Limiting Pain from Injections in Hair Transplantation

The First Injection 

Most of the patients are more anxious during their first injection. If the first injection causes pain to them then they will be more and more anxious for forthcoming injections. Thus at DHT Clinic we try and make the first injection and all other following injections simpler and almost painless for the patient in the following manner:

Concomitant Physical Stimulation

Just recall, when our finger gets burn we unconsciously and immediately shake it, in a fierce manner. We do this because in this manner we try to reduce our pain by shaking or vibrating the affected area. Similarly in order to reduce pain during hair transplantation surgery, we use vibrators to shake the affected area in order to reduce the pain. In order to diminish the perception of painful stimuli touch, pressure and vibrations are used during the surgery. This helps to distract the patient and minimize his pain.

Cooling

In ancient ages icing was used to achieve numbness of any aching body part. The hypoesthesia achieved by this cold induced numbness temporarily blocks the pain perceiving receptors. We use sterile cold packs, ice boxes and doctor ice to make the injection sites numb, so that pain during prick is almost nil.

Reducing the Needle Caliber

Small caliber needles causes less pain then large ones. This potential of small caliber needles is utilized only when the rate of injection is slowed. We use 31 gauge, the thinnest possible needle in the world. It is also known as insulin syringe. With help of this insulin syringe, and slow rate of injection, the pain is minimized almost to zero.

Rate of Injection

Rate of injection also plays a major role in reducing the pain. If one reduces the rate of administration of local anesthetics, then the pain can also be reduced. We inject the anesthetic solution at extremely slow rate which cause slow tissue expansion and thus very less pain.

Depth of Injection 

While injecting the local anesthetic and the tumescent solution we are extremely careful about the depth or the PLANE of injection. If we prick beyond mid dermis level then the pain perception will be more as the receptors for the same are located at that level. So we keep the tip of the hypodermic needle in the PLANE above mid dermis. In addition to alleviating pain, this move also enhances the blanching effect of the tumescent anesthesia.

The OT & Surgery Environment

The OT and surgery environment also has a significant impact on the pain’s experience. We at DHT Clinic play soothing music and involve you in rich conversations with the doctors, keeping your areas of interest as priority.

http://www.directhairtransplantation.com/what-is-hair-transplantation/limiting-pain-from-injections-in-hair-transplantation.html

Right Age of Hair Transplant

The right age of transplantation depends upon the level of surety that a physician and a patient has regarding the future state of baldness of the patient. Future state of baldness can tell us the need and the best technique of hair transplant for the patient. To know about this future state one can look at baldness pattern in the patient’s family. 28-32 years is said to be the optimum age for hair transplant where the level of the surety about the future pattern baldness is highest.

At our Direct Hair Transplant (DHT) Centre in Dehradun and Gurgaon, we transplant hair by a sequence which is different from the sequence followed in FUE technique. In FUE technique the sequence is as follows:

STEP I - Extraction of grafts.
STEP II - Making the slits for graft implantation.
STEP III - Implanting the extracted graft. 

Whereas the sequence followed by us is:

STEP I - Making the slits for graft implantation
STEP II - Extraction of grafts + Implanting the extracted graft.

This sequence prevents the graft to get damaged from:
• Desiccation
• Infection
• Mechanical Handling and
• Chemical Damage

The “Out of Body Exposure” for the grafts is now LEAST and thus the chances of graft survival are MAXIMUM. The result of this change in sequence has been fantastic. This has improved the results of our hair transplant surgery a lot. This change in sequence has given a new characteristic to the FUE technique. We have named the new sequence as Direct Hair Transplant (DHT). 

Baldness and its Remedy

Most men face the problem of baldness around the age of 22 years and it keeps on increasing with age. The cause of baldness is Androgenetic Alopecia. Some of the triggers of baldness which accelerate the process are:

(i) High stress level.

(ii) Improper diet.

(iii) Bad effects of Type A personality.

Direct Hair Transplant can be a remedy to restore the hair on the bald portions with a success rate of 98-100%.

Grey Hair Transplantation

"Grey Hair Transplantation (GHT) is equally successful as the black hair transplantation. In GHT the client has to dye his grey hair without dying the scalp. This will make the grey hair stand out as black, against the light background of the scalp skin.

A quality GHT can be done only by the experts with the world's best equipments like Cole and Harris instruments, due to many technicalities involved."

The hair transplanted by DHT technique is permanent, this technique works on donor dominance phenomenon, which means the graft is taken from those parts of the scalp & body which do not shed and the hair keep its native characteristics and remain permanently.
http://www.youtube.com/watch?v=tv5X7UVwS7E

Cost Variation between Different Hair Transplant Centres

The cost of hair transplantation varies from one centre to another.  This variation exists due to the different quality of the resources used by different centres. Many centres reduce the price of the surgery to attract masses. Most of the players play on a “Price War Strategy” with each other to win over more clients.  But at the same time most of them also reduces the quality of the resources to increase their profit margins.

A high quality hair transplant surgery is only possible when a highly qualified team carries out the surgery, under the presence of a well qualified doctor.

A quality conscious hair transplant centre incurs costs such as training costs, cost of more effective medicines, solutions, usables, costs for running the centre and the most important quality control and management costs.

Being focused on the quality aspects of the surgery, DHT Clinic incurs all of the above mentioned costs willingly to provide a high quality hair transplantation surgery.  Dr. Pradeep Sethi and Dr. Arika Sethi trained from AIIMS, New Delhi, perform these surgeries themselves by exceeding the international quality standards.

As one patient said: “You never remember the price of a good surgery and you never forget the price of a bad surgery.”

The price per transplanted follicular unit graft is Rs 40-90 depending upon the technique that a person wants to go for.

We estimate the numbers of follicular units as accurately as we can in advance of surgery but, as the density of follicular unit varies all over the scalp, the actual number of follicles transplanted may be slightly higher or lower than our estimates. A careful audit is kept during surgery and you will only be charged for the actual number of follicular units transplanted.

Why there is price variation between centers for the same Hair transplantation surgery?

The price varies between centers, because of the variation in expertise of the team, experience of the doctors and whether the doctor himself is doing the surgery or getting it done by hired technicians or all together a travelling team is doing the surgery and the centre is arranging the cases.

The price also depends upon the quality of instruments and quality of usables used in the surgery. The patients have all the rights to know the quality of the instruments used in his surgery, the actual transection rate (permanent cutting of the roots) in the surgery. Whether the centre is using sharp or blunt punches. Punches are from a good international company (like Cole instruments, Harris instruments and Ellis instruments) or prepared in China/Korea or local.

Blunt punches of Harris system are best with least transaction rate. They are very costly at the same time. Sharp punches of Cole instruments are also extremely good but with high price. If the doctor using these best quality instruments then all these has a cost. Special patented instruments are used to avoid the root handling during plantation, lest there is chance of crushing the root leading to permanent loss of roots.

Best quality instruments are required in the three steps of hair transplantation; extraction, storage and plantation. Each step is very crucial, should be in front of the doctor simultaneously.

The cost also involves the training exposure of the team. If the team is regularly updating themselves in national and international conferences, then their quality of surgery will be much better. The patients can find about all the doctors in the Indian (http://www.ahrsindia.com) as well as International hair restoration society (http://www.ishrs.org).

Transplanting roots and growing them is the main purpose of hair transplantation. At the same time the transplanted hair should grow in the right angle, with optimum density and the new hairline should not look artificial. These things come with attending national and international workshops and conferences.

Due to low quality (low cost) instruments, there will be permanent damage of the hair roots. This means; if there is a target of 1000 grafts; it is possible with poor quality instruments/team that they have punched 1300 times. This means 300 roots were cut through and through but did not come out! This is called transaction of roots (permanent loss from the scalp!). Out of these 1000 roots some 700-800 roots will grow with poor quality instruments used for transportation and plantation.

We use the most advanced and efficient instruments available. We use the Cole instruments(http://www.coleinstruments.com), Harris instruments (http://hsccolorado.com/SafeScribe.aspx), & Ellis instruments(http://www.ellisinstruments.com/), which are the best and most efficient instruments available for hair transplantation in the world.

It is obvious that if any hair transplant centre is using less efficient instruments available in market at low cost, then the cost will be less compared to us because we do not compromise on quality.

To summarize, the best quality surgery is not possible in cheap price.