Baldness afflicts millions of men and women. Although some individuals do not find this to be a distressing condition, there are a great number of people who do. Sometimes, the use of wigs or hair styling serves to adequately cover the bald areas. In other cases, patients choose to have surgical correction in an attempt to achieve a more permanent improvement. There are basically three types of surgical procedures used to correct baldness.

In hair transplantation, it's this non-miniaturized hair on the back and sides, that is surgically moved to the top of the head in the form of a tiny skin graft. Because the hair on the permanent horseshoe is genetically programmed to grow a lifetime, it will continue to grow even though it's been transplanted to a different site. This is medical fact, and has been repeatedly proven for more than thirty five years.

For some patients, a hairline may need recreation; for others, more extensive hair replacement may be required. A few patients may want to add density to existing transplants, and others might want to correct a transplanted hairline with which they are dissatisfied. Some patients want to correct sparse eyebrows or a scars on the scalp. All these individuals, both men and women, are good candidates for the procedure.

Consultation

During your consultation Dr Chaudhari will discuss with you in detail about your hair loss pattern ,baldness , available donor area & hair density ,area to be treated, hairline ,number & type of grafts & any medical problem if you have.Bald area can be photographed & can be shown on computer for better understanding.[Blood pressure ,Diabetes or Heart problem].He will also take detail history from you about your family members suffering from baldness. He will examine your hairs in detail for its quality, texture, elasticity strength & density, future hair line & Number of grafts required. You should discuss freely about your expectations, procedure & treatment.

Basic investigations: Haemogram,blood sugar level , Bleeding time, clotting time, Blood group & routine urine analysis are to be done by any laboratory.Some times additional tests are required if doctor feels that it is necessary.

  • How is the procedure performed?

    Under local anesthesia, the donor hair grafts are harvested from a strip of skin taken from area between two ears. The strip is divided into small units of skin (grafts), each containing one, two or three hair - the follicular units. Then, recipient sites are created in the area of hair loss by making small slits in the bald skin. Each site is no bigger than the opening created by the needle used when blood is drawn from your arm. Then each of the grafts is carefully placed into each recipient site. The donor site in the back of the head is not visible.. Three to four months later, the transplanted hair begins to grow, and continues to grow a half inch per month for the rest of your life.

  • Why do some transplants look "more natural" than others?

    Although hair transplantation has been performed for almost 35 years, it's never become as popular as you might expect. With good reason...it sometimes looks conspicuous and unnatural! One reason is that old fashioned grafts were simply too big. They contained 10 to 20 hairs, and when they grew, a tufted doll's head resulted.. However, if the grafts are made very, very small, with only one follicular unit per graft, the density of the hair can be more evenly distributed and exactly approximate nature's way. This is the basic principle that's used in what's commonly called follicular unit grafting.

  • What's the difference between a micrograft and a follicular unit graft?

    Micrografts and follicular unit grafts are often confused. Micrografts are simply grafts which contain either one or two hairs. They are cut randomly from the donor strip with no attention paid to the follicular unit groupings. Follicular unit grafts are actual isolated follicular units that naturally occur in groupings of one, two, or three hairs. In other words, one three haired follicular unit graft could be divided into 3 one haired micrografts.

  • What's the advantage of trimming a follicular unit graft?

    When many technicians prepare follicular unit grafts, they usually don't trim away the intervening skin between each follicular unit. So, the untrimmed graft is moved to the bald area with more skin than is necessary. To remove the excess skin (and not damage the oil gland and tiny adjacent telogen hairs) is a very time consuming process and requires both high magnification and experience. However it's worth it. Trimmed grafts can be more densely packed, and the occasional light skin color that surrounds each hair is eliminated. "Trimmed follicular unit grafts" are the gold standard for hair transplantation. They are rarely performed because the task is simply too time consuming and expensive. When hairlines are created with trimmed follicular unit grafts, the results are astonishing! Our technicians prepare "trimmed follicular unit grafts" exclusively!

  • How is the perfect frontal hairline created?

    Dr. Chaudhari uses only trimmed follicular unit, "one haired grafts" in the front hairline. Often times 100 to 200 of them. Single hair follicular unit grafts are placed in the front rows, and behind them the two hair grafts, and behind them the three haired grafts -- thus attempting to duplicate the subtle feathered look of a natural thinning hairline. The grafts are delicately handled, refrigerated and submerged in nutrient solution throughout the entire process.

    If a graft is prepared and handled in a meticulous, non-traumatic manner -- it will grow essentially 100% of the time. If the donor strip is harvested with a multibladed scalpel, the chances of follicle damage is increased. If the individual grafts are cut by inexperienced technicians, or prepared with automated graft cutting devices, the chances are many will be damaged. If the graft is allowed to dry out, or if it's not kept cool sub optimal growth will result. To avoid these problems, we take no short cuts! In the past few months we've even begun using a miniaturized vacuum device to hold the single hair grafts as we insert them into the recipient sites. This way, any trauma that might result from holding the graft with a micro-forceps (tweezer) is eliminated.

  • How much pain should I expect? Are there any complications?

    Essentially none. Most patients describe the session as easier a visit to the dentist. For those who are particularly anxious about discomfort, we can prescribe appropriate premedication or use nitrous oxide analgesia. Complications rarely occur, but occasionally numbness in the donor site may persist for two or three months after the procedure. hair transplant surgery, hair transplantation treatment, hair transplantation surgery, baldness treatment, hair loss treatment

  • What happens after hair transplant surgery?

    Patient can resume light work from third day on wards. Sutures on back of head get absorbed & they are not visible from day one. However patient should not do any exercise for three weeks or shun from any activity which will increase pressure in transplanted area. Mild swelling on forehead is possible which disappears after day or two.

    You can have head bath 4th day on wards. Crusts, scabs & effulivum falls off in next 4 weeks. No special care,medicines or frequent visits to doctor are required.

    The hairs will fall out of the newly transplanted follicles within two to six weeks after the procedure. It is very similar to a tree being transplanted and the leaves falling off. Hairs start growing after 12 weeks & they continue to grow for rest of your life. You can wash them, trim them, style them anyway you like. You are a most likely candidate for hair transplant if answer is yes to following questions.

    • Age is above 18 years.
    • Stabilised hairloss.
    • Medical treatment tried without success.
    • No active scalp infection.
    • Adequate hairs on back & sides of head[as only 15%of available hairs can be transplanted.
    • No smoking or ready to discontinue two weeks before surgery.
    • No alcohol consumption or ready to discontinue two weeks before surgery
    • No diabetes,hypertension, hypothyroidism, bleeding disorders, keloid tendancy & any systemic disorder.
    • Reasonable expectations.

    Above information is in general. If you are serious this further with Dr.Chaudhari, next best step is a one-on-one consultation. This is the best way to find out if you are a suitable candidate, and what type of Plan would work best for you. Feel free to ask for more information. I hope to hear from you. hair transplant surgery, hair transplantation treatment, hair transplantation surgery, baldness treatment, hair loss treatment

FAQ's

  • Is the hair transplant surgery painful?

    You may have heard that the process is very painful. But with the proper technique in the application of anesthesia, it does not have to be a painful process at all. It all depends on how the surgeon applies the anesthesia, and our office uses the least painful process available for the comfort of our patients. For a hair transplantation process, every surgeon uses either a nerve blocking process or a local anesthesia (general anesthesia is never used in this case). Any pain at all during our procedure would be during the initial needle injection. Our clinic uses several techniques to reduce even this small pain. The anesthetic is warmed to reduce reaction time, the skin is pre-numbed before each localized shot and the finest gauge needle (30 gauge) is used to minimize this pain. Initially, the patient is given a sedative through an IV medication. This sedative puts the patient into a relaxed, "twilight zone" state to minimize any pain there might be from the subsequent injections. The tumescent technique is used for prolonging the anesthesia time. Most patients have informed me that the process was less painful than a routine trip to the dentist. In addition, the day after the hair transplant process, 50% of our patients do not require any pain relievers at all, and the other 50% will take Voveran for only a few days until the discomfort is gone. Few of our patients request a prescription pain reliever. We feel that our procedures are much less painful in comparison to many other clinics. The only disadvantage to this "twilight zone" anesthesia is that the patient will not be able to drive on the day of the surgery. However, should the patient forego the "twilight zone" anesthesia and opt instead for a local anesthesia, he will be able to drive on that day.

  • What is a typical hair transplant surgery day like?

    Patient has to report at morning 9am with pathological reports.

    • The patient signs a consent form for surgery.
    • Oral sedation & antibiotics are given to prepare for surgery.
    • The area for transplantation is confirmed and the new hairline design is drawn onto the scalp.
    • Photo documentation & shown to patient before surgery starts.
    • The patient enters the operating room and changes into surgery clothes. (DURING SURGERY)
    • The patient is either in sitting or lying position, relaxes, and listens to music while the heart rate, blood pressure and oxygen saturation are carefully monitored.
    • It will take our surgical team about four to five hours to perform a 1000-12000 grafts session, six to eight hours for a-2000 graft session. Your personal needs will be taken care of. There will be lunch break. You can use your mobile phone. Each patient receives the full attention of our staff.
    • The patient is given local anesthesia with or without a mild sedative intravenously.
    • Hair is taped up in the back to allow access to the selected area of hair-bearing donor scalp. A skin strip of the permanent hair along the lower back of the scalp is used [width & length of strip varies as per requirement]. Afterwards, this thin scar will be easily hidden underneath the surrounding permanent hair.
    • Using a very fine 30 gauge needle, the scalp is anesthetized. Once the scalp is numbed, the surgery is virtually painless as the nerves are blocked.
    • After the strip of hair bearing skin is removed from the back of the scalp, The back of the scalp is sutured by the surgeon. This scar will be barely detectable in a few months and will be completely hidden by hair growth.
    • Two to four technicians will start dissecting hair grafts in natural groups of 1,2,3,4,hairs with magnification.
    • Dr. Chaudhari will personally transplant grafts into the "recipient" area. Mini-slits are made for the bi-follicular grafts (2 to 4 hairs) while 21 gauge needle holes are made for the single hair grafts (1 to 2 hairs.) Grafts are transplanted with angle so that, when hairs grow they will blend with surrounding hairs & appear very natural healthy black hairs are transplanted in front. Grafts containing grey hairs are transplanted after healthy hairs.
    • After all grafts have been completed and checked, the donor and recipient areas are cleaned and is bandaged. The patient is given a list of post-operative instructions and medications. If I.V. sedation is used, the patient must not drive home himself. It will be necessary to arrange for transportation home/hotel prior to arrival at the clinic.
    • Bandage will be removed next day morning. Outof town patient is fit to travel.
    • Patients are encouraged to contact doctor at any time.
  • What steps should I take before the surgery?

    Pre-Operation Instruction:

    • Maintain an adequate length of hair[atleast 1"] on the back of your head. Your donor grafts will be removed from here. Stiched skin incision will not be visible from day one.
    • Two weeks before surgery.
    • No Finpacia or Minoxidil.
    • No Aspirin or anti-inflammatory medications that contain Aspirin.
    • One week before surgery.
    • No Vitamin E.
    • No Ginkgo Biloba, Ginseng or other herbal supplements.
    • One day before surgery.
    • No Alcohol/tobacco.
    • Make arrangements for someone to take you to and from the clinic. Confirm your appointment.
    • On surgery day.
    • Wash your hair in the morning using your regular shampoo.
    • Have a light breakfast two hour prior to your procedure.
    • Wear a button-down shirt and comfortable, easily laundered pants. You should also bring an adjustable baseball cap or scarf along with you.
    • No tight hats or caps.
    • Do not wear anything that will have to be pulled tightly over your head.
    • Have someone take you home after surgery. You should not drive any vehicle.
  • How will the surgery affect me when I return to work?

    For the first twelve hours[overnight], there will be a bandage around the head & it will be removed next day morning. If you have the surgery done on the hairline, the small scabs will remain for seven to ten days. Some patients may want to cover the area with a cap at work if they desire. If you have partial hair, it is much easier to cover up the area, or you can use a camouflage product. When the small scabs fall off after seven to ten days, the freshly implanted grafts will be pink, slightly shiny skin which is usually a similar color to the surrounding normal skin and is minimally obvious at first. After approximately two weeks, the areas where the grafts were transplanted are barely visible. Pre-existing hair around or adjacent to the transplanted grafts may shed, giving a thinner look, but will begin to grow back within a few months. This temporary thinning of pre-existing hair is called Telogen Effluvia . Unfortunately there is a time lag between this increased thinning of pre-existing hair and re-growth of transplanted hair, so do not be alarmed if this happens.

  • How many sessions of surgery will I need?

    If you have a completely bald area, it may take two to three surgeries to cover. If you have an area partially covered with hair, it may take only one surgery to fill in the area. Our goal is to restore about twenty-five percent of the donor's original density in each surgery. After two surgeries, the density is at about fifty percent which is often adequate coverage to satisfy the patient. The time between each session is usually four to six months in order to see how the hair is growing out and to provide more equal distribution.Correct evaluation & estimation is possible after personal consultation.

  • How long does it take the transplanted hair to grow out enough to fill in the balding area?

    Usually it takes three to four months for the hair to grow out, and after that it will grow about half and inch per month which is the same rate as the donor hair. Initial hair quality is usually very thin, softer in texture like baby hair and then it becomes coarser over time. Sometimes the initial hair is curlier, then straightens in about one year. The color of the initial hair may also be darker. It may be lightened by the sun later.

  • How long will the transplanted hair continue to grow?

    The transplanted hair is the hair from the back of the head, so even though it is transplanted, it will still have the same life span. Normally a hair follicle sheds every three to six years and then grows back from the same root. Thus, the transplanted hair continues the same life cycle.

  • Can hair transplantation affect the rest of my hair?

    Hair roots are very tough and can tolerate surgery or any irritation to the scalp. We know this because we can see how difficult it is for people to remove unwanted hair. A hair can be plucked out hundreds of times and just keeps growing back. The actual physical trauma of cutting the scalp, when inserting the donor grafts, can cut the shafts and/or damage some hair follicles. But more significant is the interruption to the pre-existing hair's blood supply which is enough to cause the shedding of this pre-existing hair. It is temporary as most lost hair will grow back after a few months.

  • What are the side effects or complications?

    There are some minor, temporary complications.

    • Bleeding - Some bleeding is normal and will stop with simple pressure. Persistent bleeding occurs in about one in a few hundred cases. Additional stitching is rarely required.
    • Pain - Pain is usually fairly minimal and lasts only a few days. 50 % of our patients do not require any pain relievers, and the others take Tylenol for a few days.
    • Numbness - Some transient numbness is inevitable, and usually lasts from three to eighteen weeks. It is rarely bothersome or long-lasting.
    • Hiccups - Hiccups may occur after surgery. The cause is not well known, but hiccups seem to occur more frequently after hair transplantation than scalp reduction. The incidence of this complication is about 5%. It usually lasts several hours to several days. If left untreated, the hiccups may interfere when you eat and sleep, but there is a medication that the doctor can prescribe to ease the hiccups.
    • Itching - Some itching commonly occurs but is rarely troublesome and lasts only a few days. Shampooing the hair daily will help the discomfort.
    • Swelling - There is some swelling in nearly all cases. It affects the forehead and the area around the eyes and lasts two to five days, being maximal on the fourth day. However, it does little harm and lasts no more than a week. We can prescribe you some medication to reduce the swelling.
    • Infection - This happens in one in several thousand cases and is easily cured with antibiotics. We will provide you antibiotics prior and after the procedure to prevent it from happening.
    • Scarring - Keloid scarring occurs only in pre-disposed individuals, and even more rarely (1/1000 cases) has this keloid scarring been hypertrophy to the point of "ridging."
    • Cysts - One or more cysts may occur in the recipient area when many mini-grafts have been inserted. They usually disappear by themselves after a few weeks or immediately with various simple treatments. They are not usually more than 2 or 3 mm in diameter, i.e., the size of small pimples.
    • Neuralgia- When a medium-sized nerve, such as the occipital nerve, is either cut or bruised, patients can get either numbness, tingling or "pins and needles" sensations, sometimes even "shooting pains" and hypersensitivity of skin in that part of the scalp. Once in a while someone reports varying combinations of the above, usually lasting for one to four weeks. Very rarely have patients had neuralgia last a longer time period. Prolonged or severe symptoms are exceedingly rare and virtually always disappear within a few months.
       

*Disclaimer - Results may vary from person to person.