VIBHA - THE FAMILY HOSPITAL MUMBAI
Hair Transplant
The Family Hospital uses follicular unit grafting with microscopic dissection , a state-of-the-art technique that sets a high standard for all hair transplant specialists.
We perform the hair transplant procedure in an operating room, fully equipped with monitoring equipment, emergency supplies, and sterile instruments.
Photographs of your entire head will be taken and the doctor will carefully trace your hairline. Then, you will be given relaxing medication.
Once the relaxing medication has taken effect, a local anesthetic will be injected, first into your donor area, and then as a block to numb the forehead and front of your scalp. At this point, the entire top of your head will be numb.
After your head is completely numb, a section of tissue is removed from the donor area which will be closed with stitches. There will be a linear scar, which will be hidden by your downward combed hair in the back. Then the tissue is dissected under microscopes into individual follicular units and placed into bald or thinning areas. Within 24 hours, small crusts will form on each graft, and fall out in the next 7-10 days. The grafted hairs will often start to grow within 3-4 months after the procedure and will continue to grow for a lifetime without any special care of any kind.
The most critical factor in a good hair transplant is the technique. Hair transplantation is often limited by a finite supply of the patient's donor hair. Minimizing the number of hair follicles that are transected during the harvesting process is the most critical step in ensuring good transplant results. The more hair follicles have been transected, the less hairs can grow.
The common methods of donor strip harvesting are single-bladed and multi-bladed knife excisions. Regardless of these techniques, both of them are "blind techniques" and result in varying degrees of transection of hair follicles that invisibly lie beneath the scalp. Both techniques are performed by inserting and aligning the knife exactly parallel with the visible external portion of hair and continuously changing the angle of the knife, keeping the knife parallel to the visible hair, as the strip is progressively cut, to avoid transection of invisible hair follicles. This attempt is essentially a guess of the direction and angle of the invisible hair follicles. Unfortunately the direction and angle of visible hair shafts and invisible hair follicles are not exactly parallel, especially in curly hair. Even though great care is taken, many of the hair follicles are still transected during the harvesting process.
Our technique is an "open technique" using a single-bladed knife along with a pair of skin hooks inserted into the small stab wound and pulled in the opposite directions while cutting perpendicular to the line of tension between the hair follicles. This enables individual hair follicles to
Open Technique be directly visualized and protected from transection during the harvesting process. This technique is extremely efficient since it allows the surgeon to visualizethe hair follicles before cutting, without needing to constantly guess the correct angle, while it requires more time and more experience, it provides an invaluable benefit to you. Higher and healthier grafts are obtained as a result.
What to expect after the surgery
Patient may experience mild to moderate swelling on the forehead area for a few days following the surgery. There will be many scabs where the grafts were implanted and some redness on the recipient area. The redness will eventually go away on its own, while the scabs will start to flake off about 7-10 days after the transplant. Severe infection is extremely rare due to the abundant blood supply in the scalp. In occasions, some pimples or acnes may occur on the scalps at the transplanted sites but will simply respond to antibiotics. Patient who receives megasession hair transplantation is more likely to have some degree of numbness on the scalp that could last for months, but the symptom will gradually subside over time.
During the first 2-6 weeks postoperatively the transplanted hairs will continue to grow in their new location. Then virtually they will fall out, which is completely normal and is to be expected, and will leave behind the transplanted follicles beneath the scalp. It will take another 2-3 months before the new hairs begin to erupt from these follicles. Finally, the new, healthy hairs will grow normally and continue to thicken the same way as the hair in the donor site does. The grafted sites in the recipient frontal area usually heal with almost no visible scarring and are covered by the transplanted hair. Minor scar that occur in the donor scalp as a result of the removal of donor skin is narrow and can also be hidden in the surrounding hair.
Postoperative Appearance
This is an example of how hair transplantation result progresses postoperatively at each period of time, from the day of surgery to the final postoperative follow-up which is 6 months later.
We perform the hair transplant procedure in an operating room, fully equipped with monitoring equipment, emergency supplies, and sterile instruments.
Photographs of your entire head will be taken and the doctor will carefully trace your hairline. Then, you will be given relaxing medication.
Once the relaxing medication has taken effect, a local anesthetic will be injected, first into your donor area, and then as a block to numb the forehead and front of your scalp. At this point, the entire top of your head will be numb.
After your head is completely numb, a section of tissue is removed from the donor area which will be closed with stitches. There will be a linear scar, which will be hidden by your downward combed hair in the back. Then the tissue is dissected under microscopes into individual follicular units and placed into bald or thinning areas. Within 24 hours, small crusts will form on each graft, and fall out in the next 7-10 days. The grafted hairs will often start to grow within 3-4 months after the procedure and will continue to grow for a lifetime without any special care of any kind.
The most critical factor in a good hair transplant is the technique. Hair transplantation is often limited by a finite supply of the patient's donor hair. Minimizing the number of hair follicles that are transected during the harvesting process is the most critical step in ensuring good transplant results. The more hair follicles have been transected, the less hairs can grow.
The common methods of donor strip harvesting are single-bladed and multi-bladed knife excisions. Regardless of these techniques, both of them are "blind techniques" and result in varying degrees of transection of hair follicles that invisibly lie beneath the scalp. Both techniques are performed by inserting and aligning the knife exactly parallel with the visible external portion of hair and continuously changing the angle of the knife, keeping the knife parallel to the visible hair, as the strip is progressively cut, to avoid transection of invisible hair follicles. This attempt is essentially a guess of the direction and angle of the invisible hair follicles. Unfortunately the direction and angle of visible hair shafts and invisible hair follicles are not exactly parallel, especially in curly hair. Even though great care is taken, many of the hair follicles are still transected during the harvesting process.
Our technique is an "open technique" using a single-bladed knife along with a pair of skin hooks inserted into the small stab wound and pulled in the opposite directions while cutting perpendicular to the line of tension between the hair follicles. This enables individual hair follicles to
Open Technique be directly visualized and protected from transection during the harvesting process. This technique is extremely efficient since it allows the surgeon to visualizethe hair follicles before cutting, without needing to constantly guess the correct angle, while it requires more time and more experience, it provides an invaluable benefit to you. Higher and healthier grafts are obtained as a result.
What to expect after the surgery
Patient may experience mild to moderate swelling on the forehead area for a few days following the surgery. There will be many scabs where the grafts were implanted and some redness on the recipient area. The redness will eventually go away on its own, while the scabs will start to flake off about 7-10 days after the transplant. Severe infection is extremely rare due to the abundant blood supply in the scalp. In occasions, some pimples or acnes may occur on the scalps at the transplanted sites but will simply respond to antibiotics. Patient who receives megasession hair transplantation is more likely to have some degree of numbness on the scalp that could last for months, but the symptom will gradually subside over time.
During the first 2-6 weeks postoperatively the transplanted hairs will continue to grow in their new location. Then virtually they will fall out, which is completely normal and is to be expected, and will leave behind the transplanted follicles beneath the scalp. It will take another 2-3 months before the new hairs begin to erupt from these follicles. Finally, the new, healthy hairs will grow normally and continue to thicken the same way as the hair in the donor site does. The grafted sites in the recipient frontal area usually heal with almost no visible scarring and are covered by the transplanted hair. Minor scar that occur in the donor scalp as a result of the removal of donor skin is narrow and can also be hidden in the surrounding hair.
Postoperative Appearance
This is an example of how hair transplantation result progresses postoperatively at each period of time, from the day of surgery to the final postoperative follow-up which is 6 months later.
Stages of Hair Transplant
SURGERY DAY. Our doctor designed the frontal hairline, an important and integral part of the hair transplantation, to fit the patients face, age, and nature. The purple line indicated the frontal hairline and the area to be transplanted.
Post op Day 3
DAY 3, POST-OP.Small scabs appeared around the base of each graft. Some dyspigmentation or redness on the recipient area was present. Stubble of the transplanted hair can be seen here. These areas can be camouflaged with the surrounding hair.
Post op Day 9
DAY 9, POST-OP. Transplanted hairs grew a little longer. Redness started to subside. Scabs gradually fell out.
Post op Day 12
DAY 12, POST-OP. Scabs completely fell out. The recipient area stayed pinkish for the next few weeks.
Post surgery 3 months
3 MONTHS POST-OP. New hairs started to grow. This was an early stage of their growth, so they appeared to be short, fine hairs and would thicken as time went by.
Post surgery 4 months
4 MONTHS POST-OP. New hairs continued to grow and transplanted area got denser. Hair was groomable. Patient might see some textural changes in hair.
Post surgery 5 months
5 MONTHS POST-OP. As the new hair grew longer and the hair texture definitely changed to become thicker, hair density was present.
Post surgery 6 months
6 MONTHS POST-OP. This was the final follow-up. Most of the transplanted hairs have grown out. The patient was evaluated for a possible second procedure if needed.