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Is the density of transplanted hair same as natural hairs ?

The transplanted hairs are permanent but not immortal , most common cause of baldness in 95 % of the cases is hereditary and genetic . Since the transplanted hair roots do not contain the receptors on which the gene acts so they stay for rest of your life but the rest 5 % causes of baldness as mentioned in above answers will continue to act on the transplanted hairs which may cause subsequent gradual miniaturization , thining and may be loss of hair also in due course of time with advancing age , age related senile degeneration and premature greying of hair may occur

How many settings required in hair transplant ?

Ans :- The transplanted hairs are permanent but not immortal , most common cause of baldness in 95 % of the cases is hereditary and genetic . Since the transplanted hair roots do not contain the receptors on which the gene acts so they stay for rest of your life but the rest 5 % causes of baldness as mentioned in above answers will continue to act on the transplanted hairs which may cause subsequent gradual miniaturization , thining and may be loss of hair also in due course of time with advancing age , age related senile degeneration and premature greying of hair may occur .

 

What to eat ?

Ans : I. Plenty of fluid (water ) intake , 10-15 glass of water or 2-2.5 litres of water / day
II. Fresh fruit juices consumption in abundance .
III. High protein diet germinated grams , pulses(daal ) soyabean seed, milk & milk products ( curd , cheese , butter milk ), egg white , white flesh (chicken , fish , sea foods )
IV. Green leafy vegetables (contains multi vitamins & anti oxidants ), Amla .
V. Avoid fatty spicy fast foods , alcohol , tobacco , smoking .

 

What are the post Operative instruction of Hair Transplant ?

Ans : I. Avoid friction on the transplanted zone by avoiding wearing tight T-Shirts , Helmets , application of oil .
II. Avoid anti platelet drugs (eco- aspirin ) for 3 days after surgery
III. Avoid very high protein diet like protein shakes for 3 months after surgery .
IV. Avoid gym , heavy weight lifting , strenuous exercises and sports till 3 weeks after surgery
V. Keep head end elevated by using 1-2 pillows below the head for 3 weeks of surgery .

 

What are the Pre operative instruction of Hair transplant ?

Ans : I. Stop smoking , tobacco , achohol, anti platelet drugs (aspirin ), any other drugs for hair etc
II. Nutritional supplements , multi vitamin tablets 7 days prior to surgery and to be stopped for 7 Days after surgery .
III. If the client use hair dye / color then he need to get it done 1-2 days prior to surgery .
IV. Stop Gym , heavy exercise , vigorous, strenous exercises , sports 3 days prior surgery .
V. A headwash with routine anti dandruff shampoo to be done daily as a profilaxix 7 days prior surgery and head wash with betadine surgical scrub (as an anti septic profelaxix ) twice a day for 2 days before surgery .

 

What is a GIGA SESSION ?

Ans : – Giga session is to cover a big area of baldness ina single setting by implantation , more than 3500 FUG 9upto 4000-5000 FUG ) this can be done either by
I. FUT alone -: Provided donor area density is high , scalp laxicity and circumference of head is big
II. Combination of FUT + FUE -: Taking out the maximum number of grafts by FUT ( Taking maximum length & width of strip ) upto 3000-3500 FUG usually and the remaining grafts by FUE from above or below the strip from permanent hair bearing zone .
III. FUE alone -; taking maximum number of grafts from donor area scalp depending on dnsity (2000-3000 FUG ) and the remaining via Body Hair Transplant (beard or chest hair ). Depending on donor area density via FUE method between 1000-2000 FUG from beard and the same from chest can be harvested in a single setting .
Question 11) What are the charges of Hair Transplant ?
Charges depend on the following factors
A. Area of baldness (small or big )
B. Donor area density of scalp (low or high )
C. Budget of the client (whether he wish to cover the whole area of baldness in single or multiple settings )
D. Technique involved (FUT/FUE alone or FUT+ FUE combo , BHT )
The basic charges are as follows -:
I. FUT + FUE combo for Giga session – Rs 40 / FUG
II. FUT( Commonest , Gold Standard , Strip method ) – Rs 45 / FUG
III. FUE ( Stitchless , practically scarless method ) – Rs 55 / FUG
IV. BHT ( Body Hair from beard & chest to scalp – Rs 60/ FUG

 

How many settings are required to cover area of baldness ?

Ans : This again depends on the donor area density of scalp , budget of the client and the technique involved . FUT/FUE alone or in Combo .
At our centre , a well equipped standardised OT and instruments ,using a latest techonology (FUT+FUE combo ) we are specialist in covering a big area of baldness in a single setting (3500-5000 FUG ) which is known as giga session . If the area of baldness is big and the bidget of client is limited then he can get the whole area covered in 2-3 settings . In the first setting the area on front (hair line ) and top (central tuft ) , which is most important and visib;le is covered with an average of 2000 FUG (b/w 1500-2500FUG ) to give a natural look after 6 months when the results are visible he can get the area at the back covered by a subsequent single setting .

 

What is the medical management of hairloss ?

Ans 8- Till date only 2 US – FDA drugs have been approved for hairloss as follows -:
I. Minoxidyl -5% in male & 2 % in female international recommended dose is 1 ml Bd for both male & female for 6 months to 1 year
II. Finastride 1 mg OD in males only for 6 months to 1 year usually without any side effect and 5 mg once a week in post meno pausal female .

 

What are the psycho – social problems of baldness ?

Ans : I. There is decrease in self esteem / confidence .
II. Person looks 10 yrs older
III. Difficulty in appearance for job interviews and getting married
IV. Unable to display picture on facebook and whatsapp etc .

What are the causes of Hairloss /Baldness ?

Ans : I. Most common cause is hereditary 95% cases and others are 5 % like dandruff , dietary deficiency (iron , protein , vitamin ) anaemia , hyper tension , sideeffect of long term drugs , immune deficiency (malaria , Typhoid , Dengue Fever , Cancer ).
II. Excessive smoking ,tobacco,alcohol .
III. Improper diet , Indigetion , Constipation , Severe Mental Stress , Inadequate sleep (Insomnia ) for 6-8 hrs etc.
IV. Hormonal changes or imbalances -: Child birth , post meno-pausal , post pregnancy , PCOD
V. Diseases like diabetes , Lupus , Thyroid disorder
VI. Hair Treatments- Hair extension , straighthening (thermal or chemical ), over excessive brushing , extra application of hair products .

What are the treatments of hairloss /baldness?

Ans : Basically divided into 3 groups
I. Non – Surgical -: Artificial hairs (hair wig ) , Hair Weaving (Knots ), Bonding (clips or hooks ) , Hair Fusion (Adhesives ).A patch of artificial hair is used to cover the area of baldness.
II. Surgical Treatments – Hair Transplant
 FUT – Follicular Unit Transplant
 FUE – Follicular Unit Extraction
 FUT+ FUE
 BHT- Body Hair Transplant .
 DHT – Direct Hair Transplant
III . Medical Treatments -: Oral medications , Shampoo, Oil , Tablets etc . Stem Cells Therapy , LLLT (Low Level Laser Light Therapy ), PRP ( Plasma Replacement Therapy ), Mesotherapy etc .

What is Hair Transplant ?

Ans : Hair transplant is a permanent solution to baldness , its a latest technique , cosmetic procedure where by we take a persons own hair root from the back of the scalp and transfer to the front in the area of baldness, it grows just like any other natural hairs , regular hair cut , you can apply oil , comb , shampoo, keep rough & tough , they stay for rest of your life and never fall . Even if you clean shave them they will regrow . Hair Transplant is a One day procedure done under local anesthesia and a medically qualified team o f 10-12 members work for 6-8 hrs, there is no hospitalization, pain,bedrest required and may walk down comfortably , can continue office or college from next day .

What are types of Hair Transplant ?

Ans :Types of Hair Transplant – There are 4 types of hair transplant depending on the technique by which hairs are harvested .
FUT – : ( Strip method , most common , gold standard method ) – An elliptical strip of hairs is harvested from the back of scalp (donor area ) and the strip contains hair along with the hair roots . The strip is taken out on a very thin superficial layer of skin and the defect is closed with very fine absorbale stitches which leaves a very faint scar mark .( 1-2 mm thin line ) Which will be hidden in the hairs at the back by a new technique called trychophytic closure of scar, hairs will grow even through that 1mm thin line so as to camoflauge the scar .
Advantages of FUT -:
 Maximum number of grafts can be harvested from safe donor zone in a single setting (3500-5000FUG ) depends on the donor area density to cover a big area of baldness in a single setting .
 Since the hairs are dissected in loop magnification under direct vision the rate of transaction of hair follicles is minimum ( less than 1% )
FUE – (Minimal Invasive method , stitchless, no cut , no stitches) , Practically almost scarless , painless
Hair follicles are harvested from the safe donor zone of permanent hair with the help of standardised hair punches , manual or motorised (0.8mm,0.9mm,0.10mm in diameter ). The hair punch goes around the direction of hair upto the hair root and pluck it out one by one , the defect heals spontaneously by secondary intention leaving minimal scar .
Advantages -:
 Since its a minimal invasive method as compared to depth of the punch an extra skin or fat is not dissected as compared to FUT method , the post operative pain & discomfort is minimal (practically painless )
 No surgical insiccion is given on the skin hence no minor scar mark and no stitches are applied so the client need not to come back for stitches removal .
Limitations -:
 Its a blind procedure the hair punch goes around the direction of the hair upto the hair root doesnot see the hair roots directoly . so the rate of transaction of hairroot is between 5-10 % even in the best of the hands .
 A technical limitation of FUE is that after taking a single root we can not take out the near by adjacent hair roots even one has to leave 3-4 roots before taking another roots so the maximum hair roots that can be harvested in a single setting by FUE from the safe donor zone is usually between 2000-2500FUG depending on the donor area density rarely 3000 FUG .
Indications of FUE -:
 A smaller requirement of grafts or to cover a small area of baldness , receding hairline in young age or bilateral temple fossa .
 Eyebrow , Moustache , beard reconstruction .
 Clients where the majority of donor hairs are grey .
 Where the client keeps short hairs , army cut , crew cut .
 Where the donor skin is tough and inelastic (FUT cannot be done ) .
BHT – Body Hair Transplant (Beard or Chest hair to scalp ) – permanent hair from body parts other than head like beard , chest , arms , legs , back , abdomen , axila, pubic are transferred to the area of baldness by FUE .
Indications of BHT -:
 When the area of baldness is big (Grade 6,7 ) and the donor area density of scalp is less .
 When the client does not operate for FUT method and wish to get covered a big area of baldness by FUE technique only in a single setting in that case the maximum number of grafts from the back of scalp are harvested and the remaining are harvested from beard and chest by FUE method .
 Beard hair are used for post trauma burn scars to increase the density of scalp hair .
 Chest hair are thin and finer are used to reconstruct temple triangle .
FUT + FUE Combo -: Its a latest technique where a big area of baldness can be covered in a single setting with minimal scar using FUT + FUE thus avoiding the need for a second session .
Advantages -:
 Avoiding the need of a second setting
 Its economical , cost effective
 Upto 4000- 5000 FUG can be transplanted in a single setting .

What are the side effects of transplant ?

Ans -Hair transplant is a minor OPD procedure done under local anesthesia in 98% of the cases usually no sideeffect occurs, in less than 2 % cases a few side effects may occur as follows :-
I. Infection (Follicilitis ) – Inflamation of the hair follicles in manifest in the form of small rashes , postules , single or multiple accompanied with redness & iticthing in the recipient or the donor area .
II. Usually in 4-6 weeks of surgery these are not harmful and are treated by oral and topical anti biotics & anti septic shampoo (betadine surgical scrub for 3-5 days )
III. Swelling Forehead and face -: Its not a side effect , it subsidized for 5-7 days after transplant
IV. Numbness or loss of sensation in donor or recipient area ( less than 5% cases ) which usually subsidized within 2-3 months of hair transplant . This is due to inadequate , inavoidable transaction of superficial nerve fibres. Coconut oil massage for 10 minutes BD for 2-3 months in the donor area is accelerates the recovery of sensation
V. Dryness & ititching in the recipient area -: Its a good sign of wound healing occurs in 10- 5 cases in the first 2-3 weeks of transplant , application of natural pure aloe vera gel is beneficial .

 

Following the hair transplant what if other hairs fall ?

Ans- Following a transplant we usually give medications (shampoo, tablets , lotions ) for 6-9 months till complete hair grows . these medications act as a fertilizer which increase the quality , texture ,density of the rest of the hairs and control further hairloss and strengthens the hair roots and delays the miniaturization / falling of rest of the hairs under genetic influence .
When we are covering the area of baldness by transplant then ideally , if the surrounding adjacent hairs have a lower density which are susceptible to fall in future( under genetic influence ) , then ideally these adjacent low density zone should be made dense by transplanting hair in the space between two natural adjacent hairs if the budget of the client allows so that in future even if this genetic susceptible hairs fall then that area will not appear bald again nor does this require the second session of transplant because transplanted hairs are already present there in high density .
Folowing the first transplant in the front & top area if rest of the hair at back of the scalp fall then it wont cause much problem because the transplanted hairs infront if allowed to longer will cover the area at back .
If the rest of the hairs fall leading to a big area of baldness following the first setting then you can get it covered subsequent 2nd session of Hair Transplant.