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Hair Transplant Kolkaka

Things you should know about Hair Transplant    

What causes hair loss?
Heredity in men plays a major role, resulting in receding hair lines and balding scalp. A male hormone called dehydrotestosterone influences hereditary factors in androgenetic alopecia (or male pattern baldness). Changes in women's health, including hormonal changes that occur in menopause, are mainly responsible for female hair loss and thinning. Frequent shampooing, poor circulation, wearing hats or any other personal habits are not factors that cause hair loss. Accidents, burns, disease and a few medical treatments can also trigger hair loss.
What is a hair transplant?
Hair transplantation is done using the patient's own hair. Hair is taken from the very back of the patient's head (where it is genetically programmed to grow permanently). Hair from this site is separated into follicular units and transplanted to other areas of the head, where it will continue to grow as vigorously as your natural hair. This donor hair carries with it the genetic code to resist balding, therefore making the hair transplant permanent.
How do I know if I am a candidate for hair transplantation?
A thorough review of your health history and a physical exam of the scalp lay the foundation for determining if a hair transplant is right for you. Realistic expectations play no small role.  While the opinion of a caring hair restoration professional is essential, we believe that patients who take the time to educate themselves about hair restoration are the best judge of when and if hair restoration is right for them.
Are hair transplant results permanent?
Yes. Hair from the lower side or lower back of scalp donor area (see illustration) is genetically resistant to the male hormone that causes balding. When hair is appropriately harvested for hair restoration, the results are permanent. This harvested hair retains its genetic characteristics even after relocation so it will continue to grow for the rest of your life.
Does it look natural? (Will everyone know I've had a hair transplant ?)
This is where careful selection of a qualified hair restoration specialist is essential. Applying the principles of hair restoration is not enough. Because hair restoration is an art, a natural result is not something that "just anyone" can manufacture. Most patients with realistic expectations want to have their hair reflect more the age and energy they feel inside while retaining a natural appearance of their own unique features. Consistently achieving an undetectable result is the sign of a successful hair restoration specialist.
How do you determine where the new hairline should be?
More than any other feature in hair restoration, placement and quality of the hairline determine surgeon and patient satisfaction. The final location for hairline placement starts at your consultation when we draw your hairline on your forehead so you can provide immediate feedback on what you have in mind. We provide a detailed explanation about the principles of hairline placement with regard to your individual facial features. Well-established hairline placement principles (such as the two listed below) serve only as a foundation.


1. Avoid placing the hairline too low. A hairline that is too low looks unnatural. A hairline should match the maturity of the patient to look natural. An age appropriate hairline can still be youthful by maintaining a natural shape that brings the center point of the hairline lower than the two sides.
2. Use 8cm above the eyebrows as a starting point and adjust that measurement to accommodate the individual facial features.


The essential qualities of a natural hairline include an effortless transition from forehead skin to hair. We concentrate many lower density single hair follicular units at the hairline and make a gradual transition to the higher density follicular units behind the hairline.
What  does the donor area look like after a hair transplant?
Once the donor grafts are obtained, the donor area is sutured leaving only a fine line. Time and again our patients tell us that they swim, shower and have the wind blow their hair with the donor site remaining undetectable. Most patients will tell you that this area heals so well that even their hairdressers are genuinely surprised to hear that they have had a hair transplant.
How many grafts will I need? How many sessions?
That will depend on the extent of your hair loss and the number of implants per hair restoration surgery. Also, the number of sessions required to fill in a given area depends on the density that is desired. The color and quality of the donor hair, the degree of original hair loss, an individual's facial features and many other factors can also affect patient satisfaction with one session. For example, a natural appearing hairline can be achieved with one session. However, the density and hairline refinements desired by most people requires two or three hair restoration sessions.
How much time for one session?
Microscopic dissection (creating individual grafts under microscopic magnification) takes time! A hair transplantation procedure may take from 6-10 hours. A scalp reduction may take approximately 3 hours. This time is depended upon the amount of work to be done, and how well you follow pre-op instructions. We ask that you plan to spend the day with us when you are having a hair transplant.
Is it painful?
Some patients report only a small amount of discomfort associated with a hair transplant. We use a local anesthetic in the area that we will be working with. If you feel any aching feeling during the operation, we can give you a pain relief medication to take the edge off. Many hair restoration patients report no pain whatsoever.
When  will I see the new hair growth from the grafts?
It will take about four to six months after your hair restoration procedure to see new growth.
Is hair restoration surgery safe?
This is one of the most frequent and most important questions we are asked. The risks of hair transplantation surgery reported in the medical literature are quite uncommon. Please don't hesitate to discuss any concerns you have. We'll be happy to provide a report of any complications associated with procedures your considering.
What about scalp reductions?
Scalp reductions are rarely performed any more due to significant advancements in the art of hair transplantation. With the superior results from follicular unit grafting, scalp reduction has become a procedure of the past. Although we are trained and highly qualified, with both education and experience performing scalp reduction surgery, we encourage a thorough discussion prior to undergoing this procedure. We strongly recommend a second concurring opinion prior to undergoing scalp reduction. If you have had previous scalp reduction and are dissatisfied with the results, please don't hesitate to contact us with any questions.
Will I be awake during surgery?
During the procedure, a patient may listen to music, watch a favorite sporting event or enjoy a movie. Some patients simple chose to relax or even take a nap. We use local anesthesia (numbing medicine) in the donor to obtain the grafts and close the area with sutures that are removed in a few days.
When can I wash my hair?
We ask you to return to the office the day following hair restoration surgery so we can remove the dressings. You can very gently wash your hair on postoperative day four and vigorously wash your hair on postoperative day seven. We ask you to avoid hair dryers and curling irons for a week following hair transplant surgery. Also at one week postoperatively, you may resume mousse, gels, and hairspray along with gentle brushing of grafts and return to regular brushing of non grafted hair. We also request that you avoid curling irons for two weeks following hair transplant surgery.
How  long am I out of work?
You may return to work the next day and resume full activity within a few days. However, you will have tiny red spots where grafts are planted for about a week after the procedure. If work is physically strenuous, you should plan to take 1 week off. Patients are asked to avoid any heavy lifting, bending and straining for one week following surgery. For several days after the procedure, many patients wear a cap to cover the new transplants.
When  can I work out?
You may resume light walking the day following hair restoration surgery. Aerobic activities should be avoided for one week following surgery, which includes running, aerobics, swimming and other sports. As we mentioned above, it's important to avoid prolonged bending, lifting or straining during the first week postoperatively as these activities can increase swelling and delay healing. It is vital to protect the scalp from sunburn or tanning beds.
Are there any special instructions before surgery?
Glad you asked!

1) What do I do to prepare for surgery?
Although the preparation for hair restoration surgery is pretty simple, it is an essential element in a successful outcome. We provide written instructions at the time of your initial consultation, well in advance of your hair transplant surgery. We will ask you to read both the preoperative and postoperative instructions a week before hair transplant surgery to allow time for any questions you have about care after surgery. Our nurse practitioner will also arrange a preoperative telephone call with you well before the hair replacement surgery.
2) Tell me about the preoperative telephone call.
One to two weeks prior to hair restoration surgery you will talk with our nurse practitioner who:

a.  answers your questions
b.  reviews your health history: it is extremely important that we know if you have ever experienced high blood pressure, asthma, chest pains or palpitations, liver or kidney problems, or shortness of breath
c.  reviews daily medications (please have list handy)
d.  instructs you on how to prepare for hair restoration surgery, including refraining from any type of exercise three days prior to surgery and avoiding alcohol for one week prior to surgery
e. calls in prescriptions for use after hair restoration surgery (please have your pharmacy name and phone number handy)
f. tells you what to expect.

Most of the instructions are listed here below. This list of questions, however, will not take the place of a preoperative evaluation, which is essential in determining a patient's understanding and readiness for surgery. We will be sure you are signing an informed consent.
3) What does informed consent mean?
Informed consent means you have an excellent understanding about the benefits of hair restoration surgery as well as any risks, and all the preoperative and postoperative information. You are making an "informed" decision as to whether hair transplant surgery is right for you.
4) What are the benefits and risks of hair restoration surgery?
As part of your initial consultation, your physician will review your expectations for hair restoration surgery. At that time, he can provide a realistic picture of what surgery can and cannot accomplish. We will provide you with a list of any risks reported in the medical literature associated with any hair surgery you are considering. Although risks from hair transplant surgery are uncommon, every patient should be fully informed of any risk associated with surgery.
5) What about my daily medications before surgery?
Three weeks before your procedure you will need to stop taking Aspirin, Ibuprofen (e.g. Motrin, Aleve, Advil etc.) herbs (Echinacea, Gingko biloba, Garlic) and vitamin E. These medications increase your risk for bleeding making it very difficult for your newly transplanted grafts "to take." Bleeding during the procedure also adds hours to the amount of time necessary to complete the hair restoration procedure.
6) Do I need any special prescriptions before surgery?
Most patients do not need any special prescriptions before hair restoration surgery. Please let us know of any special medical concerns you may have. Because tobacco abuse impedes wound healing, you will be asked to stop for one week before surgery and two weeks following hair transplant surgery. Our nurses will be happy to discuss over-the-counter aids to help you with this. In the postoperative instructions that follow, we will discuss all medications needed after surgery.
7) Will I be asked not to eat or drink anything after midnight?
Yes. This includes water and chewing gum. Oral sedation is available for those patients who are nervous or have difficulty sitting still for a long period of time. Even with oral sedation, most patients are awake and comfortable for the surgery. Our nurse will instruct you on any routine daily medications on the morning of hair restoration surgery. For patients with special concerns, such as a patient with diabetes, our nurses will be happy to address arrangements with you ahead of time.
8) What happens when I check in for surgery?
The morning of surgery wash your hair and wear a button down collar to QCHR. Please do not wear anything that needs to be pulled tightly over your head. When you check in, our nurses will help you get ready for surgery. We check your blood pressure help you change into a gown, make sure you're comfortable. Please let us know of any special needs you may have. Also, be assured that you have plenty of time for any last minute questions with your hair transplant surgeon.
9) I'm concerned about privacy.
Confidentiality is utmost important to all of us at the practice. only doctors and authorised staff have access to your health care data. 
10) What other instructions are there?
Glad you asked! See the postoperative instructions below.
1) What do I look like after surgery?
Following the hair restoration procedure, you will have small red spots looking like a brush burn where the hair was transplanted. If your hair has a little length, the back donor site will be camouflaged.
2) What does it feel like after surgery?
Most patients report only mild to moderate discomfort, which may be associated with some numbness, itching, tightness or a pulling sensation in the donor area. These postoperative symptoms subside with in a day or two. Your nurse will be checking your comfort at every step along the way and is there to give you special attention.
3) When can I shower?
You may shower without  washing your hair for seven days. You will be allowed to gently shampoo your hair on postoperative day four and resume routine hair washing on postoperative day seven.
4) Will I need any special prescriptions following surgery?
Yes. Postoperative prescriptions are provided well in advance of surgery day so you arrive home completely prepared.
5) When do I start  taking these prescriptions?
Patients take their pain medication as needed. The other medications all begin on the day following the procedure.
6) Are there any dietary restrictions following surgery?
We ask that you avoid alcohol for one week following hair transplant surgery. Otherwise, patients can eat whatever they want.
7) Are there any instructions about regular daily activities?
Sleep with head of the bed elevated or use two to three pillows for one week. Facial fullness, headache and disrupted sleep are very normal postoperative symptoms and will decrease as the healing process occurs. Avoid strenuous activity including bending, lifting or straining for one week after hair restoration surgery. If you have little children, bend at the knees or sit on the floor and let them climb on to your lap.
8) When will I look "normal?"
Most patients return to work the following day. Once new hair is transplanted, it undergoes a brief resting period and then begins growing vigorously. Your final hair transplantation result will be evaluated at one year.
9) How long does healing take?
As numbness wears off some patients experience a "pins-and-needle" sensation. It is important not to scratch as scratching can thin the hair. Numbnes and itching resolves quickly. The transplanted hair (not the follicles) falls out in about two weeks and generally begins to grow again in about four to six months. Evaluation of the final result takes one full year.

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