Hair Transplant

Hair Transplant in Nagpur is indicated in hereditary cases of hair loss and androgenetic baldness, which occur in many men and in some women.

Androgenetic baldness or alopecia is a condition that affects more men and is related to sex hormones, mainly testosterone. Hair transplantation is the surgical treatment of baldness. In this plastic surgery, hairs, usually from the back of the scalp (donor area), are transplanted in an area where there has been total or partial loss of hair (recipient area).

Modern baldness surgery aims to obtain a more aesthetic and natural result. The dreaded “doll hair” look no longer occurs. Among the precautions taken, we can mention:

(1) use of broken lines in tracing the anterior part of the bald area,

(2) capillary complementation of the sides of the head,

(3) use of fine and delicate follicular units,

(4) distribution of follicular units very close together in the anterior line of the bald area,

(5) maintenance of the natural direction of hair growth.

This procedure requires a specialized team, which is divided into a group to dissect the follicular units and another to implant them.

During the surgery, thousands of hairs are transplanted. The hair used is always the patient’s own. In more extensive baldness, complete hair restoration is impossible, as the number of follicular units obtained from the donor area is insufficient to cover the entire bald area. However, strategically distributing the follicular units associated with new hair transplant sessions (minimum of 8 months between surgery) helps to achieve a more satisfactory result.

Hair transplant in Nagpur: FUT x FUE

The Strip technique or FUT (Follicular Unit Transplantation) is the classic hair transplant technique and remains the most performed. Another technique used for hair transplantation is FUE (Follicular Unit Extraction), in which an incision is not made to remove a strip of tissue in the donor area. In this way, there is no linear scar on the scalp. In FUE, follicular units (FUs) are removed through small round incisions around them (less than 1 mm). In this process, respect for the direction of the hairs’ birth is essential to avoid their transection.

FUE is subdivided into simple and robotic (Robotic FUE). In simple FUE, follicular units (FUs) are extracted using a micropunch (a device with a small round cutting blade), while in robotic FUE, these units are removed by a machine consisting of a robotic arm, controlled by sophisticated software. In this case, a program uses a laser to scan the patient’s donor area and identify the FUs to be extracted. It is up to the doctor to activate the extraction process of these units, performed by the machine. The robot needs to be calibrated and constantly supervised. In both simple FUE and robotic FUE, the extracted follicular units are separated and transplanted as in the classic technique, that is, by the surgeon with the help of his team.

	FUT (classic technique)	was simple	WAS robotics
duration of surgery	shorter time.	longer time.	Intermediate time.
Surgeon’s presence	Indispensable.	Indispensable.	Indispensable.
Need to shave hair	Not.	Sim.	Sim.
need for points	Yes, to close the donor area.	Not.	Not.
UF donor areas	Neck and sides of the scalp.	Any area with UFs.	Back of neck (only region used).
Extraction of FUs	Performed by the surgeon and his team.	Performed by the surgeon and his team.	Performed by the robot (facilitates the surgeon’s work).
Implementation of UFs	Performed by the surgeon.	Performed by the surgeon.	Performed by the surgeon.
Quality of FUs	It depends on the training of the surgeon and his team.	It depends on the training of the surgeon and his team.	It depends on the calibration of the robot and the training of the surgeon and his team.
Number of FUs per surgery	More FUs per surgery.	Fewer FUs per surgery.	Intermediate number of FUs per surgery.
Scar	With a linear scar in the donor area, which is normally camouflaged by the hair.	No visible scar in the donor area, even with shaved hair.	No visible scar in the donor area, even with shaved hair.
Cost	Lowest cost of the 3 techniques.	Intermediate cost.	Highest cost of the 3 techniques.
Possibility of further surgeries	It can be performed up to 3 or 4 times and depends on the elasticity of the donor area.	It can be performed several times and does not depend on the elasticity of the donor area.	It can be performed several times and does not depend on the elasticity of the donor area.
Major limitations	Presence of scar in the donor area and dependence on the elasticity of this area.	Longer surgical time and obtaining fewer FUs per surgery.	Dependence on robot calibration and very high cost.
Use of the technique	It is the most used in our routine.	It is little used in our routine.	It is not yet included in our routine.

Surgical technique

• Marking of a long strip of scalp on the back of the head (spindle about 1 to 1.5 cm wide, going from one ear to the other), full of more resistant hair strands, which do not fall out over time ( donor area).

• Marking the bald area that will receive the hair strands (receiving area).

• Antisepsis + anesthesia.

• Incision + resection of the scalp strip.

• Review of bleeding and closure of the donor area.

• Careful dissection under magnifying glasses or microscopes to remove grafts of wires with their roots intact (follicular units).

• Transplantation of the follicular units thread by thread in the desired area (recipient area), through the use of needles attached to a scalpel (thread by thread transplantation).

• In the FUE technique, the follicular units are removed from the donor area through small rounded incisions around them (less than 1 mm), without removing the scalp band. In some cases, you can associate the FUT technique with the FUE.

Postoperative Guidelines

The patient can return to their activities the next day. Dressings will not be used. The recovery will be smooth and the postoperative period painless, in most cases. Care to wash the head and comb the hair in the early postoperative period will be necessary. Postural care and lymphatic drainage will allow the swelling to absorb in the first week.

Guidelines For Hair transplant in Nagpur

Dressings will not be used. There will usually be no pain after the surgery.
Avoid driving in the first 3 days after surgery.
After discharge, it will be important to rest in bed or in a reclining chair. When lying down, keep the headboard elevated 30º for 5 days. Sleep without pressing the operated areas against the bed.
The day after discharge, you will be able to take a full-body bath, even washing the operated areas, without rubbing them, using the prescribed soap. Carefully wash operative wounds (areas with stitches). Never use strong jet showers in the operated area. Complete the bath with normal soap.
Always have a separate clean face towel to dry the operated area and a regular towel to dry the rest of the body. In the operated area, press lightly when drying and do not rub. Care will also be needed when combing your hair.
From the 1st postoperative day, there will be no need for bed rest. Return to your normal activities, respecting the aforementioned limits.
Swelling (edema) in the operated areas is likely to occur, which will disappear over time. The swelling may go down in the first 4 days, reaching the eyelids. This is normal and should not be considered a problem. Its resolution can be accelerated with lymphatic drainage sessions.
There will be formation of crusts next to the implants, which should not be removed under any circumstances. Gradually they will fall out on their own (about 10 to 12 days), leaving the wires integrated.
Sun exposure should be avoided for the first 30 days after surgery. The use of caps or hats is recommended. The use of sunscreen is also advisable.
More intense physical activities should only be resumed 3 months after surgery (examples: swimming, running, weight training, ball sports).
Up to about 2 months, the transplanted hairs will fall out, and will definitely grow back a few weeks later (at about 3 months). It is a natural anxiety phase that will be circumvented with the knowledge of the evolutionary information of baldness surgery.
Normally, we recommend the use of some products that stimulate hair growth and all this will be guided by the recipes.
You must return to the doctor’s office regularly, as requested, for the removal of the stitches and evaluation of the evolution of the surgery.
After removing the stitches, start massaging the scars with the prescribed oil. In some cases, special care for the scars will be necessary.
The outcome of your surgery will depend a lot on following these guidelines correctly. Any questions, contact plastic surgeon in Nagpur.

COMMON QUESTIONS

What is the indication for hair transplant?

The most common indication for hair transplantation is in hereditary cases of hair loss (androgenetic baldness), which occurs in many men and some women. Hair transplant in Nagpur can also be indicated in the reconstruction of the “hair foot” or sideburn after a facelift ( face rejuvenation ), in increasing the density of the beard (beard transplant ), in the correction of sparse or failed eyebrows ( eyebrow transplantation). ) and in the camouflage of scars and faults in the scalp ( head and neck reconstruction ). It is important to note that some types of hair failure are clinically treated (examples: alopecia areata or alopecia caused by fungi).

What is the recommended age?

Normally, the recommended age is above 18 years. Generally, patients who seek this type of procedure are already adults.

What type of anesthesia is used in hair transplant in Nagpur?

Local anesthesia associated with sedation is the most used, but the surgery can also be performed under general anesthesia.

How long is the surgery?

The hair transplant in Nagpur performed according to the classic technique, lasts about 5 to 6 hours. With the FUE technique, the procedure can last up to 6 hours.

What is the length of stay?

The hospital stay is 8 to 12 hours. Usually, the patient is released on the same day.

When will stitches be withdrawn?

In the classic technique (FUT), the removal of the stitches from the donor area is performed 12 to 14 days after the surgery. In the FUE technique there is no need for stitches.

Does hair transplant have risks?

Postoperative complications are rare. Among them we can mention: hematoma, infection, scar alterations, etc.

How long does it take to get the expected result?

In the classic technique, the scar from the donor area is hidden between the hairs and is usually thin. The transplanted wires will fall out in a period of 30 days and then grow back after 2 to 3 months. The definitive result is observed from 6 to 8 months. The new transplanted hairs will not suffer hormonal influence.