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Hair Loss

Hair loss is also known as alopecia or baldness. The most common misconception today is understanding ‘Hair Loss’ and ‘Hair Fall’ as a similar condition. Hair fall is the part of the life cycle of the hair growth. Whereas after hair loss the hair is invariably non-recoverable. The most common types include: male-pattern baldness, female-pattern baldness, and thinning of hair known as telogen effluvium.
The cause of male-pattern hair loss is a combination of genetics and male hormones; also known as ‘Androgenetic alopecia’. Those with MPB bequeath hair follicles with a genetic sensitivity to dihydrotestosterone (DHT) – a by-product of the male hormone testosterone. These sensitive hair follicles at their roots have DHT receptors which interact with DHT and subsequently go through a thinning process known as miniaturization of hair follicle. The cause of female pattern hair loss is generally unclear but it may include some extent of androgenetic alopecia, PCOD, thyroid imbalance or even deficiency of certain vitamins and minerals. In this form of hair loss, women may experience thinning hair over the entire scalp. The cause of telogen effluvium is typically a physically or psychologically stressful event. Telogen effluvium is very common following pregnancy.


The classification of balding in men (Hamilton-Norwood) and in women (Ludwig)
  • Hair Transplant

    Hair Transplantation is a surgical procedure wherein we harvest hair follicles from the donor area and implanted at the recipient area or the bald region. If required hair follicles can even be harvested from the body such as chest, beard, underarms, back and pubic area. These harvested hair follicles can be transplanted to improve the density of scalp, eyebrows, eye lashes, beard, or mustache. This procedure is primarily used to treat baldness that can be either on men or women. In this minimally invasive procedure, grafts containing hair follicles that are genetically resistant to balding, (like the back of the head) are transplanted to the bald scalp; the recipient area.
    The donor area (back of the scalp) is mostly immune to hair loss as they are resistant to the dihydrotestosterone (DHT). Consequently these hair when transplanted from the donor area to the recipient area, carries this property and are usually there for a life-time. As the nature and properties of the transplanted hair is the same, there is no special care one has to do for the transplanted hair in the long run. It will grow as it was growing at the donor area as per every individual’s growth rate.
    At the ‘My Health Medical Centre’ we’re experts in hair restoration, we perform both follicular unit extraction (FUE) and follicular unit transplant (FUT) transplants for our patients. This leading-edge methods of hair transplantation are highly technical and the most effective ways of getting maximum value out of every donor hair.

  • The Best Candidates for Hair Transplantation

    Hair transplantation surgery can enhance your appearance and your self-confidence, but the results won’t necessarily match your ideal. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.
    It’s important to understand that all hair replacement techniques use your existing hair. The goal of surgery is to find the most efficient uses for existing hair.
    Hair replacement candidates must have healthy hair growth at the back and sides of the head to serve as donor areas. Donor areas are the places on the head from which grafts and flaps are taken. Other factors, such as hair color, texture and waviness or curliness may also affect the cosmetic result. Sometimes, two or more techniques are used to achieve the best results.
    Remember, there are limits to what can be accomplished. An individual with very little hair might not be advised to undergo hair replacement surgery.
    The candidate must be carefully assessed as to the cause of hair loss (alopecia), the family history, and the progression of hair loss.
    The only way to know if you are a candidate for a hair transplant is to attend a confidential consultation. A qualified consultant can educate you on hair loss and the methods of treating it, and can then evaluate your personal situation. From this, the determination will be made as to your candidacy.

  • What is FUE?

    FUE (follicular unit extraction) is a type of hair transplant surgery that involves extracting individual hair follicles from a donor part of the body, usually back of the head. These individual follicles are then implanted in the areas that are affected. This technique is ideal for those who keep short hair and do not want the scar to be visible on the back of the head.

  • How does FUE work?

    During the process, the surgeon makes beveled incisions and remove a hair-bearing strip under local anesthesia. Later each graft is separated from the strip – typically between 1 and 4 follicles. Once the strip is been removed, the surgeon stitches back both the ends with trichophytic closure – which results in hair growing through the scar, making it much less visible.

    Later the surgeon, using special micro surgical needles, punctures the scalp area that is to receive the grafts. Our surgeons are experts at blending the hair in, inserting the grafts at an angle and density that matches the original hair, so it will resemble a natural and realistic hair pattern. Pros and Cons of Different Techniques:

    As discussed above, hair transplant techniques can be broadly classified into two distinct categories, viz; FUT and FUE. Both of these methods have decided on some indications.

  • How long does it take for FUE procedure?

    An FUE hair transplant can be undergone in one session. It tends to be more time consuming than strip or FUT surgery, but does not leave the typical (Linear) scars that strip surgery does. The length of time for an FUE procedure can vary, but it usually depends on how many grafts are needed. A smaller procedure, where only around 200 grafts are needed, can be completed in a couple of hours. However, a larger procedure of around 2,000 to 3,000 grafts will require a session that stretches over 4 to 6 hours.

  • What is FUT?

    During the process, the surgeon makes beveled incisions and remove a hair-bearing strip under local anesthesia. Later each graft is separated from the strip – typically between 1 and 4 follicles. Once the strip is been removed, the surgeon stitches back both the ends with trichophytic closure – which results in hair growing through the scar, making it much less visible. Later the surgeon, using special micro surgical needles, punctures the scalp area that is to receive the grafts. Our surgeons are experts at blending the hair in, inserting the grafts at an angle and density that matches the original hair, so it will resemble a natural and realistic hair pattern.

  • How does FUT work?

    During the process, the surgeon makes beveled incisions and remove a hair-bearing strip under local anesthesia. Later each graft is separated from the strip – typically between 1 and 4 follicles. Once the strip is been removed, the surgeon stitches back both the ends with trichophytic closure – which results in hair growing through the scar, making it much less visible. Later the surgeon, using special micro surgical needles, punctures the scalp area that is to receive the grafts. Our surgeons are experts at blending the hair in, inserting the grafts at an angle and density that matches the original hair, so it will resemble a natural and realistic hair pattern.

  • Pros and Cons of Different Techniques:

    discussed above, hair transplant techniques can be broadly classified into two distinct categories, viz; FUT and FUE. Both of these methods have decided on some indications.

    Field Follicular Unit Transplant (FUT) Follicular Unit Extraction (FUE)
    Yield

    Hair is harvested from the mid-portion of the permanent zone, which
    - Ensures longevity and permanency of transplanted hair.
    - Maximizes yield, allowing for greater coverage as well as density.

    Hair is harvested from areas other than mid-portion as well, which
    - Translates into relatively shorter life-span of transplanted hair (only for hair taken out of the permanent zone)
    - Lower yield, quantitative and qualitative, resulting in lesser coverage and limited density as compared to FUT

    Transection Rate

    Transection (wastage) rate is low, less than 1%, because graft separation is done under magnification.

    Transection rate is much higher, between 10% and 15%, owing to the blind nature of the extraction punch.

    Graft Thickness

    Graft thickness varies and is not as fine as in the case of FUE.

    Consistent graft thickness and finer as compared to FUT.

    Scar

    Leaves a linear scar at the back of the head.

    Leaves dotted scars at the back of the head.

    Subsequent sessions

    Subsequent sessions not hindered and do not necessarily result in an additive scar.

    Hinders subsequent sessions and always results in additive scars with each session

    Shaving (on the day of the procedure)

    Does not require shaving of head prior to transplant session.

    Requires shaving of head prior to transplant session

    Healing

    Healing of donor area relatively slower, with requirement of stitches at the back.

    Healing of donor area relatively faster, with no requirement for stitches.

    Cost

    Relatively economical.

    Relatively expensive.


  • MMFT – Micro-refined Micro-follicular Hair Transplant

    This is a new technique which involves an amalgamation of currently available techniques, with a combination of FUT and FUE at the same time — to reduce graft wastage, ensure higher graft survival, elicit higher number of grafts, ensure better results, and improved patient comfort. This technique is best and usually recommended for the clients who have a large area of baldness but with adequate amount of hair to donate him or her.

    We have tried to modify the conventional approach at every step and refined it further, so as to produce the perfect result. The steps are simple and have a small training curve.

    Advantages of MMFT:

    - As the process involves combining FUE and FUT procedures (400 to 450 grafts with FUE and the rest with FUT), FUE grafts give a more dense anterior hair line, giving a more natural result.
    - The length of the scar is reduced since fewer grafts are required, making the process more comfortable and allowing faster recovery.
    - Wastage of graft is reduced significantly, allowing better results.
    - Potential of mega-sessions of over 10,000 hair follicles in one go are possible only with combination procedures (Depending on the donor area).
    - Potential for future sessions is not disturbed.

  • Revision Hair Transplant Procedures

    Time and again we all have heard and seen transplants going bad. There can be many factors viz; unexperienced surgeon, unsuited technique or even unrealistic expectation. Every step remains the same in the revision transplant too. Revision procedures are the most challenging aspects of hair transplant. The problems generally encountered include:

    - Donor area is usually restricted. Often, the best areas are already used.
    - Hairlines are already created, and thus, it becomes difficult to give the look we want to.
    - It’s a salvage surgery where we have to correct the problems created by previous procedures.
    - Density cannot be assured.

  • Hair Preservations

    There are a range of medications that are known to have varying degrees of efficacy for hair loss problems, which are well known to us at the ‘My health Medical Centre’

    1. Supplementation:
    If you were wondering whether you can buy hair growth vitamins that will reverse baldness, sadly the answer is no. A pill won’t make a hair on a bald head grow, although vitamins are essential to promote growth for the hair that are already present. Consuming your recommended amount of vitamins and minerals will help the hair growth cycle work to the best of its ability and keep hair healthy and strong.

    2. Medication:
    Minoxidil – Minoxidil was discovered accidentally about 2 decades back, however some experts believe that when minoxidil is applied, it dilates the blood vessels around hair follicles, increasing the nutrient supply and encouraging increased hair growth. Hence, minoxidil is been used as a hair loss treatment remedy. Treatments usually include a 5% concentration solutions that are designed for men, while the 2% concentration solutions are designed for women. The effect of minoxidil will only be there until it is been used. Once the usage is stopped; you will come back to the same state you were in, with the natural aging.

    Finasteride – Finasteride (marketed as Propecia, Finpecia, Finax, etc.) is an anti-androgen which acts by inhibiting type II 5-alpha reductase, the enzyme that converts testosterone to dihydrotestosterone (DHT). It is registered in many countries as an effective hair loss treatment for androgenetic alopecia (male-pattern baldness). Finasteride is effective only for as long as it is taken; the hair gained or maintained is lost within 6-12 months of ceasing therapy. In clinical studies, finasteride, like minoxidil, was shown to work on both the crown area and the hairline, but is most successful in the crown area.

    3. Meso-Therapy (PRP – Platelet Rich Plasma):
    PRP therapy for hair loss is a treatment that involves withdrawing patient's own blood (15 ml to 20 ml), processing and centrifuging it so that only the enriched cells (platelet-rich plasma) are separated, and then that concentrate plasma is injected into the scalp. PRP contains essential proteins and platelet derived growth factor (PDGF) that stimulate natural hair growth. The treatment can also be combined with hair transplant surgery, micro-needling, or medications such as finasteride and Minoxidil.

    4. LASER Therapy:
    Although LASER therapy is the highly controversial remedy for hair loss treatment, it is one of the most widely used and accepted regardless of no explicit scientific basis. Studies and surveys have seen a significant decrease in hair loss can be achieved by regular use of LASER therapy.

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