Sanjeevani Multispeciality Clinic

Hair Transplant is a surgical technique in which hair follicles are transplanted from one segment of the head to another segment in which the hair thins or disintegrates. Let us know in detail about Hair Transplant.

Open pores of the skin are tiny pit-like pores that occur in individuals with oily to mixed skin. You can make your face look tired and aged by getting open pores on your skin. Pores also gather soil and get clogged. Let us know more about open pores on skin.

Hi.

I am Dr. Anuj Saigal Consultant Dermatologist and Cosmetologist practicing in Delhi, NCR. Today I am going to talk about phase of life through which everyone has to pass through that is the aging process. So when it comes to the anti-aging treatments there are a lot of modalities available. These days we don't call it as anti-aging treatment anymore this is called as facial enhancement treatments because many young girls come to us and they ask for a lip job or they ask for cheek enhancement so it is no more treatment modalities for the elder age group. Anti-aging treatments mein hamare paas kya-kya modalities hai, anti-aging main kya hota hai hai, aging aapko kab lagta hai ki kab aapki skin age kar rahi hai ya to aapke face par lines aati hai tab aapko lagta hai ya fir aapki skin sag hoti tab aapko feel hota hai ki haan aging process start ho gaya hai. To aaj se 5 saal pahle hum log indications par jyada focus karte the jaise koi patient hamare paas aate the wo kehte the hamare ko ye nasolabial aa rahe hai, mujhe iska treatment karana hain ya mere forehead par lines aa rahi hai iska hume treatment karna hain to more or less jo purane treatments the wo botox or fillers pe limited the main ye nahi kah raha ki aaj ki date mein botox or fillers nahin hote, botox or fillers aaj bhi kahi indications ke liye bahut hi acche treatment hai aur infact botox or fillers se kafi cheezen improve kar sakte hain, lekin agar hamare face ko hamein holistically treat karna hai to hame sagging ko theek karna hota hai to hamari ye lines jaise nasolabial lines ki agar main baat karun to ye line kyu aati hai kyunki hamari skin sag kar rahi hoti hai. to agar hamein sagging ko theek karna hai, agar hamein facial tightening karni hai to hamare paas alag modalities hai treatment ki to hum ek-ek karke sabki baat karenge.

Pehle main lines ki baat karta hoon lines hamari 2 type ki hoti hai dynamic lines joki tab aati hai jab hum expressions change karte hain. Agar main gussa karta hoon to kuch forehead par lines aati hai, agar hum eyebrows raise karte hain to lines aati hain, hum smile karte hain to aankhon ke paas kuch lines aati hain inko hum dynamic wrinkles bolte hain inko hum bahut hi aaram se, bahut aasani se hamein ek botox treatment hota hai usse hum treat kar sakte hain 6 se 8 mahine tak aapke chehre par ye lines visible nahin hoti. Dusri Jo lines hai wo static lines hai joki lines bina expression change kare bhi visible hai jaise ki nasolabial lines hai kuch logon ko marionette lines hoti hai to ye jo upper forehead pe lines hoti hai ye lines hum fillers se correct kar sakte hain, kafi haad tak hum fillers se inko improve kar sakte hain. Fillers kya hote hain? hyaluronic acid hamare skin ka ek component hota hai usse ye fillers banaye jate hain aur wo filler hamare face pe alag-alag jagah par alag-alag indications ke hisab se inject kare jate hain. To botox jaise ki main aap ko bataya 6 se 8 mahine tak last karta hai.

Fillers kareeb 1 se 1.5 ya 2 saal tak last karte hain depending on the type of Filler jahan tak skin sagging ki baat hai wahan par hamare ko jo tightening achieve karni hai uske liye bhi different modalities hamare paas hai jaise ki agar mein baat karun to basic jo initial modalities thi wo RF(radio-frequency) skin tightening bola jata tha usko jisme ki hum heat ko use karke collagen stimulate karte the jise ki skin aap ki tight lagti thi to wo treatment har hafte kara jata hai kareeb 8 se 10 treatment uske liye jate the, ab ye treatment itna jyada common nahi hai ab isse behtar treatments aa gaye hain jinko ki hum thermage aur ultherapy bolte hain. Thermage treatment again wo bhi heat par based hota hai jisme ki hum heat stimulation dekar we try to stimulate collagen aur jis ki vajah se tightening hoti hai again it's a one time procedure ek baar kera jata hai kareeb ek se dedh ghante ka procedure hota hai, painful nahin hota numbing cream laga kar kara jata hai to as such aapko koi pain nahin feel hota hai jo iska effect hota hai wo 6 mahine ke andar maximum effect aajata hai, immediate tightening bhi hoti hai lekin 6 months mein maximum effect aajata hai or effect apka dedh se do saal tak last kerta hai.

Dusra treatment hai ultherapy, concept wahi hai collagen stimulation ka lekin usme heat ki bajaye hum ultrasonic waves use karte hain uska jo concept hai wo tightening se jyada lift mein wo kaam karta hai, to neck kahin logo ki neck ki skin sag kar jaati hai to uske liye lifting ke liye ya fir jo ye hamari side ki skin jisko hamein lift karne ki vajah se kaafi lines improve hoti hai usme wo ek better modality hai. Ye dono hi treatments machine based hote hain thermage bhi aur ultherapy bhi. Ek aur treatment hota hai jisko ki hum thread-lift bolte hain jisme ki koi machine use nahin hoti usme ek hamari bahut fine needle hoti hai usme thread hota hai usko hum thread ko insert karte hain aur needle hum nikal lete hain wo thread humare skin ke andar rehti hai aur again wo collagen stimulate karti hai lekin ye jo treatment thread-lift ka hota hai ye one time treatment nahi hota aap ko isko repeat karna hota hai jaise aaj kiya to fir one month par repeat karna hoga fir 6 months mein repeat karna hoga to do saal tak iske results last karte hain, to aaj ki date mein bahut sari aisi modalities hai jo aapki aging skin ko, main ye nahi kehta ki hum aging ko reverse kar sakte hain lekin hum bahut acche tarike se aging ko stop kar sakte hain, aging ko postpone kar sakte hain. To aap apne dermatologist ko consult kariye aur in modalities ke bare mein janiye aur dobara se agar aapki skin thodi bahut age kar rahi hai to you can get back your youthful skin once again.

Thank you!

Hi,

I am Dr. Anuj Saigal consultant dermatologist, practicing in Delhi NCR. In my previous videos, I have tried covering few aspects of hair transplant that is the hair restoration procedure. So today we will discuss about the non surgical side of treatment modalities for hair loss. When hair transplant is not the only solution for hair loss. Agar aapko sirf hair fall ki problem hain ya fir aapko hair thinning ki problem hai toh hum log aapko sidha hair transplant ke liye recommendation nahi denge. Hum log aapko pahale bolenge ki aap medications try kariye ya fir Jo aurat therapies hain hamari including PRP (platelet-rich plasma therapy) therapies, mesotherapy jisko ki hum stem cell therapy bhi bolte hain ya fir laser therapies. In solutions ko try karne ke baad agar koi result nahi aata ya fir agar aapki balding front se hai. Front ka area aapka shiny ho chuka hai jahan Par hair follicles aapke dead ho chuke hain tab hum log hair transplant recommended karte hain. To non-surgical modalities kya hain, kitni safe hai, kaise unko kara jata hai, pain hota hai ya nahi hota hai. Aaj main wohi sab discuss karne jaa raha hoon.

Toh sabse pahli jo modality hai wo dawaiyan hain, medication hai, jisme kuch solutions hote hain, hair supplements, vitamins hote hain. Jo ki aap apne level par, daily basis par khud karte hain. Unse maximum aap ka hair loss rukta hai ya kuch cases mein thickening of hair ho sakti hai. Jo therapies aapko actually help karenge, aap ki density improve karne mein ya fir aapke existing hair ko thik karne mein, unme se kuch hai jo ki PRP therapies hain. Jisme ki hum aapka kuch blood lete hain round 8 to 10 ml aapka blood lete hain aur usko hum centrifuge karte hain wo 3 fractions mein separate hota hai plasma, platelet aur RBC. Usme hum platelet rich plasma lekar, aapke scalp par inject karte hain. Ab ye therapy kaam kaise karti hai. Platelets mein kuch growth factors hote hain, jo ki aapki soi hui jaadon ko activate karte hain, jisse ki aapki density mein improvement aata hai. Ye therapy kareeb ek ghante ke andar kari ja sakti hai. Aapka clinic in time or clinic out time maximum 1 hour hota hai. Is mein hum aapka blood lene ke baad hum centrifuge karte hain aur us samay hum aapko numbing cream laga dete hain. Jisse ki injections jab hum aapko denge to aapko pain nahi rehta hai. Kyunki isme growth factors hote hain jinko activate hone mein kareeb ek mahine ka samay lagta hai.

To results aapko ek ya do mahine ke baad dikhne start ho jate hain. Jo dusri therapy hai jisko hum mesotherapy bolte hain ya stem cell therapy bolte hain. Uska concept ye hai ki hum kuch vitamins ya stem cells, cocktails of vitamins hote hain. Unko hum infuse karte hain aapke scalp mein, wo kis tarike se kara jata hai ya to misogun ki help se kara jata hai ya ham direct injection ki madad se hum un vitamins ko infuse karte hain. To Ye do therapies agar hum alternatively chalate hain aapke hair fall mein aur aapki hair growth main improvement ho sakta hai. Ek nayi therapy hai Jo ki abhi sole therapy ki tarah to use nahi karte, lekin combination mein use karte hain jisko ki hum laser therapy bolte hain. Laser therapy yaniki low level light therapy. Jisme ki aapko ek laser cap pehnai jaati hai and again it stimulates the follicles jisse ki aapki hair growth mein increment ho sakta hai. To yeah Jo procedure hota hai ye one time procedure nahin hota aapko sessions lene hote hain, har week ya har do Hafte mein aapko ek session lena hota hai.

To ye Kareeb treatment 6 se 7 mahine aap ka treatment chalta hai, haan non surgical treatment main ek baat aapko batani chahunga, jaise ki surgery hai jo ki permanent solution hai, non-surgical treatments aapko maintain karne padte hain ya to aap in treatments ko repeat kariye, har do mahine mein, har 3 mahine mein ya baad mein jaa kar saal mein agar aap ek PRP bhi lete hain to bhi hum lambe samay tak jo result aata hai usko hum maintain karke rakh sakte hain. Lekin ye is tarike ke treatments nahi hain ki aapne ek bar treatment liya aur chhod diya aur pir aapko hairloss nahi hoga. To aap agar isko maintenance therapy ki tarah bhi le sakte hain to hum aapki blading ko lambe samay tak postpone kar sakte hain aur hair transplant Ko hum delay kar sakte hain. To apki iske alawa koi bhi hair loss ya skin ko lekar agar koi bhi aapki query ho to aap mujhe contact kar sakte hain.

Thank you!

Hi,

I am Dr. Anuj Saigal, Dermatologist. Aaj me apse baat krunga hair transplant ke surgeon and clinic ke bare me ki aap kaise ek acha treatment and surgeon select kren. Kin chizon ka apko dhyan rkhna hai. Pehle apko dekhna hai ki aap surgeon ke sath kitna comfortable hain. Apki baat surgeon se hui hai ya counselor se. Apko surgeon ki qualification dekhni hai.

Dermatologist and plastic surgeons hi ye procedures kr skte hain. Or sirf vhi Drs kr skte hain jo is procedure me trained hain. Aap centre visit kriye procedure krane se pehle. Apko sari facilities dekhni hai. Is procedure ko krne ke lia sirf 2 techniques hain. FUT and FUE. Har ek technique ka apna use hai and patient pe depend krta hai. Islia aap apne surgeon se detail discussion kriye ki apke lia konsi technique better hai. Kayi baar 2 sittings dekni pdti hai. or kayi bar dono techniques ka combination use kia jata hai.

Kayi baar advertisements aati hai ki unlimited follicles or full head coverage. Apki information ke lia hum ek sitting me maximum 4.5k-5k grafts hi nikale ja skte hain. Kuch surgeons claims krte hain ki 8k grafts possible hai in 1 sitting but ye possible nhi hai. Kuch surgeon claim krte hain ki apko density vaisi hi milegi jaise apke head ke piche hai. But ye possible nhi hai. Transplant ki density thodi kam hoti hai but itni achi hoti hai ki apka scalp show nhi hota. Islia in sab baaton ka dhyan rkhen koi bhi centre or surgeon choose krne se pehle.

Thank You.

Hi,

I am Dr Anuj Saigal MD Dermatology practising in Delhi NCR. Today we are gonna discuss LHR that is Laser Hair Reduction LHR is the common procedure these days performed in multiple cosmetic and aesthetic skin clinics. Who would like to wax or pluck their hair, if something as safe and as effective as LHR is available? What are the benefits of getting a laser hair removal done? A) It helps you look good, B) It improves your self-confidence, thirdly it is a treatment for ingrown hair and it acts as a co-therapy in certain diseases like Pilonidal sinus and hidradenitis suppurativa and above all its saves your time and money. What are the lasers which help you in removing hair? There are multiple lasers starting from IPL, Nd:YAG and diode but in our Indian skin Nd:YAG and diode are what we follow and they have great results. Who is the best candidate for laser removal hair now? Ideally, laser hair removal can be done for both males and females; there are different areas which we target for males and females. There are common areas for females like upper lips, chin, side locks face, bikini and underarms, whereas for males we have beard, chest, back but definitely laser hair removal or reduction is for both males and females. Who will get the best result out of laser hair reduction one who is having coarse hair and one who is having darker hair? If you have blond hair, white hair or grey hair laser is not that effective. How does a laser act, it acts on the 2 things it acts on the root, it acts on the pigment that is why there are few prerequisites before you get your laser removal therapy started you should not do bleaching, you should not do waxing, threading and plucking before you start your sessions because if you do waxing, plucking and threading you will end up damaging the root the laser sessions will not be effective if you will do bleaching the pigment will be damage again the laser sessions will not be effective.

How many number of sessions are required? See we divide the body into 2 parts above the neck you require more number of sessions approximately 8 to 10 sessions, whereas, below the neck, you require 6 to 8 sessions. The sessions are placed anywhere between 6 to 8 weeks gap. How a laser hair removal session is done you come down to the clinic we mark the area, we prepare your skin by cleansing and by shaving it then we apply a cool gel and then we give shots. After setting the parameters in the machine taking care of what is the quality of your skin, what is the colour of your skin, what is the colour of your hair and how is the thickness of your hair. After giving the shots there is a bit of redness which can be controlled by applying emolium cream, sunscreen the post top care is also not much where we give, where we ask you to use proper sunscreen or avoid the sun and not to do steam, sauna and hot bath kind of things. Plus we ask you not to do any other procedures like dermaroller or any other laser for at least 2 weeks post procedures. But it is very safe and an effective procedure, patients come to me and ask me how painful is it. Now coming to that it is definitely not that painful as what you experience in waxing, you will feel a pricking sensation but it is not something which makes you uncomfortable. So it’s a very safe and effective procedure. So what are you waiting for go and consult your Dermatologist and get that flawless skin? If you have any other queries you can contact me via Lybrate or you can come down to my clinic. Thank You.

Hi, I am Dr Anuj Saigal, consultant Dermatologist and a Hair Transplant expert.

Whenever someone thinks of getting Hair transplant done, there are multiple questions that comes to the mind starting from where should I get it done? which technique should I choose? What will be the side effects? What will be the post of period like?

The most commonly encountered type of hair loss thata a practising hair transplant surgeon sees these days is Androgenetic alopecia which is otherwise called as male pattern or female pattern baldness.

Why do we get it?

Apart from the genetic factors, theer are other factors like lifestyle changes, the stress related factors, the diet, exercise, sleeping factors etc all these affect your hair loss.

Coming on to the treatment, there are lot of non-surgical treatments as well as surgical treatments available for treating the hairloss.

The non-surgical treatments include;

• Mesotherapy
• Stem cell therapy
• Platelet Rich Plasma Therapy (PRP)
• Laser
• Also we have Hair Restoration procedures or Hair Transplantation procedure.

Sometimes people come and ask me, whether "I am a candidate for hair transplant as I am too young" or "too old". So, the answer is yes. Anyone above the age of 18 or 19 till the age of 80-85, depending on the medical conditions, can go ahead for transplantation.

Whenever you visit a consultant plastic surgeon or a dermatologist, ideally first a scalp should be analyzed, certain investigations should be done for you to look into the cause of hairloss. If all is done and you are found to be a candidate for hair transplantation, then another question comes that which technique is suitable?

Your doctor should explain you both the techniques with the benefits and drawbacks of both the techniques. And we choose the technique according to the patient or according to the hair loss he or she is facing.

There are two techniques;

• FUE - Follicular Unit Extraction (Punch technique)
• FUT - Follicular Unit Transplant (Strip technique)

FUT is usually done for covering larger areas. The donor areas preserved for future settings. The transaction rate is very less because we separate each and every hair follicle under the microscope, taking care of that we don't damage the hair root.

While we talk about FUE, FUE is usually doen for smaller areas. It has other benefits like, it is a stitchless surgery. The post of period is much more comfortable as compared to the FUT technique. Although in FUT is an old techniquen and FUE is a latest technique. It doesn't mean that FUT is out dated. We select the technique acoording to the patient's condition. At times we do both the techniques together if the requirement id more.

How the procedure is done?

Procedure is done under the local anaesthesia. It takes around 7-8 hours to complete the procedure. The harvesting of the follicles is different in both the techniques. In FUT, we take a strip. In FUE, we punch out each and every hair follicle separately whereas the implantation remains the same in both the techniques.

How would be the post of period be like?

You can join your work the next day. We won't recommend any kind of bed rest post procedure. Swelling can be there for 2-3 days, you just need to wear a head band such as a tennis stars wear. BUt the head band is taken off after 2-3 days and the normal shampooing of hair is started. You can take the bath the next day. So, regarding the post of period, it is pretty much comfortable.

Which doctor should I choose? or which centre should I choose?

This is the another question that comes to patient's mind because these days its a big market and everyone is claiming that they are the best. So, in this case,

• First check the qualification fo the doctor. The doctor should be a plastic surgeon or a qualified dermatologist with an experince in Hair Transplantation.
• Secondly, look at the centre whether that centre has all the facilities required to deal with the emergency which might come up during the procedure.
• Thirdly, you should look at the pre-op investigation which doctor has done or not because the Pre-op investigation will cater to what will happen post surgery or during the surgery. If you have been investigated well, nothing wrong is going to happen.
• It is very safe and completely painless procedure. Even after the surgery, we will give you pain killers and anti-biotics and you will not face any kind of pain post procedure.

If you have any query regarding hair transplant, you can contact me via Lybrate or you can visit my clinic.

Hi I'm Dr Anuj Saigal MD dermatologist. Today, we are gonna discuss a very common problem these days that is acne scars. Acne scars is present in both males and females. It starts from the teenage and continue and goes for a lifetime .so how to deal with it? When we look at its treatment, the key to its treatment is that you should focus on a particular type of scar because there are different treatment modalities for a specific scar .now when we ache the scar become more noticeable because there's less of collagen & that causes the scars to increase. There are patients that come to me and ask me why do I get scars and a friend of mine who had similar acne didn't get any scars. The reason for this is that what kind of acne you are having .if you have more of inflammatory acne you will have more of scarring .and if you have delaying And treating that acne again you can have more of scarring plus there are genetic factors also involving in this and one very common thing is that people prick on their scars or squeeze them .this is something you should never do because if you squeeze your scars more the acne scaring. Now coming onto what causes scars?why scars happen? Scars happen because when you have acne and acne enters your skin is causes a wound that gets healed up with time and when once it is healed up the collagen stimulation .so once there is less of collagen stimulation you get depressed scars if you have more collagen secretion you get Raised scars .there are two kinds of scars .depressed and raised .in depressed scars there are multiple other scars as well like eyes pig ,box scars ,rolling ,linear where as in raised scars you have hypertrophic and colloidal scars. Treatment modalities for acne scarring are also classified in the same way for depressed scars we have various treatment starting from acne scars surgery, succession, laser, we have resurfacing which can be done through lasers chemicals peel, dermabrasion, microdermabrasion ,we have subcision we breakdown the scars which are pulling down the scars ,we have fillers when we talk about the raised scars we have treatment like lasers ,we have injections of steroids ,cytotoxic chemicals and thiflorouracil and plus acne scar surgery as well. Now the take home message from my side is that if you want to prevent scarring what are the tips?? What are Dos you should not do and what are you should do? So if you are getting scars ,if you are getting acne you should get that acne treated as early as possible because getting early inflammatory acne treated will help you not getting scars secondly you should never prick on your scars thirdly once you have got your treatment done for acne you should continue that treatment once you have not even having acne ,you should paper that treatment sequence because if you immediately stop the treatment then there are more chances of getting scars. There are other factors also genetic factors scarring you cannot do much about that but still you can come down you can visit your dermatologist ,he or she will guide you regarding the treatment available for acne scarring and it is a problem which can be solved out If you have any other queries regarding the acne scarring or any other dermatological problem you can contact me via Lybrate or you can come down to me clinical I will help you