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Hair Transplantation / Hair Loss Treatment
Thinning of hair,effects both men & women in later age groups..In men,the most common condition leading loss is called hair Pattern Hair Loss or 'Androgenic Alopecia '. This affects only front & top U shaped central area of scalp. Hair Transplant surgery does not increase the total number of your hairs in the scalp because here we redistribute the hair from the back in such a way that you grow sufficient hairs on the hair loss area to look good without the Donor area looking bad.
Hair transplantation surgery involves transferring the hair follicles from the donor area on the back and the side of the head,which has genetically strong hair.The surgeon uses the roots or follicles/ follicular units of this genetically strong hair and graft them in the area where you have lost your hair is called the Follicular Hair TransplantThis can be done in two ways FUT and FUE.The difference between the 2 methods is essentially in harvesting the roots from the backside of the head and the method of grafting and the final outcome of both methods in the area of hair loss is comparable.
The FUT hair transplantation is surgery that involves removing a narrow strip of hair-bearing scalp from the back of the head and using it to fill an area with thin or no hair. An anaesthetic is injected to numb the area from where a narrow strip of scalp is removed. After removing the strip of scalp with a scalpel, the surgeon closes the scalp.This area is generally not visible as it is immediately hidden by the hair around it.
Then the strip of removed scalp is divided under magnification into approximately many tiny grafts containing an individual hair or just a few hairs each. The number and type of graft used depends on the hair type, quality, and colour as well as the size of the area where it will be transplanted. Then the surgeon prepares the recepient area where the hair will be placed, makes holes or slits with a special knife or needle, and gently places each graft in one of the holes.In order to improve the density,sometimes additional sessions are needed if you continue to lose hair or decide you want thicker hair.
The FUE or Follicular Unit Extraction is a technique in which follicular unit grafts or hair follicles are individually removed from the patients donor area and then individually transplanted to the recipient area. These are removed using a special device and then placed in the recipient area. The advantage is that there is no linear scar and no stitches are required,so this technique is useful for men who want to keep their hair short. After hair transplant,you may need to take pain medications and antibiotics for few days. Your surgeon will have you wear a surgical dressing over the scalp for at least a day or two. Most people are able to return to work two to five days after surgery.
Within two to three weeks after surgery, the transplanted hair will fall out, but you should start to notice new growth within a few months.Most people will have attained 60% of new hair growth after six to nine months. Additional procedures may be needed to improve the density.These surgeries are routinely done at Image medical centre and Dr Anup Dhir has extensive experience in all types of hair transplant.
A fat grafting procedure transfers fat from areas in which you have excess fat, such as the outer thighs, and injects it into areas that may be lacking in volume, such as your face, hands, breasts or buttocks. This safe, long-lasting, well-tolerated procedure produces natural-looking results. This procedure is useful for facial areas that appear creased and sunken, to improve your body contour, revise scars, fill bodily depressions and rejuvenate your hands and face and for breast reconstruction, correcting the breast asymmetry and for breast augmentation.
The procedure involves harvesting of fat by liposuction.The donor site (for example, abdomen, buttocks or thighs) and the treatment site are injected with local anesthetic. Tumuscent fluids also are injected into the donor site to facilitate fat collection. Fat cells are extracted through a small needleor a cannula attached to a syringe. The fat is then processed to remove excess fluids and reinjected with another needle or cannula in multiple thin strands in the desired area. "Overfilling" is a necessary corrective due to fat absorption in the weeks after treatment. Fat also can be harvested during a lipoplasty (liposuction) procedure in one area of the body, and then reinjected in another. For longest-lasting effect, patients generally need to undergo 3 to 4 treatments over a six-month period.Your body fat has regenerative cells and stem cells and they help in rejuvenating skin and improving scars.
Using your own fat to smooth out wrinkles and plump up the skin with our Fat Transfer procedures is a more natural and now increasingly popular alternative to dermal fillers. Fat Transfer procedures can not only smooth out wrinkles and lines but can add volume to sunken cheeks or thinning lips, with an indirect boosting effect on the texture and tone of the skin. Nowadays, more and more patients are choosing Fat Transfer procedures as their treatment of choice over temporary dermal fillers. With oneto two procedures, you remove the need for all those regular top-ups, leaving you with natural-looking results for many years. Furthermore the stem cells are naturally present in fat and they boost the rejuvenating effect of the treatment, helping you to look glowing and more even in tone and texture.
(Botox) Botulinum Toxin Injections
Botulinum toxin injections , often referred to by the product names Botox or Myobloc®, are biological toxins (botulinum toxin) transformed into a therapeutic agent.Today, Botulinum is used for the treatment of frown lines, forehead furrows, "crow's feet," lines and wrinkles of the lower face, and even nasal muscles (to decrease nostril flaring). These injections have proven to be a very popular nonsurgical cosmetic procedure. Aesthetic plastic surgeons have found that the type of lines and wrinkles that respond to botox injections are those caused by the muscles - specifically those muscles that contract during facial expressions such as frowning or squinting.Botox blocks signals from the nerves to the muscles. The injected muscle can no longer contract, which causes the wrinkles to relax and soften.
Injecting Botox takes only a few minutes in the OPD and no anesthesia is required.Itis injected with a fine needle into specific muscles with only minor discomfort. It generally takes three to seven days to take full effect and it is best to avoid alcohol at least one week prior to treatment. Aspirin and anti-inflammatory medications should be stopped two weeks before treatment as well in order to reduce bruising.Take care that you do not rub the treated area for 12 hours after injection or lay down for three to four hours.The effects from Botox will last four to six months. The muscle action gradually returns and the lines and wrinkles begin to re-appear and wrinkles need to be re-treated. The lines and wrinkles often appear less severe with time because the muscles are being trained to relax.
The Botox and filler injections are done at Image medical centre.
DR. ANUP DHIR
Plastic , Cosmetic And Reconstructive Surgeon - New Delhi