Radiant Aesthetics

Know more about postoperative Hair Transplantation management.

Good morning this is Dr. Vikas Panthri. In our previous videos, we had discussed the pre-operative management and operation parse of hair transplant. Today we shall talk about the postoperative management of the hair transplant. After the surgery is done, the patient head is covered with a dressing for two days, he is given a head band and he is given an OT cap to wear for two days. The patient has to avoid taking bath from his head for two days; he shall take a bath from the rest of his body. However, he shall be spaying normal saline on his transplanted area every 3 to 4 hours to keep it wet. On the third day, we shall call the patient back again to give him his first head wash and to teach him how to take further head washes.

The patient has to know to avoid scratching on his operated area and his donor area for the next 15 days. To take antibiotics, antacids, anti-inflammatory and pain killers for the next 7 days and after the 3rd day of the surgery when we give the head wash we start the patient on his multi vitamin, minoxidil and we call the patient after one and a half months for starting off his PRP therapy or plated rich plasma therapy

.Along with therapies, there are some precautions in follicular unit transplant or FUT. The patient has to come back after 10 to 14 days to get his stitch assist. If the stitches have been dissolved they are cut off.

In follicular unit extraction, we call the patient straight away after one and a half months for his PRP therapies. However, in both surgeries patient has to avoid wearing a helmet for 21 days. He has to avoided heavy strenuous act ivies such as swimming, smoking, drinking for next 21 days.

In case you need to follow me for any hair transplant queries or any hair loss queries, you can contact me on Lybrate. Thank you.

Two types of Hair Transplant operations - FUE and FUT

Good morning  this Dr Vikas Panthri. In our previous video had talked about the pre-operative management of hair transplant. Today we shall talk about the hair transplant procedure parse. The hair transplant operation is of two types Follicular Unit Transplant (FUT) or follicular Unit Extraction (FUE). In both the operations we have three steps extraction of the follicles, the slitting where we are creating slits for the follicles to be implanted and implantation on the following slits which we have created.

Now both of these surgeries differ in their first step which is extraction. In follicular unit transplant method we are taking out a strip from your back of your head from one ear to another ear which is 1 to 1.5 cm wide.  After we take out the skin from this area, the cutting of the follicles outside this area is under high resolution microscopes which we have installed in our setups in both Delhi and Mumbai. This scar which is closed later with dissolvable sutures remain hidden below your hair which are present in your donor area and closure of this scar is done by the trycophatic technique where in the hair will grow from the edges of the scar making it virtual untraceable after a period of two to three months.

The second technique is follicular unit extraction (FUE) or follicular extraction involves trimming of the head, giving local anaesthesia to the donor area also and punching out the hair follicles 2.7 to 2.8 millimetres punches through our automated fue machines.  These follicles when extracted outside the body are again implanted in the same way as the previous surgery in the slits we are creating. The most important step in any hair transplant surgery whether it is FUT or FUE is slitting wherein we are deciding in which pattern we have to give the hair. The angle, the tilt and direction should suit the patient's head. This is what decides the final result and outcome of the patient. Next video we shall talk about the post-operative management of the hair transplant.

In case if you need to consult me for your hair loss queries and hair transplant queries, you can contact me on Lybrate.

Different methods which of Hair transplantation

Hi this is Dr. Vikas Panthri. We will talk on the topic of Hair transplant. Let's divide this topic into three parts.

• The preoperative management.
• The operation procedure, and
• The postoperative management of a patient.

In this video we should talk about the pre-operative management of the patient. The patient is first called for physical consultation. Therein we understand the grievances of the patient. His needs, his medical history, his genetic history or the genetic precursors patterns of hair loss and thereby we decide the hairline on the head of the patient. Discuss with him in which direction we are going to give the hair. What is the pattern of hairline you want to give on him? After that we do his medical fitness in the form of blood test and physical examination. After the blood test succeeds and physical examination is absolutely fit. We call the patient one day prior to the surgery. We give him the patch test of the local anesthesia which is to be administered during the time of the surgery.

The patch test is given on to the forearm prior to the day of the surgery. Just to see whether the patient is allergic to the local anesthetic or not. Update give the patient Betadine scrub to wash his head one night prior. And on the day of the surgery so that his head is infection free prior to the surgery. The patient is asked to refrain from smoking at least 2 to 3 weeks prior to the surgery. In the next videos we shall talk about operative and postoperative management.

In case if you need to consult me and any of your queries regarding hair transplant or hair loss you can consult me on lybrate.

Here are cause, symptoms, and treatment of Hair Loss

Good afternoon this is Dr. Vikas. Today we shall talk about hair loss. Hair loss or alopecia means loss of hair from the scalp.

The causes of it may be genetic maybe hormonal and other causes also may be present like autoimmune conditions as in Alopecia Areata. Infections may be fungal, micronutrient deficiencies hormonal imbalances like in hypothyroidism PCOD which is polycystic ovarian diseases and pregnancies so prior to going for any treatment for hair loss its very essential to go for a proper physician who shall find an accurate cause of the ongoing hair loss in the patient and address it accordingly in the past decade.

It has been seen that the advent of her losses seen starting from an age of 22 to 23 from nowadays which may also include a lot of ecological factors or environmental factors caused by the patients also like hair straightening or chemical usages or excessive use of gels, dyes including TDS of water female hair loss and male hair loss need to be treated separately and as a different field of science we need to also see micronutrient deficiencies and do certain blood test as in the case of serum ferritin, serum vitamin B12. We need comparative cinnamon be to where we need to see the cholesterol levels the sugar levels and we also need to the sugar levels and we also need to find out by the examination of the scalp through clinical examination and videoscopy to rule out any causes of cicatricle or scarring alopecia which needs to be treated differently altogether not every hair loss patient is a candidate for hair transplant we need to set him in a grade of hair loss whether he is facing just hair thinning or a balding patch a hair thinning patient may be treated accordingly with medications or certain adjuvant therapies like platelet rich plasma therapy Austin single-factor therapy and whereas if the patient has a balding patch then we need to take a call on whether to implant hair when to implant hair what is it age whether he is the right candidate for hair transplant and which technique of hair transports the two being follicular hair transplant and follicular unit extraction.

So all-in-all in a nutshell first identifying the cause of the hair loss the cause of the hair loss we need to separate it whether androgenetic or etiological in the sense of infections hormonal misbalances micronutrient deficiencies and then take a call whether to go for medical therapy or surgical therapy after this call is made then the patient should be sitting in front of the physician and taking call when and how all these steps should be followed even in the case of surgical intervention like hair transplant the postoperative medication therapy and supportive therapies like platelet rich plasma is mandatory for not only the rise in the growth of the follicles but also the controlling of the ongoing hair loss of normal hair.

A proper valuation of donor area of also must along with seeing the pattern of hair loss in the precursor which may be the parent or a grandparent both paternal and maternal of the child reason being that it’s a dominant condition either from paternal side, father side, maternal side, mother side. If anyone gene is expressed within three generations it may lead to an expression of alopecia in you so identification is must the pattern of the precursors that also especially in the donor area to determine whether the which is the permanent zone non-permanent zone for the extraction of the follicle is a must redefine of causes, treatments and surgical intervention along with the patient proper discussion and then taking the decision for either medical therapy or surgery after doing proper blood test. Fitness is mandatory.

In case if you need to follow me up and take my advice on your hair loss concerns or any balding concerns you can contact me on Lybrate.