hairsurgeonblog

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Is it Possible to Correct Bad Hair Transplant?

 Hair transplant kolkata basically includes the movement of the uncovered safe hair follicles to the going bald zones on top of the head from the rear of the stow away. This interaction is basically lasting since hair follicles from the rear of the head will in general be impervious to hairlessness independent of where they have been found.

 There are thousands of successful hair transplants; there are also a number of bad hair transplants that can have a significant psychological impact.

There is nothing worse than getting a procedure done with high expectations and only to be disappointed with the results.

It not only feels like a waste of time and money but can also feel like a betrayal of your trust by your surgeon.

However, if you have been the victim of a bad hair transplant, whether this is through poor execution of the procedure or an outdated technique, there are ways that it can be fixed.

At PLCSC, the best hair transplant clinic in Kolkata, we specialize in corrective hair transplants and offer a number of highly effective treatments to overcome bad hair transplants.

 The corrective treatments used today are Follicular Unit Transplantation (FUT) or Follicular Unit Excision (FUE). Both forms of hair transplant involve a surgical procedure and require a great deal of skill from the surgeon, so choosing an experienced and reputable clinic is key to a successful restorative hair transplant.

 Both transplant healthy hair follicles to bald areas of the scalp and can be carried out on scarred tissue from previous transplants to deliver good results. However, they differ slightly. FUT involves taking small strips of healthy hair follicles from the back or side of the scalp that are then cut into tiny units and microscopically inserted into the patient’s scalp. FUE uses an electronic punch to extract individual hair follicles from donor areas then insert each hair follicle into the affected part of the scalp.

Both offer good results, but you need to be aware that the nature of the FUT procedure does leave linear scarring and often requires longer healing time, whereas FUE leaves little to no visible scarring and has a much quicker recovery time.

The corrective solutions:

There are a few ways in which these procedures can be used to correct bad hair transplants. A poorly designed or hairline with poor density can be corrected with the extraction of wrongly placed grafts and placement of grafts at right angles. A new, slightly lower hairline can be designed to hide the wrong hairline. If one doesn’t have sufficient donors, beard grafts can be used to fill areas where scalp grafts fell short. A limited approach with correction of only frontal 50% of the total bald scalp extending till the crown can also improve the look drastically. Use of Scalp micropigmentation also helps in hiding, depleted donors, and areas of critical importance where we fell short of grafts.

If you are self-conscious of linear scarring from previous FUT scar, beard grafts can be used to hide the linear scar.

In the end, corrective hair transplant is much more difficult than a simple first-time hair transplant, as the surgeon has to correct other doctors' mistakes and he can’t afford to go wrong. Secondly, there should be a complete understanding of the aesthetics of the face.

If you’re suffering from a bad hair transplant, then let our experts at PLCSC, the best hair transplant clinic in Kolkata, offer you a solution.

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How to Recover From Post Hair Transplant?

Post hair transplant recovery involves different part of the body, mainly from the back of the scalp and in many cases; the beard is also implanted in the best hair transplant clinic kolkata. Slits are first made on the recipient site and hair taken from the donor area is implemented by DHT technique.

 The areas where the slits are made are ultimately filled by the hair from the donor sites, but a raw area is present in the donor portion mainly the back scalp and the beard. Since the face and the scalp head food blood circulation, wounds in these regions tend to heal faster comparatively than other parts of body if you avail the best hair transplant cost Kolkata.

 On the first night the patient has some amount of discomfort as he has to lie on his back, so the rawness on the back of his scalp tends to be a little irritating and does cause a degree of uneasiness in the initial stages, the amount depending on the person’s tolerance to pain, but one gets accustomed to it and subsequently sleeps well enough.

 After that, the wounds heal rapidly and from the second night onwards the pain or discomfort reduces drastically. As the patient is on antibiotics and pain relievers, he does not feel much pain or discomfort thereafter.

 When a patient had transplant, he slept well on the first night itself, as most patients do and the beard area too healed well and rapidly. He was able to shave on the 7th or 8th day post surgery.

 Recovery is normally good and swift, as we take all necessary precautions during the surgical procedure, including proper sterilization and handling of instruments, not to mention the blood tests done prior to the surgery to exclude any other existing disease.

To sum it up, patient forgets the pain and discomfort in a week or so and since the healing takes place quite rapidly, in hindsight, the whole process seems a distant dream and we are quickly back to our normal daily routine, especially after the first hair wash which takes place on the 7th day.

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What is Corrective Hair Transplant?

Hair Transplant Kolkata should always be entrusted to the people with experience, as it's a thoughtful and lengthy process.

 So what is Corrective Hair Transplant?

As mentioned, this procedure is not just a money making spin, but has to be done in such a way that an onlooker should not be able to make out that the person he or she is seeing has had such a makeover.

 For this, the surgeon concerned has to be so experienced to give an absolutely natural look to the patient, giving personal attention to the hairline, crafting it according to the contour of the face, so you should avail the best hair transplant Kolkata.

 A faulty procedure can be made out in a single look, with thick hair and multiple follicles donning the hairline and a very artificial appearance in the arrangement and direction of the hair due to faulty slit making and implantation.

 Corrective hair transplants are very difficult and time consuming, as the previously transplanted faulty hairs have to be extracted, the hairline restructured and then a completely reformed appearance has to be presented.

In many cases, extraction of hair from places where that hair should not have been in the first place, leads to small micro scars, which at times threats to be visible as a blemish in the otherwise aesthetic appearance. So you can achieve the natural look again if you had done it from the best hair transplant centre Kolkata.

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What are the Common don’t s and How to take on?

 How to grow hair? This is only the 20% of the full story; the real struggle is to make the natural look. But it is obvious if you did it from the best hair transplant in Kolkata like PLCSC.

 The right angle of exit of hair to the skin is also very important. So also the “curl” or the curvature of the hair upon skin.

 The “flaring” or the deviation of the hair towards the sides is the most blunder that is done in naive hands!

 Please don’t touch them if someone has not got the experience of more than at least 1000 cases. A wrong angle in the temple is more catastrophic to look at than the bald look itself!  Putting double/triple follicles from any random area to the temple is the highest ugliness in the process.

 A certain quality of hair has a unique nature like slow-growing, thin and less pigmented do present on the hairline and temple areas. A magnifying system of more than 10 x is required to ensure this, so also the “eye” and “expertise” to search for this hair!

 Though every element of the hair quality varies from case to case and also varies with the hair transplant cost Kolkata.

 The art of hair restoration is a lifetime process to master by any “designer” surgeon.

Getting it done by technicians the main medical skill involved would end up in “botched” up job which many people realise later and repent why they chose a cheap centre.

 So to summarise, the results of hair transplant vary widely because the talent, focus, skill over years and experience vary widely. The results would be natural/unnatural, long-lasting or complications free, depending upon the doctor you choose for your procedure.

 Do the due diligence and choose the best hair transplant clinic in Kolkata where doctors are doing it and have thousands of cases to give you like references to cross-check the results and don’t fall into the pit of “cheap”, “full head”, “unlimited” hair Transplantation.

[hairsurgeonblog]

Scalp Micro Pigmentation: Effects in Hair Transplant

 Scalp Micro Pigmentation (MPG) involves the application of specialised hypo allergic medical pigments to the dermal layer of your scalp, to replicate the natural appearance of real hair follicles.

 Our expert practitioners work with your natural hair pattern and different shades of pigment to achieve the most realistic and natural-looking hairline. This non-surgical treatment is suitable and effective for all types and stages of hair loss, and for men and women of all ages, skin colours and skin types and done in PLCSC, the best hair transplant clinic kolkata.

 When Will the Results Show?

After 2 or 3 sessions spaced at least one week to one month, the pigments are permanent. The results are visible immediately after your first session.

 We specialize in creating hairlines that look natural and compliment your facial shape, style and look natural. A retouch is needed after around 3-5 years.

Create a Density Effect:

Scalp MPG is a good option when the patient’s hair has a low density and the scalp can be seen too easily. Thanks to its pigments injected under the skin, it “colors” the scalp as a tattoo and decreases the skin/ hair contrast: This gives instant density and visible volume.

 Supports Hair Transplant:

Scalp MPG works very well with the direct method, especially when the donor area is insufficient to create an optimum density. It gives a denser look which looks 100% natural and blends with existing hair.

Hide Scars:

Many men who have already undergone a hair transplant with older methods such as FUT (Strip) find themselves with a scar on the back of the head that they can’t conceal with short hair. In these cases, and for any type of scar, MPG helps conceal the scars on g you done from the best hair transplant centre Kolkata.

Camouflaging Baldness:

MPG of the scalp allows to recreate the illusion of the hair follicles on the head and thus to mask the baldness, on a small patch or a completely bald scalp.

[hairsurgeonblog]

Hair Transplant Process in Kolkata- What You Should Know?

  Hair transplant Kolkata basically includes the movement of the uncovered safe hair follicles to the going bald zones on top of the head from the rear of the stow away. This interaction is basically lasting since hair follicles from the rear of the head will in general be impervious to hairlessness independent of where they have been found.

 If you are someone who is truly interested in this career, then why not invest yourself for Hair Transplantation Courses? There are plenty of verified schools who offer this type of courses, so you can definitely take advantage of the career as the issue arises. More and more people are in need of hair transplants and it’s a great career to start.

 What Does It Take To Be A Professional To Be A Hair Transplant Surgeon?

Well, technically you need to have the knowledge in how to properly get the procedure done which will be trained to you. By the end of the course, you will have a certificate, awards and even photo sessions for your batch of successful Hair Transplantation Surgeons in the best hair transplant clinic Kolkata.

There are a lot of things that you should learn and after the course, you will know the proper way of dealing with hair follicles and you can start building your career. Help people who have hair growth problems bring back their confidence.

Usually it takes 4 days for a short hair transplant course to successfully gain your certificate. But it really depends upon the verified school who offers the course.

[hairsurgeonblog]

WHY IS PLCSC RATED AS THE BEST CLINIC FOR HAIR TRANSPLANT IN KOLKATA?

There are certain things that we keep in mind in order to perform a smooth and successful Hair Transplant Surgery.

Natural Look

Whenever you opt for a hair restoration surgery from PLCSC, you can be assured of one thing, you will have the most natural looking hairline. The end-result will look so normal, that the vast majority won’t see that you went through a surgery. You can also avail hair dyes or haircut without any confusion, the transplanted hair will be permanent and regrow accordingly.

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What is Artificial Hair Fibre Implantation?

The impact of hair loss and it's associated psychosocial burden is substantial. Over the years various type of treatment have been done with partial success in the best hair transplant clinic kolkata.

 The most promising plan among these is surgical hair restoration (FUE/FUT). However it has its own limitations like inadequate donor site, artificial hair fibre was invented in the best hair transplant centre Kolkata.

 The very first experiences with artificial hair implants date back to the beginning of the twentieth century. Nonetheless, its greatest evolution did not take place until the 1970’s. Unfortunately mushrooming of many hair fibre producing companies due to inappropriate law and regulation lead to the availability of many inadequately tested fibres for human hair replacement with very negative results.  

 In those years, the technique was often being performed inappropriately by non-medical operators,in non-medical environments and without any medical protocol. Setting those strict and ethical medical protocols must be followed to ensure the safety of implants and minimize complications. That lead to a check in the procedure being performed by the unqualified person. Subsequent clinical trial and histological studies showing encouraging results and the technique and the available hair fibres are getting finer day by day.

  Ideal artificial hair fibre should be biocompatible, resistant to infection, low risk of trauma and at the same time should be aesthetically acceptable. Medical hair prosthetic fibres meet all the biocompatibility and safety requirements established by international standards committees for medical devices.

  They are available in 13 colours with different lengths (15, 30 or 45 centimetres) and in various shapes (straight, wavy, curly and afro) to satisfy different patients' requirements.

Hair implant is indicated for diffuse alopecia or hair thinning both for male and female patients. This technique ensures an immediate aesthetic result and sufficient quantity of hair in a short time without requiring any donor area. It has also been found to be effective in scarring alopecia site due to different causes like burn and injury.

  A preliminary visit with tolerance testing is recommended to screen the patients who are not suitable for the fibres implants but also those having pathological skin conditions. The tolerance implant test is performed with 100 fibres and results are evaluated weekly and after four weeks.

 The implant technique is based on small hooking needles that go out the implant and hook the root and place it under the scalp at galea level. In this way, the root can be held by the fibrous tissue and avoid premature hair loss. The implant performed by an automatic machine always reaches the right depth. The procedure is performed under local anaesthesia.

 Possible complications associated with the procedure are infection at implantation site leading to recurrent scalp folliculitis, cellulitis, facial edema, loss of existing hair, scarring and foreign body reaction in case of allergic to artificial hair fibres.

To summarize, artificial hair implantation is a safe and effective alternative to surgical hair restoration when the technique is being performed using good quality biocompatible hair fibre under aseptic conditions and by a trained medical person with proper preoperative screening and post-op care to give aesthetically pleasant results in patients with limited donor availability.

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Cover Your Head in the Covid Breakdown

 The demand for hair transplants is blowing day by day. It is seen that an unusual surge in demand during covid times in the  hair transplant clinic kolkata.

PLCSC is the best hair transplant centre Kolkata that is also minimally invasive and has literally no downtime. The patient can return to work the very next day though there is a little awkwardness about the post transplant look for about a week or so, especially for patients with a busy social life.

I'm the Covid breakdown time. The customers are taking advantage of the current social isolation in getting procedures done at home. This is a very useful thing that can happen and many of the customers have gone for it.

Half of the transplantation has been planned to get a procedure done with us for the past two years but they are not able to take out that one week which he needed after the procedure.

In their own words, "I had always planned on getting my procedure done in the winters as I wanted to avoid sporting a shaved head during the summer vacations. I couldn’t imagine walking around with a shaved head on the road of Kolkata and winters were about weddings and festivals. I just could not find the right opportunity for my own hair. ”

“During Covid times I am working from home and this is a great opportunity to finally finish my Project Hair.” he says, while watching a movie as the doctor implanted hair on his scalp at PLCSC. “And the best part is I didn’t even have to take a single day off from work”, says one who had scheduled conference calls from the next morning.

There are hundreds of people like him who are reaching out to our clinics for procedures as they feel this is the best time for this procedure.

Is it really safe?

One of the biggest questions clients have while planning a session during the pandemic is whether there is any risk of exposure or contracting the Covid -19. PLCSC has always been known to put patient safety first and the same is true of us now.

Among other things, all PLCSC employees are subject to multiple temperature checks a day and must wash hands half-hourly. Patients are allowed to visit by appointment only and the entire clinic is sanitized after every visit. Additionally, UV sterilization is done daily at the clinics to ensure hygiene and safety. PLCSC is one the best hair transplant clinic Kolkata that provides the best service in the time of covid breakdown. So it is the perfect time to get your head full of hair.

[hairsurgeonblog]

Can I Use Minoxidil during LPP?

 The best hair transplant surgeon in Kolkata is often asked that if any patient can use Minoxidil who have active Scarring Alopecia. But it cannot be said easily as it depends upon the patient and more over the specific details. Before we tackle the question, we need to know what active scarring alopecia is.

 What is Active Scarring Alopecia?

  Active scarring alopecia refers to hair loss caused by an overactive immune system process. The patient may have scalped itching, have increased scalp burning and may be shedding more and more hair. All of these things point to active scarring alopecia. What do we do when scarring alopecia is deemed active? Well, we increased the amount of immunosuppressive and immunomodulatory treatments we are using.

 Here are just some of the examples of how we change treatment is we feel LPP is active.

 Example 1: Instead of using steroid injections, they might use steroid injections and topical steroids.

 Example 2: Instead of using topical steroids, we might add oral doxycycline.

 Example 3: Instead of using oral doxycycline and topical steroids, a patient might take  oral doxycycline plus oral hydroxychloroquine, suggested by the best hair transplant surgeon in Kolkata.

 In other words, once the LPP is determined to be active (or still active) we are going to make some pretty important decisions about increasing treatment. These are indeed big decisions because treatments have potential side effects, cost money.

 What are the potential side effects of minoxidil?

 Now, let’s focus on minoxidil and the potential side effects. In addition to side effects like headaches, dizziness and heart palpitations and hair growth on the face, minoxidil can cause two important side effects for patients with scarring alopecia: 1) Minoxidil can cause increased hair shedding and 2) Minoxidil can cause scalp itching for some people.  These two side effects can make it difficult to figure out if the itching and shedding are coming from the active LPP or coming from the minoxidil.

 So can anyone use minoxidil if they have LPP or not?

 They always advise that patients review use of any medication with their dermatologist. In general, if a patient was using minoxidil for a very long time (without any problem) before the LPP even started, it’s usually fine to continue. In these situations, it’s unlikely any increased shedding or scalp symptoms the patient experiences is going to be attributable to the minoxidil.

But starting up or initiating the use of minoxidil when one has active LPP is active is not usually a good idea. If the patient gets more shedding or more scalp symptoms, it will impossible to tell if they are coming from active LPP or coming from the minoxidil.

 In the worst case scenario, one can imagine a situation where the doctor increases the dose of medications thinking that the change in clinical symptoms or signs was due to increased activity of the LPP when really it was just the minoxidil. Imagine if the patient developed a side effect of the new mediation - and it never needed to be started in the first place said by the best hair transplant surgeon in Kolkata.

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5 Ways to Take Care of Your Hair

Most people take their hair for granted until they start to lose it. If you can take care of such small things about your hair then you can easily avoid the hair transplant and most importantly the affordable cost of hair transplant in Kolkata.

 Actually hair loss is a very common thing that many people suffer from. Losing a few strands of hair is manageable and not something you should worry about. So what if you want to take care of your hair then there are five easy ways to get it done:

 1. Control the amount of oil in your hair:

Excessive oil can give problems to the hair like dandruff, dust, etc.  In tough weather conditions, excessive oil will trouble you a lot. So an easy solution to that is to use neem or aloe vera shampoo.

These two ingredients will help you to control the excess oil in the scalp. Coconut oil has the power to make the hair longer,thicker and healthier. The vitamins and fatty acids in coconut oil help nourish your scalp and penetrate the cuticle of the hair, so by using this you can avoid the cost of hair transplant in Kolkata.

 2. Be careful when your hair is wet:

Whatever you do, don't brush your hair when it's wet since that is the point at which it's at its most fragile and gets helpless against breakage, split closures and harm. Surprisingly more terribly you can really pull hair from the roots that way. The best and ideal opportunity to brush your hair is the point at which it is nearly or totally dry. Yet, in the event that you have tangles in the wake of washing it or after a dip, you can utilize a wide-tooth brush on your wet hair to reestablish the request yet ensure it has smooth tooth closure so you don't disturb your scalp.

There are numerous acceptable items to apply on wet hair including oil medicines however there are a few items that shouldn't be utilized. Hair shower is an item that ought to never be utilized on wet hair.

While it's enticing to give it somewhat of a splash to keep things set up, particularly in the event that you are air drying and continuing ahead with different things, the solitary thing you will accomplish is crunchy, flaky hair.

When utilizing hairspray, ensure your hair is totally dry to get the ideal outcome.

"Very much like the old advice, “never rest on an argument’' you ought to never rest on your wet hair. Regardless of whether you have submissive straight hair that doesn't crimp, you are still prone to wind up with bunches and it tends to be charming to your hair.

 3. Control your alcohol consumption and smoking:

Excessive alcohol consumption can lead to reduced hair growth; those suffering from hair loss should control their alcohol consumption. Smoking also reduces the blood flow from the scalp. Thus those suffering from hair loss must control their alcohol consumption and can reduce hair growth and then suffer from hair loss. Smoking also initiates hair loss.

 4. Chemical used in hair:

Suppose you are in a store to buy the essentials for your hair. Are you overwhelmed with the number of options out there? Before going for any hair transplant in Kolkata, you should choose a perfect shampoo for your hair. Don’t run behind the advertisement and the cover. Remember, by using a suitable one you can get rid of many problems.

Are you tired of washing our hair daily to control the excess oil production on your scalp? Excess sebum can make your hair oily and dirty. Oily hair needs to be washed very often to give it a nice shine and reduce its greasiness. So, the point you should keep in your mind while buying shampoo is -

Always look for the labels like “balancing”, “volumizing” so this type of shampoo will help you to reduce the extra sebum from the scalp and maintain the hair properly.

Washing your hair twice with two different shampoos can reduce the excessive oil from the hair and scalp.

After shampooing, try to avoid applying conditioner on your scalp. Apply it only from the middle of the shaft to the ends of your hair. Also, practice good hair rinsing methods to get an oil-free and clean scalp. You can get rid of it if you can balance the oil control of the scalp.

Shampoo Options For Dry Scalp And Hair: You may experience uncontrollable itching if you have dry scalp and it leads to harsh dandruff,flakes and hair fall, furthermore if you don’t maintain proper hygiene while washing your hair, you increase the risk of scalp dryness.

So, there are some key points which will help you to choose the shampoo for dry hair and scalp.Like,

Always look for products with ingredients like aloe vera, egg protein, shea butter, soy milk, and glycerin. These ingredients can provide essential moisture to your dry scalp.

You should avoid fortifying or volumizing shampoos and hair care products that contain sulfates. They can strip moisture from your scalp and make it dry.

5. Food Consumption:

Those suffering from hair loss must also watch their diet as there might be something missing. Protein-rich foods are known to strengthen one’s hair. Vitamin A helps with sebum production; vitamin B helps maintain the healthy look of your hair and vitamin E betters blood circulation in the scalp. Vitamin A and B can be found in meat, poultry, fish, and dairy products while Vitamin E is found mainly in vegetable oil, wheat germ, nuts, nut butter, and seeds.

 There are many reasons as to why one starts losing hair; no one can predict their hair fall. One can only follow preventive measures and take care of their hair. However, if the hair fall cannot be stopped and the damage has already been done, then just opt for the hair transplant clinic but before that be concerned about the affordable cost of hair transplant in Kolkata.

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What will happen in Hair Transplant with Scar?

 Scar is a biological process of healing and yet is often considered unpleasant in the human eyes. It can occur anywhere in the body including the scalp so this can cause physical disability as well. Hair fall also occurs due to the scar and the cost of hair transplant in Kolkata also depends on this type of disability.

 When the patient comes to a doctor for a transplant he is quite pessimistic and he was quite sure that nothing can be done  but hair transplantation can carry good results in the  cost of hair transplant in kolkata.

 Scars can be broadly divided for us into-

Primary- Scars developed due to varying dermatological conditions including the Cicatricial/ Scarring Alopecias

Secondary- This includes accidental and non accidental traumatic scars as well as iatrogenic scars.

 Lastly and yet importantly like any other hair transplant surgery a good donor area is necessary. The graft extracted are implanted by Follicular Unit Excision (FUE) / Direct Hair Transplantation ( DHT) technique with utmost care whilst graft handling, strictly following ‘ no root touch’.

Hair transplant done strategically bears fruitful results for the patient if he or she can avail the cost of hair transplant in Kolkata.

It is important to note that it is essential to educate the patient of the wavelength of the possible outcomes as scar tissue behaves differently from normal tissue.

Restoring a patient’s looks is life changing and the confidence that comes with it is evident from the happiness the patient experiences.

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The "Surgery Strategy" of Hair Restoration

Follicular Unit Strip Surgery (FUSS) or Follicular Unit Extraction (FUE) , these are very common words in the world of hair transplantation in Kolkata. They both have advantages and disadvantages.

But one aspect of surgery that is all too forgotten about in amongst the discussions of how to remove hairs from the back of the scalp - is how to put them back into balding or thinning areas so the result is natural in case of hair transplant in Kolkata.

The end result after surgery is the same. The production of "follicular units" is either one hair, two hair or many hairs grafted. Every patient has a different proportion of these grafts in the back of their scalp and this is done very carefully.

 A transplant session of 2000 grafts might contain:

200-400 one haired grafts

 800-1500 two haired grafts

 300-800 three haired grafts

The surgical map in hair transplantation:

If a patient is undergoing a transplant in the frontal area of the scalp, the typical surgical map would follow a pattern something like this: The one haired grafts are placed in the frontal area and placed in an irregular manner so as to create a soft and natural look. Anywhere from 100-400 one haired grafts might be placed in the front depending on the number of grafts they have and the density we are trying to achieve.  The two haired grafts are placed behind the one haired grafts and the three haired grafts.

One haired grafts differently from grafts that contain two and three hairs. One haired grafts are fantastic to help create a soft and natural look in areas. The three haired grafts (and to a lesser extent the two haired grafts) are important for one main reason - building density!  The decision on where to put three haired grafts is very important. They are placed in areas where getting high density is important.

 The way hairs are removed from the back of the scalp (i.e. FUSS or FUE) is important - but the way they go back in is more important. Ensuring the hairs are packed with the appropriate density, ensuring the sites are made at the correct angle and direction and ensuring the the one-haired, two-haired and three-haired grafts are put into the best possible locations are some of the most important factors to help ensure a natural result for hair transplant in Kolkata.

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Minoxidil Dread Shed - What is it?

 Minoxidil lotion and foam are FDA approved for the treatment of Androgenic Alopecia (AGA), both for men and women. This type of hair loss is also called Male Pattern Balding and for females this is known as Female Pattern Hair Loss. These two diseases are very common to the best hair transplant surgeon in Kolkata.

A common concern among individuals who are deciding whether or not to use minoxidil is the potential for them to develop an increased amount of daily hair shedding in the first 6-8 weeks of starting minoxidil. This is known in the public as the "dread shed." Medically, the term is "immediate telogen release." This type of shedding is not to be confused with the shedding that happens when people with androgenetic alopecia incorrectly stop using minoxidil. (One must never stop treatment if they have androgenetic alopecia or else new hair growth will be shed and all benefits will be lost).

The 'dread shed' can be frightening when it occurs but is generally mild for most. Understanding why this occurs is important to help individuals decide whether this treatment is right for them to start or not but if the patient is willing to do it then it should be done by the best hair transplant surgeon in Kolkata.

The increased shedding that accompanies starting minoxidil needs to occur for most people. It's not something that is really all that abnormal - it just looks abnormal. When you look closely at the scalps of men and  women with androgenetic alopecia (especially early stages of AGA), one will notice that a higher than normal proportion of cells are in the shedding phase. These hairs are waiting their turn to shed. Hairs generally need to wait in line 2-3 months before they are shed. That's just the rule of nature. That's what it means to be human.

When minoxidil is applied to the scalp, a signal is sent to all hairs that are waiting in line to be shed. The message that is relayed is that the hairs no longer need to wait 2-2 months in that line. Rather any hair that is waiting in line to be shed is welcome to shed now.  The mandatory 2-3 month waiting period has been temporarily waived. And so what the patient then experiences is an increased amount of hairs coming out on a daily basis once they start minoxidil. What is being shed is hairs that were destined to come out anyways:

Instead of coming out tomorrow, a hair comes out today

Instead of coming out in 2 weeks, a hair comes out in tomorrow

Instead of coming out in 4 weeks, a hair comes out in 1 week

Instead of coming out in 6 weeks, a hair comes out in 2 weeks

This is the 'dread shed' or 'immediate telogen release" which is the most frustrating topic towards the best hair transplant surgeon in Kolkata.

[hairsurgeonblog]

Telogen Effluvium After Surgery

Telogen Effluvium is a form of hair loss that includes the everyday hair shedding. Instead of losing 50-100 hairs daily, patients with TE lose a far larger amount. There are also many reasons behind it like stress,  low iron level, thyroid problems, medication, diets and others. Especially after surgery it happens to most of the people and many people come with the problem to the best hair transplant clinic in Kolkata.

 Post Surgical Telogen Effluvium:

Not everyone experiences hair loss after surgery but if it occurs then it starts 2-3 months later. These influence one's risk of developing a TE in the first place. But factors like type of surgery, length of surgery, medication and anaesthetic use or blood loss , nutrition all together can cause the shedding of hair. And this problem can be minimised in the best hair transplant clinic in Kolkata.

 Evaluation of Post Surgical TE:

The key to addressing telogen effluvium from surgery is trying to determine the exact cause. If it was factors such as stress, weight loss, medications or anesthetics in hospital, those triggers are presumably gone by the time the patient develops or notices shedding. Waiting (rather than active treatment) is one very good option in this situation as hopefully the hair will grow back in 6-9 months.

If the 'trigger' was actually due to a deficiency in some mineral or metal (iron and zinc deficiency are common after bowel surgery) or some hormonal issue (thyroid issues are common in hospitalized patients)... then the hair will only properly grow back when these specific issues are addressed. The key to treating a telogen effluvium is addressing the trigger.

A few in depth blood tests would be appropriate before deciding to treat or wait. The specific tests to order in any given patient will differ depending on their story, but tests for CBC, TSH, ferritin, zinc, 25 hydroxy-vitamin D, calcium, ESR, ANA can be considered. Other tests may be appropriate as well including imaging tests (Chest X-ray, etc).

Treatment of TE in the best hair transplant clinic in Kolkata:

Sometimes the exact trigger can’t be confidently agreed upon in a post surgical patient and one needs to make a decision as to whether they want to wait and see what happens or treat with non-specific hair growth stimulators like minoxidil (Rogaine) or low level laser or vitamins. These all encourage hair growth. One must keep in mind that if the trigger has not adequately been addressed (i.e. the patient actually has an undiagnosed thyroid disorder), these growth stimulators will be less effective.

[hairsurgeonblog]

Shedding - a Disgusting Word!

 Being the best hair transplant surgeon in Kolkata is as much about trying to get hair back on the scalp as it is trying to figure out why it's shedding from the scalp. There are many reasons to lose hair, some treatments are easy but some are challenging.

When excessive hair is shedding then it is considered as Telogen Effluvium according to the best hair transplant surgeon in Kolkata. As we know there are many medical terms that are included as the cause like low iron, thyroid problems or other. This is a very frustrating disease actually.

 Why would shedding not stop?

Well, there are a number of reasons for this. First, we need to consider that we may not have found the right “trigger.” We might not realize that the patient’s supplement they started last year is actually the trigger. We have not realized that the patient’s fatigue and headaches and sore joints are actually a sign of underlying disease.

Second, we need to be humble to the fact that we may have the wrong diagnosis and were fooled into thinking this is a TE. Androgenetic alopecia (female thinning and male balding) often starts with shedding that perfectly mimics a TE. Some early scarring alopecias like lichen planopilaris can mimic TE.

Finally, we may have got the general diagnosis of telogen effluvium correct but failed to recognize that the patient’s hair shedding really fits best with chronic telogen effluvium or “CTE.” In true cases of CTE a trigger can often not be found.

Conclusion:

Excessive hair shedding is frequently seen with TE. However, the best hair transplant surgeon in Kolkata needs to keep a broad and open mind to other possible diagnoses if the shedding does not stop.

[hairsurgeonblog]

Can Patients with Alopecia Areata Ever Have a Hair Transplant?

 Alopecia Areata is an autoimmune disease which attacks hair follicles. There is a strong genetic susceptibility to the condition and each year we learn more and more about the genes implicated in the condition according to the best hair transplant specialist in Kolkata.

We now understand that the tendency to develop alopecia areata may be present at birth, but actually it causes "Come out" for some people but not for everyone.

Patients with Alopecia Areata are the rare candidates who are eligible for hair transplant according to the best hair transplant specialist in Kolkata.

Hair follicles moved from a normal appearing area of the scalp into a bald area remain susceptible to being attacked by the patient’s immune system. This autoimmune attack can occur 2 months after the transplant or 50 years after a transplant.

Patients with small stubborn spots of alopecia areata are advised to seek the advice of a physician knowledgeable about hair loss. Patients are typically treated with topical steroids and/or steroid injections. Other treatments such as minoxidil, diphencyprone, anthralin or squaric acid dibutyl ester may be discussed. Oral treatment options may also be discussed in some situations, including use of prednisone, sulfasalazine, methotrexate and cyclosporine.

Although some hair transplant surgeons will never perform hair transplantation in a patient with "long standing" alopecia areata, some surgeons have very occasionally had successful outcomes transplanting alopecia areata in such situations.

If the area affected by alopecia areata is small, and has remained unchanged for several years, and if a scalp biopsy shows no inflammation below the scalp, hair transplantation 'could' be considered. But this would require very thorough discussion with the best hair transplant specialist in Kolkata.

However, patients need to be aware and accept the risk that the transplanted hair is susceptible to falling out again -  at any time. For these reasons, patients with alopecia areata are rarely ever candidates for hair transplantation.