There are numerous causes of hair loss:
Burns and other causes of scalp scarring can also result in permanent hair loss. Alopecia areata is a condition where hair loss can occur in patches on the scalp. Another condition seen in some women, which results in shedding of full-length hair for years, is known as chronic telogen effluvium, and its cause is unknown.
Ageing is known to cause hair loss in men and women usually after the age of 50, and it affects the entire scalp. The most common form of hair loss is termed as ‘androgenetic alopecia’, affecting both men and women and characterized by loss of hair usually in front and top of the scalp. This results in younger patients looking much older than they are. In men, this can result in hair loss on the front and top of the scalp, while sparing the sides and back of the hair. With time, the hair becomes thinner and finer, and ultimately stops growing.
Commonly blamed factors like use of water, shampoos, helmets, play no role in these forms of hair loss. People also tend to shave their hair thinking it makes it stronger but this is not true.
The cause of androgenetic male / female pattern hair loss lies in a combination of genes and hormones. The genes for baldness can be inherited from either parents, and it may even skip generations.
Testosterone, the male hormone, gets converted to di-hydro testosterone, which weakens the roots of the grafts. This makes them thinner and causes it to ultimately stop growing, resulting in hair loss. In females, it is caused by androgens and oestrogen metabolism in hair follicles.
How does Androgenetic Hair Loss Proceed?
Once it sets in, it can be a continuous slow process where the hair in front and top slowly start to vanish, or it could happen in short bursts. As hairs on the sides and back are not affected by the disease process, they are used for transplants in front
Hair transplant surgery is the only permanent solution to androgenetic hair loss, as medical treatments like finasteride or minoxidil can only help to slow down the process of hair loss.
Laser therapy has been found to be less effective in treating androgenetic hair loss.
Follicular unit hair transplant with strip.
Naturally growing, undetectable hair growth is now possible with advances in hair transplant surgery, by using microscopic dissection of hair follicles from a strip.
This involves excision of a strip from the back of the scalp, which is sutured with absorbable stitches. This strip is then dissected under operating microscopes to yield follicular units, before being carefully transplanted into bald or thinned out areas of the scalp.
Advantages of the strip technique include –
Some clients require about 2 to 3 sittings to achieve optimal density, while clients with continued hair loss may require further sittings in the future, depending on how much of donor area is available.
After the surgery, crusts develop and fall off after 10 days. Hair growth starts after 3 months and is completed in 9 months.
The success rate is very high but in some cases optimal density may take 2 sittings.
The most important step in hair transplant is placement and angulations of the graft, that makes natural looking hair transplants possible.
The hair growth is permanent as these follicles are genetically resistant to thinning in future.
Neograft is a suction assisted follicular unit hair extraction surgery that automates the process of extraction.
Neograft is the best automated hair extraction device needing human intervention in the market. It automates the FUE procedure to deliver grafts that are superior to conventional manual FUE machines.
FUE involves removing individual follicular units, one by one, hence it is easier to pick up grafts that have more hairs in them – the 2 / 3 / 4 grafts.
The procedure requires the head to be shaved and grafts extracted, and implanted the same way as with strip., Post-op care and growth is more or less is similar to that with strip., Ideal cases for FUE
Any client who needs a natural looking hair transplant surgery under a highly trained and experienced surgeon should look no further for their hair restoration treatment. Especially those in search of one who personally attends to all the steps of the surgery, and does not leave it to technicians.
While good results are expected in most, it is unethical and impossible for us to guarantee it. Some individuals may require additional sittings to achieve their optimal density. Furthermore, any surgical treatment bears risks so you should discuss it with your doctor and take a second opinion, if required.
Yes, it is, provided there are no risk factors that are beyond normal levels, even with patients having pre-existing illnesses like diabetes, hypertension etc. However, clients who have undergone angioplasty, smokers with ECG changes, clients with high sugar levels or blood pressure levels are advised to get it controlled before surgery. Since hair transplant is a cosmetic surgery and not an emergency surgery, it is advisable for clients who have undergone any psychiatrist treatments for depression or anxiety to kindly let us know so that adequate measures can be taken to keep you comfortable. We always use an anaesthetist to monitor you during the earlier stages of the procedure, for your comfort and safety.
Yes, it is in clients who are realistic with their expectations. It is not possible to match the density one had prior to hair loss but the difference it makes is apparent.
Depending upon one’s expectations of what an optimal density is, which varies in individuals, one or two sittings may be required. This will be discussed during the consultation.
Not really, as we sedate patients and pain is felt only during injections. After that it is painless, and analgesics are advised to cover you for a few days.
In strip technique, a scar will form at the back of the scalp. In most patients, scarring is minimal after the trichophytic closure, but this also needs a very good density to work so it will be visible if the head is shaved. At times, a small FUE may be required to camouflage the scar, or we even suggest micropigmentation for the scar to be hidden. There is no visible scarring seen in FUE.
Any person who has a very good density in the donor area of the scalp is a good candidate for hair restoration. People with dark hair and dark skin colour of the scalp look better as there is less contrast. People with curly hair do better than ones with straight hair. It is important to note that hair restoration never achieves the thick density one had prior to hair loss or may not cover the entire scalp in people with severe balding.
With medical science, with the best of training, and even if performed correctly, no doctor can ethically guarantee that great results will happen in all clients in a single sitting, every time. In the rare event that some grafts fail to yield hair after a sufficient time span, we assure you that those grafts will be replaced at no further graft cost to client, provided there is enough donor area available for us to deal with.
A consultation takes about 20 to 30 minutes during which the various options are suggested, hairlines created, number of grafts calculated, a hair analysis machine which magnifies the scalp is used to see the quality of grafts,
Depending upon the problem either medical or surgical treatments are planned, feel free to consult us for a no obligation hair restoration surgery.
You can also consult us through skype for a consultation fee of 750 rupees at a predetermined time.