Articles on hair diseases

Patchy Hair Falling - Alopecia Areata

Dr. D.Senthil Kumar, Homeopath
Alopecia areataAlopecia areata means hair loss in small, round patches any where in hairy parts of the body. The most affected part is  scalp. Alopecia areata can cause tremendous emotional and psychosocial stress in affected patients and their families. Alopecia areata can progress to complete loss of all body hair. Causes of Alopecia Areata,There is no specific causes for alopecia areata. But some factors may considerGenetic factors play an important roleThere is a higher frequency of a family history of alopecia areata in people who are affected.Autoimmune factor causing the patient to develop antibodies to different hair follicle structures.Some chemicals that are a part of the immune system called cytokines may play a role in alopecia areata by inhibiting hair follicle growth.Emotional stress may also cause alopecia areata.Appearance of Alopecia AreataThe typical patch of alopecia areata is usually round or oval, and is completely bald and smooth."Exclamation-mark" hairs may be seen at the margin of the patch.Some broken, short hairs that taper at the base.Nail involvementNail involvement found most commonly seen in patients with severe forms of alopecia areata.Pitting is the most common finding.Several other abnormalities have been reported (e.g., trachyonychia, Beau lines, onychorrhexis, onychomadesis, koilonychia, leukonychia, red lunulae).Fingernails predominantly are affected.Alopecia Types and DefinitionsAlopecia Areata - Patch like hair fallingAlopecia Partialis - Hair falling in one half side of the scalp or in limbs or in face.Alopecia totalis - complete falling of hairs in scalp (not baldness)Alopecia Universalis - complete loss of hair all over the hair (complete hair falling in scalp, face, arm pit, pubic, and limbs)Alopecia areata can be classified according to its pattern.Patchy alopecia areata - Hair loss most often is localized and patchyOphiasis pattern of alopecia areata - A reticular pattern occurs when hair loss is more extensive and the patches coalesce. An ophiasis pattern occurs when the hair losses is localized to the sides and lower back of the scalpSisaipho pattern of alopecia areata - Conversely, sisaipho (ophiasis spelled backwards) pattern occurs when hair loss spares the sides and back of the headAlopecia totalis - Alopecia totalis occurs with 100% hair loss on the scalpAlopecia universalis - Alopecia universalis occurs with complete loss of hair on all hair-bearing areasDiffuse alopecia areata - Alopecia areata usually is focal; however, it can be diffuse, thereby mimicking Telogen effluvium (TE) or the type of androgenetic alopecia seen in womenHomeopathy treatment for Alopecia AreataSymptomatic Homoeopathy medicines acts well in Alopecia Areata, Alopecia totalis, Alopecia partialis cases. Homeo medicines works well without any side effects. 

Know More About Your Hair

Dr. Sameer Kumar Singh, Homeopath
GROWTH OF HAIR AND FACTORS THAT INFLUENCE HAIR GROWTHWhen a new baby is born, he or she has soft, fine and downy hair called lanugo that disappears shortly after the birth. Normally hair on the scalp and other parts of body becomes thicker and coarser. In middle age, hair growth can be seen on the ears of men and women develop the same on face at the time of menopause. This is due to change in endocrine pattern.Stages of hair growth-ANAGEN HAIR (Period of Active Growth)The stage when the growing is in process, the hair is called ‘Anagen’ hair. Anagen hair keeps on growing from two to five years. In Anagen hair, the cells of follicle grow, divide and are keratinized in order to make hair grow. Having keratin means that the base of the hair shaft is moist and soft and the rest of hair shaft above hair bulb is dark pigmented.CATAGEN HAIR (Period of Transition or Breakdown and Change)When the hair is under transition stage, which is from root to end, the hair is called ‘catagen’ hair. Catagen hair, begin transitional, live for about 7 to 15 days. During this transition phase, the growth activity of the hair stops. Growth of hair is not a continuous affair as some people think. Hair growing takes a resting phase during which no growth takes place and the roots of the resting hair become club-shaped. It is this condition that is called club hairs.TELOGEN HAIR (Resting Stage before Resumption Of Growth)Catagen hair live for some time and when they are in the state of rest without any change, they are called ‘Telogen’ hair. Telogen hair are also called club hair. They are in the state of rest for three to four months before they grow or are pushed from follicle due to growth of another hair or due to some harsh combing/ brushing or hard massaging/continuous drying of hair by hot hair-blower or in fight etc. All these are mechanical reasons.Factors that Influence the Hair GrowthAge: – Growth of hair is fastest from the age of fifteen to late twenties. The hair grows faster and the rate of growth slows down when the hair have grown to its maximum. There is no limit to maximum but some doctors are of the opinion that this limit is three feel which means that when the hair are over three feet long, the growth rate drops to half the former growth rate. Nervous and circulatory system: – The hair is affected by the state of the nervous system and circulatory system. This means that hair have a direct relation with functioning of the entire human organism, mind, sentiments, emotions and the body. Any such stimulation in the body by grief, emotions, etc. makes impact over the opulence of the nerve and blood supply to the head. If grief or emotions continue for some days, it affects the growth of hair.Chemicals & Drugs: – Chemical and drug reactions also affect the growth of hair. The coloring of hair and dyeing of hair are virtually exposure to chemical reactions and many persons who dye or color their hair have retarded hair growth or encounter falling of hair.Heredity: – The heredity/genes actually determine the hair density, growth and color of hair.Hormones: – Hormonal change is one of the reasons for growth of hair.Your Hair – An Index  to your Health….Our hair is not just ‘dead’ protein it is a pointer to what is happening deep inside our body and mind. Hair has more to it than what appears on the surface.  It says a lot more about us than what the stars foretell. The health of our hair and scalp provides us with insightful cues about a host of ‘latent’ health disorders.In addition, our hair, like our psyche, responds to both physical and emotional stressors, including underlying health deviations,  much before apparent clinical symptoms manifest.DRY, LIMP, THIN HAIR:-This may be a ‘cursor’ for hypothyroidism. In some cases, the ‘tell-tale’  sign is hair loss on the eyebrows, especially in the outer area of the eyebrow.SCALY  OR CRUSTY PATCHES ON THE SCALP:-This indicates psoriasis, a common skin disorder. It occurs when the skin for a ‘toss,’ sending out flawed signals that accelerate the turnover and growth of skin cells. The detection of psoriasis can help us prevent and treat more serious condition- especially psoriatic arthritis, or painful swelling of the joints with scaly psoriatic distress.OVERALL THINNING:-It’s customary to shed about 50-100 hairs a day. But, when hair appears to be coming out in ‘clumps,’ it’s time for action. Any extreme stress can be the reason for hair loss, liking losing a job can cause extreme hair loss. Likewise, about of flu or fever, illnesses like jaundice, typhoid and malaria can cause hair loss. Most importantly, diabetes and hypertension can also cause such hair loss, much before they may be clinically diagnosed. DRY, BRITTLE HAIR BREAKS EASILY:-This kind of hair loss can be a sign of autoimmune disorders, early onset diabetes and thyroid disease.

Hair Hair Everywhere!

Dr. Dilip Hemnani, Dermatologist
What is hair fall?Normally hair sheds daily from your scalp so that new healthy hair can grow from the root. This hair shedding is normal when you shed 50-100 hairs per day depending upon individual hair cycle and density. But if you are losing hairs more than 100 per day then it is a warning sign. You are definitely having hair fall.Who can have hair fall?Anyone from a 6 months old child to old age person can experience hair fall. It's just that reason for hair fall and pattern of hair fall is different for different age group, sex and disease you are suffering.Warning signs!You should get alert when u starts seeing your hair on pillows, comb, sinks, working station. If you feel that the volume of your pony tail or braid is decreasing day by day it is the time to consult the doctor. In males receding hair line with balding is the sign to start your treatment.What are the causes of hair fall?Synchronous hair shedding- Suddenly all the hair of an infant may shed at a time and child may become bald overnight. Nothing to worry. It is a physiological phenomenon and hair will come back soon.Nutrition related – This type of hair fall can be seen in any age group and sex. Due to iron, protein, vitamins deficiency patient may experience stunted growth and hair fall.Male and female pattern hair loss- In males this type of hair loss is seen because of hormone named testosterone. In these cases, patient start losing hair from the frontal area slowly extending to crown and if proper care and treatment not taken on time may lead to complete baldness leaving only few cm of fringe of hairs at back of scalp.In females this type of hair loss may be seen due to hormonal imbalance either due to poly cystic ovary syndrome or androgen excess. In this type of hair loss female starts losing hair from frontal, midline and finally from the crown area. Hair line is shifted away from the forehead.Hair styling related hair loss- excessive blow drying of hair, hair straightening, colouring of hair all can lead to severe hair loss. So beware and think twice before using any hair styling tools.Stress related- stress may be of different types either mental or physical any type of stress can lead to hair loss and is called as telogen effluvium. Even post pregnancy, post any surgery you can lose lot of hairs.Alopecia areata- this is a condition where immune balance of the body is disturbed and patient starts losing hair in patches. Round to oval bald patches measuring from few mms to cm are seen at any part of scalp. In severe cases this may lead to loss of hair of whole bodyDisease related hair loss- many a time many systemic diseases are associated with diffuse hair loss.Medication related hair loss- few medicines also lead to hair loss after taking for few months. Most notorious being anti-cancer drugs.How can you avoid hair loss?Healthy eating habits: sufficient quantity of fruits, proteins and vegetables should be consumed dailyHealthy life style: regular sleep pattern, less stress and exercise will keep your hormones balanced and cause less hair fallTreatment of underlying cause: unless and until the cause of hair loss is not treated hair loss cannot be controlledHow can hair loss be treated?Multiple treatments are available for hair loss. The doctor evaluates the type of hair loss patient is suffering and accordingly the treatment is givenMedical therapyDepending on the underlying condition many times medical line of treatment is enough for hair fallOral tablets/capsules and lotions to apply can be used to treat hair fallSurgical therapyTotal loss of hair follicle cannot be treated with help of medicines. Hair transplant is the last resort. We remove hair from the back of scalp which are resistant to fall and is transplanted in the front and crown area. We even design proper hair line to give it a natural look.  Newer modalities of treatmentPRP and MESO therapy are the new therapies in the basket. Here we inject the cocktail of growth factors in the scalp, which boost up the faster hair growth as well as it helps to sustain longerGEOHAIR- is another new modality where in scalp is subjected to infra red light system boosting up the blood supply and hair growthInvest in your hair it is the crown you will never take off!

A Miraculous Cure for Hair Loss & Baldness

Dr. Dinesh Jain
Today science has advanced to a level that its possible to have the Crowning Glory Restored by one's Scalp completely covered with Hair. When we talk of hair restoration we always think about surgery which can only give us limited no. of hair taken from the Donor area & many times the results look fake & unnatural. Today its possible to regrow hair naturally ,prevent baldness or have a full head with hair  .What Is Natural Hair Regrowth Therapy? Natural Regrowth Therapy is a method where a chemical messenger is injected or penetrated in a scalp which is thinned out or has bald patches . This natural material or chemical  taken from one's own body is powerful enough and can activate the stem cells in your hair follicle to Regrow/Rejuvenate/Thicken the hair.How Much Hair one can Grow ? The Potential is unlimited, it has been observed that even up to 45000 hair can be restored and regrown by this miraculous therapyHow is it Different from a Transplant ? This treatment can grow hair in thousands even up-to 45000 hair strands can be seen on a bald scalp. There is no risk of surgeries and Donor hair need not be sacrificed. There is no scarring or pain & swelling.Does this Work for Thinning of Hair & for Women? Yes thinning is completely reversed & the scalp is seen with thick healthy hair  as early as 3 months & in women the results are achieved  quickly & Completely.How many Sessions & Is it Painful & what about side effects?  8-10 Sessions are required & the pain is almost nil. The client can resume all activities immediately after the treatment & there are no side effects .Concluding today there are miraculous options in modern medicine which can solve the issues related to hair with simple advanced techniques & without any need for  surgeries. These options of Natural Hair Regrowth Therapy are available only with few selected trained doctors . 

Heading Towards Baldness? at So Young Age? Unfair.

Dr. Yogesh Kumar, Ayurveda
Hair loss is a problem that impacts countless individuals. Thinning bald areas and a variety of other signs can be managed and restored. Hair loss is a problem, for which you can be certain that there is a solution to. No matter the factor for your hair loss or the approaches you utilize to treat its outcomes, you can be sure there is a choice for you if you want to maintain your gorgeous hair.Ladies tend to experience more hair problems because of dietary factors compared with people who have a diet plan. Low iron diet regimens and various other nutrient shortages can cause hair loss in females. Make certain you are checking precisely what nutrients you are getting out of your diet plan. It is advised to use organic hair growth products that are composed of all-natural extracts. These hair shampoos do not obstruct hair follicles, as well as they in fact enhance hair retention along with still keeping manageability. These herbal hair shampoos clean hair the all-natural way as well as safeguard your hair rather than damage it.If you can decrease the anxiety in your life, tension could increase hair problems. If you can minimize the quantity of stress in your life, you should see enhancements in the quality of your hair. Hair loss is a problem you can be certain there is a solution to. No matter the factor for your hair loss or the approaches you utilize to treat its outcomes, you can be sure there is a choice for you if you want to maintain an open mindIf you have a problem with hair loss, one of the important points, which could be activating this loss, is a scarcity of folic acid in your diet plan. Folic acid is a vital nutrient for hair health and wellness and also development. To add more folic acid to your everyday diet strategy, take in more carrots, eco-friendly veggies, as well as soybeans.Attempt to decrease your degree of stress on your body if you desire to slow down your hair loss. When your body is under stress, your body networks energy right into fixing the body instead of expanding hair. So the rate of your hair growth slows, causing your hair to thin. Using an organic hair loss treatment can overcome the hair problems caused by stress.Something many individuals don't think of is that products like gels, waxes, mousse, and so on could trigger loss of hair if they typically aren't washed out prior to going to sleep. Sleeping with products like these in can let them attack your scalp and block your pores, resulting in very early baldness. Avoid use of shampoos and conditioners that are not natural. Shampoos as well as conditioners that are not natural contain a lot of unsafe chemicals in them that are bad for your scalp. These items can trigger hair loss as well as prevent hair from growing back in as soon as you lose it.hair fall-nightmare for ladies.hair loss starting from the sides.Follow these tips to have great hair and to stop hair fall before its too late.

Newer Advanced Hair treatments

Dr. Apratim Goel, Dermatologist
Introduction: Hair loss affects millions of women around the world, and around half of men would lose their hair by the age of 50. The most common type of hair loss among men is male pattern baldness called and rogeneticalopecia. For women, the most common triggers are hormonal (pregnancy, menopause, thyroid disorders, polycystic ovarian syndrome) or hereditary, but autoimmune conditions and nutritional deficiencies are also common. And unlike men, women tend to lose hair gradually and all over the head, so it can take longer to detect. Women don’t get hair line recession but widening of the hair parting.Treatments for hair loss: Being such multifactorial in causes, there is no one magical treatment that can treat the hair loss in all causes. Most of today's medicines for treating hair loss have limited effectiveness. Currently, we don't have a complete understanding of exactly why certain diseases cause hair loss. In many cases, we treat the symptoms, but not the causes of diseases. And often our ability to treat symptoms has limited effectiveness. For many sufferers, it destroys confidence and is a major cause of stress and depression.  Cutis Philosophy: At Cutis, we respect client first. We understand your needs and strive hard to get the best and latest  technology from all over the world to your doorstep. Right from the blood tests to nutritional counseling, we guide our patients at each step and make them understand the importance of a healthy lifestyle. However the treatment options are depending on the severity of the hair loss. These are:  Peptide Hair Spray: This is plant based Italian technology that is available as 30 ml spray bottles and contains a mix of peptides as well as growth factors which activate the hair root cells in the hair follicle and strengthen the existing hair follicles. This should usually be sprayed on the front and side of scalp (not on back) twice a week and left overnight. Next morning shampoo must be used.Cost: 1350 INR for 30ml sprayHair supplement: Lets face it. We cant eat all that our hair needs in the food on a daily basis, more so if you are a vegetarian. So it is wise to pop a hair supplement that contains all the essential nutrients that are needed for your crowning glory. Hair Induction: Depending on the extent of hair damage and the hormonal and nutritional deficiency, sometimes hair needs more than just topical medications and hair supplements. At Cutis we have the hair Induction programme that is a specially designed 6 weeks treatment done once in a week for 6 weeks. What is it? After forming PRP ( platelet rich plasma) from the patients own blood it is mixed with growth factors and infused into the scalp at the level of the hair roots with the help of a laser. This ensures a better targeted delivery of the active molecules resulting in faster and effective action. The results are seen in 3-4 weeks with small sprouts of hair seen growing out in both men and women.Cost: 8000 per session.Hair stem cell injections: These are plant based botanical stem cells that are very effective in mild to moderate balding and hair loss. The stem cells are penetrated into the scalp using a painless technology and usually 6-8 sessions may be needed to get optimum results.Cost: 5000 per sessionHair growth Laser: These are low level lasers that are used in the form of a laser cap and that stimulate the hair roots into the active stage. Prior to using the laser , the scalp is cleansed and a stimulating lotion is applied on the hair root. Each session lasts 20-25 minutes and is totally relaxing and painless. In severe cases this laser session can also be combined with hair induction or hair stem cell programme to accelerate the results. Cost : 4200 per session.

Top Causes of Hair Loss and Hair Thinning in Women

Dr. Jolly Shah Kapadia, Dermatologist
For women, hair means way more than a bundle of fibres. Long or short, bouncy or straight, it's an expression of your style and personality. Losing those lovely tresses can really freak you out. Hair Loss, a nightmareWhether it’s short- or long-term, women lose hair the same way men do. It might thin all over, or your centre part could get wider and wider. You might even get a bald spot at the crown of your head. Rarely women also have a receding front hairline.How Does Hair Grow?Your scalp has about 1,00,000 hair. Each one has its own life cycle. A follicle produces a single hair that grows at a rate of half an inch per month. It stays for 2 to 6 years, then stops for about a month. When the next cycle starts up, that hair falls out. At any given time, most of your hair are in the growth phase.How Much Hair Loss Is Normal?Most people shed about 50-100 hair every day. Don’t worry if you find a few in your hairbrush or on your clothes. But if it starts to fall out in clumps or if you notice it getting thinner over time, check with your Dermatologist.What are the root causes of Hair Loss?There’s no single cause. Triggers range from medical conditions, to stress and lifestyle factors, like what you eat. Your genes play a role, too. Sometimes there may not be a specific reason.Major Hair Loss Triggers in women: Thyroid Problems: If the thyroid makes too much or too little thyroid hormone,your hair growth cycle might get affected. You may develop progressive thinning of hair all over the scalp.PCOS: If you have polycystic ovary syndrome (PCOS), your hormones are always shaky. Your body makes more male hormones, or androgen, than it should. This can cause extra hair on your face and body while the hair on your head thins out. PCOS can also lead to ovulation problems, acne, and weight gain. But sometimes thinning hair is the only obvious sign.Childbirth: You might notice your hair seems fuller during pregnancy.That’s because high hormone levels keep resting hairs from falling out. But after the baby comes, things go back to normal and those strands will fall out quickly. You could lose a lot of hair at once. It could take up to 2 years for your lovely hair to return to normal.The Pill: The hormones that suppress ovulation can also thin out your hair.You can also lose hair when you stop taking the pill. Medicines: Drugs like blood thinners those which treat high blood pressure, heart disease, arthritis, and depression; methotrexate, cholesterol lowering medications, chemotherapeutic agents etc. can cause hair loss.Crash Diets: You may lose more than weight with a fad diet. And if you lose weight more rapidly, you might also lose hair in a couple of months. Deficiency: A longstanding deficiency of Iron, Folic acid, and other nutrients can also trigger off hair loss and thinning.Tight Hairstyles: Wearing tight ponytails can irritate your scalp and cause hair to fall out. Long-term use of these styles can scar your scalp and lead to permanent hair loss.Cancer Treatment: Chemo and radiation therapy, two of the most widely used therapies, can take a toll on your hair. In their quest to kill cancer cells, both can harm hair follicles and trigger dramatic hair loss. But the damage is almost always short-lived. Once your treatment is finished, hair usually grows back.Extreme Stress: High-level physical or emotional stress can cause you to suddenly shed huge amounts of hair. The process may last 6 to 8 months. Examples of extreme stress are: - Serious illness- Major surgery- Trauma involving blood loss- Severe emotional distressHope this gives you a fair idea about the possible reasons for losing your crowning glory.The good news is, there's often a way to fix it. I will deal with the same in my next health feed. Till then, take care of your Hair!

Losing Hair? You Can Do Something About It Before It Is All Gone!

Dr. Karthik R
Hair loss {alopecia is the medical term} is a very common complaint in today’s population.Shedding of 100 to 150 hairs in a day on one's comb, brush, in the sink or on the pillow is considered normal. This is the result of the normal hair growth cycle.  Each and every strand of hair should undergo the growth cycle in 3 main phases. The growth phase, the resting phase and the shedding phase. Usually the growth phase is shortened leading to frequent shedding phase, resulting in severe hair fall. Majority of the adult population has been noted to have fallen under hair loss phase at some point of their life. Sometimes during their teens or in mid -thirties. Typical signs of STRESS RELATED hair fall is well appreciated in women. A women claiming to have always had a ‘ head full of hair’ and now reporting her hair to come out suddenly ‘by the hand full’. Usually she will be accurate in the onset of hair fall. This stress related hair fall is experienced more in women 3 to 4 months post delivery.The main causes:• Anemia appears to be an important risk factor for development of hair fall in otherwise healthy female patient• Infection on the scalp , either bacterial or fungal like in severe dandruff• Major physiologic stress• Abrupt hormonal changes• Some medications like thyroid and anti- depressants in a long run• Severe fever attacks• Blood loss leading to blood transfusion• Crash dieting and malnutritionTreatment: By reducing the hair fall the treatment goals are to achieve a change in the hair density and to provide an apt treatment without complications in a more safe way. Any reversible cause of hair shedding, such as poor diet, vitamins and minerals deficiency, hypothyroidism, or medication use, should be corrected first which slowly subsides the severity. Any unbalanced diet should be corrected before treating the cause. Patients should be reassured about the cause and modalities available to pacify the severity. Patients should be educated and encouraged to style their hair in the way that masks the defects. Some topical serums and tablets are available to treat this condition in an effective way. A regular follow up with a proper medical care will slowly heal the cause.

6 Tips for Better Care of Your Hair

Dr. Vinod Sonawane, Hair Transplant Surgeon
There are several hair product  advertisements, for different types of hair and different types of hair problems, but we miss on the very simple and basic things that can give us lustrous hair. Following are some simple lifestyle changes you can make to improve your hair health drastically-  Wash your hair at least 3 times a week.  Most people use styling product or gel, so it is necessary to clean the buildup. Regular washing keeps the hair follicles clean so new hair growth has a clear path to your scalp’s surface. Most people use way too much shampoo to wash hair, only a small amount, the size of a coin is the right amount of shampoo that is required to wash the hair properly and clean the scalp. Dry the hair naturally. Any soft cotton cloth should be used for drying the hair, heavy towels should not be used for tying the hair. Trim the hair regularly every 6 to 8 weeks,this will help in getting rid of split ends.Drink at least 8 to 10 glasses of water everyday . Your diet should be rich in protein, iron, zinc.Massage the scalp, with your finger tips for 5 minutes, 2-3 times a day.  This increases the blood flow in the scalp region and aids hair growth. In India, the tradition of massaging oil in the scalp before bathing is followed, this improves blood flow and helps in conditioning the hairs. Even when you are not washing or applying oil to hair, still you should massage scalp everyday for 5 minutes.Blow drying and styling hair should be limited for special occasions.A few changes in routine life and habits can make a huge difference to the health of your hair. If you try these changes, you will witness them yourself!

Hair Transplant - How to Decide for or Against

Dr.MK AGARWALA, Dermatologist
Hair Transplant industry is the next big financial revolution happening in our country. The profits involved are large and the risk minimum as compared to most of the other organ transplant. It has made every Tom, Dick and Harry thinking that it is in their domain and when a complication happens such unlicensed clinics get the limelight as the recent death of a medical student post hair transplant in Chennai. The prospective patients should utilize their wisdom before making such an important decision. DO NOT FALL PREY TO CHEEKY HEADLINES AND BIG ADVERTISEMENTS.  The cause of hair fall needs to be established before proceeding for a hair fall therapy and it is easily done by a clinical examination alone most of the times. In a minority of cases, where clinical dilemma happens, a skin biopsy should be performed to prognosticate the success of hair transplant. Hair transplant is mainly performed for a condition called pattern baldness. There are certain things to understand before deciding for or against the procedure. Most of us would have done a basic research before thinking of the procedure. If you have done your research & understanding and are willing to step ahead with surgery, then the surgical options of FUE and FUT has to be discussed with your doctor. There are minor modifications done in these two techniques in an attempt to increase end results but technically they fall into FUE or FUT. You can take opinion from the hair transplant surgeon or there are various websites to make you understand the same. FUE and FUT are good standard protocols with independent merit and demerits; you should discuss this during your consultation. Coming back to pre-transplant decision stage, hair transplant is not a treatment to the core cause of male pattern baldness and you must understand this. The hairs from the back of your scalp are redistributed to the front and sides to cover those bald areas. The hairs from the back of the scalp have an advantage that they are not affected by hormones which cause hair loss in form of male pattern baldness. However they do have a natural life and will die out eventually. Second the hair follicles removed from the back will not re-grow. You may have apprehensions that the areas from which hair have been plucked will appear bald but this is not true as your hair transplant surgeon does the art that even after removing a few thousand follicles, the baldness is not evident. Third, the standard medications for baldness will still have to be continued for many reasons- to increase the life of transplanted hair, to preserve other hairs and the most obvious reason that hair transplant is not a cure for the underlying pathology. It is good to have a few sessions of platelet rich plasma (PRP) treatment along with a hair transplant as they increase the likelihood of graft survival. Certain centers offer them in package and you can strike a bargain. Hair transplant centers have mushroomed in our country, so be careful in your choice of a hair transplant surgeon. It also involves good amount of cost, so discuss and understand all pros and cons. Having said all that, cases where hair transplant is needed and if done perfectly, final results are encouraging and make a huge difference to the personality. Complications in hair transplant can happen in any part of the operative procedure, during anesthesia or later but that is so for all other transplant operations as well. Discuss the same with your doctor.