Basics of Hair Transplant



Hair transplant is a procedure used to treat areas of hair loss by transplanting hair from one site of the body to another.

It is primarily used in male pattern baldness, but is also used in female pattern baldness, loss of hair due to trauma, burns, surgical incisions, etc.

Male pattern baldness forms the bulk of the cases, upto 95%. There are mainly two subsets of patients, the first consisting of young boys in their early twenties who have already developed a high grade of baldness and the second of men in their early forties who have lost more than the average hair for their age.





Hair transplant is a cosmetic procedure. It is a purely elective procedure and personal aspirations of the patient are the main driving force for having this operation. Benefits from this procedure can be immense. Baldness can affect both social and professional life of the people who suffer from it, and people who are sensitive to it can become very self conscious about this and are unable to interact confidently with other persons. A hair transplant can be life changing in these situations.

Male pattern baldness or Androgenetic alopecia is controlled genetically. The hair follicles are genetically programmed to stop producing hair at a certain age which is determined by hereditary factors. These genes are activated by the effect of testosterone. Hair loss is graded according to the Norwood scale and graded from 1 to 7. Generally grades 6 and 7, the most complete global loss, are not suitable for hair transplantation. During the balding process, the hair does not fall off directly, instead the hairs start getting thinner and shorter and do not reach their full length. In this way the density of hair covering the scalp is decreased. Hairs which fall off and are seen on the pillow and during showers are not due to balding.

Dr.P.J.Mazumdar and Downtown Arogyam Hair Transplant Clinic introduces in Guwahati, Assam and the North East the most advanced technique for hair transplantation – the FUE method – which is extremely effective, painfree and highly comfortable for the patient.
Downtown Arogyam Hair Transplant Clinic is into its fifth year of operation from 2012 and 500+ patients have been treated effectively till date from all over Assam and the North-East including Meghalaya, Nagaland, Arunachal, Manipur, Mizoram and Tripura. Patients have also been treated from other states of India like Jharkhand, Bihar, West Bengal, Tamil Nadu, etc along with NRIs from UK, USA, New Zealand, Canada, Nepal, Bangladesh and Bhutan.

History

The first recorded cases of hair transplant began in the early nineteenth century when some surgeons transplanted scalp flaps and free grafts to bald areas. Hair transplant was also done in Japan around 1930 when hair was transplanted to replace damaged eyebrows. Modern era of hair transplant began in late 1950’s when Dr. N. Orentreich transplanted free donor grafts to bald areas. He demonstrated that hair longevity was ‘donor dominant’, that is, the lifetime of a hair was determined by the site in which it grew originally and not the site to which it was transplanted. Dr. P. Walter defined the ‘Safe Donor Zone’ which contained hair with the maximum lifetime longevity.

Surgeons continued to develop techniques to transplant smaller and smaller grafts. Initially punch grafts were taken, but this gave an unnatural appearance to the new hair. In 1990, Limmer developed the technique of using microscopes to dissect follicular hair units from strips. Since then, the follicular unit has become the gold standard for transplantation. In 2002, FUE with extraction of single follicular units was developed. Initially manual punches were used but since 2004, motorized drills have come to be used in FUE and this is the most advanced technique at present.

Methods:

The concept of ‘Safe Donor Zone’ is the basis of hair transplant. It will be noticed that even in the most bald and elderly person, hair is still retained in the occipital and temporal areas. These are the areas in which hair is genetically programmed to last throughout life. This forms the catchment area for hair transplant. Hair is taken from this area and then transplanted to the bald areas. The transplanted hair lasts lifelong and this is what makes hair transplant so valuable.





Hair transplant is done by two main methods, FUT and FUE. They differ only in the way hair is extracted, the plantation is done in the same way.

In FUT or Follicular Unit Transplantation or Strip Method, a strip of skin 1 cm wide is cut out from the occipital and temporal regions. Technicians then splice this strip into individual hair follicles. These follicles are then transplanted into the bald areas in the second stage.

In FUE, in the modern method, a drill of 1 mm size or smaller is used to carefully remove each individual hair follicle containing 1 to 4 hairs. Small round holes are left behind which do not leave any visible scar. 1 out of 4 hair follicles are drilled out and the resulting slightly lower hair density is not noticeable at the donor site. The plantation method is the same.

The basic method of plantation is to create a small incision and then insert the hair follicle into it. The incision can be made with a small scalpel or a needle. Recently, customized transplanters like Choi implanters have been developed which makes the procedure faster and easier. Plantation is usually done by assistants.

Both the methods are done under LA. FUE has the big advantage that it is much less painful postoperatively and it does not leave behind a scar. It has the disadvantage that it takes a longer time and more sessions are needed. In FUT, the patient has a stitch at the back of the head which can cause discomfort for months even after the incision is healed, besides the scar. In FUE, on the average about 1000 hairs are done per day while in FUT upto 2000 hairs can be done in a day. Usually a session on a single day will last about 6 hours. Breaks for lunch, toilet breaks, etc can be taken at any time without any problems. The patient can go home after the session and come again next day for the second session if needed. Typically FUE is more expensive than FUT because the surgeon has to spend more time.

For plantation, the surgeon has to decide the look of the hairline and then draw it out. The amount of hair planned to be transplanted, the age of the patient, the possibility of further loss of original hair, natural look, the density of hair planned, etc are all factors which need to be considered. Drawing of the hairline is more an art than science.

Pre- and post operative

After the procedure is completed, the patient has a bandage at the back of the head but the transplanted area is kept free. Minimal precautions like avoiding rubbing the transplanted hair, etc are advised. Patient can wear a cap to cover the transplanted area from the next day. Shampooing of hair is advised after 4-7 days or earlier to wash out scabs. Most of the transplanted hair will fall off in about 20 days, which is called ‘shock loss’. New hair will start growing back from the roots in about 3 months as the roots go into dormant stage after transplantation and full density will be reached in 12 months. About 80 to 90% of transplanted hair follicles are expected to survive.

Before the procedure, the patient has to be assessed psychologically. His needs are to be understood and the possibilities and limitations of the procedure explained. The patient needs to be explained that he should not expect a complete return to his original hair pattern but only camouflaging by obtaining a natural hair line and increased hair density is to be expected. The amount of hair to be transplanted is decided based on factors like the amount of hair loss, costs, the expectations of the patient etc. Patients can go for a small transplant initially and then come back for further implants after 3 years or so as more of the original hair is lost.

Using FUE, surgeons are now able to use body hair also from the chest, back, arms and legs. Body hair is permanent but remains shorter in length. Using such hair, transplants upto 10,000 hairs have been done. But this is only for the very concerned patient who wants high density; for the average patient transplants of 1000 to 2000 hairs are usually satisfactory. This can be done in multiple sessions also over the years.

Conclusion

Hair transplant along with all other cosmetic procedures is growing in popularity in the present times. As people have more luxury and time to spare, no one wants to be left behind in the race for success and happiness. About 100,000 hair transplants were done in the US and about 280,000 worldwide in 2010. It is growing very fast in Asia since the last three years, and India also is showing a rapid growth. Not just male baldness but female hair loss and procedures for eyebrow and eyelash transplantation are also becoming increasingly popular. As with all cosmetic procedures it is a personal choice. For those who feel their baldness is a limitation, hair transplant has emerged as a safe and effective procedure with minimal side effects or drawbacks.

Downtown Hair Transplant clinic has now been started in Downtown hospital to bring the advantages of this procedure to the people of the North-East. The latest FUE technique by motorized drill is used in the center. The aim is to provide the latest technology at an affordable cost and thereby benefit the people of this region.








Dr. P. J. Mazumdar.
Downtown Arogyam Hair Transplant Clinic


Located at
Downtown Hospitals, Dispur,
Guwahati,
Assam.

Phone: 09864014046.
or 08811077011
.


To know about the exact cost and other information, and for appointment, SMS or call directly at ⇒ 09864014046, 08811077011

or email at ⇒ email

Consultation hours:

Downtown Hospital:
From 12PM to 5 PM every weekday except Sunday.
Downtown Hair Transplant Clinic,
Room 115, Building 1, Downtown Hospitals.

Arogyam Multispecialty Health Clinic:
From 5 PM to 7 PM every weekday except Sunday.
Address:
Arogyam Multispecialty Health Clinic
Rukminigaon, G. S. Road, About 50 meters from Downtown Hospital towards 6 Mile.
Opp. PIBCO and HDFC Bank.
Phone:
09854041111, 03612267895




List of articles

Quality assuarance:
Arogyam Hair Transplant Clinic takes several steps to ensure that quality is maintained for each and every patient. The key to quality maintenance is to implement quantizable quality standards and maintain proper documentation and review of processes. Downtown Hospital is an ISO 9001:2008 and NABH accredited hospital which demands strict adherence to quality control.Steps taken are:

100% safety assurance: all procedures are done in the main OT of Downtown Hospital with its full complement of anesthesiologists and critical care specialists. Hence patients are assured of full safety standards at the same level as that of major surgeries including transplant surgeries.

100% sterilization assurance: since procedures are done in the major OT full sterilization is maintained. Fumigation is done every week and swab tests are done to check for contamination.

Best instrumentation: Arogyam Hair Transplant Clinic uses the best available instruments like 6X Heine Loupe for precision and accuracy, Blunt Titanium punches which avoids damage and transection of the grafts, Choi implanters to standardise the process of planting and prevent damage during planting, Major OT level sterilization, fumigation and autoclaving of all instruments, etc.

Efficiency count: Efficiency counts for FUE like transection rates and speed of transplant are noted and documented for each case and reviewed every 10 cases. Arogyam Hair Transplant achieves international standards of transection and speed consistently.

Correct recepient density: To ensure correct recepient density, 'density stamps' are used to ensure proper density is achieved. Angle and direction of hair is meticulously maintained.

Out of body time: The out of body time, the time for which the graft is outside the body, is the most critical factor for success in hair transplant. Aroyam Hair Transplant follows a special procedure to ensure that this time is the minimum. This is done by doing only 500-600grafts at a time and then replanting them. This ensures that time out of body is less than or equal to1 hour only. This is the shortest period acheivable. Many centers do upto 2000-2500 grafts at a time so that time out of body goes upto 4-5 hours. We are proud of our time out of body quantum. Though this may cause some sacrifice of time but results are more important.

Follow up: follow up period is critical for the patient when there are many doubts and anxieties in his mind. In our clinic, Dr. P. J. Mazumdar will remain always accessible to the patient directly on his personal cell for any questions the patient may have during this period.



The academic certificates of Dr. P. J. Mazumdar may be examined here: Academic Certificates. His resume can be perused here: Resume. To find the contact address and other details, go to Contact. The blog contains various blog posts mainly on Hair Transplant. The Forum is where questions can be asked. To see photos of hair transplant cases done in Downtown Hair transplant clinic, go to Gallery. The Blog, Forum and Gallery pages are still under construction, please revisit after about a month.





By Palash Mazumdar