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Platelet Rich Plasma as Graft Holding Solution

For better results of hair transplant, the hair follicles should be kept in platelet-rich plasma. the plasma works as platelet-rich fibrin scaffold. this scaffold is widely used for tissue engineering for cell culture, cell transfer media .results of hair transplant are much faster and better.we have done research on this. this work was presented in annual congress of the international society of hair restoration surgery at Prague and also in 2016 at Chicago.

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Are You Ready For a Hair Transplant ?

Hair transplant is the best option for getting back your natural hair. A good result of Hair transplant makes the front profile of the person better and it helps in increasing the confidence. But there are few important things which a person should know before going for hair transplant.

1) You should know about your Surgeon and his academic qualification, His medical degrees are recognised by state medical council or not. At Rejuvenate Hair Transplant Center Doctors are well qualified, Plastic Surgeon and also diplomate of American board of hair restoration surgery.They are member of ISHRS,AHRS and AAHRS.

2) What technique he usually does and his experience of that technique. In FUE hair transplant if surgeon is a beginner, there may be more chances of damage to hair roots. For FUT hair transplant, Team of the surgeon who will do follicle dissection should be trained to minimize the follicle transection. They should use microscope. Use of magnification loupe is recommended while implanting follicles. At Rejuvenate Hair Transplant Center both FUT and FUE hair transplant is done with equivalent good result.

3) TRANSPLANT UNIT- Does this unit have air conditioners to maintain low room temperature? Does his unit have power back up in case of electricity failure? Cool temperatures are mandatory for hair follicles otherwise damage to precious follicles takes place. Is this unit equipped to manage any unwanted emergency situations? Rejuvenate Hair Transplant Center is well equipped for all the facility.

4)CHARGES — Charges are per hair or per hair follicle units or per square inches. Also enquire about the density of transplanted hair.

You should be realistic about the result you will get; various false claims may confuse you. Keep following things in mind –

  1. Transplanted hairs are permanent, if they are taken from the safe zone of Donor area. But for the temporary hair you need medical treatment, otherwise they may fall.
  2. You may get a reasonably good density by Hair transplant but it is impossible to get the original density of childhood.
  3. You should tell about your diseases and medicines to the hair transplant surgeon.
  4. It will take 3-4 months for transplanted hair to start grow.
  5. For full result 8-10 months are required.
  6. You may need more than one sitting of hair transplant –if you want to increase density, or want to cover more area.
  7. Smoking may alter your result of hair transplant.
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Myths about Hair Transplant

Myths about Hair Transplant

Rejuvenate hair transplant center Indore believes in clearing all doubts in the mind of a person who is going for Hair transplant. Some common myths about hair transplant are–

1) A hair transplant gives you an immediate result.

In Hair transplant we transfer roots from donor area to recipient area .These roots start growing 3-4 months after Hair transplant .Then they grow at the normal rate of 1-1.5 cm per month. Hair transplant whether done by FUT or FUE, if we want 4-6 cm hair growth at least 6 – 8 months are required.

2) Hair transplant cannot be done in Old age.

Age is no bar for Hair transplant; it can be done even in 70 – 80 year old person. The only thing is they must be healthy, or if have any disease like diabetes, asthma, or hypertension must be under control.

3)Hair transplants can be done in men only.

Hair transplant can be done in both sex-male and female. This is true that men suffer from androgenetic alopecia more commonly and that is why Hair transplant is more commonly done in men. In women also hair transplant can be done, FUT hair transplant is preferred in women to avoid full head shaving.

4) Transplanted hairs need lots of care and they may fall.

Transplanted hairs are like your other natural hair with the additional advantage that they do not fall because they are not having receptors for androgen. It should be very clear in mind that they do not need any special care.

6 )Hair transplant gives you original density.

It is very difficult to get original density of age 16 by hair transplant .If area to be transplanted is limited then you may get high density, but in case of progressive hair loss, we have to think for future also .By hair transplant even if we get 50%of natural density ,It gives a look of head full of hair.

7) Frequent washing of hair after hair transplant should be avoided.

Washing of head has no adverse effect on transplanted hair, you may wash your head as many times you want but with ph balanced shampoo.

8 Once hair transplant is done, you will not need it in future.

You may need more sitting of hair transplant in future if –you want to improve your density or want to cover your remaining bald area.

 

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Why FUT hair transplant should be preferred over FUE hair transplant in young age

Why FUT hair transplant should be preferred over FUE hair transplant in young age?

Rejuvenate hair transplant center Indore is one of those few hair transplant center in India, where both FUT hair transplant and FUE hair transplant is done with equal good result. Rather this center is specialized in doing mega and giga sessions of more than 5000 grafts by combination of FUT ,FUE and body hair transplant.

But the biggest question in the mind of every person going for hair transplant is “what method should be preferred and why, especially in a young patient with advanced grade of baldness”.

In all patients donor area of the scalp is limited; it is like a bank FD which should be used judiciously when needed. Young patients are in the stage of progressive hair loss, they may need more sessions of hair transplant in the future. For maximum utilisation of the donor area, an experienced surgeon who is well trained in both FUT and FUE will prefer to do first hair transplant by FUT. Now if person needs hair transplant in the future remaining donor area is virgin and we can do hair transplant by FUE, if he needs more coverage or wants to improve density beard and chest hair can be used subsequently.

So if a person goes as per surgeons experience and advice ,maximum utilisation of the donor area can be used ,and he may get a head full of hair again even in Grade VII baldness and limited donor area.So plan of the number of grafts and type of technique FUT vs FUE should be customized according to the need of the patient.

FUT is more demanding surgery and needs trained surgeon for strip excision and trained technicians for follicle dissection under microscope, very few centres have these trained staff and surgeon .So these centres prefer to do FUE and a false belief is created in the mind of general public that FUT is old technique, causes lots of pain-which is not true, and because of this now a days maximum people afraid of FUT.But if a person is in habit of keeping his hair short then he should go for FUE.For more detail you can visit our website https://rejuvenatehairtransplant.com You can also look for www.ishrs.org –an authentic website of international association of hair restoration surgeons.

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Can Hair Transplant give natural look?

 

Can Hair Transplant give natural look?

Hair transplant is a procedure where we transplant hair roots from donor area to the area where there is baldness. These hair roots may have one to four hairs. Implantation of the roots must follow natural pattern. Creation of Hair line is most important; it may be called as signature of hair transplant surgeon. Hairline should be placed according to the age of the patient –too low hair line gives transplanted look. Also low hairline will remain to be there for life long, as we transplant permanent hair here. So as age increases this will result into odd look.

In hair line always implant one hair root –this gives fine and natural look .If two or three hair roots are implanted in the front part of hairline –it is unnatural.

Hairline should be irregular, not a straight line .Hair should be implanted with transition in density from low to high as we go towards midscalp area.

Second important area to be transplanted is frontal forelock, area just behind hairline; it should be implanted with two to three hair roots, in high density.

Fronto temporal angle should be blunt in female, but in male never make it blunt otherwise looks artificial.

We cannot get normal density with hair transplant (80 to 120 follicles per square cm), but even if 50% of this can be achieved it gives natural look.

One thing should be kept in mind that donor hairs are limited, so use them judiciously to give best possible result. At rejuvenate hair transplant center, with the advantage of FUE, we do hair transplant by taking follicles from beard and chest also , beard hairs are thick so they give good volume. This is known as BHT (body hair transplant). We are doing routinely  transplant of 5000 grafts in two days by combination of scalp and beard /chest as a donor. This helps a lot in achieving natural looking result even in grade VII patient.

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POWERED HAIR TRANSPLANT fUT

Powered hair transplant

POWERED HAIR TRANSPLANT (FUT) Result in a 27 year old patient of 3500 grafts just after 7 Months 10 days.

Here we are presenting a happy patient with the result of Powered hair transplant –

Case history –A young patient of age 27 year from Indore (MP) was on the medical treatment since last 2 years .He was grade IV with large area of baldness in vertex area.

He wants hair transplant for the front as well as vertex in the single sitting. On examination he has good donor area with the density of 92 grafts per square centimeter. His laxity is also good. So we decide to take 3500 grafts by FUT.

Surgery done under local Anesthesia, PRP is also done and grafts were placed in the plasma to provide them biological atmosphere.

Surgery went uneventful and he is discharged in the evening on the same day. Post-operative period was comfortable .We use post op ropivacaine block on the sutured area to reduce discomfort in the immediate post-operative period.

We took regular follow-up of the patient after 24 hours, 10 day, 1 month, 3 month, 6 month and so on.

Patient comes to us with smile on his face after 7 months 10 days as he is happy with the early result, we all know that complete result may take 10 to 12 months so we expect even better for him.

You can compare photographs of the patient-preop, just after operation and post op results of powered hair transplant.

 

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Washing of scalp after hair transplant-When and How

Washing of scalp after hair transplant-When and How

Hair transplant whether done by FUT or FUE, after care of Hair transplant is same in both the procedure. Most important instruction given to the patients after hair transplant is to take care of the implanted grafts for first 10 days. It is important mainly because grafts take 8 to 10 days’ time to get fixed on the scalp, so if you rub them before this, they may come out and it is the loss of permanent follicle. So scalp must not be itched, scratched or rubbed in this period.

At rejuvenate hair transplant center, we give gentle saline wash just after surgery o that blood drops is removed and washed away. We give instruction to the patients that they should not wash their head for 3 days after hair transplant. After that they can start head wash with plane water but should not rub the scalp with hand or towel . Let the hair dry by themselves.

If you are using shower –pressure of the water flow should be mild.  In this period you may also face problem of itching—you can apply oil drops over scalp without rubbing it. Continue this head wash with water till day 9 post hair transplant.

From the 10 th day of hair transplant we advocate them to use shampoo with providine iodine in it. Now he can rub his scalp gently. As grafts are now fixed. Before washing with shampoo if oil is applied 2hours prior, it will help to remove scabs. Continue this shampoo for 4-5 days. Now after 15 days of Hair transplant you can use any of the ph balanced shampoo.

Hair transplant is a safe surgery, not much of the precautions needed. But it is important that the instructions given by the surgeon be followed carefully during and after the hair transplant process. This is done in order to take care of the implanted grafts and to attain desired results and preventing from any further infection.

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Latest techniques to improve result of Hair transplant by FUE

Latest techniques to improve result of Hair transplant by FUE At Rejuvenate hair transplant center Indore, India we are doing hair transplant by FUE and FUT both, Important aspect of hair transplant by FUE is– grafts are delicate and they need proper care.

Latest techniques to improve result of Hair transplant by FUE

  1. For improving graft survival Dr. Anil Garg innovated Powered hair transplant. In this technique we are using Plasma as a graft holding solution, which provides biological atmosphere to graft outside body and helps in improving result and early growth. This study is presented in the annual meeting of International society of Hair restoration surgeons at Las Vegas 2016 and is appreciated well.
  2. Another aspect is implantation of grafts in hair transplant surgery, If we compare FUE and FUT grafts –tissue and fat is less in FUE grafts .This makes them susceptible to more crushing and damage. If this happens result of hair transplant will not be good. For preventing this damage, we are using no touch to root technique for implantation of FUE follicles. In this method grafts are not touched by their bulb or root. So there is no chance of hair root damage and we get excellent result of hair transplant surgery by FUE.
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Hair transplant in a burn case

Hair transplant is a good solution for the patients with burn scar on the scalp. We can get best result with hair transplant to camouflage this scar. The Rejuvenate hair transplant center is one of the best centers in India and has got all possible ways and procedures available in order to deal with hair loss caused due to burns. Dr. Anil Garg and Dr. Seema Garg are experienced in doing all types of hair transplant

Here we are presenting a case of 23 year old female; she was very much disturbed because of the scar on the face and scalp. On the scalp hair loss was very prominent, as it was on the frontal parting area and because of this, scar on the face also looks bigger. We have done hair transplant of 2000 grafts by FUT, and result was very good .Patient is happy now and gain her confidence to a great extent.

Burn leaves a bad scar and every time reminds the patient of that tragedy. If we can reduce the pain of such person by simple hair transplant surgery, this gives a sense of immense satisfaction.

Cost of hair transplant-Many burn victims cannot afford price of a hair transplant surgery and give up hope of being able to restore their looks due to the expense. At Rejuvenate hair transplant center Indore India we provide great discount to such patients.

The major reason behind burns causing hair loss is due to reduced supply of blood with in the surrounding areas where the burns have actually taking place. In such cases Hair Transplant surgeries are performed in 2 steps in order to provide density to the hair for normal growth. The rates and the chances of success for hair transplants are less in such cases of burns if we implant follicle with great density, So in the first stage we do hair transplant at low density and then after a year we can increase density if really needed, as the immobile damaged tissue isn’t considered to be good for preforming hair transplant surgeries.

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HAIR TRANSPLANT-FUT/FUE PREOPERATIVE INSTRUCTIONS

HAIR TRANSPLANT-FUT/FUE PREOPERATIVE INSTRUCTIONS

Rejuvenate hair transplant center Indore India gives detail instruction to all patients before going for FUT or FUE .Some of the important aspects in preparation for hair transplant surgery are given here. Always seek full information about the procedure from your Doctor.

 

MEDICATION

    1. Inform your doctor of any known allergies, previous surgeries and other medications you are following.
    2. Blood pressure medicines, anti epileptic medicines, diabetes medicines are to be continued.If you are taking B Blocker (eg.propranolol)for hypertention,please inform us.
    3. Morning doses to be taken on the day of the surgery.
    4. We recommend taking vitamin c 1000mg, 3 times per day, since this may help with healing and also decrease the chance for bleeding during the procedure.
  • Stop Aspirin, anticoagulants and hair growth medicines 10 days before the surgery.
  1. And stop Minoxidil like- Mintop, Rogain, and Tugain 10 days before surgery.

GENERAL INSTRUCTIONS

  1. Smoking or use of tobacco in any form should be stopped 2 months before surgery.
  2. Alcohol intake should be stopped before 48 hours of surgery.
  3. If you are a body builder or do strenuous cardio exercises, please refrain from those activities for 3 days prior to surgery to decrease the risk of bleeding during and after hair transplant surgery.
  4. You can do light exercises, walking and stretching without restrictions.
  5. For FUT (Follicular Unit Transplant) you can massage the donor area (scalp) at least 1 week before surgery for approximately 10 minutes or better 30 minutes per day. In order to soften the skin in this area, this will facilitate the removal of the strip and will reduce any tension that you may feel at the level of the scar after your surgery.
    This massage will help you to increase the skin’s elasticity.
  6. For patients undergoing a FUT procedure keep 2-3 cm length in your hair prior to the surgery, this will ensure the stitches will be hidden post operatively
  7. For patients undergoing a FUE procedure please note in most cases the entire head must be shaved to a blade 0 on the day of the procedure.
  8. Do not wear T- shirts, pullovers on the day of hair transplant. Wear
a comfortable loose
 button
or
zip
down
shirt.
  9. Have light food before coming to the hospital.
  10. If you have any query before surgery please contact your doctor.

LAB TESTS

Lab tests are very important to be done before the hair transplant.

  1. Fasting  blood sugar /  Random Blood Sugar
  2. CBC
  3. HIV
  4. HbSAg ( Australian Antigen)
  5. SGOT/ SGPT
  6. Bleeding time / Clotting time

Other medical tests may be added as per your pre-existing conditions

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