What is Hair transplant?
Hair transplantation, it is a common surgical technique in which hair follicles are removed from a part of the body which is referred to or called as the donor site (as the site is from the follicles are taken) and then is placed on to the bald or balding site which is called the recipient site (as it is where we transplant the follicles).
What are the causes of male pattern Baldness?
What are the types of hair transplant surgeries?
First, we will discuss on the basis of the harvesting of the donor area. As per harvesting from the donor area, it is of two types :
Another classification is on the basis of equipment used
What are the side effects of Hair Transplantation?
Tissue scarring due to the ability of the surgeon
Allergy due to anesthesia
Shock loss- loss of hair post operation expected as the hair then grows back
Is hair transplant permanent?
Yes, it is. But we still do need to take care of the area and get routine checkups with the surgeon
What is the cost of the hair transplant?
The Cost of Hair Transplant varies from person to person due to the following reasons:
On average , hair transplant in bangalore might cost you this much:
Minimum price may be at Rs5,000
Average price may be Rs.1,00,000
Maximum price may go upto Rs.2,65,000
Each graft costs about Rs. 20/- to Rs.120/-, depending upon a surgeon’s experience and center’s reputation and the technology implemented.
Hair transplant or hair transplantation is a surgical technique in which hair follicles are removed from one part of the body which is referred to as the donor site (as the site is from the follicles are taken) and then is placed on to the bald or balding site which is called the recipient site (as it is where we transplant the follicles). Hair transplant is a process which is used to treat balding pattern often in males. Hence generally refer to this treatment of the male balding pattern. Hair transplant can also be used to treat or restore the areas around eyes for example eyelashes, eyebrows or areas around the beard and chest. Sometimes it is also used to cover up an area where a scar is present due to trauma and needs covering up. Rarely, people use the technique in the pubic area also.
Balding is the major condition in which hair transplant is recommended and especially when there are areas in which hair is present at some and not at others. This is more of an aesthetic related purpose surgery that we do as today good and vibrant hairline is a mark of confidence as well. Eg: Some Movies stars endorse hair shampoos and we buy that shampoo as we want such beautiful hair, hence people do not like balding pattern unless by choice as good hair makes us feel more confident.
There are various ways in which the baldness pattern is classified. We will be discussing the most common classification pattern, the Norwood scale pattern. As per the Norwood scale pattern the balding pattern is divided into seven stages. We will discuss the stages in brief to have a better understanding.
In this, thinning of hair is noticed around the temples and slightly receding hairline or recession of hair. But, it often is not noticed by an untrained eye.
In this, we notice that the balding near the temples area has increased and moved further inwards, often described as creating M-shaped hairline. It is very commonly noticed in males.
In this stage, the baldness becomes more visible and the recession in the temple area increases and grows to the extent that there is little or no hair in the temporal regions. Also, during this stage, we notice that the area on the top of the head becomes thinner and noticeable. During this stage, often some people notice spotting or spots where hair is missing.
This is an advanced stage and when the patient reaches this stage, he is sure that he is experiencing balding and it is very much evident and noticeable by the human naked eye. During this stage, the patient often develops bald spots which are noticeable and difficult to hide. There is hair thinning on the crown portion of your head and you might lose large patch or patches of hair.
In this, the most common and early sign is that of the horseshoe-shaped hairline. This marks the stage when the hair loss is becoming severe and becomes difficult to treat.
By the time the patient reaches this stage, he has managed to lose a large portion of his hair and there is a major loss of hairline. The amount of hair covering the crown portion of the head is minimal hair.
This stage is considered to be full baldness. This is the classic horseshoe or cul-de-sac pattern, in this, the crown portion is completely bald. If no actions have been taken, the chances of recovery are very slim. Often, surgeons evaluating the patient in stage seven, generally recommend hair transplant and only do so after explaining to the patient about the success chances and making him aware of what he should expect.
When we notice balding we often think, is hair transplant a good option for me? Will it be successful? Am I the correct candidate for this?
These are some very important questions that we ask ourselves and hence go visit doctors for medical consultations.
So, some basic pointers we should keep in mind while we consult the doctor are :
When Am I not a good candidate for hair transplant?
It is actually classified into various types. First, we will discuss on the basis of the harvesting of the donor area. As per harvesting from donor area, it is of two types
It is the most common method used to get hair from the donor site. In this we take or harvest a strip of skin from the donor site; generally the posterior or back part of the scalp which has good hair growth. Then scalp is used to remove the strips of hair-bearing tissue making sure so as intact hair follicles are removed. The normal size of the strip that is harvested ranges between 15cm to 30cm. The hair follicles then using a microscope are treated and the excessive fatty and fibrous tissues are removed so as the follicular cells can be used for grafting. In this very small and tiny micro blades are used in association with fine needles where the then harvested follicles are placed. There is a thin linear scar that is noticed at the donor site which is covered by the hair of the patient even at short length. The recovery period is of around two week approximately and might require staples or stitches as per the discretion of the surgeon.
Follicular Unit extraction (FUE)
As we discussed in strip harvesting that we harvest a strip of linear skin from the donor site but in this we do not need to do the same. We extract multiple singular follicles from the site using punch incisions with the help of micro scalpels and blade in association with the fine needles. The follicles contain about one to four hairs in a single follicle and approximately 2000-3000 grafts are harvested. Now FUE can be done in a single long session or multiple short sessions as per the comfort of the patient and the surgeon. The advantages that follicular unit extraction has over strip harvesting is that it gives much more better and natural results, does not require large area for harvesting like in strip harvesting, no linear scar and post operative pain and discomfort is minimized. Also an advantage is no suture removal is required in this. But nothing is perfect in this world hence it also has some disadvantages. These include very high or increased surgical time as extracting and harvesting 3000 grafts takes time, higher cost to the patient as it is expensive and since it is technique sensitive so a very highly skilled surgeon is required to pull this off otherwise we will notice that some follicles are not able to stay at the transplanted site.
Another classification is on the basis of equipment used
The name themselves describe the method hence we will not discuss them in detail.
Routine preoperative guidelines include:
Even with the advancement in medical sciences we still need to take some preventive measures. These include:
Wigs or hairpiece - we can use them to cover the balding area
Topical solutions like Minoxidil can be used to slow hair fall and induce the follicular growth
Oral medication like Finasteride is also recommended
Use of vitamin E capsules along with oil for the nourishment of the hair