Centres Of Excellences

Hair Transplant

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Why choose Amrita Hair Transplant Program?

Hair transplant was started at AIMS in 2005. More than 300 hair transplants have been performed here with good results.

1. Safety – It is given the utmost importance and all patients are having monitored anesthesia care and anesthetists are present to take appropriate care in the unfortunate event of an anaphylactic emergency.

2. Expertise - We have a team who is trained and experienced in hair transplants.

The team includes doctors, physician assistants, nurses and trained technicians.

3. We have a dedicated hair lab where the slivering and separation into follicles are carried out.

4. Equipment: We have the state of the art Carl Zeiss Operating microscopes for the slivering and separating into follicular units. We use Safe scribe FUE machine

which is the gold standard of FUE machines.

5. Technique: We use a simple yet effective technique so that we are able to achieve very high density that too in a short time.

6. Coolsense cryo is used to make the procedure as painless as possible.

7. Body Hair transplant: We transplant hairs from areas other than the scalp in appropriate cases.

8. Specilised areas of transplant like eye brows, eye lashes, beard, mustache and chest wall are done here.

Dr. Sundeep Vijayaraghavan who is championing the hair transplant program has been performing hair transplants since 2002. He does both FUE as well as strip method of hair harvesting. A hair implantation method has been pioneered and is being performed by him. Many doctors have been trained under his guidance in hair transplantation. Detailed hair transplant courses are conducted by the team where technicians as well as doctors have hands on lab training every year.

CONTACT US

Phone: 0484 - 2851401 

Email: plasticsurgery@aims.amrita.edu

Hair Transplant

Normal cycle of hair growth

The hair consists of a shaft and a root. The shaft is the visible part above the scalp and the root or bulb is the part that is under the skin surface. There are around one lakh hair follicular units in the adult scalp. A follicular unit is a family of hairs that comes out through a single hole in the scalp. It could be one, two, three or four. There are on an average of 2.3 hairs in a follicular unit. Usually there are around 90-100 follicular units in a sq cm. If more than 50% are lost we start noticing hair thinning.

The normal cycle of hair growth lasts for 2 to 6 years. Each hair grows approximately 1 centimeter per month during this phase. About 90 percent of the hair on your scalp is growing at any one time. About 10 percent of the hair on your scalp, is in a resting phase. After 3 to 4 months, the resting hair falls out and new hair starts to grow in its place.

It is normal to shed some hair each day as part of this cycle. However, some people may experience excessive (more than normal) hair loss. Hair loss of this type can affect men, women and children.

What is common baldness?

The most common type of hair loss in both men and women is referred to as androgenic alopecia. "Common baldness" usually means male-pattern hair loss. It is also called androgenetic alopecia. Male-pattern hair loss is the most common cause of hair loss in men. They usually have a positive family history. Men who start losing their hair at an early age tend to develop more extensive baldness. Hair starts to “ miniaturise” that is the size and the diameter starts to come down. Typically it starts either in the front or the crown.

Women may develop female-pattern baldness. In this form of hair loss, the hair can become thin over the entire scalp. The most common cause of hair loss in females is stress of any cause.

What are other causes of excessive hair loss?

A number of things can cause excessive hair loss. For example, about 3 or 4 months after an illness or a major surgery, you may suddenly lose a large amount of hair. This hair loss is related to the stress of the illness and is temporary. 

Hormonal problems may cause hair loss. If your thyroid gland is overactive or underactive, your hair may fall out. This hair loss usually can be helped by treatment of thyroid disease. Hair loss may occur if male or female hormones, known as androgens and estrogens, are out of balance. Correcting the hormone imbalance may stop your hair loss.

Post partum: Many women notice hair loss about 3 months after they've had a baby. This loss is also related to hormones. During pregnancy, high levels of certain hormones cause the body to keep hair that would normally fall out. When the hormones return to pre-pregnancy levels, that hair falls out and the normal cycle of growth and loss starts again. 

Some medicines can cause hair loss. This type of hair loss improves when you stop taking the medicine. Medicines that can cause hair loss include blood thinners (also called anticoagulants), medicines used for gout, high blood pressure or heart problems, vitamin A (if too much is taken), birth control pills and antidepressants.

Certain infections can cause hair loss. Fungal infections of the scalp can cause hair loss in children. The infection is easily treated with antifungal medicines.

Finally, hair loss may occur as part of an underlying disease, such as lupus or diabetes. Since hair loss may be an early sign of a disease, it is important to find the cause so that it can be treated.

Can certain hairstyles or treatments cause hair loss?

Yes. If you wear pigtails or cornrows or use tight hair rollers, the pull on your hair can cause a type of hair loss called traction alopecia. If the pulling is stopped before scarring of the scalp develops, your hair will grow back normally. However, scarring can cause permanent hair loss.

In India it is commonly called turban alopecia; seen in patients who tightly tie their hair before weaving a turban.

Hot oil hair treatments or chemicals used in permanents (also called "perms") may cause inflammation (swelling) of the hair follicle, which can result in scarring and hair loss.

Is there any treatment for hair loss?

Depending on your type of hair loss, treatments are available. If a medicine is causing your hair loss, your doctor may be able to prescribe a different medicine. Recognizing and treating an infection may help stop the hair loss. Correcting a hormone imbalance may prevent further hair loss.

Hair loss is usually not due to any single cause. So along with commonly available medicines like Minoxidil and Finasteride, other Vitamins and Minerals that are required for hair growth are also prescribed. It normally takes up to 4 - 6 months before you can visibly see the change. So it is advisable to take photos of your scalp at 2 monthly intervals.

If the result at 4 months is not to your liking, it may be advisable to go for a Hair Transplant.


Scalp loosening exercises are required if megasessions are to be done. So please do the to and fro movement as shown in the picture.

Please take the cyclical hair therapy before the transplant as long as it is possible.

Please do not cut your hair very short as it is required to hide the incision

Please avoid the following two weeks before surgery

  • Hairouse Mx 2%( Minoxidil)
  • Aspirin
  • Clopidogrel
  • Vitamine E

On the day before surgery

  • Avoid Alcohol
  • Shampoo your hair
  • People with grey hair is required to dye their hair with their routine dye. Please make sure that the dye reaches the roots.

On the Operating day

  • Shampoo your hair again in the morning of the surgery.
  • Avoid wearing a tight necked T shirt as after the surgery it will be difficult to put it on.
  • Do not wear anything that will have to be pulled tightly over your head.
  • Eat a good breakfast
  • Take the Antihypertensive medicines if you are a hypertensive.
  • Please bring along some one. Sometimes it may not be possible to drive back home.

Hair Transplant is a team effort with doctors, nurses and technicians trained in doing the procedure coming together in different stages to perform their respective roles.

Anesthesia

Initially after preparing an IV access, a numbing agent is used to numb the skin before giving small doses of local anesthetic to the back of the scalp. Then hair is cleaned with betadine scrub solution. Further injections are given. Once the scalp there is numb, the surgery is commenced. A strip of scalp or follicular units by FUE technique is harvested.

Trichophytic closure

To get the best possible scar and to get hair to grow through the scar, trichophytic closure is done. Sutures are used which have to be taken out later.

Block is given to the front of the scalp so that the entire scalp is numb. Later tumescent solution is injected so that the bleeding is reduced.

The marking of the new hair line is made and shown to the patient. The necessary holes are made and the follicular units are implanted in them. It is done in the same direction as the natural hairs. In between the procedure the patient can take breaks to eat and visit the wash room. Once the procedure is complete the patient can go home after 1/2 to one hour.

Hair transplant is based on the concept of donor dominance. Hairs fall off in male pattern baldness due to the presence of the receptors for Dihydrotestosterone (DHT) and testosterone. So these hairs will fall off once the DHT gets attached to it. The permanent hairs (the ones on the back of the head) lack these receptors and so if transplanted in the bald areas will last as long as the hairs on the back of the head.

Hair Transplant is a team effort with doctors, nurses and technicians trained in doing the procedure coming together in different stages to perform their respective roles.

The Procedure

Strip Method – Initially after preparing an IV access, local anaesthesia blocks are given to the back and side of the head. Once the scalp there is numb, the surgery is commenced.

A strip of scalp is harvested. To get the best possible scar and to get hair to grow through the scar, trichophytic closure is done. Sutures are used which have to be taken out later.

The strip is then taken to the hair lab where it is cut into single hair wide strips under a microscope (Slivering). Each single hair strip is then further cut into single follicular units in the hair lab.

Follicular Unit Extraction (FUE) Method – Local anaesthetic block is given to the front of the scalp so that the entire scalp is numb. After anaesthesia to the scalp, we use SafeScribe, a motorized Follicular Unit Extracter to get the grafts. It requires clipping the hairs.

The Transplant

The marking of the new hair line is made and shown to the patient. It is staggered to give a natural appearance to the hair line.

The necessary holes are made and the follicular units are implanted in them. It is done in the same direction as the natural hairs.

In between the procedure the patient can take breaks to eat and visit the wash room. Once the procedure is complete the patient can go home after half to one hour.

Post Operative care

  • The scalp should be kept moist with saline and pressed with saline soaked gauze every 15 minutes for the first 12 – 15 hours or till the ooze of the serous ooze stops.
  • Avoid pillows for 72 hrs.
  • Please follow the medications as per the instruction sheets.

Follow up

Patient is first followed up after 10- 14 days for suture removal. Then regular follow ups are required every 3 months.

Many of the hair shafts will fall off by the end of one month. But the roots will be intact. The hairs start to grow in three months. It would reach the length of other hairs by 8-12 months. In case further density is required, further procedures are performed after six months.

1. What is the cost of hair transplant?

It depends on the method. It is approximately Rs50 per follicular unit for the strip method and Rs 60/- for FUE technique as specialized equipment is used.

2. When can I return to work?

You go home the same day. Usually you can return to work with in 48 hrs.

3. What are the potential complications?

Like any surgery, there may be wound infections which may have to be tackled with dressings and medicines. Rarely resuturing may have to be done.

In the recipient site there can be pustules which settles with topical medications. Sometimes a prick with a sterile needle may be required.

There may be numbness of the scalp which settles within a few months.

Rarely there can be be eyelid puffiness in the immediate post operative period which can be avoided if you sleep without pillows for the first week.

4. Is this procedure painful?

To make your hair transplant as comfortable as possible, we have an anesthesia team who will give sedation to cool your nerves. We use coolsense cryo before the local anesthetic injection so that the injections are also pain free. The finest needles are used so that you are comfortable.

5. Is there any alternative to surgery?

Systematic investigations and medical treatment with cyclical hair care therapy has been found to increase hair growth in many patients where there is thinning of hair. In as less as three months, results will be seen. Only if the patient is not satisfied, he has to opt for the transplant.

6. Is there some quick method to regain the hair density?

Electrostatic microfibres are extremely fine particles of cellulose that stick to the hair to apparently increase the density of the hairs. It will be washed off during shower. It is preferable to use cellulose to keratin which is mainly available in the market.

7. Can hair transplant be done for areas other than the scalp?

Specilised areas of transplant like eye brows, eye lashes, beard, mustache and chest wall are done here.

8. Can hair be taken from areas other than the scalp?

 Yes , It can be taken for the shadow area of the beard, chest, arm pit and the pubic area. The hairs are less robust than the scalp hairs but over time they tend to have some recipient area characteristics as well.

 

Doctors / Faculties-Hair Transplant