Thursday 16 October 2014

Going Bald? Solution: Hair Transplantation (Explained Simply)

Hair transplantation in Pune


What if I tell you that the solution to your problem of baldness is a procedure which is stitch-less, routine, affordable and best of all will give you permanent hair! Sounds too good to be true? Of course it does. Everyone knows of hair transplantation. But many individuals suffering from baldness think of it as an expensive and a very surgical procedure which is mostly done by celebrities and we certainly won’t be affording a hair transplant. But hair transplantation has become much simpler and cheaper than before. It is not associated with the same kind of downtime it was once before. You don’t have to take a month off or even a week off. 2-3 days relaxation time after the hair transplantation is fine. This is mainly because of shift of the techniques from relatively invasive technique called the “strip extraction” to a much conservative “FUE extraction”. 
Most of the patients who come to visit our clinic are aware of the fact that there are two different methods of hair transplantation; one of them involves removing part of the skin from the back with putting of sutures that last for 15 days and another method where no such a thing is done i.e. the FUE method. 90% of the patients choose the FUE method. And there is a reason why. I don’t condemn the strip method neither do I condone the FUE method. What I do in my practice is to provide information regarding both the methods and whenever possible, I let the patients choose on their own. As I said earlier that 90% of the patients choose FUE method. This has led to gradual discontinuation of the strip method from our practice. For the patients who have extensive baldness I also discuss other possible options like wigs, hair bonding, hair weaving etc. But patients want real hair on them, who wouldn’t?
Male pattern baldness or androgenetic alopecia affects 70% of the males at some point in their lives. Not all the people require hair transplantation. I our setup we don’t usually go for the hair transplantation in a patient below the age of 24 years. Broad forehead and to an extent, baldness, is considered a sign of wisdom in our society. But has anyone taken opinion of the young men who suffer from untimely appearance of baldness as early as 24 years of age? The truth is baldness affects confidence. Whether a person is keen on his or her appearance, disappearing hair on his is a sign that is devastating. It is often associated with aging and then consequently associated with ‘loss of strength’ (As few of my patients have claimed). Of course there is no loss of actual strength, but that can be understood.  Most of the patients often try the non-surgical methods first. Some of these methods help some of them don’t; in any case all methods apart from hair transplantation are temporary methods of hair restoration. Many patients waste thousands, if not lakhs, of rupees on these methods. These methods are good for the early stages of the baldness but not in the later stages of baldness where the hairs are shed to a point of no return. However people who suggest the patients to do these procedures don’t always tell them this. That is the main reason why if you want to go for any hair treatment you should go forward after doing a thorough research. Lot of crooks out there!
Male pattern baldness or androgenetic alopecia is primarily a genetic condition, a lot of times, familial. On the hair roots an enzyme called 5α Reductase is situated which converts the male hormone testosterone into even more potent male hormone called dihydrotestosterone Or DHT. This conversion leads to gradual shortening of the hair and reduction in the growth phase of the hair follicles. This conversion is most active in the baldness prone areas of scalp such as the frontal hairline and vertex areas. The hairs from the back of the scalp are very resistant to this type of hair loss and they tend to persist for a very long time and generally do not get involved with the process of androgenetic hair loss. Hair loss can be categorized in a standardized scale called the Hamilton Norway Scale (Figure 1). These are the hair which we can take for transplantation.
‘FUE’ stands for the extraction of the individual follicular units by a device called a motorized punch. After extraction, these are planted with the help of implanters in the affected areas. Where do we remove these follicles from?: From the back of the scalp, where the hair follicles are ‘permanent’.  



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