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Hair loss treatments

What is Hair loss

Hair-loss-due-to-hormonal-effect

Hair-loss-due-to-hormonal-effect

What causes Hair loss

  • Most common cause of hair loss in males is hereditary androgenetic alopecia (male pattern baldness).The presence of the hormone, dihydrotestosterone (5 DHT), in a genetically susceptible man is necessary for this problem to occur.
  • In females, diffuse hair loss with thinning is more common which may be due to:
  • genetic factors,
  • thyroid disease,
  • iron deficiency,
  • stress or
  • less commonly due to high fever,
  • surgery or
  • general anaesthesia,
  • “crash diets,”
  • In androgenetic alopecia hairs on the front and top of the scalp start to shrink until it eventually disappears.
  • The hairs on the back and side of the scalp are genetically “permanent” hair, not affected by DHT. These permanent hairs are utilized in hair transplantation
hair-loss-treatments

hair-loss-treatments

What can be done about hair loss?

  • Hair transplantation

  • Effective medical treatments in the form of pills and topical liquids

What is Hair transplantation

  • Hair transplant is a surgical process to get back the lost hair and looks. A surgical technique that moves individual hair follicles from a part of the body called the ‘donor site’ to bald or balding part of the body known as the ‘recipient site’.
  • It is primarily used to treat male pattern baldness. The procedure can be performed under local anesthesia or sedation with local anesthesia. In this minimally invasive procedure, grafts containing hair follicles that are genetically resistant to balding are transplanted to the bald scalp.
  • It can also be used to restore eyelashes, eyebrows, beard hair, chest hair and to fill in scars caused by accidents or surgery such as face-lifts and previous hair transplants.

Who needs Hair Transplantation

Hair transplantation is needed in:

  • People with Male Pattern Baldness (Androgenic alopecia),

  • Temporal recessions (Receding hairline),

  • Lack of density of hairs,

  • Scars caused due to surgeries or trauma and

  • Burn injuries.

What is Male-pattern baldness

  • Male-pattern baldness, also known as androgenic alopecia, alopecia androgenetica and male pattern hair loss is the most common cause of hair loss and will affect up to 70% of men and 40% of women at some point in their lifetimes.
  • Male pattern baldness is related to your genes and male sex hormones.
  • It usually follows a pattern of receding hairline and hair thinning on the crown and is caused by hormones and genetic predisposition.
male-pattern-baldness

male-pattern-baldness

How is hair transplantation done

  • Most advanced techniques harvest and transplant naturally occurring 1–4 hair “follicular units” in their natural groupings. Thus modern hair transplantation procedure is called Follicular unit transplantation (FUT).
  • Hair Transplantion operations are performed on an outpatient basis under localanesthesia, which typically last about six hours.
  • There are two main ways in which donor grafts are extracted today:
  • Strip excision harvesting or Follicular Unit Transplantation (FUT), and
  • Follicular Unit Extraction (FUE)

Regardless of which donor harvesting technique is employed, proper extraction of the hair follicle is paramount to ensure the viability of the transplanted hair.

  • Strip excision harvesting or Follicular Unit Transplantation (FUT)
  • Strip harvesting is the most common technique for removing hair and follicles from a donor site.
  • The surgeon harvests a strip of skin from the posterior scalp, in an area of good hair growth.
  • The excised strip is about 1–1.5 x 15–30 cm in size.
  • While closing the resulting wound, assistants begin to dissect individual follicular unit grafts, which are small, naturally formed groupings of hair follicles, from the strip.
  • They carefully remove excess fibrous and fatty tissue while trying to avoid damage to the follicular cells that will be used for grafting.
  • The surgeon then uses very small micro blades or fine needles to puncture the sites 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.
  • Strip harvesting will leave a “pencil thin” linear scar in the donor area, which is typically covered by a patient’s hair even at relatively short lengths.
  • The recovery period is around 2 weeks and will require the stitches to be removed by medical personnel.

Follicular unit extraction (FUE)

  • Individual follicular units containing 1 to 4 hairs are removed under local anesthesia.
  • The surgeon then uses very small micro blades or fine needles to puncture the sites 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.
  • FUE takes place in a single long session or multiple small sessions.
  • Every single follicle is extracted individually; making this is a time consuming and labor intensive process.
  • The procedure can take anywhere from a couple hours to extract 200 grafts for a scar correction to a surgery over two consecutive days for a megasession of 2,500 to 3,000 grafts.
  • FUE can give very natural results.
  • Because individual follicles are removed, only small scars remain which are virtually not visible and any post-surgical pain and discomfort is minimized.
  • As no suture removal is required, recovery from Micro Grafting FUE is less than 7 days.
  • At the present time, FUE is considered by many as the latest and most refined approach to hair transplantation.
  • FUE negates the need for large areas of scalp tissue to be harvested, so there is no linear incision on the back of the head and it doesn’t leave a linear scar.
  • A significant benefit is that controlled and careful extraction of donor hair is very lenient to the skin and scalp.
  • Complications are very rare, and scars are not detectable after only a few days.
  • The surgeon performing FUE can select the follicular units that will offer the most hairs per graft, and produce an optimal yield.
  • FUE is characterized for its non invasive nature which produces very tiny scars in the donor area that are impossible to detect with the naked eye.
  • A strip procedure may limit the surgeon to using only those hairs found in the excised strip of scalp tissue.
  • An FUE is an excellent option for a small hair transplant, such as to restore the hairline in early stages of baldness.
  • It is also the best option when the doctor does not recommend a STRIP, if the scalp is too tight or has existing damage, e.g. has undergone several STRIP procedures.
  • While it is essential to understand the main differences between the two methods, only a hair transplant specialist can advise which method is best for you, considering your specific needs and desired outcome.

What happens after hair transplant surgery?

  • Within 24 hours small crusts will form on each graft that is then shed in approximately 2-3 weeks.
  • The grafted hairs will often start to grow by 2-4 months and full results are achieved at 1 year after the procedure.
  • A minority of patients may experience mild swelling in the forehead area for a few days following surgery which goes away in 3-4 days.

The first sign of hair growth

  • Generally visible component of transplanted hair falls off and new hair appears in about 3 months.
  • It is possible that visible transplanted hair does not fall off , but continues to grow straight away.

Post Operative Care To Be Taken After hair  Transplantation

  • Spray the saline every hour or 2 on the grafted and recipient site to reduce the scabbing(scab is nothing but dried blood).
  • Soak a clean cloth in a bowl of ice, squeeze well and keep it on the forehead for 10 mins twice a day morning and evening for 4 days
  • Massage the forehead with fingertips from the centre to sides for 2 mins twice a day, morning and evening for 4 days
  • Remove the dressing after 2 days
  • Have a head bath with betadine shampoo(you can mix your own shampoo with betadine liquid) from 8 days up to 10 days. Dab the shampoo on the head and slowly pour water with a tumbler without any force, do not touch or rub the grafts for 10 days.
  • Stitches from the donor area on the back of the head are removed after 10 days. In case no stitches are taken no changes are required.
  • In case of itching or discomfort apply Neosporin skin ointment lightly only over the stitched area/or donor area in FUE twice daily from the third day till 10 days,do not apply where hair is implanted.
  • Please follow drug prescription as explained and attached in this packet.

Activities  After  Hair transplantation Procedure :

Indoor activities                                Day 1

Walk-                                                Day 1

Office work                                       Day 2

Travel by flight                                 Day 2

Hair wash                                          Day 3

Alcohal                                              Day 7

Hair Gel, Spray,Moose,oil                After 2 weeks

Gentle exercise                                After 3 weeks

Heavy exercise/Gym                       After 4 weeks

Swimming                                       After 4 weeks

Haircut/Dye                                    After 5 weeks/6 weeks

Sauna                                               Not for a few months

Smoking                                          After 6-8 months

 

Advantages of hair transplantation

·         The fact that you yourself are the donor is also one of its pros.

·         The process is by and large simple and desired result can be obtained in one go.

·         Rather than going in for artificially driven mechanisms of hair systems, hair transplantation is far more cost effective.

·         The operation is safe in the sense; you need not be brought under complete anesthesia. So in case you have phobias about losing consciousness, the procedure can be managed by means of partial anaesthesia.

·         While the issues of pain may be duly addressed by localized sedation, you need not be anxious about total lapse of consciousness.

·         One of the scientific advantages of hair transplantation relates to its uniformity of distribution. The technique is worked upon with optimization in such a way that overall follicular distribution remains intact.

Medical management

Medicines for hair loss can slow thinning of hair and increase coverage of the scalp by growing new hair and enlarging existing hairs.

Medicines often used to treat inherited hair loss include:

  • Minoxidil. Minoxidil (Rogaine) is available without a prescription and is sprayed on and/or rubbed into the scalp twice a day.
  • Finasteride. Finasteride (Propecia) is available by prescription and is taken once daily in pill form. Its only for men.
  • Medicines used to treat alopecia areata, which is caused when the immune system attacks hair follicles, include:
  • Corticosteroids injected into the scalp. This is the most common treatment in adults and is best used for treating patchy hair loss.
  • Corticosteroid ointments or creams you put on the scalp. Corticosteroids may be used along with injected steroids or with other medicines such as minoxidil (Rogaine). 

What results you can expect:

hair-tansplant-before-after

hair-tansplant-before-after

Our team:

Hair Transplantation Surgeons:

Dr. SUNIL RICHARDSON, MDS, DNB, MOMSRCPS

(Glassgow),FICLPF(Switzerland)
Visiting Lecturer, Stanford University, USA

Dr. SHYAM SHETH, BDS, MDS(OMFS)

Ahmedabad
Ex Fellow: ICLPF,SWITZERLAND
Orthognathic Surgery &Implantology,BELGIUM
Hair Transplant & Restoration,USA

Professor Dr. JAYANT B.S. MDS, DNB(OMFS)

Head of Department
Coorg Institute of Dental Sciencess, Director-Coorg Cleft Centre

 

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