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Dr. M's Clinic
Hair Transplant Clinic
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Home - FAQ ( Frequently Asked Questions)

Why Hair Transplant ?
FAQ ( Frequently Asked Questions)

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Why I need hair transplant surgery or hair transplant treatment when medication and other non-surgical means are available?

Medications:
  • Medication can thicken and lengthen (regrowth) hair in some and not in all who take them
  • Medication is effective at the back (Vertex) and middle (Mid scalp) but almost ineffective in the front (esp. Hair line) where one needs the hair most.
  • Medication can work only until you keep taking if you stop taking medication the benefits achieved by medication soon start disappearing (because the hormones once again start working their ill effects). Medication although reasonably safe should be taken for lifetime –the idea normally puts off many
  • Medications although fairly safe are not without any side effects
Other Non- Surgical Means:
  • Wigs and Concealers are other possible solutions to baldness. Concealers are temporary hair cosmetics,
    good for thinning hair and as temporary Female hair loss solution such as before going to party. These hair loss remedy require regular
    care and expense. They are not cheap either.
As for the wigs: 10 reasons why people don't choose wig!
  1. It gives constant feeling of weight and discomfort in hot days.
  2. Sweat cannot be cleaned properly and bad hygiene can lead to skin problems.
  3. Its fixing methods like weaving, bonding, pinning etc. can pull on the natural remaining hair and add to your hair loss and can even lead to scarring.
  4. It gives same look all the time that looks and feels artificial and unnatural. You have Fixed style all hours of use
  5. Its high level of detectability becomes a butt of jokes and teasing by the friends, collogues and media.
  6. Its cost run from few hundred dollars to many thousand dollars depending upon quality
  7. You need regular maintenance every few weeks for the rest of your life. Attachment may become loose- constant state of low-level paranoia and anxiety about his public discovery.
  8. Long-term financial investment because of regular maintenance may be more than that of hair transplant. With life time maintenance & few monthly replacement & frequent visits to wig maker- it becomes very expensive
  9. You need to change it every few months
  10. Not done by doctors
Surgery by Follicular hair Transplant is better in many respects
  • Transplanted Hair Looks and feels natural unlike wig and concealer
  • Transplanted hair remain undetectable among the other hair
  • Transplanted hair grows and keeps growing permanently unlike the hair of wig and the regrown hair by Medication
  • Do not require extra maintenance or care unlike wig, which require lifetime care.
  • The Transplanted hair can be cut, colored and styled as well
  • Transplantation normally has one time expense unlike medication or wig which require lifetime expense
  • It is a One day Procedure performed by numbing your skin so you can talk with doctor, watch TV, listen to music, read, take a nap, have lunch and juice and even go to toilet!
  • No bandages at the end
  • You can take shoulder bath from same day and can shampoo your hair from 3rd day
  • You can even do light office work from second day
  • If you are from out station you may travel back same or the next day minimum follow-up is required thereafter
What is the guarantee that the implanted hair will grow? Why don't they too fall under the effect of hormones like other hair?
  • The Common Baldness or Pattern baldness in males and Female hair loss solution is programmed by heredity or genes i.e. the hair in the top middle part of scalp become susceptible to the effect of the hormones and the fringe of hair at the side and back remain genetically immune to the effect of hormones. These hairs grow permanently or at least till late age and they also maintain their quality unlike the susceptible hair of middle, which shorten and thin out in caliber as well. These hairs are called permanent hair. If we remove the roots from permanent area and graft them in front or any other part of scalp or body they keep growing like they used to do in their native area. The hormones even in new area don't affect them. Over 90% of the implanted are destined to survive with modern techniques of transplanting.
Do I have to wait till all my hair fall out or can I under go the procedure to increase my density?
  • Like any medical problem, one should not wait till the last stage of manifestation of deformity of baldness. As the density of hairs gets down, one can safely plant the follicles in-between existing hairs, to compensate for the loss, without looking bald.
What care do I take before HT? Pre operative Care Before Procedure:
  • In order for us to provide you with the highest quality medical care; the following instructions are important for you to follow:
  1. Medications: Do not take aspirin & other blood thinning agents, Betablockers (for Blood Pressure), anti-inflammatory (like Ibuprofen, etc), Tricyclic Anti depressants & MAO inhibitors, multivitamins including vitamin B, a week prior to your procedure.
  2. Avoid Alcohol for a days prior, & tea or coffee on the day of operation- that may increase bleeding
  3. Don't smoke at least 24 hours prior to operation –that will reduce healing
  4. The morning of your procedure take a bath or shower and wash your hair thoroughly using regular shampoo. After shampooing, please rinse thoroughly and use a fresh clean towel to dry your hair. Do not apply sprays or gels to your hair. If you wear a wig, please make sure it is removed prior to your morning shower and not replaced before your procedure. Wear cap after shampoo to keep the hair free of dust.
  5. Eat light breakfast the morning of your procedure
  6. Wear comfortable clothing the day of your procedure avoid T shirt or thermal. Wear simple shirt.
  7. Please do not bring any valuables to the clinic on procedure day.
You may be receiving medications during the procedure that can make you drowsy. Because of this we bly recommend not to drive home the day of your procedure. If you are unable to have you driven home. If you are coming from far we will arrange for lodging at a hotel near our office so that you may stay overnight

Can I talk or meet your previous patient?
  • Yes we can arrange that on personal meeting with doctor or in one of our seminars.
How much will it cost?
  • For the scalp area its cost is 35(<$1)/Graft Indian Rupees (about 0.55 US Dollar)/ follicle. The cost is different for special areas like eyebrow, moustache, and beard etc.
How do I make payment?
  • By cash is most preferred other modes you may personally enquire.
I come from outstation can I get pick up facilities from station, or Airport?
  • Yes, on few days' prior information we can arrange that.
Can my accommodation be arranged?
  • Yes, on few days' prior information we can arrange that.
Can HT be done if I am Diabetic or if I have Blood Pressure or other medical problems?
  • Medical problems under good control by medication do not stop you from undergoing the procedure.
What are the side effects and complications?
  • It is one of the safest procedures devised by medical science and leaves you with hardly any long-term problems. Discomfort, swelling of forehead, numbness at the back trouble you only for a while. Serious complication in competent hand is unheard of.
Can hair from other parts of my body be transplanted?
  • Technically that is possible but hair follicle from the other parts of the body when planted on the head, does maintain its genetic characteristics, and hence it does not look, feel and grow as good as scalp hair.
Do I need to get my hair trimmed short before the procedure?
  • we recommend, not to undergo short trimming. Longer hair may make our plantation a bit difficult but these existing long hair will help to hide (cover) plantation site and donor site in such a way that no one can make out that you have under gone hair transplantation.
How many follicles will I require?
Number of follicles required is based on factors that vary among individuals.
  • Degree & Progress of hair loss
  • Hair characteristics
  • Area where coverage is desired
  • Expectation by patient
The total number of hair on the head remains the same as before or after Hair Transplantation. The hair root from &lsquo;permanent hair growing area&rdquo; from the back and side of the head (medically known as Hair Bank or Donor Area) is transferred to the front and /or top of the head. In Hair Transplantation no new hair is grown. Only the transplanted hair roots are arranged in such a way that head looks fuller with hair.

We have approximately 1,00,000 hair on head. In the last stage of baldness i.e. Stage 7 baldness; he is left with almost 25,000 hair on the back and side of his head (medically known as Hair Bank or Donor Area). From this area, we can harvest up to 60 % or 15000 hairs, without looking obvious. One sq. cm of Donor Area contains 100 follicles, but each follicle (Root) may have either 1.2.3 or 4 number of hair. If you have more follicles containing 3 or 4 hair, you will have more density than one having 1 or 2 hair in each follicles. On an average each hair follicle contains 1.5-to2 hairs. So, on an average 100 follicles will contain up to 200 hairs. 15,000 hair means up to about 7 500 follicles are available for transplant from your donor site. These follicles are planted in such an artistic and Staggered pattern to create what is called an Organized Disorder Pattern over the bald area that head looks full of hair. It is the combination of Art and Science both, which gives most natural result.

Normally, you have density of 100 -follicles/sq cm on the head. We do not see the bald skin until we lose up to 60% of hair in the area. So in view of the limited availability of longer lasting follicles in the bank, we should aim for the maximum density of up to 40% plus /Sq.cm esp. in vital areas like frontal forelock. You do not get the same density all over, as before but you can make it look like near normal density.

It goes without saying for the Number of the hair that &ldquo; More the merrier&rdquo;. But unfortunately you have 4 acres of seeds to be used for 12 acres of land! On an average 6 to 7000 follicles should be distributed for a person with Grade 7 baldness. The number is often the minimum requirement i.e.


What density will I get?
  • Hair Density (mass or fullness) is more with
  • Length of each hair
  • Thickness of hair
  • Number of hairs per sq.cm. (Density)
  • Acuteness of angle of exit of hair from the skin. This factor depend on the artistic ability of surgeon
  • More perpendicular (coronal) direction of hair to the hole while inserting hair follicle. This factor depend on the artistic ability of surgeon
  • Number of Hair per follicle like, 3-4 hair per follicle give more density
  • Curliness of hair
  • Low Contrast between color of hair and color of scalp
  • Time: Hair starts growing after about 8 to 12 weeks from plantation and continues to grow at the rate of 1 cm per month. So, only with the passage of time, the hair mass will increase.
    Normally, you have density of 100 -follicles/sq cm on the head. We do not see the bald skin until we lose up to 60% of hair in the area. So in view of the limited availability of longer lasting follicles in the bank, we should aim for the maximum density of up to 40% plus /Sq.cm esp. in vital areas like frontal forelock. You do not get the same density all over, as before but you can make it look like near normal density.
What time it takes?
  • Only a day that you have to spare. It takes 2-8 hours usually depending upon the number of the follicles to be implanted
Do I have to bring some one with me?
  • It is not necessary but you cannot drive back home after surgery. You may hire a vehicle or some one should derive you back.
Will it pain at the time of HT and afterwards?
  • We take utter care so that you remain comfortable while numbing your skin after that the procedure is pain free. Pain killer tablets take care of some discomfort you may have in the donor site for 2-3 days. Grafted site virtually remains pain free.
Will there be any bleeding?
  • After all you cannot cut skin without few drops of blood shedding but it is not significant.
Will there be any effect on my mind?
  • This is one of the safest surgeries devised and it limits itself to the skin your brain remains much deep beneath and safely protected in the natural helmet of your skull.
If operation lasts long how shall I have my lunch?
  • We usually provide some snack hygienically packed and juice etc as well during the break hours for you.
How do you implant the hair? Do I have cuts and stitches?
  • This will reduce the possibility of micro trauma to the follicles. There are micro punctures done but there are no big cuts or stitches taken at the site of grafting.
Do you do Megassion and Dense packing?
  • Megasession of over 1500 grafts usually up to 3500 follicles in one day has benefit of avoiding multiple small sessions for bigger area of baldness. We do it routinely due to our well-trained team of over 8 people. Dense packing consumes many more grafts because one Sq. c.m. is implanted with 25 to 50 grafts. This is normally done in the area of frontal forelock so as to have fullness in the front without exhausting the donor area.
AFTER
What is the after care of HT? Post-operative instructions
  • You will leave the hair transplant clinic on the same day with no bandages on - but you should wear a cap for a week to protect grafted from dust, sun & heat
  • Take medications as directed. (Avoid Aspirin for 2 weeks)
  • Sleep in the position in which you&rsquo;re most comfortable but sleep with the head on 2-3 pillows for a few nights.
  • Place wrapped ice pack on your forehead & eyes but not on the graft sites for 48 hours to avoid swelling. Swelling will go away in few days. These days swelling is uncommon due to medications taken post operatively.
  •  After 6 hours of the procedure shampoo the graft site & donor site gently without rubbing and wash the head with shower. Blow dry or dry without rubbing the graft site until all scabs fall out.
  • If bleeding occurs apply a light & steady pressure for 20-30 minutes with a clean cloth at the site of bleeding
  • Sutures in the donor area gets dissolved & need not be removed
  • Avoid Alcohol for 48 hours
  • Avoid smoking for as long as you can
  • No swimming in chlorinated water for 2 weeks
  • Rest for 1 day
  • Light work for a week
  • Heavy work, exercise or sex after 2 weeks
  • Visit your hair dresser for hair cut after 3 weeks & for hair styling after 6 weeks
  • Diet: Healthy nutritious diet with more proteins is beneficial. A diet that contains high quantities of animal fat can lead to an increase concentration of testosterone in the blood stream, increasing your risk of hair loss. High protein diet in pulses, milk, and white of egg, red meet and fish are good. Green vegetables and fruits are good source of minerals and antioxidants. A lot of water keeps your hair texture good.
  • Cold laser for 3-6 weeks if prescribed
  •  You may be receiving medications as hair loss solutions and natural hair loss solutions during the procedure that can make you drowsy. Because of this we bly recommend the not to drive home the day of your procedure. If you are unable to have someone drive you home after your procedure and you live near our office we can arrange to have you driven home. If you are coming from far we will arrange for lodging at a hotel near our office so that you may stay overnight.
  • Report to the hair transplant clinic or call the doctor if
    Any excessive pain or Excessive bleeding
    Any rise in temperature over – 100o F
    Sudden swelling of forehead or eyes.
How will it look?
  • Advantage of Follicular Hair Transplant is that the result is not only natural looking and natural feeling but it remains undetectable.
If it is a day treatment will I have full-grown hair when I leave the clinic?
  • The treatment of grafting the hair roots is over in few hour of the day and you may have short hair sticking out from the roots but it takes 8-18 months for the full grown results (average 1 year)
What time it takes to grow hair after HT?
  • The hair start sprouting by average 3-4 months and it takes 8-18 months for the hairs to grow in length and thickness.
What care will I have to take for the newly grown hair?
  • You don't need any special care for the newly grown hair after transplant, at least not more than your other hair.
What if the implanted hair falls?
  • Implanted hair fall within first month of transplant. The transplanted root form new hair in 3-4 months time. They become of combable length by 6-9 months and grow like any normal hair i.e. in cycle. So they may cyclically fall and in few weeks also start re-growth. The final result is achieved by 1 to 1 and a half year when the texture and thickness of transplanted hair becomes fully mature.
How long do I have to take rest?
  • You may not require rest but rest of 2-3 days may be sufficient. You should avoid heavy exercise or sex, weight lifting etc. for a week or more.
When can I go for swim?
  • After 10 days
When can have my haircut? When can I shampoo, style, and colour my hair?
  • Haircut is possible after 3 weeks and colour and styling after 6 weeks of transplant.
Will I have bandages or dressing?
  • You leave the clinic with no bandage. But it would be wise to use baseball cape when outdoors, to protect from sun, dust and pollution for 2weeks
Can I drive back home?
  • You may be receiving medications during the procedure that can make you drowsy. Because of this we bly recommend not to drive home the day of your procedure. If you are unable to have someone drive you home after your procedure and you live near our office we can arrange to have you driven home. If your are coming from far we will arrange for lodging at a hotel near our office so that you may stay overnight
When can I work?
  • Usually from next day for the light work but heavy work is avoided for 7-10 days.
When can I take bath?
  • Shoulder bath on the same day and shampoo and shower by patting and without rubbing the grafted site from next day onwards.
When can I go to Gym?
  • After 2 weeks to allow healing and consolidation of stitched tissue. Avoid weight lifting  for few months if possible so that your scar does not get stretched.
When can I have sex?
  • After 2 weeks
When can I have Alcohol?
  • Avoid for a week
When can I smoke or consume tobacco?
  • Avoid for as long as possible because it can affect your healing and hair growth.
When can I have tea or coffee?
  • Avoid for a day before and after
What diet should I take?
  • Take High protein with milk, white of eggs, pulses, green vegetables, fruits, lots of water. Avoid fast food, fatty food.
Will I have headache?
  • You may have tightness in the stitch area for a few days but soon it disappears.
Will I have any scar?
  • You will have a thin line of scar from where we remove the strip but rest assured it will remain undetectable because it will be covered under the hair on the top.
Do I need to remove the stitches?
  • Usually they get dissolved by 12-15 days
Do I need to take the medication and for how long?
  • Usually we prescribe antibiotics for a week and painkillers for 5 days. Additionally you may take Finasteride and Minoxidil for thinning hair or preventing hair fall by telogen effluvium.
Do you use Laser Hair Loss Solutions or natural hair loss solutions for Hair Transplant? What is Low Level Laser Therapy or Cold Laser?
  • Few years back Hair Transplant Community used Laser to drill micro holes for implanting Hair roots. They soon found out that the hair growth was poor and Laser was doing more damage to the wall of the hole and its blood supply then it helped. As a result no Hair Transplant Surgeon of good standing in the world uses Laser for Hair Transplant Treatment. But for Low Level Laser Therapy (LLL) or Cold Laser as it is called is proclaimed promising for improving the thinned out hair harmlessly are used by us after Hair Transplant Treatment to enhance the results.
How soon the Hair Loss Remedy can be repeated in the same area?
  • Theoretically, to increase the density one may repeat the plantation within 6-8 months of the procedure.





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