Quality Control Standards at DHT

At DHT Centre the quality control is ensured by specifying certain quality control standards.These quality standards are relevant from identifying the need for a hair transplantation surgery to the time of obtaining the results of the surgery. As our priority we pay special attention to the training of the doctors and assistants, usage of the best equipments available across the globe and maximizing the hair transplant surgery’s result by using the DHT Technique for hair transplantation.
@ http://www.directhairtransplantation.com/2013-04-18-13-17-13/quality-affiliation.html

Practical Hair Density possible in Hair Transplantation

On an average, an adult human scalp contains 100,000 follicular units in total.  In baldness, there is already 50% loss of follicular units in the bald looking area. On an average the density of a non bald scalp is 80-100 follicular units per square cm. This density varies from person to person.

Hair transplantation can hide the baldness in single sitting, but it cannot provide the natural density in one session. In hair transplantation, doctors can plant 25-35 follicular units (FU) per square cm, which is much less than the normal density, though this much density can hide the baldness with artistic planning of the grafting. For normal density, a second sitting of 25-35 follicular units (FU) per square cm is required. Sometimes, a third sitting may be required for natural density.

In the front hairline, usually single FUs are grafted for natural look. In this area, 35-45 FUs can be planted in 1 square cm. In the crown and vertex area, the double and triple FUs are planted.

With over enthusiasm if more than 40-50 FUs are planted in 1 square cm then the chances of growth will be less because there will be competition between the grafts for blood supply.  This competition among FUs will result in death of a lot of hair follicles as well as necrosis of skin. That means permanent loss of follicle and permanent scar on head. This can be better understood with an example: In plantation in our garden, we are always advised to keep a minimum distance in between the plants for optimum growth; else most of the plants die.

For doctors, dense packing is an ongoing learning process; the goal is to achieve density while staying within the scalp’s safe limit of vascular damage. 

Alopecia Totalis

Introduction

Alopecia totalis is the loss of all scalp hair. It is believed to be an autoimmune disease, the immune system attack hair follicles causing hair loss.  Stress is another contributor of Alopecia totalis.  Excessive hair loss occurs at once in the case of illness or cancer treatment, autoimmune disorders, stress or hormonal changes. Environment can also contribute to the cause of this disease. It can affect both male and female under the age of forty.

Symptoms

Alopecia totalis may start as a receding hair line growing gradually or sudden. In the beginning patches of hair loss can be seen on the scalp along with tingly feeling or pain. In some cases hair loss seems to be affecting one side of the scalp. This further can lead to a total baldness. Another indication of Alopecia is to be able to pull out ones hair easily.

Diagnosis of Alopecia totalis 

Although one knows that Alopecia totalis means hair fall in large amount, still doctor will examine your medical history, physical examination and a family history as there is an unknown genetic cause that makes your immune system to attack hair follicles and causes Alopecia totalis. Examination of scalp for hair fall patterns is done and the doctor also looks at the individual hairs. Blood samples are taken to know the causes of the diseases. If you have just begun to lose hair vitamins or medications helps to slow down the hair loss. But in cases of total hair loss hair can regrow only after hair transplant surgery.


Treatments

Methotrexate and corticosteroids are most popular treatments for Alopecia totalis . These medications usually come in the form of creams or injections and are applied to an affected area. These are effective where the patches of hair loss are small. Elocon ointmet and minoxidil can also be used.

Dr Pradeep Sethi, MD(AIIMS),         Dr Arika Sethi, MD(AIIMS)
Direct Hair Transplantation Center
Dehradun/Rishikesh/Gurgaon
Ph:   +91-8057541540
dhtclinic@gmail.com

www.directhairtransplantation.com 

FUE ( Follicular Unit Extraction) Hair Transplant

FUE Hair Transplant

FUE Hair Transplant stands for follicular unit extraction. It’s an advanced type of hair restoration surgery, in which the individual follicular units are extracted one by one from the donor area (back of head, beard etc) and are transplanted to the recipient region (frontal bald region).

Technique

In FUE, individual follicular units are removed one by one under local anesthesia with the help of tiny punches of 0.6mm to 1.25mm diameter. Each follicle is then implanted individually on the frontal bald scalp. This technique is less invasive so, leaves no linear scar, any post operative pain is minimized and the healing and recovery period is minimum.

FUE; Advantages over FUT

Follicular Unit Transplantation (FUT) is also known as “Strip Harvesting” hair transplant method is the older technique in which a strip of scalp is removed by the surgeon and this strip is dissected into individual follicular units by the surgical technician and then implanted on the bald region, while the wound is sutured back together.

The major drawback of FUT is that it leaves a long linear scar on the back and sides of head. The recovery period is 2 weeks and requires the stitches to be removed by medical personnel.

FUE on the other hand has a lot of advantages over FUT:

·         It does not leave a linear scar at the back of head, instead only small punctate scars remain which are not visible even on close inspection.

·         The patient can keep their hairs short.

·         Body hair harvesting has been made possible with FUE

·         Minimal post operative pain.

·         Fast recovery within a week.

·         Helpful in individuals with tense scalp.

·         The important work of separating the hair follicular unit is not left to technicians rather the hair transplant doctors extract follicular units themselves so the chances of graft damage while handling is minimized leading to high graft survival rate.

·         Moreover, the FUE grafts spend much less time outside the body which ensures maximum survival.

All these advantages of FUE have made it a very popular and more preferred hair transplant technique of these days. 

Implementation of Direct Hair Transplantation

Dr Pradeep and Dr Arika have made continuous efforts to improve the results of hair transplant surgery.  Dr. Pradeep Sethi conceived and implemented the idea of “Directhair transplantation (DHT)” and has been using this method for hair transplantation past five years. In this most advanced hair replacement procedures grafts are planted as soon as they are extracted. This advance technique was designed to improve the speed of the follicular unit extraction and minimize the chances of graft desiccation, infection and mechanical trauma.

This new advanced technique works on ‘No Touch’ technique. Our hair roots contain stem cells. These cells can give new hair roots. The grafts are extracted from the donor area usually (Back head, beard, sometimes chest etc) and are planted to the bald area within few minutes. The hair retains the characteristics of the donor area when they are moved to a new location and will continue to grow. The grafts are held at hair level only and are transplanted by special patented instruments, thus there is no handling of root and this make the chances of crushing the root nil. The grafts are safely planted on the bald area within seconds. This allows fast and effective planting of the follicle while keeping the risks of damage to the follicles almost nonexistent. The grafts stay outside the scalp for minimal time and this increases the chances of graft survival to 100 %. The grafts do not shed after surgery. This technique has increased the speed of the hair restoration procedure, the transit time is reduced, the mechanical handling is nil and therefore there is no chance of graft infection.  We use "ultra refined micro grafts" for the natural density. This new DHT technique has given better results than other hair transplantation techniques. The grafts do not shed and the real hair starts appearing after 3-4 months. At times around 5% of hairs keep on growing from the day of the hair transplantation procedure, in some patients, this percentage is even higher. The hairs that grow after surgery are completely natural they can undergo regular cutting and styling.

This new  innovative technique of Direct hair Transplantation has allowed Dr Sethi to increase the number of follicular unit grafts he can transplant daily from approximately 2000 to 3000 per day.