Q) What is Hair Transplantation?
| A) Rearrangement and Redistribution of existing Live Hair Roots from Donor Area to Recipient (Bald) Area is called Hair Transplantation. It is a Surgical Procedure in which hair from the Donor Area is excised , slivered , dissected and implanted on to the Recipient ( Bald) Area under strict aseptic conditions. |
Q) Are there any side effects with HT? Is it painful?
| A) Absolutely no major side effects are recorded so far. Its a superficial procedure which extends up to 3 to 4 mm depth of scalp (depending on the length of grafts). Very minimal appreciation of pain may be experienced by few patients occasionally that to for 30 to 40 seconds only. We use very fine needles (insulin syringes) with cold compresses and vibration techniques to minimize it further.
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A) Yes, the latest advancements in the field of hair transplantation made it a gold standard in the field of Hair Restoration. The salient features of hair transplantation are:
1. Transplanted hair remains for life.
2. No maintenance therapy required for transplanted hair to grow.
3. The restored hair looks natural both in orientation and density giving a completely undetectable transplant in the hands of an able surgeon.
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Q) How long it will take for surgery?
A) The duration of the procedure depends upon certain factors like…
No. of grafts to be implanted
Nature of the scalp.
Procedure involved (FUT/FUE)
Usually the surgery takes approximately 4-6 hrs.
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Q) What are the precautions to be taken before surgery?
| A) Even though it is a simple and superficial procedure, there are certain precautions which need to be taken for achieving better outcome. These precautions will be explained by the doctor and the counseling staff well before your date of surgery.
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Q) When can we expect growth of the hair?
| A) Thin filamentous hair growth can be seen by 4-6 months. But you have to wait for at least 8-18 months to see an appreciable growth. At the same time, it varies from patient to patient.
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Q) Can we cut or shave the hair after growth?
| A) The transplanted hairs grow continuously for rest of the life. We can regularly cut, trim, dye or even if you totally shave off the hair, it regrows.
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Q) What are FUT & FUE Methods?
| A) FUT also known as STRIP METHOD is the most popular and successfully practiced method throughout the world by most of the hair transplant surgeons. In this method, we remove a strip of scalp from the donor area which is slivered and dissected into individual ultra fine follicular units. These ultra fine follicular units are then transplanted on to the bald area (recipient area) making micro-incisions using micro needles.
FUE is a technique practiced by few surgeons only because of its limitations. In this method, we extract individual follicular units with specially designed instruments and re-implant them into recipient (Bald) area.
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Q) Which Techniques do you follow for implantation?
| A) We perform LATERAL SLIT TECHNIQUE by making micro incisions in the Bald area using micro needles with sizes ranging from 0.7 to 1.2 mm depending on the size of the graft. We also use STICK and PLACE method.
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Q) What are the equipments you are using?
| A) Various state-of-art equipments are used in our clinic in harvesting ultra refined follicular units or grafts from the donor area like…
Mantis microscope (UK) For slivering the strip
Stereo & Digital Video microscopes For dissecting into ultra fine follicular units.
SAFE SCRIBE Specialized and latest machine used for extracting the grafts in FUE technique.
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Q) What are the benefits of latest technology?
| A) The field of hair transplantation like any other fields has witnessed revolutionary advancements. The primary aim of a competent hair transplant surgeon is to achieve optimum result with natural looking, almost undetectable transplant with artistic hairline.
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Q) What is TRYCHOPHYTIC CLOSURE?
| A) In FUT procedure, we remove a strip of hair bearing scalp from the donor area and the strip is then dissected into ultra refined follicular units for implantation. The donor area is then closed by approximating two ends using a separate technique called TRICHOPHYTIC CLOSURE.
This technique results in the minimization of the scar at the donor site and even facilitates the growth of hair through the scar.
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Q) How long we have to continue the medicine after the surgery?
| A) Simple antibiotics and analgesics need to be used for 7-10 days for suture healing.
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Q) Do we require any medicine for the existing hair?
A) We advice two US FDA medications - Tab. Finasteride 1 mg one per day
- Minoxidil Lotion 5% for the existing hair.
Q) What causes MPHL (Male Pattern Hair Loss)?
| A) The cause of Male Pattern Baldness is mostly GENETIC in nature. Approximately 150 genes influence the baldness. Either maternal / paternal or both can influence the character of baldness. In genetically prone people, the hormone DHT plays a major role.
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Q) What causes Female Pattern Hair Loss?
| A) Baldness typical as Male Pattern Baldness is rare in women. Many external factors like HYPO THYROIDISM, PCOD, ANEMIA, CRASH DIETING, FEVERS, POST PARTUM PERIOD, MENOPAUSE and DRUGS play a major role in hair loss.
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Q) Who are eligible candidates to undergo hair transplantation?
| A) A person must have realistic expectations (acquire knowledge about HT through websites and personal consultations) and must be medically fit to undergo the procedure.
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Q) when can I go back to work?
| A) As it is a day care procedure, no hospitalization is required. Immediately you can attend any indoor office work (software) normally. Usually, from 3rd day onwards you can go back to your office.
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Q) Are there any medical contraindications for HT?
| A) Even diabetics and hypertensives can safely undergo this procedure provided the conditions are under control. Those who have abnormal bleeding tendencies, with prosthetic heart valves (post cardiac sugeries) are not suggested for HT.
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Q) In which cases FUE better than FUT method?
| A) Anybody can choose FUE over FUT as it depends purely on their individual preference.
For eyebrow, moustache and beard transplantations,
Fronto temporal hair line corrections ,
Post injury scar corrections, and
For wide donor area scar correction we prefer FUE.
Post Strip method cases generally suffer with tight scalps in these cases FUE is the best choice.
Who has a tight donor area (no laxity) and
Those who don’t want a semi circular scar on the back.
Those who want to maintain their hair very short.
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Q) What is the difference between Hair & Follicular Unit / graft?
A) A Hair comprises of a shaft along with the root arising out of the scalp and visible externally.
A Follicular unit or graft contains group (1-5) of such hairs. They arise as a single unit from the scalp. In a hair transplant procedure, these follicular units are extracted individually and implanted on to the bald area.
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Q) What should be the minimum time gap between individual sittings?
| A) It depends upon the method of procedure you choose.
1. In FUT [Strip method], if the patient requires a second session, he / she needs to wait for at least 4-5 months after the first session.
2. In FUE method, no fixed time interval is required. It may vary from few days to few weeks. You can go for regular smaller sessions of 500-1000 grafts [lunch hour session] or a single large session of 2000—3000 grafts in a day
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Q) What is the life of transplanted Hair?
| A) The span of transplanted hair depends upon the life of donor hair. As it is extracted from the permanent zone of the donor area, it’s permanent.
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Q) Will transplanted hair ever fall out?
A) The transplanted hair also follows the normal GROWTH CYCLE.
AND
Initially after transplantation [between 6-8 wks] you MAY experience a temporary loss of approx .30% of the transplanted hair shafts. But the roots remain live and start growing from 3 rd month onwards
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Q) Will my new hair look natural?
| A) YES, As the transplanted hair is extracted from your [body] scalp, there won’t be any change in the curl, caliber and nature of the hair.
Due to the latest techniques in the field of transplantation [URFUG, Mega sessions, Dense packing], MATURE HAIRLINES which simulate almost natural AND Undetectable hairlines are quite achievable.
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Q) What is the maximum number of hair grafts that you can transplant in a single session?
| A) We can implant 4500-5500 grafts in a single session (Giga session). But it depends upon lot of factors like…
1. DENSITY of donor area.
2. LAXITY of donor area.
3. WIDTH of the permanent zone.
For max. yield we can combine both FUE and FUT in a single session.
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Q) Why does the new hair have to fall out?
| A) It is common for the newly implanted hairs to fall out during the healing process. But this fall is transient and partial (30-40%) only.
This process is completely normal and you should not worry as the dermal papilla of the hair root is firmly implanted in your scalp and will re-grow again.
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Q) Is there any age limit for HT?
| A) Usually we prefer age limit of >20 years [some consider 25 yrs].No limit for upper age. But the patient should be fit to undergo the procedure.
But for younger age people proper counseling is necessary. They always must have realistic expectations.
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Q) Can Diabetics and Hypertensives undergo the HT procedure?
| A) Diabetics can undergo Hair Transplantation provided the diabetes is under control with oral anti diabetics. Not with INSULIN treatment.
Hypertensives [age >40 yrs] need to take few precautions following their physician’s advise (change of BETABLOCKER DRUG etc). Few cases may also require a cardiac evaluation..
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Permanent removal of excess fat deposits from different areas of the body which is not responded to diet control and exercise.
Q) What is TUMESCENT LIPOSUCTION?
Generally in our country liposuction is done under General/Spinal anesthesia and it needs hospitalization for 1-2 days.
Tumescent anesthesia is a specialized technique in which the procedure is done purely under Local anesthesia as a day care procedure and no prior and post admission in the hospital is needed. This is exclusively done in our center only. Patient is completely conscious and walks away after the procedure.
Q) How many days hospitalization needed?
Absolutely a day care procedure, it takes about 3-4 hrs only. Procedure starts after breakfast only. No diet restrictions and work restrictions .Under Local anesthesia done, so absolutely no hospital needed.
Very mild or neglizable pain is appreciated for few minutes during fluid infiltration, later during aspiration no pain will be there.
Q) How many days medication needed?
5-7 day’s oral medication is enough.
Q) After the procedure for skin tightening what are the precautions to be followed?
Pressure garments must be used for 4-6 wks depending on the area treated.
Q) How many days rest advised?
From 3rd day onwards they can do the simple household work with the help of an assistant. From 5-7 days onwards able to do routine work including office work.
Q) Post op follow up for how many days required?
24 hrs after the procedure 1 visit is a must. After that wkly once for 2 times is enough. This is absolutely not mandatory.
Q) How many days after the procedure the change will appear?
Initially there will mild edema and color change at the treated area. Gradually by 2-3 wks they get disappeared .Change in the shape starts appear from day 1 and by the end of 3rd month it will get completely healed.
Q) Change in the life style is needed?
Regular exercise with diet control will enhance the beauty of the body, and maintain the figure.
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