of insertion by our medical
staff. A temporary vegetable
henna-based dye is used which
will wash out with time.
THE DIRECT HAIR IMPLANTATION TECHNIQUE™ IS THE LATEST REVOLUTIONARY DHI TECHNIQUE
For years you have been waiting for a hair restoration medical procedure this simple! The latest revolutionary DHI technique eliminates the use of scalpels, there is no scarring and best of all the procedure is pain free. You will experience wonderfully natural results in just one visit to one of our DHI clinics.
Once the procedure is completed, new hair continues to grow naturally for life. The main aim of this new, advanced technique is to increase the survival and growth of the hair follicles by diminishing their handling and the time they stay out of the skin. This amazing new technique is available now at DHI clinics worldwide.
PLEASE NOTE
With the DHI technique we
extract each hair follicle
one by one from
the donor area and then
implanted directly. With no
holes or slits prior to
implantation.
In some cases the hair follicles
are placed immediately after
extraction that is Protocol A
and in some cases there is a
delay in placement after
extraction, Protocol B.
Please discuss the two options
with your DHI Certified Medical
specialist prior to your
session.
So why
is the Direct Hair Implantation
technique so good and what makes
it better than other techniques?
The DHI Direct
Hair Implantation
Technique
does not involve
any of the
following: FUE,
STRIP, SCARS OR
HOLES !
It's simple and
yet so advanced
medical procedure
with outstanding and
100% natural
results!
Minimal
postoperative
medication is needed
because the whole
procedure is
performed quickly
and painlessly.
The procedure
eliminates the need
for reception holes
because the
placement of new
hair follicles is
performed using the
DHI Implanter.
Medical
assistants no longer
need to handle hair
follicles during the
procedure.
Previously with
older techniques,
the handling of hair
follicles was
necessary during
certain phases of
the procedure, such
as to examine them
under a microscope,
when preserving them
in a saline solution
in Petri dishes,
when counting them
and also when
loading the
implanters.
Advantages
Smaller diameter
punches (0.7-0.85
mm) lead to faster
healing & less
marks.
Direct
implantation of
grafts without
receptions results
in less trauma of
the skin, less
damage to the local
blood supply and no
scarring.
Less invasive.
Less traumatic.
Significantly
reduced bleeding.
Minimal risk of
infection as the
hair follicles are
transferred
immediately from the
donor area to the
recipient area.
Less scarring
after the procedure.
No microscope
needed, so that the
exposure of the hair
follicles in intense
light & heat is
avoided.
No handling of
the grafts is
required, thus
increasing the
survival of the hair
follicles.
Less tiring for
the patient (seated
position).
Diminished
desiccation of the
grafts (minimal time
out of the skin).
Less anesthesia,
less medication
needed.
Increased graft
survival.
Early hair
growth as most
transferred hair
follicles enter the
anagen phase
immediately
To preserve and enhance
hair follicle viability
between the time that
hair follicles are
removed from a donor
area of the scalp and
transplanted into a
recipient area, they are
subject to damage from
several causes:
• Dehydration if the
donor follicles are
inadequately moistened
between the times of
removal and
transplantation;
• Oxygen and nutrient
starvation due to being
removed from blood
supply during the
harvest-to-transplantation
time period;
• Temperature and
acid/alkaline changes in
the follicle
environment; and,
• Revascularization
injury when the donor
follicles are
transplanted to the
recipient site and must
re-adapt to having a
blood supply.
Now with DHI the
individual hair
follicular units can be
removed with a specially
designed tool that
leaves nothing more than
a pin prick. The
important point is not
only does the hair come
out but all the
associated portions of
the unit including the
sebaceous glands and
adventitial sheath.
These are absolutely
necessary for a
successful transplant
otherwise the new hair
transplant unit will die
just like the old one
did.
DHI revolutionary form
of hair transplantation
has completely changed
the hair restoration
game and made re-growing
hair in your bald spot a
breeze. There is now
absolutely no reason at
all to not give very
strong consideration to
a hair transplantation
procedure in order to
get back that youthful
looking full head of
hair.
So... what would
you choose ?
With all these factors now
eliminated, the overall
minimally invasive nature of the
new technique, is most certainly
a key factor in diminishing the
fatigue factor of hair follicles
and therefore increases their
overall long term survival. This
is because each hair follicle is
extracted separately and
transferred immediately
to the recipient, thus the time
that the hair follicles remain
out of the body is
diminished from hours to only a
few seconds.
The Direct Hair Implantation
Technique saves so much time
that our patients and medical
team need never suffer from
fatigue.
This is a sophisticated, fast,
new technique that our customers
find life changing, painless and
most satisfying.
You can compare for yourself the
superiority of the DHI Direct
Hair Implantation Technique over
the other hair restoration
treatments available today and
make your decision. The Direct
Hair Implantation Technique is
the most advanced hair
implantation technique ever
developed!
Hair Clinics Delhi offer
FUE hair transplant Delhi, facial body hair
transplant, facial hair clinics Delhi,
follicular hair transplant, FUE
hair transplantation Delhi
Hair Transplantation Delhi
Follicular Hair
Transplantation The best technique for Hair Replacement in
bald areas
FREQUENTLY
ASKED QUESTIONS ON HAIR TRANSPLANTATION
What is Hair
Transplantation?
Hair transplantation is a surgical procedure
in which hair from the back and sides of the scalp is moved to
the bald areas.
When Can a Hair Transplant Be Done?
A Hair Transplant can be done in the early stages of hair
loss when the hair is just beginning to thin, as well as in
the later stages when baldness is more apparent.
In What Type of Baldness Has This Treatment Been
Helpful? It is most commonly used to treat male pattern
baldness. Hair Transplantation has, however, been
performed with excellent results in the treatment of genetic
hair loss in women, as well as in scars resulting from face
lifts and other facial surgery, burns, accidents, or as a
result of various hair loss diseases. This surgery is also
done to help replace thinning eyebrows and eyelashes.
How Long Will the Transplanted Hair
Last?
Transplanted hair should grow normally in the
recipient area as long as it would in the donor site from which
it was taken.
Do All Transplanted Hair Grafts Grow?
In almost all cases, the vast majority of
transplanted grafts should yield growing hair. Pre and
postoperative instructions are provided to minimize the risk of
graft injury and subsequent compromised growth. It is
important to realize that the number of hairs growing from each
graft will vary, depending on the density of the hair at the
donor site and on the size of the graft selected.
How is this Surgical Hair Restoration
Procedure Performed?
Hair Transplantation is a long office
procedure, which requires only local anesthetic. There is
initially some discomfort associated with the administration of
the anesthesia, but this is of very short duration. We have
developed techniques to reduce this discomfort, and most
patients tolerate this brief period very well.
The donor area (the back or sides of the scalp) as well as
the recipient area (the bald or thinning area) are made numb
with the local anesthetic. Up until several years ago,
round grafts (plugs) were always used throughout the hair
transplant process. The desired number of round grafts were
removed from the donor area and then transferred to the bald
area. Today these larger grafts have been mostly replaced
by smaller grafts (follicular units, micro, mini or slit
grafts), since these grafts produce a much more natural
transition from thinning or baldness to increased hair
growth. In most cases where very small grafts are used,
this surgery can be accomplished almost undetectably.
Specific recommendations are discussed at a personal
consultation.
When smaller grafts are to be transplanted, the
following technique is used:
The hair to be transplanted is trimmed close to the scalp,
and the desired amount of donor skin and hair are then
removed. This donor site is then sutured closed, resulting
in a fine scar which is only detectable on close
inspection. The donor hair-bearing skin is then divided
into very small pieces which generally contain 1-3 hairs.
These grafts are then rapidly inserted into small openings
made in the recipient area.
When there is a Large Area of Baldness,
is it Possible to cover the Entire Bald Area?
This depends on the size of the bald area as well as on the
donor area. When there is extensive baldness, a procedure
called a scalp reduction may be useful in order to decrease
the size of the bald area. Subsequently, grafting is done
as described above.
How Many Sessions are required in a Hair
Transplant?
The number of sessions varies, and will depend on the:
Area of scalp treated
Number and size of grafts used
Density of hair desired by the patient
Individual characteristics such as coarseness or
fineness of hair
Current stage of hair loss and future rate of hair loss
Timeframe in which patient wishes to replace lost hair
Is There a Minimum or Maximum Time
Period that is Allowed Between Individual Hair Replacement
Surgery Sessions?
Minimum time intervals will depend upon individual
circumstances. However, there is no maximum interval
between sessions. Certainly, the shorter the intervals
between sessions the more rapidly the hair transplant is
completed.
How long does it take for Transplanted
Hair to Grow?
The transplanted hair generally sheds within the first 2-3
weeks after the procedure and new hair begins to grow
approximately 2-4 months later. The hair then grows at the
normal rate of 1/2 inch each month. The transition from
thinning or baldness to greater fullness of hair is very
gradual.
What is a Scalp Reduction?
A scalp reduction is a procedure, which is performed under
local anesthetic in which a large bald area of skin is
removed. This leaves a scar on the scalp which must later
be camouflaged by grafting directly into the scar.
What is Scalp Flap Surgery?
Scalp flap surgery is a procedure in which an entire segment
of hair-bearing scalp is transferred into a bald area. This
is a relatively uncommon surgery and few surgeons perform
it. The risks include improper hair direction at the
hairline, as well as the more serious risk of partial or
complete loss of survival of the flap and the hair within
it.
Why Have I Seen Hair Transplants That
Have a Pluggy Look?
In the past, hair transplant surgery often resulted in a
very artificial look sometimes referred to as a pluggy,
doll's head or corn row look. This was
usually seen in the intermediate stages between hair
transplant sessions, or if a person decided not to complete
the
required number of surgeries. With the advent of
the tiny grafts being used today, the result can be very natural
even after a single surgery.
Are Lasers Used in Hair Transplantation?
Laser hair transplantation has been used with
some success. To date, results with lasers have been shown
to be inferior to those obtained with traditional non-laser hair
transplant surgery. For this reason, they are not in common use.
How Long After a Hair Transplant Would I
Be Able to Go Back to Work?
Depending on the type of procedure you have
done and the type of work you do, it is often possible to go
back to work in one or two days.
What are the Risks of Hair Transplant
Surgery?
Hair transplantation is an extremely safe out-patient
procedure that is generally without significant risks or
complications. However, as is the case in any surgery,
there are risks, and these are always presented and
discussed in detail at your personal consultation with the
doctor.
What Type of Preparation is required
prior to Hair Restoration Surgery?
All patients must have normal results to standard
pre-operative blood tests prior to confirming a surgery date
and arranging travel plans. Detailed pre-operative and
post-operative instructions are forwarded to each patient
prior to the surgery date. Patients also complete Consent
for Surgery form prior to the surgery.
Definition of FUE
Follicular Unit Extraction (FUE) is the most scientific &
advanced technique of hair restoration. In this procedure:
Hair follicles are extracted individually from the back side
of the head, beard or other body parts with the help of special
micropunches (size varying from 0.7mm - 1.3mm).
Implanted in the bald area of scalp, beard, moustache,
eyebrows or chest.
These transplanted hair grow, you can get a hair cut and
style them in whatever way you want.
Advantages of FUE
Stitchless
No linear visible scar
No infection or reaction to sutures
The patient can wear short hair
Virtually painless
The transplanted hair grow for 2-3 weeks, then the hair shafts
fall off, the roots remaining in the scalp and the shafts start
coming back after 2-3 months of surgery.
The hair come back at a very slow pace and a great deal of
patience is required during this period. About 40-50% hair come back
after 6 months and 75% after 9 months and about 90% of transplanted
hair come back after 1 year of surgery.
FUE Post OP Instructions
After the surgery, you will have minimal discomfort but not that
much to keep you awake all night. It is advisable to lie down in
supine position and keep the towel at the back of your head while
sleeping.
Painkillers will be prescribed which you would require for first
3-4 days only.
Please do the forehead massage starting from the middle of your
head towards outside 10- 15 times a hour or 100-150 times in a day
for 5 days.
Please remove the back bandage (of donor area) on the 3rd day
after surgery. You can do this yourself. After removal start
applying antibiotic cream for 7 days.
Bandages on the forehead must not be removed till the swelling
goes off(may be 5-6 days).
Eat a healthy diet - ( high protein )
Non - Vegetarian :- Fish, chicken, eggs
Vegetarian :- Soyabean, paneer, daals, almonds, (with skin, 5-6
daily)
Avoid direct sun light, sweat for 2-3 weeks. No upper body
exercise/ heavy exercises (Gym) till 3 weeks.
You can follow your routine activity from the next day onwards.
Please use the spray to moisten the transplanted area, every 2
hourly for the first 2 days, then 4 hourly for next 3 days.
You can have shower on 5th day without hands, without shampoo.
On 7th day, have shower with baby shampoo, but no hands to be
used.
On 10th day onwards, normal shower with baby shampoo can be done
by using hands.
Microfollicular Hair Transplant Procedure
Hair transplant is a comfortable procedure performed
as a Day Care procedure, performed under local
anesthesia,while the patient may work on his laptop,
mobile or simply read a novel. After the numbing effect
of the local anesthesia has taken place.
A strip of hair bearing skin is taken from the back of
the head. This area is relatively unaffected by the male
hormones which are responsible for baldness. The hair
bearing strip is separated to single follicular units
under magnification. It is to be noted that each
follicular unit contains more than 1 follicle. A good
team performing hair transplant manages each unit to
contain 1-4 hair follicles. On an average each graft or
a follicular unit contain 2.5 hair follicles or hair.
While the assistants are separating grafts from
the strip, the surgeon makes micro slits in the area of
the transplant. This step is the most important step
since the surgeon decides the density of the transplant,
and the direction of the transplanted hair at this
stage. The next step is implantation of the grafts into
these pre formed slits. This procedure can take 3- 6
hours depending on the number of grafts. Usually these
two procedures are done side by side, so the whole
process can be expected to last 4-6 hours. For the front
of the head about 1500-2000 hair follicle units are
required. For a complete coverage, about 6000 units may
be required. It is preferable to make a second
replacement after 6-8 months.For 1000-1200 grafts, it
takes 3 hours, while a 2000-2200 graft session takes 4.5
hours.
Hair transplant for
bald areas
This involved
hair transplant in areas where there is no hair,
and that patch is effectively bald. Extremely
satisfying results are obtained in this group.
Hair transplant for
density increase
This is more
difficult, since any injury to existing hair is
to be avoided. Extremely satisfying results are
achieved. The instrumentation for this procedure
is slightly different.
Pre Procedure
Protocol
Patients are
required to complete a Consult Form ( ATTACHMENT
WITH THE MAIL. – SHOULD OPEN IN A DOWNLOADABLE
WINDOW WHEN CLICKED). Any medicines being used,
particularly anti diabetics, blood thinner
medicines must be revealed.
All patients should do the following tests –
Haemoglobin, blood sugar, blood urea, HIV,
HbsAg, Anti HCV. For patients above 35yrs, ECG
is also advised.
Rationale
The hair is taken
from the back portion of the head, which is
relatively resistant to action of male hormone
responsible for hair loss. Thus this hair
persists nearly life long. The hair that is
transplanted carries with it the genetic
property of its original position, so it resists
hair fall.
The techniques for hair transplant are -
Microfollicular hair transplant with
Strip procedure.
Follicular hair transplant – extraction
of roots one by one Body hair transplant –
use of hair from the chest, arms, pubic
area, underarms etc.
Refinements
Hair
transplant has undergone a number of
refinements. In the microfollicular technique,
the earlier used punches have given way to use
of micrografts. These are follicular units with
1-3 hair follicles, giving a very Natural hair
line appearance. The use of fine and delicate
instruments like microneedles, micropunches,
micro forceps etc have made handling of tissues
more delicate and with no damage to hair
follicles at all.
Use of microscopes and magnification has allowed
larger hair follicle harvesting and better
survival of grafts.
Long acting anesthetic agents, allow long term
pain relief, allowing the procedure to be more
comfortable.
Post Transplant Care
We advise
the following medicines and care after a
transplant -
Tablet levoflox 750 mg once daily for 5
days.
Tablet ketanov thrice daily for 5 days.
Nupatch 100 mg twice daily for 5 days.
Please keep the head band on for 3 days.
The purpose of the head band is to reduce
the swelling that occurs in the forehead
region.
Head washing is to be started on the 4th
day after removing the head band. The
washing is to be gentle over the
transplanted region, and scrub over the area
of the stitches to keep them clean. This
needs to be done daily from the 4th – 18 the
day
You will notice scabs around each hair
follicle, please do not pull them out, they
will wash off gradually
No showering is allowed for 3 weeks,
have a bath with mug
Baby shampoo is advised for the first 14
days
Stich removal is to be done on Day 14
Please avoid all exercises, gym,
exertion and even bending movements for 3
weeks
Please continue all medicines as had
been advised to you in the pre procedure
preparation form
Avoid smoking and drinks for at least 7
days. Smoking causes hair loss and you are
advised to quit smoking to maintain good
hair growth. Cigarettes contain nicotine,
which is responsible for hair loss
avoid t-shirts and round neck sweaters
for 3 weeks
avoid colouring your hair for 3 weeks
restrict the use of helmets to avoid
hair loss
Follow up schedule -
You will be asked to review at the
clinic at 14 days, 3 months, 4 months and 6
months post procedure.
Please remember that in the initial few
weeks ( 2- 6 weeks) the transplanted hair
will shed off. PLEASE DO NOT WORRY FOR THIS
HAIR LOSS since the roots are firmly in, and
hair growth will occur in about 3 months
post procedure.
Occasional pimples will occur in the
transplanted region. These are not a cause
for concern
Numbness in the front and back can
persist for 3 weeks or longer, please be
assured that this is temporary and will go
away on its own
Side Effects
Hair
transplant has undergone a number of
refinements. In the microfollicular technique,
the earlier usedThere are no side effects to the
procedure. if the patient undergoes the strip
technique the scar that is given is usually very
fine and invisible through the hair. No
complications are expected over the transplanted
region. Dandruff and acne must be prevented and
actively treated should they develop.
Follicular Unit
Extraction (FUE)
Follicular unit
extraction is a relatively new procedure for
hair transplant. This technique involves
individual extraction of follicular units rather
than the entire strip. This is useful in
patients who keep short hair and do not want the
scar to show.
The advantages of this procedure are -
Strip is not removed – thus no scar
more comfortable in the initial post op
period
very useful for small sessions, touch up
procedures, eyebrow, hair line procedures
Disadvantages of this procedure are -
lesser number of grafts can be done in
one session – a maximum of 1400-1600 grafts
( equivalent of 4000 follicles) can be done.
If requirement is more, then the next
session will be done after 3 months
there is about 10 % wastage of grafts
since this is a relatively blind procedure
of extraction
the hair per graft yield is a little
less than in the strip procedure due to
transection of some roots in the FUE
procedure
The result in both the techniques is
almost the same, there is almost no difference
in terms of density, distribution and appearance
after a transplant in the 2 techniques
Body Hair Transplant
(BHT)
Body hair
transplant utilizes the FUE technique to perform
chest hair transplant, beard transplant, axilla
hair transplant, pubic hair transplant. However
the density of hair in this region is very poor,
and often the grafts contain only 1 or 2
follicles. Further the growth cycle of body hair
is very slow, taking more than 6 months to start
their growth. Body hair transplant is reserved
only if scalp hair is not available.
Hair Transplant Surgery in Delhi - Frequently Asked Questions
Why I need hair transplant i.e., surgery, when medication and other
non-surgical means are available?
Medications
Medication can thicken and lengthen (regrowth) hair in some
and not in all who take them.
Medication is effective at the back (Vertex) and middle (Mid
scalp) but almost ineffective in the front (esp. Hair line)
where one needs the hair most.
Medication can work only until you keep taking if you stop
taking medication the benefits achieved by medication soon start
disappearing (because the hormones once again start working
their ill effects). Medication although reasonably safe should
be taken for lifetime –the idea normally puts off many.
Medications although fairly safe are not without any side
effects
Other Non- Surgical means
Wigs and Concealers are other possible solutions to
baldness. Concealers are temporary hair cosmetics, good for
thinning hair and as temporary solution such as before going to
party. They require regular care and expense. They are not cheap
either.
As for the wigs: 10 reasons why people don't choose wig
It gives constant feeling of weight and discomfort in hot
days.
Sweat cannot be cleaned properly and bad hygiene can lead to
skin problems.
Its fixing methods like weaving, bonding, pinning etc. can
pull on the natural remaining hair and add to your hair loss and
can even lead to scarring.
It gives same look all the time that looks and feels
artificial and unnatural. You have Fixed style all hours of use.
Its high level of detectability becomes a butt of jokes and
teasing by the friends, collogues and media.
Its cost run from few hundred dollars to many thousand
dollars depending upon quality.
You need regular maintenance every few weeks for the rest of
your life. Attachment may become loose- constant state of
low-level paranoia and anxiety about his public discovery.
Long-term financial investment because of regular
maintenance may be more than that of hair transplant surgery.
With life time maintenance & few monthly replacement & frequent
visits to wig maker- it becomes very expensive.
You need to change it every few months.
Not done by doctors.
Surgery by Follicular Hair Transplant is better in many
respects
Hair after Hair Transplant Surgery Looks and feels natural
unlike wig and concealer.
Hair after hair transplant surgery remains undetectable
among the other hair.
After hair transplant surgery, hair grows and keeps growing
permanently unlike the hair of wig and the regrown hair by
Medication.
After Hair Transplant Surgery, you do not require extra
maintenance or care unlike wig, which require lifetime care.
The hair from hair transplant surgery can be cut, colored
and styled as well.
Hair Transplant Surgery normally has one time expense unlike
medication or wig which require lifetime expense.
Hair Transplant Surgery is a One day Procedure performed by
numbing your skin so you can talk with hair transplant surgeon ,
watch TV, listen to music, read, take a nap, have lunch and
juice and even go to toilet!
No bandages at the end of Hair Transplant Surgery.
You can take shoulder bath from the day of the hair
transplant surgery and can shampoo your hair from 3rd day of
hair transplant surgery.
You can even do light office work from second day of hair
transplant surgery.
If you are from out station you may travel back on the day
of the hair transplant surgery or the next day. Minimum
follow-up is required after hair transplant surgery.
What is the guarantee that, after hair transplant surgery,
the implanted hair will grow? Why don't they too fall under the
effect of hormones like other hair?
The Common Baldness or Pattern baldness in males and Female
is programmed by heredity or genes i.e. the hair in the top
middle part of scalp become susceptible to the effect of the
hormones and the fringe of hair at the side and back remain
genetically immune to the effect of hormones. These hairs grow
permanently or at least till late age and they also maintain
their quality unlike the susceptible hair of middle, which
shorten and thin out in caliber as well. These hairs are called
permanent hair. In hair transplant surgery, we remove the hair
roots from permanent area and graft them in front or any other
part of scalp or body they keep growing like they used to do in
their native area. The hormones even in new area don't affect
these hair. Over 90% of the implanted hair are destined to
survive with modern techniques of hair transplant surgery.
Do I have to wait till all my hair fall out or can I under go
hair transplant surgery to increase my hair density?
Like any medical problem, one should not wait for hair
transplant surgery till the last stage of manifestation of
deformity of baldness. As the density of hairs gets down, one
can safely plant the follicles in-between existing hairs, to
compensate for the loss, without looking bald.
Can girls and women undergo hair transplant surgery?
Yes, girls and women can take benefit of hair transplant
surgery for the correct indications.
Can hair transplant surgery be done if there is no hair on
head?
Usually hair transplant surgery is refused if there is no
hair on the scalp. Body hair transplant can be an inferior
possibility.
Can hair transplant surgery be done for eyebrow, moustache,
eyelashes or other body areas?
Thinning, total or partial loss of eyebrow, eyelashes,
moustache or beard or sideburns since birth or due to other
causes like injury or burns can be corrected cosmetically by
Hair Transplant Surgery.
At what age one can have hair transplant surgery? Can a child
undergo hair transplant surgery? Can a 70 years old person
undergo hair transplant surgery?
Age is no bar for Scarring baldness. For pattern baldness
unusually hair transplant surgery is refused before 20 years and
if the quality of donor hair is good even at late age hair
transplant surgery can be done.
Do I have to undergo tests before hair transplant surgery?
Yes usually you need to undergo the following tests before
hair transplant surgery:
Complete blood count
HbSAg (Australian Antigen)
P.T & APTT
Blood Sugar (Fasting and Post prandial)
H.I.V.
What care do I take before hair transplant surgery? Pre
operative Care Before hair transplant surgery:
In order for us to provide you with the highest quality
medical care; the following instructions are important for you
to follow:
Medications: Do not take aspirin & other blood
thinning agents, Betablockers (for Blood Pressure),
anti-inflammatory (like Ibuprofen, etc), Tricyclic Anti
depressants & MAO inhibitors, multivitamins including
vitamin B, a week prior to your hair transplant surgery.
Avoid alcohol for a days prior, & tea/coffee
on the day of hair transplant surgery - that may increase
bleeding.
Don't smoke at least 24 hours prior to hair
transplant surgery –that will reduce healing.
The morning of your hair transplant surgery take a
bath or shower and wash your hair thoroughly
using regular shampoo. After shampooing, please rinse
thoroughly and use a fresh clean towel to dry your hair. Do
not apply sprays or gels to your hair. If you wear a
wig, please make sure it is removed prior to your morning
shower and not replaced before your hair transplant surgery.
Wear cap after shampoo to keep the hair free of dust.
Eat light breakfast the morning of your hair
transplant surgery..
Wear comfortable clothing the day of your hair
transplant surgery. avoid T shirt or thermal. Wear simple
shirt.
Please do not bring any valuables to the clinic
on hair transplant surgery day.
You may be receiving medications during the hair transplant
surgery that can make you drowsy. Because of this we strongly
recommend not to drive home the day of your hair transplant
surgery. If you are unable to have you driven home. If you are
coming from far we will arrange for lodging at a hotel near our
office so that you may stay overnight.
Can I talk or meet your previous hair transplant surgery
patient?
Yes we can arrange that on personal meeting with hair
transplant surgeon or in one of our seminars.
How much will hair transplant surgery cost?
For the scalp area hair transplant surgery cost is $3.50 to
$4.00 per follicle . The cost is different for special areas
like eyebrow, moustache, and beard etc.
How do I make payment for hair transplant surgery?
By cash is most preferred other modes you may personally
enquire.
I come from outstation can I get pick up facilities from
station, or Airport?
Yes, on few days' prior information we can arrange that.
Can my accommodation be arranged?
Yes, on few days' prior information we can arrange that.
Can hair transplant surgery be done if I am Diabetic or if I
have Blood Pressure or other medical problems?
Medical problems under good control by medication do not
stop you from undergoing the hair transplant surgery.
What are the side effects and complications of hair
transplant surgery?
Hair transplant surgery is one of the safest procedures
devised by medical science and leaves you with hardly any
long-term problems. Discomfort, swelling of forehead, numbness
at the back trouble you only for a while. Serious complication
with competent hair transplant surgeons is unheard of.
Can hair from other parts of my body be transplanted?
Technically hair transplant surgery from other parts of the
body is possible but hair follicle from the other parts of the
body when planted on the head, does maintain its genetic
characteristics, and hence it does not look, feel and grow as
good as scalp hair.
Do I need to get my hair trimmed short before the hair
transplant surgery?
We recommend, not to undergo short trimming. Longer hair may
make our plantation a bit difficult but these existing long hair
will help to hide (cover) plantation site and donor site in such
a way that no one can make out that you have under gone hair
hair transplant surgery.
How many follicles will I require for hair transplant
surgery?
Number of follicles required for hair transplant surgery is based on
factors that vary among individuals.
Degree & Progress of hair loss.
Hair characteristics
Area where hair transplant surgery is desired
Expectation by patient
The total number of hair on the head remains the same as before or
after Hair Transplant Surgery. The hair root from 'permanent hair
growing area" from the back and side of the head (medically known as
Hair Bank or Donor Area) is transferred to the front and /or top of
the head. In Hair Transplant Surgery no new hair is grown. Only the
transplanted hair roots are arranged in such a way that head looks
fuller with hair.
We have approximately 1,00,000 hair on head. In the last stage of
baldness i.e. Stage 7 baldness; he is left with almost 25,000 hair
on the back and side of his head (medically known as Hair Bank or
Donor Area). From this area, we can harvest up to 60 % or 15000
hairs, without looking obvious. One sq. cm of Donor Area contains
100 follicles, but each follicle (Root) may have either 1.2.3 or 4
number of hair. If you have more follicles containing 3 or 4 hair,
you will have more density than one having 1 or 2 hair in each
follicles. On an average each hair follicle contains 1.5-to2 hairs.
So, on an average 100 follicles will contain up to 200 hairs. 15,000
hair means up to about 7 500 follicles are available for transplant
from your donor site. These follicles are planted in such an
artistic and Staggered pattern to create what is called an Organized
Disorder Pattern over the bald area that head looks full of hair.
Hair transplant surgery is the combination of Art and Science both,
which gives most natural result.
Normally, you have density of 100 -follicles/sq cm on the head. We
do not see the bald skin until we lose up to 60% of hair in the
area. So in view of the limited availability of longer lasting
follicles in the bank, we should aim for the maximum density of up
to 40% plus /Sq.cm esp. in vital areas like frontal forelock. You do
not get the same density all over, as before but you can make it
look like near normal density.
It goes without saying for the Number of the hair that " More the
merrier". But unfortunately you have 4 acres of seeds to be used for
12 acres of land! On an average 6 to 7000 follicles should be
distributed for a person with Grade 7 baldness. The number is often
the minimum requirement i.e.
What density will I get after hair transplant surgery?
Hair Density (mass or fullness) is more with
Length of each hair
Thickness of hair
Number of hairs per sq.cm. (Density)
Acuteness of angle of exit of hair from the skin. This
factor depend on the artistic ability of hair transplant surgeon
More perpendicular (coronal) direction of hair to the hole
while inserting hair follicle. This factor depend on the
artistic ability of hair transplant surgeon.
Number of Hair per follicle like, 3-4 hair per follicle give
more density
Curliness of hair
Low Contrast between color of hair and color of scalp
Time: Hair starts growing after about 8 to 12 weeks from
plantation and continues to grow at the rate of 1 cm per month.
So, only with the passage of time, the hair mass will increase.
Normally, you have density of 100 -follicles/sq cm on the head.
We do not see the bald skin until we lose up to 60% of hair in
the area. So in view of the limited availability of longer
lasting follicles in the bank, we should aim for the maximum
density of up to 40% plus /Sq.cm esp. in vital areas like
frontal forelock. With hair transplant surgery, you do not get
the same density all over, as before but you can make it look
like near normal density.
DURING HAIR TRANSPLANT SURGERY
What Time Hair Transplant Surgery Takes?
Hair Transplant Surgery takes Only a day that you have to
spare. Hair Transplant Surgery takes 2-8 hours usually depending
upon the number of the follicles to be implanted .
Do I have to bring someone with me?
It is not necessary but you cannot drive back home after
hair transplant surgery. You may hire a vehicle or some one
should drive you back.
Will it pain at the time of hair transplant surgery and
afterwards?
We take utter care so that you remain comfortable while
numbing your skin after that the hair transplant surgery is pain
free. Pain killer tablets take care of some discomfort you may
have in the donor site for 2-3 days. Grafted site virtually
remains pain free.
Will there be any bleeding during hair transplant surgery?
After all you cannot cut skin without few drops of blood
shedding but it is not significant.
Will there be any effect on my mind?
This is one of the safest surgeries devised and it limits
itself to the skin your brain remains much deep beneath and
safely protected in the natural helmet of your skull.
If hair transplant surgery lasts long how shall i have my
lunch?
We usually provide some snack hygienically packed and juice
etc as well during the break hours for you.
How do you implant the hair? Do i have cuts and stitches?
This will reduce the possibility of micro trauma to the
follicles. There are micro punctures done but there are no big
cuts or stitches taken at the site of grafting.
Do you do megassion and dense packing?
Megasession of over 1500 grafts usually up to 3500 follicles
in one day has benefit of avoiding multiple small sessions for
bigger area of baldness. We do it routinely due to our
well-trained team of over 8 people. Dense packing consumes many
more grafts because one sq. c.m. is implanted with 25 to 50
grafts. This is normally done in the area of frontal forelock so
as to have fullness in the front without exhausting the donor
area.
AFTER HAIR TRANSPLANT SURGERY
What is the after care of hair transplant surgery?
Post-operative instructions.
You will leave the hair transplant clinic on the same day
with no bandages on - but you should wear a cap for a week to
protect grafted from dust, sun & heat.
Take medications as directed. (Avoid Aspirin for 2 weeks)
Sleep in the position in which you're most comfortable but
sleep with the head on 2-3 pillows for a few nights.
Place wrapped ice pack on your forehead & eyes but not on
the graft sites for 48 hours to avoid swelling. Swelling will go
away in a few days of the hair transplant surgery. These days
swelling is uncommon due to medications taken post operatively.
After 6 hours of the hair transplant surgery shampoo the
graft site & donor site gently without rubbing and wash the head
with shower. Blow dry or dry without rubbing the graft site
until all scabs fall out.
If bleeding occurs apply a light & steady pressure for 20-30
minutes with a clean cloth at the site of bleeding.
Sutures in the donor area gets dissolved & need not be
removed.
Avoid alcohol for 48 hours after hair transplant surgery.
Avoid smoking for as long as you can after hair transplant
surgery.
No swimming in chlorinated water for 2 weeks after hair
transplant surgery.
Rest for 1 day after hair transplant surgery.
Light work for a week after hair transplant surgery.
Heavy work, exercise or sex after 2 weeks of hair transplant
surgery.
Visit your hair dresser for hair cut after 3 weeks & for
hair styling after 6 weeks of hair transplant surgery.
Diet: Healthy nutritious diet with more proteins is
beneficial. A diet that contains high quantities of animal fat
can lead to an increase concentration of testosterone in the
blood stream, increasing your risk of hair loss. High protein
diet in pulses, milk, and white of egg, red meet and fish are
good. Green vegetables and fruits are good source of minerals
and antioxidants. A lot of water keeps your hair texture good.
Cold laser for 3-6 weeks if prescribed.
You may be receiving medications during the hair transplant
surgery that can make you drowsy. Because of this we strongly
recommend the not to drive home the day of your hair transplant
surgery. If you are unable to have someone drive you home after
your hair transplant surgery and you live near our office we can
arrange to have you driven home. If you are coming from far we
will arrange for lodging at a hotel near our office so that you
may stay overnight.
Report to the hair transplant clinic or call the hair
transplant surgeon if:
any excessive pain or excessive bleeding
any rise in temperature over – 100oF
sudden swelling of forehead or eyes
How will the result of hair transplant surgery look?
Advantage of follicular hair transplant surgery is that the
result is not only natural looking and natural feeling but hair
transplant surgery remains undetectable.
If hair transplant surgery is a day treatment will I have
full-grown hair when I leave the hair transplant clinic?
The treatment of grafting the hair roots is over in few hour
of the day and you may have short hair sticking out from the
roots but it takes 8-18 months for the full grown results
(average 1 year).
What time it takes to grow hair after hair transplant
surgery?
The hair start sprouting by average 3-4 months and it takes
8-18 months for the hairs to grow in length and thickness.
What care will I have to take for the newly grown hair?
You don't need any special care for the newly grown hair
after hair transplant surgery, at least not more than your other
hair.
What if the implanted hair falls?
Implanted hair fall within first month of hair transplant
surgery. The transplanted root form new hair in 3-4 months time.
They become of combable length by 6-9 months and grow like any
normal hair i.e. In cycle. So they may cyclically fall and in
few weeks also start re-growth. The final result is achieved by
1 to 1 and a half year when the texture and thickness of
transplanted hair becomes fully mature.
How long do I have to take rest after hair transplant
surgery?
You may not require rest but rest of 2-3 days may be
sufficient. You should avoid heavy exercise or sex, weight
lifting etc. for a week or more after hair transplant surgery.
When can I go for swim?
10 days after hair transplant surgery.
When can have my haircut? When can I shampoo, style, and
colour my hair?
Haircut is possible after 3 weeks and colour and styling
after 6 weeks of hair transplant surgery.
Will I have bandages or dressing?
You leave the hair transplant clinic with no bandage. But it
would be wise to use baseball cape when outdoors, to protect
from sun, dust and pollution for 2 weeks.
Can I drive back home?
You may be receiving medications during the hair transplant
surgery that can make you drowsy. Because of this we strongly
recommend not to drive home the day of your hair transplant
surgery. If you are unable to have someone drive you home after
your hair transplant surgery and you live near our office we can
arrange to have you driven home. If you are coming from far we
will arrange for lodging at a hotel near our office so that you
may stay overnight.
When can I work?
Usually from the day after hair transplant surgery for the
light work but heavy work is avoided for 7-10 days after hair
transplant surgery.
When can I take bath after hair transplant surgery?
Shoulder bath on the same day as hair transplant surgery and
shampoo and shower by patting and without rubbing the grafted
site from next day onwards.
After hair transplant surgery, When can I go to gym?
2 weeks after hair transplant surgery to allow healing and
consolidation of stitched tissue. Avoid weight lifting for few
months if possible so that your scar does not get stretched.
After hair transplant surgery, When can I have sex?
2 weeks after hair transplant surgery.
After hair transplant surgery, when can I have alcohol?
Avoid for a week.
After hair transplant surgery, when can I smoke or consume
tobacco?
Avoid for as long as possible because it can affect your
healing and hair growth.
After hair transplant surgery, when can I have tea or coffee?
Avoid for a day before and after.
What diet should I take after hair transplant surgery?
Take high protein with milk, white of eggs, pulses, green
vegetables, fruits, lots of water. Avoid fast food, fatty food.
Will I have headache?
You may have tightness in the stitch area for a few days
after hair transplant surgery, but soon it disappears.
Will I have any scar from the hair transplant surgery?
You will have a thin line of scar from where we remove the
strip but rest assured it will remain undetectable because it
will be covered under the hair on the top.
Do I need to remove the hair transplant surgery stitches?
Usually the hair transplant surgery stitches get dissolved
by 12-15 days.
Do I need to take the medication and for how long after hair
transplant surgery?
Usually we prescribe antibiotics for a week and painkillers
for 5 days after hair transplant surgery. Additionally you may
take finasteride and minoxidil for thinning hair or preventing
hair fall by telogen effluvium.
Do you use laser for Hair Transplant Surgery? What is Low
Level Laser Therapy or Cold Laser?
Few years back hair transplant community used laser to drill
micro holes for implanting hair roots. They soon found out that
the hair growth was poor and laser was doing more damage to the
wall of the hole and its blood supply then it helped. As a
result no hair transplant surgeon of good standing in the world
uses laser for hair transplant. But for Low Level Laser Therapy
(lll) or Cold Laser as it is called is proclaimed promising for
improving the thinned out hair harmlessly are used by us after
hair transplant surgery to enhance the results.
How soon can the same hair transplant surgery be repeated in
the same area?
Theoretically, to increase the density one may repeat the
plantation within 6-8 months of the hair transplant surgery.
Why Hair Transplant Works?
Hair in the front and top of head is lost because it is Genetically
hormone susceptible. Hair on the sides and lower back are genetically
immune to hormone sensitivity and are genetically programmed to grow a
lifetime, it will continue to grow ven though it is transplanted to a
different site. This is the medical fact, and has been repeatedly proven
for more than 50 years.
Follicular Unit Hair Transplant is the only method by which one can grow
permanently growing, natural looking, and undetectable hair in the bald
or thin area. In olden days people used Punch or plug grafts where
bunches of 15-25 hair in a plug taken from the side or the back of the
scalp (Donor Area) were implanted in the front. This gave the typical
pluggy (Cornrow, baby doll, tooth brush or cobble stone) appearance.
They were later replaced in 1980s by Mini and then Micro grafts, which
were randomly, cut smaller grafts of 5-8 hairs and 1-3 hairs
respectively. The results improved but were still not near natural
looking. 1983 it was discovered that nature grows our hair in groups of
1,2,3 or 4 hairs. These were called the Follicular Units. So surgeons
started cutting and transplanting the grafts in the nature's way i.e. as
Follicular Units and that gave completely natural looking hair and
therefore Follicular Unit Transplant although is a highly skilled and
labour and techno intensive procedure, has become the Gold Standard
today.
Facts- Hair loss & Baldness
Hair Loss (ALOPECIA) and Baldness come in 3 Forms: Pattern,
Patchy and Diffuse
Pattern
(Particular Shape)
Most Common Type
Patchy
(Localized, Focal)
Diffuse
Characteristics
You lose hair
in front and on the top but a horseshoe shaped area at the
back and on the sides is un affected.
You lose hair
only in patches on the scalp and rest of the area hair
growth is normal.
You lose hair
on entire scalp and not on just a particular area leading to
generalized thinning or generalized baldness.
Common
Causes
Male Pattern Baldness (MPB/AHA Androgenetic Alopecia)
Common Baldness
Female Pattern Baldness (FPB)
Alopecia Areata
Scarring Alopecia
Trichotelomania
Traction Alopecia
Alopecia due to various skin problems like Lupus,
Scleroderma, Pseudopalade, Tinea Capitis etc.
Telogen Effluvium
Anagen Effluvium
Rare Hair Shaft Disorders
Brief
Description
Common Baldness
(MPB or AHA) and FPB Androgenetic Alopecia (AHA) is by far
the most common cause of hair loss. This is due to 2 reasons
1. Genes
2. Hormones
Alopecia Areata:
This as a common Autoimmune disease where the body 's
immune system perceives the hair as its own enemy and
start attacking and destroying them. This is treatable
only in early stage but recurrence may not be prevented.
It may recur in other part of scalp, beard or other part
of scalp. Chronic disease is difficult to cure when many
roots are destroyed. Hair Transplant is usually not
done.
Scarring or Cicatricle Alopecia:
After burns or other injuries to the scalp there can be
permanent damage to the hair roots and in that patch
hair do not grow. Usually due to scarring the blood
supply in that area is poor.
Traction Alopecia & Trichotelomania:
Due to the tight hair style in women or in Sikhs like
braiding or the use of weave or pins of wig continually
pulls on the hair and the roots may get damaged in long
run and can cause hair loss. In Obsessive psychiatric
disorder called Trichotellomania the patient is in a
habit of pulling the hair in one area and ends up in a
patchy hair loss in that area.
Telogen Effluvium:
A period of Physical or mental stress, delivery of a
baby in females etc. can lead to generalized loss of
hair from scalp within few weeks due to shortening of
Growth cycle and entering of hair in Telogen phase. This
is temporary because after 6 months of relief in stress
period the hair starts regrowing. Telogen effluvium can
precipitate or even aggravate pattern baldness if one is
genetically susceptible to develop MPB or FPB
Anagen Effluvium:
Chemotherapy or certain Toxins can stop further growth
of the growing hair and the already grown hair brakes
and sheds over few days.
If you have Androgenetic Alopecia, like many other people, you were
destined to lose hair from the time you were conceived. You have a
group of genes that act together to make your hair susceptible to
natural hormones in the body. You inherited these genes from either
side of the family or from both sides and these genes may affect you
more or less than other members of the family.
Androgens, the so-called male hormones, are produced by both men and
women, in the testicles, ovaries, and adrenal glands. The adrenal
glands are small glands above the kidneys. Testosterone is the most
well-known androgen. At puberty, testosterone levels rise and, among
other effects, cause the fine, short, "velus" or baby hair in the
pubic areas and in the armpits to become coarser hair.
In the scalp, testosterone is converted, by an enzyme called
"5-alpha reductase", to a different androgen called
"Dihydrotestosterone (DHT)." DHT, more than any other androgen,
causes genetically sensitive hair to be lost. In genetically
sensitive hair, DHT causes each generation of hair to become
progressively smaller. This process is called miniaturization. DHT
causes each generation of hair to become more narrow, short and
lighter in color. Eventually the root stops producing hairs
altogether.
There are two medications that have been proven to slow down
Androgenetic Alopecia. Finasteride (Propecia or Proscar) blocks a
type of five alpha reductase to decrease the amount of DHT.
Minoxidil (Rogaine) seems to work directly on the hair cells and
prolongs the growing phase. Medications can slow down the process on
a temporary basis but they cannot stop it. Follicular unit hair
transplantation, however, can provide a lasting improvement.
Some hairstyles, like braiding can cause hair loss.
Styles that pull or put tension on the hairs - such as tight
ponytails or cornrows - can cause hair loss.
Hair loss can be aggravated by other conditions.
Iron deficiency can make hair loss worse and is fairly common in
vegetarians and women. Iron deficiency is not a diagnosis by itself
and the cause must be found. Correcting iron deficiency can slow
down the progression of hair loss but is not likely to cause a major
improvement in your hair. Severe malnutrition and protein deficiency
can also contribute to hair loss but hair loss would be the least of
your worries. Thyroid disease can aggravate hair loss. Hair loss can
occur with either an under active thyroid or an overactive thyroid.
Elevated Hormones can speed up hair loss. Men (or women) who take
anabolic steroids for bodybuilding often notice accelerated hair
loss.
Does stress contribute to hair loss?
Both psychological and physical stress, especially if they are
intense and prolonged, can contribute to temporary hair loss. They
do this by perhaps altering the hair cycle: shortening the growing
stage or lengthening the resting stage. Stress may also have a
negative impact on the immune system leading to a more severe type
of hair loss called alopecia areata. When the stressful situation is
over or the body adjusts to it, the hair usually grows back.
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