Hair Transplant, New Delhi, Hair Transplantation,   Delhi, Hair Restoration in  Delhi ,  India

Baldness:
Hair Loss can be post burn, post trauma, post chemotherapy or post surgery, but the most common variety is male pattern baldness, which occurs under influence of male sex hormone (testosterone, mainly its metabolite- dihydrotestosterone) DHT.
Normal Hair Cycle:-
Involves Catagen:- in which hairs are shed,
Telogen:- a phase of temporary growth arrest
Anagen :- phase of hair growth
Common forms of baldness are in both male and female  (Men & Women):-
Male pattern baldness,
Generalized hair loss and thinning,
Telogen effluvium
Traction alopecia.
 

Male Pattern Baldness :- Some short of baldness is seen in every male, in form of temporal recession of hair line but it is normal male hair pattern, in females anterior hair line is smooth straight line.
In males baldness appears as further recession of hair line posterior or as loss of hairs on crown which progresses peripherally. Its mostly under influence of male sex hormone and has strong genetic tendency of inheritance, usually people have history of hair loss on either paternal or maternal side. Some times a person can be the be the beginner in family without obvious family history.
Different classifications have been advised but they are of little clinical significance.
Generalized hair loss and thinning:- its usual presentation of hormone related ( a variant of male pattern baldness) in females.       ( Back to Top)
Telogen Effluvium:- a phase of temporary growth arrest, which usually occurs after some medical or surgical stress, like prolonged illness, some chronic disease or after some surgery. Bye definition it’s a phase of temporary growth arrest, after which hairs again start growing. In acute phase some hairs may be lost and some may show thinning, but ultimately they all grow. More commonly seen in females. Bifid hairs (at tip) are mild variant of same problem.
Traction Alopecia:- because of tight hair banding in childhood. In males, because of turbans.

Hair loss in females or Baldness in females (women):- most common reason is again male pattern baldness, but presentation may be localized hair loss or reduced density in anterior scalp or generalized hair loss and thinning. Both telogen and traction alopecia are more common in females (women) than in males.   ( Back to Top)

Hair Transplant, Transplantation or Restoration Surgeries:-
Hair Restoration Surgery includes all surgeries done for regaining hair at lost places e.g. hair bearing flaps, advancement flaps, tissue expansion, punch hair transplant, follicular unit hair transplant, follicular hair transplant, micro follicular hair transplant.

Different Hair Restoration Surgeries are- Hair Bearing Flaps
Scalp Expansion – with tissue expanders or elastic bands.
Punch Hair Grafting or Transplant.
Mini Hair Grafting or Transplant.
Micro follicular Hair Grafting or Transplant.
or follicular unit hair transplant

Hair bearing flaps ( best avoided unless bald area is very small) and tissue expansion are best suited for post traumatic, post burn or post surgical resection alopecia.
Punch Hair Grafting and Mini Hair Grafting or Transplant:- both involve pieces of scalp tissue bearing hairs and grafted in desired areas. Punch may contain 12-15 hairs, minigrafts- 3-8 hairs per graft).
                 Both are obsolete now, as both leave unacceptable scar in donor area and cosmetically unacceptable result in recipient area.                          ( Back to Top)
Follicular hair Transplant or follicular Unit Hair Transplant( FUT or FUHT):- Follicular unit hair transplant is being widely practiced today. in this technique of hair transplant, individual follicular units are harvested either for scalp strip or through individual follicular unit extraction. each follicular unit may contain one , two or three hair follicles. so in, follicular unit hair transplant, a graft unit or transplant unit can be mono-follicular, bi-follicular or tri-follicular.
Micro-follicular Hair Grafts or Transplant:- are the most advanced technique of hair grafting now. Involves either harvesting of a strip of hair bearing scalp tissue from posterior scalp or harvesting of individual hairs with micro punch , where hair loss is not seen in most cases in future , individual follicles are separated and transplanted in new area. In Micro-follicular hair transplants one graft is equal to one hair.                         ( Back to Top)

Follicular Unit Extraction (FUE) :-In this technique, Rather than harvesting a strip and slicing them into individual follicles, we harvest individual follicles separately and then they are transplanted.
                you may call it Follicular Unit Extraction or Separate Follicular Unit  Extraction. this technique is actually modification of older punch technique, the punches now are very fine and they don't leave scar behind at donor area. A broad area develops diffuse scar but invisible.                                                                                                                                   (Back to Top)

Non Scalp Hair Transplant:- Hair Transplantation can also be done at places other than scalp , like Moustache, Beard, Groin , Eyebrow and axilla ( armpit) area.

Moustache Hair Transplant:- Mono follicular Hair Transplants are preferred for Moustache Hair Transplant.

Beard Hair Transplant:- again Mono Follicular Unit Hair Transplant or Micro-Follicular Hair Transplants are preferred.

Eyebrow Hair Transplant:- again mono follicular hair transplant from specialized areas of scalp where hair matches with eyebrow hairs is used for eyebrow hair transplant. ( Back to Top)

Eyelid Hair Transplant:- should be best avoided, as direction of hairs don't match with eyelashes and misdirected hairs may damage your cornea.

Groin & Axillary Hair Transplant:- hairs can be transplanted around male or female sex organs ( Groin area - vaginal Hair transplant or Peri penile area{ Area around Penis }) and axilla (armpit) if needed
Non Scalp Donor Areas or Sources of Hair Transplant or Body Hair Transplant :- hairs from areas other than scalp can also be used as source of hair transplant or grafts. these are mainly body hairs, beard hairs or face hairs.
                                   these hair donor sources are useful in patients , in whom scalp does not have hair donor area. as such any source other than scalp is poor source of hairs and should be best avoided, as long as scalp can provide sufficient hair . so body hair transplant is a compromise rather than an additional choice. but they can be good source of few hairs in those who don't have hairs on scalp.
                                                                                 ( Back to Top)
Hair Transplant Repair:- recently we got many queries regarding hair transplant repair, actually there is nothing like hair transplant repair. while hair transplantation, care is taken to match density of hairs in transplanted area with adjacent normal area. in low density transplants, transplanted area look different from adjacent normal area and may look ugly. in such cases micro-follicular hair transplant to densely pack that area to match with adjacent normal area is done. existing hair transplants are not disturbed- means you need more hair grafts in that area, means one more stage of surgery with finest hair transplant. Hair Transplant Repair is not a scientifically valid terminology and not in use by qualified plastic surgeons.

Trichophytic Closure:- donor area in strip harvesting method is closed in a way to provide fine hair line ( hair thin) scar.
                      we use a technique in which, hairs grow through the scar so that donor area becomes practically invisible. means there is very fine hair line ( hair thin) scar and even though that hairs grow , so further hiding that.                                   ( Back to Top)

Principle of scalp hair transplant:- is based on observation that hairs on posterior scalp are almost never lost in most cases of baldness, unless there is strong genetic tendency of complete baldness, which is very rare. Technically , hairs in frontal , temporal and parietal scalp have high concentration of testosterone( dihydrotestosterone, DHT) receptors which is responsible for their loss, while hairs in posterior scalp have less concentration , and so are relatively immune to loss.

Course after Hair Transplant Surgery:-
First – scalp is prepared for grafting with medicines and nutritional supplements, which improves take rate of grafts and improves growth of dormant follicles.
Depending upon area (size) of baldness, single or multiple stages are needed to cover the scalp, in individual stage up to three thousand follicles can be transplanted.
Hair grafting ( commonly called transplant—which it is not as hairs are taken from same person and not from others (like in kidney and other solid organ transplant), means it is grafting) is and day care procedure , surgery is done in ambulatory patient under local and scalp block anesthesia. After surgery patient may stay in hospital for a night or may go home.
Dressings are changed after 48 hours and on day five.
Scalp returns to its original status in about 15 days, with no mark of hair grafting. New grafted hairs start growing after 59 days, which is the usual telogen phase in human hairs. So first hair growth can be seen after two months, after which they keep growing for rest of life. Final result usually takes five to seven months before hairs grow long enough to create change in look.  ( Back to Top)

Picture 1 :-Before and after pictures of Hair Transplant             ( Back to Top)

Successive Stages can be done at two months intervals or more.

Picture 2 :-Before and after pictures of Hair Transplant

Picture 3:- Before and after pictures of Hair Transplant to show hair density after hair transplant

Picture 4 :- Before and after pictures of Hair Transplant for female baldness (Traction Alopecia) ( (Back to Top)

Commonly asked questions:-

i) will there be any permanent mark after hair transplant?
Ans:- there will be one straight line in posterior scalp , which is not visible as graft is harvested in a manner to allow hair growth in scar.
There will not be any scar anteriorly, where hairs are grafted.
ii) will transplanted hairs be my own original hairs?
Ans:- yes, they are your own hairs.
iii) will transplanted hairs grow like normal hairs?
Ans:- yes they will grow with rest of your hairs and like rest of hairs , you will need to get them dressed time to time.
iv) will transplanted hairs grow after hair cut
Ans:- yes
v) will transplanted hairs stay on my scalp for whole life?
Ans:- yes, most probably. They will stay there as long your posterior hairs ( donor area ) are there. Can be lost only if you have strong tendency of complete baldness.
vi) can I apply oil and can I dye my transplanted hairs?       
Ans:- you can use any oil which is commonly used for hairs, dyeing with chemicals usually not advised. Even the products claiming to herbal, may contain harmful substances, because of poor quality control.                       ( Back to Top)

vii) What about hair loss and hair transplant in females (women)?           

Ans:- hair loss in females are more or less similar to that in males. It can be because of nutritional deficiency, illness or some stress. Male pattern baldness ( due to excess male sex hormone) can present both as development of  male like hair patter (recession in side) or as diffuse hair loss.  Hair grafting is useful both in males and females.

viii) Does hair loss in females  (women ) specify some systemic problem?

Ans:- yes , it can be . hair loss may be  associated with some generalized problem in both male and females. In females , when associated with development of facial ( like beard and moustaches) and body hairs , disturbances of menstruation and change in breast and sex organs, indicates some male sex hormone secreting tumor or some enzyme deficiency , which increases level of male sex hormones. For such problems always better to consult your doctor to get cure and better control of hairs.

Hair Transplantation Delhi , Hair Transplantation India Hair Restoration Delhi , Hair Restoration India  Male Pattern Baldness, Hair loss in females/Women, Alopecia , Follicular Unit Hair Transplant , Mustache & Beard Hair Transplant,  Follicular Unit Extraction, Trichophytic Closure ( Back to Top)   Hair Transplant, Hair Transplantation, Hair Restoration in New Delhi, Delhi, India