Articles on organ transplantation

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.

When Should You Choose Hair Transplant?

Dr. Harikiran Chekuri
Is hair transplant for you? Now, find it out yourself by getting answers to these questions. Here are a set of common questions that often confuse brains of people aspiring a hair transplant. Having proper answers to these will clear out all the doubts from your mind and help you in your decision making.Now, try and answer these questions.Have you tried other methods of hair regeneration? Have they worked for your?If you have tried different methods of hair transplant like oils, medications, creams etc but they did not work, you are surely in need of a hair transplant.The shave-off does not work for you?Most men try to face their balding phase by shaving off their head. But in most cases they face a setback. Not everybody can slip into Vin Diesel attire by shaving off their head. If your bald reflection in the mirror fails to impress, you need to opt for a hair transplant. Loosing hair too early?Balding is not restricted to age anymore. It can happen anytime. Some men, especially who have a history of early balding running in their family might lose their hair even in early their 20s. If you find yourself in similar situation, where you had a series of failed alternatives along with shaving of your head, opt for a transplant immediately.Is your hair loss hampering your career?People who are in showbiz often have to work hard on their looks. Even some corporate wants their employees to have an attractive appearance. If you too are in a career where your look does play an important role, you cannot take your hair loss with ease. You need to try out hair transplant that can help you regain your natural hair.Is your balding affecting your personal life negatively?Untimely baldness can strike a severe blow to your confidence and cast negative effects on your personal life. Bald people are often subjected to ridicule. They feel low while in the company of their spouses or girlfriends as they look aged and don’t seem to make a pretty pigeon’s pair. This calls in for a hair transplant that can boost not only your looks but your confidence as well.Have you done enough research about the process and feel that you can manage it?Internet is a great store house of resource that can give you all the information about the process. You get an idea about the probable costs, the recovery time and the expected result. If you feel that you can manage all the associated criteria, you make an ideal candidate for the process.However, to know more about hair transplant and your eligibility for the process, get in touch with a reputed and renowned hair transplant clinic around you.

Everything You Wanted to Know About Corneal Transplants

Dr. Quresh Maskati, Ophthalmologist
Q. What is the CORNEA?A. This is a clear piece of tissue that fits like a watch crystal (outer glass cover of the watch) over the coloured part of the eye called the iris. Unlike the watch glass, which is flat, the cornea is dome shaped. Light passes through the transparent cornea, just like it would through a window, to the back of the eye. The parallel rays of light passing through the cornea gets bent so as to focus on the retina which is the inner lining of the back of the eye, like the film of the camera.Q. How does the cornea get cloudy?A. Clouding or irregularity of the cornea may be caused by many different kinds of problems. When the cornea becomes cloudy, similar to the frosting of glass, light is not able to pass through the eye and poor vision results. Some of the causes are:· Infection and injury to the eye· Nutritional disorders such as Vitamin A deficiency · Reaction to drugs, e.g. Stevens–Johnson Syndrome· Degenerations and dystrophies of the cornea (inherited conditions which may cause clouding of the cornea in adult life· Keratoconus (an irregularity of the shape of the cornea, where there is progressive ‘coning’ of the cornea) In this condition even though the cornea is clear the quality of vision gradually deteriorates. Clouding only occurs in the very late stages.· Corneal clouding as a complication of cataract or glaucoma surgeryQ. In such cases, how is vision restored?A. The only way to restore vision is to replace the cornea with donated healthy corneal tissue by a surgery called corneal transplant or keratoplasty. This consists of removal of a central disc of the abnormal cornea and replacing it with a similarly sized piece of normal cornea obtained from a donor eye. The cornea is the only part of the eye that can be transplanted.Q. How successful is cornea transplant surgery? Is it true that most corneal transplants become opaque in a few years?A. The corneal transplant or corneal graft as it is also called, is devoid of blood vessels. Hence out of all transplants done in the body such as heart, liver, kidney etc, it has the least chance of rejection. I amend the previous statement – it would come second in terms of success rates to hair transplants! Even if rejection does occur, it can be successfully treated by eye drops in most cases without having to take recourse of systemic immunosuppressive medication, as is the case with rejected transplants elsewhere in the body. I have seen several grafts done 30 and 40 years ago, remaining crystal clear to this day! Grafts done in eyes where the cornea is already vascularised naturally, have a poorer long-term prognosis (expected outcome, in layman’s terms). However, in case a graft does fail or get rejected for some reason and the rejection is not reversed by timely treatment, all is not lost. If the rest of the eye has no other complications, it is possible to do a re graft i.e. one more graft (naturally after removing the previous opaque graft!) and restore vision once more.Q. When does rejection usually occur?A. Statistically speaking, rejection occurs most often in the first year after transplant and following any major or minor surgery to the eye there after i.e. a patient of corneal graft who now undergoes cataract surgery or even removal of his corneal sutures (commonly done a year or so after the corneal graft surgery) is at increased risk of graft rejection in the month immediately following the surgical procedure.Q. How does the patient know that there is early rejection and he should rush to the nearest eye doctor?A. If the patient suddenly experiences increase in redness, pain, watering of the operated eye or a drop in vision in the same eye, he should immediately see his nearest eye doctor, preferably on the same day. He should avoid the temptation of taking telephonic advice for his symptoms. This is because these same symptoms can occur in graft rejection as well as in graft infection. The treatment for the former is very frequent instillation of topical corticosteroid drops while this will make the condition worse if it is a graft infection and not a rejection.Q. Can all opaque corneas be successfully transplanted to restore vision?A. I did mention a few paragraphs ago that those corneas already having blood vessels growing into them have a poorer prognosis (Meaning of Prognosis also explained in a previous answer). Besides these, eyes which have a history of previous grafts rejected are more at risk to develop rejection again as the body now knows that there is an intruder and sends its defence forces (white blood ‘killer’ cells) to destroy the invader! Besides, eyes with an inadequate tear secretion or with poor quality tears are not good candidates for corneal grafting. Any condition that has destroyed the “limbus” i.e. the factory that constantly replenishes the cells on the surface of the cornea, which is situated at the junction between the black and the white of the eye, makes a corneal transplant surgery doomed to failure. Some of these conditions are chemical burn injuries, drug reactions such as Stevens Johnson syndrome, which destroy the stem cells at the limbus and certain congenital conditions such as Aniridia, in which there is a very poor quota of stem cells to begin with. For more information on stem cells, read the chapter on “Ocular Surface disorders”.Q. What is the ‘new’ development in cornea transplant surgery – the ‘lamellar’ corneal transplant or keratoplasty?A. Most corneal transplants done in India and even the world over are ‘full thickness’ corneal transplants (technically called penetrating keratoplasty). The diseased cornea is removed with all its layers and replaced by a similar or slightly larger sized, donor cornea also of ‘full’ thickness. However, in certain diseases, such as ‘Keratoconus’ or conical cornea or in superficial corneal scars, the innermost lining of the cornea, called the endothelium is intact and healthy and therefore need not be changed. In these cases, approximately 90% of the thickness is changed, i.e. the innermost layer, the endothelium is left unchanged. Since it is the donor endothelium which is chiefly responsible for the rejection response by the patient’s immune system, the chances of rejection of this ‘lamellar’ graft are reduced dramatically. However, this procedure requires a little more skill than the usual penetrating keratoplasty and has a rate of operative complications (necessitating conversion to penetrating keratoplasty) of about 5-10% in the best of hands. Also, DALK (deep anterior lamellar keratoplasty as it is also called) cannot be used in patients who have unhealthy endothelium. It therefore requires careful patient selection.Q. I have heard of another procedure called “Endothelial Keratoplasty”. What is this?A. I congratulate you for your hearing abilities. This procedure, which is even more technically demanding than DALK, requires special instruments and is still not routinely done. This is transplantation of only the inner lining of the cornea – the endothelium, after stripping off the patient’s own inner lining. It is also known as DSEK and DSAEK and posterior lamellar keratoplasty. You need not bother your head with the full forms of these acronyms. You probably will forget them after reading them anyway. It can be done for those whose corneal inner lining only is dysfunctional and the rest of the cornea is OK. Sutures are generally not required in such cases, so visual recovery is much faster and suture related complications are eliminated.Q. Is there any hope of restoring vision for those unfortunate patients who cannot have or will not benefit from a cornea transplant but have a diseased cornea?A. Yes, they can be fitted with an artificial cornea or Keratoprosthesis, for which you are advised to read the chapter especially devoted to the subject.Q. What are the expenses involved in corneal transplantation?A. These vary considerably depending on the geographical region of the country you get the surgery done. In many places inIndia, these surgeries are done only in government, municipal or trust hospitals where there is no charge or a minimal cost. In the larger cities, it is done in the private sector as well. Though the eyeball is donated free of cost, most eye banks run extensive tests on the donated tissue as well as test the blood of the donor for AIDS, Hepatitis and other communicable diseases. They also employ highly qualified staff that evaluates the eyeball to decide suitability of its use. All this costs money, which is levied by the eye bank as “processing charges”. In Mumbai for example, this cost is around Rs.6000/-per patient at the time of writing this edition. This charge is only levied upon patients in the private sector, which forms only 30% of all patients receiving donated corneas in Mumbai. The remaining 70% of cornea is distributed practically free of cost to the municipal and free hospitals of Mumbai.Q. What about surgical fees?A. These also vary from state to state. In states where there is private sector corneal grafting surgeries performed, the professional fees charged by an eye surgeon is usually around what he would charge for modern day cataract surgery.Q. Is this morally justified? After all he is receiving a donated eyeball free from the deceased donor!A. Morality is a relative issue. No surgeon charges for the eyeball or cornea (eye banks may however charge a processing fee – refer to previous answer). However, surgeons trained in corneal grafting surgery have spent a lot of money to acquire this expertise. Also, they do need good surgical microscopes, disposable trephines and other costly tools to do good corneal grafting surgery. Most corneal surgeons would like to do only corneal surgery to earn their livelihood. However as tissue availability is low, they end up doing cataract and other surgeries as well to earn their daily bread. Practically no eye surgeon in the private sector survives on the income from corneal transplant surgery alone. Most eye surgeons who do a fair number of transplants use the income from affording patients to subsidise the surgery for those that cannot afford.Q. Can every blind person have his sight restored by an “eye transplant”?A. No, corneal grafting or corneal transplant surgery can only benefit those who are blind due to the cornea becoming opaque. The rest of the tissues of the eye cannot be transplanted. As of today, retinal transplants are being tried on an experimental basis but it will be many years if at all, before this procedure can be done successfully to restore vision to those having diseased retinas.Q. Can a person who has received a corneal transplant himself donate his cornea after death?A. Yes. If the cornea is clear, it can be re-used to give sight to one more corneally blind person. It would be a truly noble gesture!

How Safe Is Your Hair Transplant Surgeon?

Dr. Sanjay Parashar, Cosmetic/Plastic Surgeon
Hair transplant surgery has become one of the leading aesthetic procedures in men. It is due to the increasing concern of men for their baldness. With the increase in demand, there is an increase in people trying to provide that service. But who is the right person to do Hair transplantation? In most developed and regulated countries the law only permits qualified plastic surgeon to perform the procedure and in some a dermatologist is recognized to be equally qualified for the job. But in India, anybody and everybody is jumping on the bandwagon, with the greed of making quick cash. As for many people, ignorance is bliss, the common man generally not aware who is really wearing the white coat and what sort of risks complications they are exposing themselves to by trusting these unqualified surgeons. The International Society of Hair Restoration Surgery (ISHRS) is a global non-profit medical association and the leading authority on hair losstreatment and restoration with more than 1,200 members throughout 70 countriesworldwide. The ISHRS believes the following aspects of hair restoration surgeryshould only be performed by a licensed physician*:                                                                                                                                 Pre-operative diagnostic evaluation and consultation          Surgery planningSurgery execution including:- Injection of local anesthesia and sedation- Donor hair harvesting- Hairline design- Recipient site creationManagement of other patient medical issues andpossible adverse reactionsPost-operative careThe other elements of hair restoration i.e. Preparation of grafts and insertion of grafts can be performed by trained medical technicians under the supervision of qualified doctors.An essential safeguard to take is to know who will perform hair transplantation. The use of unlicensed technicians or doctors to perform aspects of hair restoration surgery is getting common. They might be trained hands, but they will not be able to diagnose issues and can lead to-misdiagnosis; failure to diagnose hair disorders and related systemic diseases; and the performance of unnecessary or ill-advised surgery all of which jeopardizes patient safety and outcomes. The biggest scare of all is an unlicensed technician and doctor is not be covered by malpractice insurance.Although no clear guidelines are available in India, The Association of Hair Restoration Surgeons, India is making all efforts to curb the use of unqualified personnel performing hair transplantation. Hair transplantation is a surgery that involves use medications such as lidocaine, adrenaline, sedatives and all these medications, if not injected in appropriate doses, or using the right method, can cause life-threatening risks to patients. Only a qualified plastic surgeon or dermatologist have adequate knowledge and skill to administer it in patients body and deal with the medical emergencies arising out of the use of such medications.Beyond that, any surgery should be performed in a licensed and accredited medical and surgical facility that has adequate infrastructure backup to take care of any possible emergencies that may arise during or after the procedure. Are these unlicensed Centers investing in patient safety – I doubt that.  Performing an invasive procedure in an unsterile environment without a facility for crash-cart may subject patients to serious risks of infection and other possible medical emergencies. Recently we had a case in India, where a patient died, due to infection. A lot of education is required for people who are contemplating hair transplantation surgery for themselves or their near and dear ones.Patients Should Ask These Questions:Who will evaluate my hair loss and recommend a course of treatment?  What is their education, training, licensure, and experience in treating hair loss?Who will be involved in performing my surgery,what role will they play, and what is their education, training, licensure, and experience performing hair restoration surgery?Will anyone not licensed by the state be making incisions or harvesting grafts during my surgery?  If so, please identify this person, explain their specific role and why they are legally permitted to perform it.Is everyone involved in my surgery covered by malpractice insurance?Although hair transplantation is considered low-medium risk procedures that are performed under local anesthesia on an outpatient basis,however like any other procedure a standard of care is necessary and safe surgery practices should be applied to ensure a safe outcome.In my experience of over two decades  as Plastic surgeon and performing hair transplantation, the best practices are the followingProcedure should be performed in an accredited and equipped medical center with proper sterility and surgery protocolsOnly a team of qualified and licensed doctors and technicians who work under direct supervisionPatient to be evaluated clinically and medically thoroughly to ensure they are ideal candidates and healthy to undergo the procedure.All medications including local anesthesia are administered by qualified doctors after checking the content and expiry dates and in a controlled manner.Continuous monitoring of the patient is mandatory by using pulse oximetry to measure oxygen levels throughout the procedure and blood pressure monitoring.FUT i.e.  strip harvesting is performed by a surgeon qualified in managing scalp woundsFUE i.e. Is follicular harvesting is performed either by a surgeon, dermatologist or a qualified allopathic medical doctor.Site making is performed by the licensed doctorsHair grafting is performed by qualified and trained medical Technicians under direct supervision of the doctorsPatients discharged after proper monitoring and assessment by the senior qualified doctorRegular follow-up protocol is undertaken to ensure the safe and effective outcome of the procedure.Dr. Sanjay Parashar

Overview of Kidney Transplantation

Dr. Ashwinikumar Khandekar, Nephrologist
Kidney transplantation remains the best form of renal replacement therapy providing better quality of life and  survival compared to dialysis.  Live related donor transplant still remains the solution of choice in End Stage Kidney Disease (ESKD) patients with the promise of deceased donor (cadaver donor) transplantation still not fulfilling its promised growth.Who is eligible for Kidney Transplantation ?Patients whose kidneys have completely failed and no recovery is expected at all ( i.e. Patients with ESKD) have kidney transplant as an option. The other option is to stay on dialysis life-long. These patients are anyways started on dialysis till the transplant workup is done.However, Kidney transplant can also be done prior to dialysis requirement and is called pre-emptive kidney transplant. Dialysis is no longer required after a successful kidney transplant.What are the requirements for a kidney transplant ?A medically fit recipient, a blood group compatible donor, a nephrologist experienced in handling kidney transplant patients, a urosurgeon experienced in performing transplant surgery and most importantly, a multi-specialty hospital recognized for performing kidney transplants.Who can donate a kidney?As per the existing Human Organ Transplant Act  1994, any of the first degree relatives of the recipient     ( parents, siblings, children, grand-parents ) or the spouse can be an organ donor  provided they are blood group compatible.Anyone apart from the above relatives are considered as ‘unrelated’ by law.Blood group [ABO] compatibility is the same as that in relation to blood transfusion except that the Rh compatibility is not required for kidney transplant. Blood group ‘AB’ is a universal recipient while ‘O’ is a universal donor.Who cannot donate a kidney?Following is a list of conditions which preclude kidney donation.AbsolutePsychiatric disease interfering with ability to consentActive drug or alcohol abuseEvidence of advanced kidney diseaseRecurrent or bilateral kidney stonesDiabetes with kidney involvementSevere HypertensionMalignancyActive infectionChronic active viral infection (hepatitis B or C, HIV)Significant chronic liver diseaseCurrent pregnancyRelativeAge <18 or >65 yearsMorbid ObesityMild or easily treated hypertensionBorderline urinary abnormalitiesTo read more - visit www.kidneyadvice.net

Eye Donation: What you need to know and do.

Dr. Quresh Maskati, Ophthalmologist
Q. Who can be an eye donor?A. Anyone can be an eye donor, irrespective of age, sex, religion, caste, creed or blood group.Q. Do religious authorities approve of eye donation?Yes, all religious faiths support this vital sight restoration programme.Q. Is the whole eye used for transplant?A. No, only the thin transparent layer in front of the iris, called the cornea is used for transplant, to replace the diseased or opaque cornea in the eye of the patient (recipient).Q. Do cataracts or the use of spectacles render the cornea unfit for donation?A. No, both these conditions relate to the lens of the eye and not the cornea. In fact, people who have been successfully operated for cataracts or glaucoma or even retinal detachments can also donate their eyes after death. In fact there have been instances of those who have received a corneal transplant themselves donating their corneas after death! All that is required is that the donor have a clear, transparent, healthy cornea at the time of death.Q. Does eye donation disfigure the donor’s face? A. No, the removal of the eyes does not produce disfigurement nor interferewith the customary funeral arrangements.Q. Does the human body reject the transplanted donor’s cornea? How successful are corneal transplants?A. The human cornea does not have any blood supply; hence the risk of rejection is very low. Rejection, if it does occur can be suppressed by timely medication. In general, the chances of success are greater than 80%. In deep anterior lamellar transplants, where the inner lining of the cornea called the endothelium, is not transplanted, the success rate is as high as 95%!Q. What conditions render the cornea unfit for donation?A. Corneas of patients suffering from AIDS, rabies, syphilis, tetanus, septicaemia and certain viral diseases are considered unfit for use for transplant purposes.Q. What about diabetes, hypertension or cancer?A. People with these conditions can also donate their eyes. Eyes from a cancer patient are not used for transplant only if the cancer had a blood borne spread.Q. Is there any use for corneas which are for some reason unfit for transplant?A. Corneas, which for some reason cannot be used for vision restoring corneal transplants, are invaluable for research and training programmes.Q. How will my donation be used?A. After the eyes are removed, they will be evaluated, processed, screened and then supplied to the eye surgeon for transplant.Q. Do corneal transplants guarantee sight to all blind people?A. No, transplants only help when the loss of sight is solely due to corneal defects and the rest of the eye mechanism is intact.Q. How quickly should eyes be removed after death?A. As soon as possible, but eyes can be removed up to 6 hours after death. However, in places where the climate is hot such as most parts of India, a shorter duration, preferably 2 to 4 hours after death is advisable.Q. Is it necessary to transport the donor to the hospital after death?A. No, eye banks have personnel who will come to the donor’s home or place of death and remove the eyes.Q. What is an eye bank?A. An eye bank is the link between the donor and recipient/eye surgeon. It is an organization recognised by the government to collect and distribute human eyes to those who require corneal transplants.Q. What is to be done when a relative expires?A. 1.Keep the death certificate or its copy to show to the eye bank team. They do not need to take it away. You do not need to look for a photocopier machine to make a photocopy in the middle of the night. The eye bank team only needs to look at the certificate to determine:a) The patient is really dead andb) The cause of death, to determine if the eyeball can be useful.    2. Contact your nearest eye bank – in India, most cities have 1919 as the eye bank contact number. Otherwise, check the local telephone directory – most eye banks are listed in the emergency numbers list. The eye bank team will arrive in the next 30-60 minutes, provided you have given them an accurate address with landmarks. The procedure will take only around 30-40minutes.    3. Close the eye lids, while waiting for the eye bank team and put off any overhead fan, to prevent drying of the cornea. However, if there is an air-conditioner, switch it on, if possible.    4. Cover the closed lids with moist cotton wool (if readily available in the house, otherwise do not bother).     5. Raise the donor’s head by 6 inches, by placing 2 pillows under it.Q. Is there any cumbersome paperwork or time consuming formalities?A. None whatsoever. The eye bank team will come with a form, which they will fill themselves. They will only need the signatures of 2 close relatives, giving consent. It does not matter whether the donor had pledged his eyes for donation during his lifetime or not.Q. I believe some blood is also collected?A. Yes, according to WHO guidelines, the team will also collect some blood from the donor, for testing for HIV, hepatitis etc. They will withdraw this from a large vessel or from the heart with a needle puncture.Q. Is there a real need for Eye Donation?A. Yes, in India there are lacs of patients awaiting corneal transplant.. in some eye banks patients wait over a year for their turn. Every year barely 30,000 corneas are donated, so the waiting list keeps growing!Q. Finally, is there any money to be paid?A. No, no monetary transaction is done. Most eye banks recover their running costs by charging a small processing fee to the recipients.Q. If it does not cost to donate eyeballs after death and the procedure is so easy, and encouraged by every religion, why are there such few donors?A. Good question. You tell me! You go around spreading the message of the nobility of eye donation and how easy and hassle free it is and maybe by the time I write next year, this question will need deletion!

Hair Transplant

Dr. Sumit Agrawal, Hair Transplant Surgeon
HAIR TRANSPLANTATION- A WONDERFUL PROCEDURE1. Hair Replacement Can Produce Natural GrowthUse of Micro/ Mini grafts, which are placed strategically gives a natural hair line. As the hair starts growing 3 months after the procedure, the transition to new hair growth is imperceptible to others.2. Hair Replacement Can Produce Permanent HairHairs are transplanted from donor Dominant are ( Back & sides of scalp) to the Bald area so these hair roots retain their original characteristic of growing life long. They are not sensitive to androgen. So Hair transplant is a onetime permanent solution to baldness. Transplanted hair will continue to grow for the rest of your life.3. Hair Transplant Replacement Can Increase DensityAchievable hair density is dependent upon how much hair loss you begin with. Nevertheless, our technique offers the ability to achieve optimal density through carefully targeting zones with various sized grafts.4. More Definite BenefitUnlike the scores of “remedies” that are advertised throughout the Internet, television, and other media, hair transplantation offers a proven solution to your problem.5. A Hair Transplant Can Help You Regain Your Youth and VitalityMany patients have reported a newfound sense of self confidence and a brighter outlook on life. In the competitive social and professional arena perceived self-image and the image that others have of you. With a fuller head of hair, you have a freedom of styling options and can therefore achieve your unique personal expression.6. Hair Transplants Are SafeThe procedure is done under local anaesthesia. You will be fully conscious and watching movie during the procedure with breaks for coffee/tea and lunch. No sedation medications during transplantation and after procedure you will walk back on your own.7. Hair Transplants ConvenientYou come in to our clinic in the morning and are ready to go home by evening.8. Hair Transplants Not PainfulYou can feel at ease that the procedure will be a pain free one. With our specially formulated anesthetic approach, you can rest assured that you will remain comfortable throughout the procedure.9. Quick RecoveryBecause Harleys Hair Transplant in India, use only tiny slits to place the hair grafts, healing is very fast. If your job is not physically demanding, you can return to work in 2 days.10. Hair Transplants are AffordableSurgical hair replacement is more affordable than you think. When you compare it against expensive medical regimens and the cost for maintenance of synthetic hairpieces, hair replacement can be considerably more affordable. Also our method of ‘Package pricing’ instead of ‘Price per Graft’ provides the most cost effective answer when you compare with other clinics.

Hair Transplant

Dr. Parthasarathi Dutta Roy, Dermatologist
Hair transplantation is a tactful procedure for transferring normal hair from external side. Irrespective of all genders this awesome treatment fully eradicates baldness which is medically called alopecia. Instead of preventing baldness, hair transplantation can rectify lost hair due to burn or trauma and can give attractive shape of eyebrows. In this therapy two sites plays important role simultaneously- donor site and recipient site.Steps of Hair Transplant:Categorically hair is transplanted in two ways like FUE and FUT. Very interestingly hairs are grafted from the donor’s permanent zones. Before developing the FUE and FUT it should be known what the permanent zones are? Basically the back and two sides of the head are such places from where hairs never shed out and remain throughout the lifespan.FUE: FUE is the abbreviated form of Follicular Unit Extraction. It is the modern procedure of hair transplantation in where automated drilling machine is applied for grafting each hair follicle. Comparing to other hair restoration method FUE is quite fast and less painful technique. A small needle like scalpel is used to perforate the follicular regions. After accomplishing FUE both the donor and recipient don’t face visible scars or polka dots like spots.FUT: The full form of FUT is Follicular Unit Transplantation. It is quite older technique than FUE. In this method, a small strip of hair is cut out from permanent region. Though it is old method but FUT provides natural looks by curing thinning hair problem. So FUT is perfect and successful hair transplantation therapy for women without creating any visible scars.Advantages of Hair Transplant:As a whole hair transplantations like FUE and FUT provide lots of benefits. Once done, baldness never gets scope to occupy the head and patients enjoy the dense hair.

A Beginner's Guide to Hair Transplants

Dr. Abhishek Pilani, Dermatologist
What is Hair transplant?Hair transplantation is a painless scarless technique that moves individual hair follicles from the posterior part of the scalp  the'donor site' to a bald or balding part of the scalp known as the 'recipient site'. It restores your naturally growing hair for life.Today hair restoration surgery is a one day out-patient procedure requiring only local anesthesiaHair transplants  are remarkable and provide a very natural result  when performed by an  experienced surgeon who must either be a dermatologist or a plastic surgeon. These days  the procedure  is commonly performed by quacks. There should be awareness amongst the patients regarding who the treating doctor is.“Getting a hair transplant is done by Dental Surgeons/ Homeopaths / Technicians is like ordering Chinese food in a south Indian restaurant”Is it expensive?No. With low pricing and multiple payment options these days even lower middle class can even afford the procedure.   How long does the procedure take ?How many sittings does it take for the procedure?It depends on the total number of hair follicles required on the recipient site.Traditionally, there are up to approximately 7000-8000 follicular units that can be harvested for transplant.  That does not mean that all of these should be done in one session or at all. This depends on a number of factors including age and how thick or dense the donor hair is.   Modern  hairline design requires careful study of and planning for an individual patient to attain a natural result.  Sometimes it is "safer" to break this up into 2 or more sessions.How long does it take to see visible results?New hair growth will only break through the skin at three to four months after the procedure.However, it will take at least six to eight months for the new hair to make any significant cosmetic difference to your appearance. Why Hair transplant  surgery gaining mileage in India?Hair loss affects men and women, but most patients ignore the case and learn to live with it. This is because there is a general perception that hair loss or baldness is non-curable. However, things are changing now. New methods of hair loss treatments and hair restoration surgeries are gaining popularity, offering a helping hand to patients who want to regain their youthful appearance.Hair transplant and hair restoration techniques are gaining wider acceptance. Thanks to the technological advancements in this sector.Despite this popularity, hair experts think that hair replacement techniques have not reached to the deserving community. This is because of lack of awareness about the procedure and concerns over the price. Also, in most cases patients are notable to evaluate whether they are the prospective candidates for hair transplants.