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Hair Transplant

Hair has a great social significance for human beings. It can grow on almost every area of the human body except on the palms and soles. But hair is most noticeable in only a small number of areas which are also the ones that are most commonly trimmed, plucked or shaved. Hair is seen as an indicator of gender or aging. Facial hair is one of the most visible differences between the male and female body, while facial hair is a sign of puberty in men, white hair is an indicator of aging. Although in today’s society a shaved head is an acceptable hair style for men, healthy hair indicates vitality and youth, which may explain the reason why many people experiencing baldness seek hair restoration.
Baldness is the loss of hair from the head. In men, this condition can have its onset from a younger age (about 16 years). Conventionally, baldness is believed to be caused due to three main factors: age, hereditary factors, and effect of androgenic hormone. Adding to these, changes in life style have also contributed to this condition. Examples of such conditions are stress in the forms of smoking, late night jobs, long hours of work, irregular sleep cycles. These conditions have not only increased baldness in men, but also in women. Therefore, hair transplantation technique can also be beneficial to them.

Hair transplantation is a popular procedure for growing permanent natural hair on bald areas of head, eye brows and other areas. A successful hair transplant can change your life.
Hair Grafting is a surgical technique that involves moving individual hair follicles from one part of the body (the donor site) to bald or balding parts (the recipient site). It is primarily used to treat male pattern baldness, whereby grafts containing hair follicles that are genetically resistant to balding are transplanted to bald scalp. However, it is also used to restore eyelashes, eyebrows, beard hair, chest hair, and pubic hair and to fill in scars caused by accidents or surgery such as face-lifts and previous hair transplants.
Hair naturally grows in follicles that contain 1 to 4 hairs. Today’s most advanced techniques transplant these natural 1–4 hair "follicular units" in their natural groupings. Thus modern hair transplantation can achieve a natural appearance by mimicking natural hair. This hair transplant procedure is called Follicular Unit Transplantation (FUT).
Hair transplant operations are performed on an outpatient basis, under local anaesthesia with mild sedation (optional), which usually takes about six hours. The scalp is shampooed and then treated with an antibacterial agent prior to the donor scalp being harvested.


Consultation

At an initial consultation, Dr Goyal analyzes the extent of your baldness and quality of your hair. The doctor will estimate the approximate number of grafts available at your donor area and will discuss the plan (e.g. FUT Vs FUE, single vs. multiple sessions) to give you best result. The assessment includes the post surgery density & the hair transplant cost. During your consultation with Dr. Goyal, you will get answers of commonly asked questions about hair loss problem and about hair transplantation.
Cyclic medicine treatment for 2-3 months is usually recommended to improve the result of hair transplantation.


Procedure

In the usual follicular unit strip procedure, the surgeon harvests a strip of skin from the back of your scalp (a baldness resistant area). The excised strip is about 1–1.5 x 15–30 cm in size. The gap is closed by using a special technique which is known as trichophytic closure. This technique enables us to give a nearly invisible scar at donor site. The production of graftable follicular unit requires a two stage process of first slivering and then dissection of the follicular unit from these slivers. Both of these stages are accomplished with the help of most advanced dissecting microscopes by highly trained technicians at our centre. The follicles dissected are immediately preserved within special cooling solutions and are made ready for transplantation. The surgeon then uses very small micro blades or fine needles to make slits for receiving the grafts, placing them in a predetermined density and pattern, and angling the wounds in a consistent fashion to promote a realistic hair pattern by inserting the individual grafts in natural angle & sites.
The whole procedure can take 5-6 hours or more depends on the numbers of graft used. You can take break for lunch & for washroom. You are completely conscious & comfortable all the time. You can watch television or listen music of your choice.
Small dressing and head band is given after the procedure. Detailed post operative instructions will be provided in writing.


Recovery & Final Result

During the first 10-20 days, virtually all of the transplanted hairs, inevitably traumatized by their relocation, will fall out ("shock loss"). The implanted roots are intact and they start growing new hair after 3-4 months. After three or four months new hair will begin to grow from the moved follicles. Then the patient's hair will grow normally, and continue to thicken through the next six to nine months. So the final result of hair grafting is visible after 8-12 months after surgery. Any subsequent hair loss is likely to be only from untreated areas. Some patients elect to use medications to retard such loss, while others plan a subsequent transplant procedure.


FAQ

1. Where do the transplanted hair come from?
Ans. Hair transplantation is actually about relocating or transplanting the bald resistant hair follicles from the back of your head (donor area) to the balding areas on the top of the head.

2. Do transplanted hair fall?
Ans.–Transplanted hairs are permanent. This process works for a lifetime because the hair follicles taken from the back of the head are genetically resistant to baldness, regardless of where they are relocated to.

3. Do transplanted hair look natural? Do they grow?
Ans. Transplanted hair is your own hair. Hair transplantation when done right, appear absolutely natural, they grow naturally and can be cut, washed, combed and styled. But the skill and technique of the surgeons does vary widely, as do their results. It is important to choose the right procedure and the right hair transplant surgeon to assure that you will get the best possible results.

4. Is hair transplantation procedure safe?
Ans. It is safe. It is performed under local anesthesia in high standard operation theatre.

5. Are there any visible scars at donor site?
Ans. There are no visible scars. The donor area at the back is closed with unique technique known as “Trichophytic closure”, leads to a fine line like scar which is covered by hair without any baldness.

6. How many sittings of hair transplantation are required?
Ans. Usually 1 or 2 sittings are required depending on the extent of your baldness. If the bald area is small, it can be filled in one sitting only.

7. How long does a hair transplant procedure take?
Ans. A typical session normally involves a full day of surgery on an outpatient basis. Most patients arrive in the morning and will have their procedure completed by late afternoon or evening.

8. Does the hair transplant procedure hurt?
Ans. We use most advanced technique of local anaesthesia that gives pain less experience. Most patients find that once anaesthesia is given they feel no pain or discomfort during the whole length of surgery. Most patients are pleasantly surprised by how minimal the discomfort from the procedure is.

9. Who is the ideal candidate for hair transplantation?
Ans. Ideal candidate for hair transplantation is one whose baldness is not progressive and has healthy and dense hair density at the back and sides of the head.

10. Can women undergo hair transplantation surgery?
Ans. Yes, some women are good candidate for hair transplantation.

11. Can I develop baldness again after HT?
Ans. Though the transplanted hair is permanent, the original hair may continue to fall in some cases. This new bald area can be managed by another sitting of HT. Cyclic medicine helps to reduce further hair loss.

12. What is cyclic medicine therapy?
Ans. Some studies show that intake of certain vitamins, amino acids and minerals at regular intervals along with local scalp care with Minoxidil and specific shampoos reduce hair fall, thickens existing miniaturized hair and helps to grow new hair.

13. What are precautions to be taken after hair transplant?
Ans. –You can have head wash after three days with plain water .You shall not rub transplanted area with towel till 10 days. Avoid heavy exercise (workout) for two weeks.

14. How much rest is needed?
Ans.– Usually no rest is required. If you are doing field work then you can take 2-3 days rest but if your work is confined to office then on very next day you can resume your job.

15. How long does it take for hair transplantation patients to have their final results?
Ans. Small scabs in the recipient area are generally present for 1-2 weeks. Over the next few weeks, most of the hair shafts will fall out. New hair shafts will begin to grow over the next 3-4 months. The transplanted hair grows in very thin initially and gradually grows thicker and fuller over time. .The final result will be visible in 8 to 10 months.

After one year a patient’s transplanted hair will be fully mature and will continue to grow for a life time.

Design of the Hairline

It is important to project the definitive frontal hairline, especially in young patients. The frontal hairline is projected in an irregular manner, maintaining the temporal recesses .A non-straight line is vital to have a more natural and non-detectable result. Usually, the forehead middle point is 8 cm distant from the root of the nose, varying from 7 to 9 cm depending on the facial structure.

FUT Vs FUE

Follicular unit hair transplant (FUT) is the gold standard for hair transplant procedures. According to international data 91 percent of hair transplant processes all over the world are done using the FUT process. The basic steps in the process involve removal of a strip from the back portion of the head (where hair growth is permanent), separation of the hair follicles one by one, and then individual implantation in the area of baldness or thinning. Follicular unit extraction (FUE) a reliable hair transplant procedure that involves no scars. The hair graft is taken directly from the scalp using small punches of 0.8 mm to 1.5 mm. These grafts are then implanted into the region of baldness. Similar to head, other areas like back of the head, chest hair, hair of the temple region, beard region can also be used for transplantation. This procedure is more time consuming and is generally limited to 1800-2000 follicular units at a time. The procedure is exclusively meant for those who desperately do not want scars on their head.

  • In Hair Transplant by FUT more number (more then 2000, sometimes upto 4000) of follicles can be harvested in one sitting while this may not be possible in Hair Transplant by FUE. FUE is useful for small sessions. Examples include eyebrow, hairline, and other touch-up procedures.
  • In Hair Transplant by FUT strip harvesting follicle dissection is done under direct vision using magnification so chances of follicle damage are very negligible. While Hair Transplant by FUE is blind technique of harvesting follicles, so there are more chances of follicle damage.
  • In Hair Transplant by FUT you get a linear scar which is almost invisible (tricophytic closure) while there is no linear scar in Hair Transplant by FUE. But multiple small circular scars are given after extraction of follicles using circular punch.
  • In Hair Transplant by FUE we can harvest body hair follicles while it is not possible in Hair Transplant by FUT. This is greatest advantage of Hair Transplant by FUE.
  • Hair Transplant by FUE is good procedure for small number of follicles to be transplanted like for beard, moustaches and for successive stages of hair transplant.
  • Usually cost of Hair Transplant by FUE is much more then Hair Transplant by FUT because it involves more time and expensive disposables to be used in this technique.

Generally, both the techniques yield approximately the same final results. There is not much of a difference in parameters like density, distribution, and appearance.

Bye Bye Baldness!

As more and more celebrities admit to having had hair transplants, the procedure just keeps growing in popularity. And with greater demand comes greater value for money. Perhaps its no longer beyond anyone’s capability to get back to that hairline they were born with!