When done alongwith the hair transplant-
- It aids in healing
- Anesthesia is already given for the hair transplant and PRP procedure will be painless.
The Neograft/ARTASRobot is for clinics that do not do FUE routinely. You will find them also in clinics where the modality is mostly FUT strip surgery.
In the Neograft, the assistants’ role is removed as a suction force extracts the grafts after the technician/surgeon has scored around the graft. The force is powerful and mostly injures the grafts causing poor growth.
You may be surprised to know that unlike what is touted, the FUE system does not do the hair transplant, It is the experience, dexterity and wisdom of the hands and mind behind the system that counts towards a pleasing result.
Firstly, you will never be able to replicate the density of a weave that is more than natural density by twice the amount.
With a hair transplant we can give you 50% of natural density in the first session.
However this looks like natural since the placement of grafts is done in a manner that lesser grafts look a lot more.
Hair transplant simply stated is an illusion to the eye.
This illusion disappears when you wet the hair or trim your hair real short.
I can see from hairrestorationnetwork.com a lot of Dr Bhatti's work which is very impressive, but there are also occasional cases I have seen where the grafts are not densely packed at all, and where patients seems disappointed about this.
Are you able to explain why the density is low?
This is really the only concern I have as I want to have high density. I'm just curious as the reasoning behind placing the grafts like this as I do not want to have subsequent transplants in the near future.
Thank you for your question. I cannot discuss the cases that you reference as this would be breaking patient confidentiality. However, I can address the issue overall by saying that not all patients can receive equally high density in one session as some would like. It comes down to the patient tissue. When we are dense packing we have to place each incision close together but the challenge lies in that some patient’s tissue is brittle and breaks down more easily than that of other patients. This "bridge" , if you will, simply disintegrates and creates a wound that can be three times bigger than the intended size of the original recipient site so when this happens we must back off of the desired density and come in at a lower density, with additional adjustments.This is a physiological issue alone and is not dependent on tools or doctor skill. If anyone tells you differently then they are not experienced with density or they are not admitting to the issue that challenges every hair transplant doctor worth their diploma.
I have yet to determine if this is due to environmental factors such as nutrition or genetic factors but it is indeed an issue that exists for some patients. Others do not have this problem and where higher densities are indicated they are met without problems or complications. Be warned. No doctor can guarantee that you will not need a second pass for additional density. If they do, you should walk away as this is simply a fact of hair restoration surgery. Sometimes the desired density cannot be realistically met, either due to the inherent limitations of hair restoration surgery or the unrealistic, uneducated expectations of the patient, or both.
I hope this helps.
Yes they are healthier in the hands of FUT surgeons like FUE grafts are healthier in the hands of FUE surgeons. Provided you choose your surgeon correctly.
Thank you for the mail with pictures of your type 3 pattern.
You have reverse balding from the nape of the neck upwards which is going to continue its upward ascent and reduce your scalp donor.
Any hair transplanted from this region will not be permanent and will shed over time.
I feel you should allow the balding to progress for another year and then send me comparative pictures in the same angles these have been taken.
You should be cautious in your approach since whatever grafts available are precious in your case and a misadventure will cost you money and emotions invested.
I look forward to following up with you in future.
I have not seen keloids appearing in the scalp donor or the recipient site ever even in patients with previous keloid formation and strong family history.
Keloids form in areas of tension (due to meeting of skin tension lines like ‘fault lines’) overlting bony prominences like the presternal region of the chest, front of knee and shoulder point.
Though the scalp lies over bone, the underlying bone is round and the skin is loose and mobile.
Theoretically keloids can occur over the occipital protuberance but we do not harvest from this region.
However, if keloid formation has occurred on minimal needle pricks before, it would be advisable to do a test procedure and wait for 6 months.
It is never a good idea to increase density in the crown. As they say it is the ‘black hole of hair transplant’!
This is since the crown expands circumferentially with ongoing balding and this greatly increases the surface area that will need further plantation.
If it were to be filled with the same density as the hairline, it would consume all grafts available.
If we are to do a high density plantation presently as suggested by you, when the crown expands we will not be able to replicate the same density in the surrounding and it will give a halo effect since we would have run out of grafts.
I strongly caution you against high density for the crown.
Most people coming from outside like to choose the premium package due to car transfers. Also the new punch gives lower transection rate.
This is of advantage only for extensive balding where we need greater yield. Even a 2-3 % higher yield is important.
Otherwise there is no difference in result.
Yes, there is a direct non-stop flight to/from Chandigarh.
All hair should go in within 6 hours of harvesting.
We do 3500-4000 scalp and body grafts almost every other day and have never exceeded the out of body time for grafts.
However if there is difficulty in harvesting and it is taking long, I will myself do the remaining procedure on the subsequent day.
Yes most likely there will be shock loss. It can be mitigated by starting Propecia in the dosage 1 mg a day atleast one month before the procedure.
However, even without Propecia, shock loss will happen only within the crown area and not around.
The thinning hair may permanently be lost but then why would you wish to preserve them since, as it is, they are on their way out.
We can avoid going too close to them but this will alter the overall result which will be less dense and when these thinning hair which are in the balding zone fall off, theer will be loss of density.
Propriety lies, therefore, in ignoring the thin hair and planting in optimal density.
Since you have already got an FUT done, I will suggest you again go for an FUT procedure since the prime advantages of going for an FUE is now lost. You now have a linear scars. Another FUT procedure will not give you 2 scars!
Once the FUT procedure is done and when the scalp due to resulting tightness will not allow another you can contact me for an FUE procedure. This will be optimal utilisation of the scalp donor given that you already have a linear scar.
Other advantages of FUE in isolation are:
- Less downtime
- Less postoperative discomfort
That will not be possible since your counseling has to be done, blood tests have to be carried out and you are to be given medication the night before the procedure.
We would also like you to digest overnight the points discussed during the pre-consultation so the next day there are no surprises!
Also, I have seen that clients who come in the same day have anxiety and due to which we have had to on occasion cancel the procedure due to elevated BP.
One gets a procedure done once or twice in a lifetime and so I do not wish that you spoil your best chance to a great result by being careless with timings wherein if you reach late due to a traffic jam (or any other reason) we rush to finish your case against a time deadline.
Firstly, afrotextured hair on the scalp has a very low density. if other racial groups (Caucasians, Asians, Arabs) have 100 hair per cm sq, Africans have a mere 15-20 per sq cm
and that too in those who are well endowed. Therefore it is impossible that in an African any doctor can take out more than 1200-1500 scalp grafts in one sitting using FUE technique. Further harvesting may not be possible since ‘skin show’ may result.
Secondly, with FUE technique around 60% afrotextured hair is not favorably disposed for a procedure due to the s-shaped bend of the shaft under the skin.
FUE being a blind procedure, the transection may be very high.
The best way to make sure that FUE is suitable for people with afrotextured hair is to do a test grafting of 50 hairs.
FUT may be ther better technique for African hair. However, since keloids occur more commonly in your racial group, this may be a problem.
Overall, African hair transplant is a challenge.
We do 10-12 such cases each year.
I have seen that Eastern Africans (Somalia and nearby countries) have a far straighter hair direction than other Africans. However the hair density remains the same.
There is no medicine in allopathy that does not have side effects.
If the benefits far outweigh the benefits and if side effects occur rarely and are temporary there is good reason to take them.
1. Sudden stress.
2. Stopping of Finasteride and Minoxidil
3. Hair straightening, perming or hair spa.
65 per sq cm. However how many grafts should be placed will depend upon-
1. Availability of grafts and likely future needs since donor hair are finite.
2. Skin condition- though some skin type can accept high density, others will just not. It all depends upon whether the grafts will survive when placed so close together. This can be assessed only during the procedure. If pushed beyond rational density, no grafts will survive. This is where the surgeon’s expertise and judgement plays a part. You must have heard of high density hair transplants with very poor eventual hair growth after 6 months?
Yes- PRP, SMP (scalp micropigmentation) and hair piece are alternatives.
Nothing is a substitute for a hair transplant where you get real hair and gives a natural look. Most other treatments are temporary.
Look out for Cloning which will be a big splash in the pond of hair transplant in the not so distant future.
FUE is a minimally invasive procedure and if done with due care. the scars are barely perceptible and definitely not if hair length is 1 mm.
Your condition can be due to any (or all) of the following reasons-
- Hypertrophic scarring- this happens in 0.5% individuals
- larger punch size used
The punch of an FUE system creates a 0.75 mm hole which heals by contraction and forms a pinpoint scar half the size of the original hole.
In fair skinned, it is difficult to detect even from up close.
The darker the skin, the more the contrast between the scar tissue and normal skin and hence greater the visibility.
However, with hair length 1 mm it is still not discernible.
There is more to hair transplant than meets the eye; so I encourage you to take your time and do your research well and not leap blindly in good faith.
It is not the low survival of body grafts but the late appearance of the result that may be of concern in the impatient patient.
Hair from the body have a longer growth cycle upto 18-24 months unlike 6 months for scalp hair.
No, we do not have the Robot. No center in India has it yet.
I will, however, be the first to buy it when the Robot surpasses results which I presently give to my clients.
However, if you wish a Robotic transplant, you can search doctors who have the Robot at-
Wishing you the best in your hair transplant journey.
If you choose to have a procedure with us, the fee charged for consultation shall be adjusted in the final bill. Once a patient is operated in the clinic, there are no future charges for follow up or consultation.
FUT on the other hand leaves a linear scar.
Also the thin new hair that grow at 3 months + mark will continue to get detached due to the strength of the strong electric charge emanating from your woolen cap..
3. Racial characteristics
4. Previous strip procedure
5. Dimensions of the head
It is often said that the crown area is the “Black hole” of hair transplant. It consumes too many grafts without even giving the semblance of coverage like the planted hairline. The reasons are 2 folds-
1. The crown is seen end-on while the hairline is seen side-on. In the hairline we see the illusion of greater density since the images of hair at a distance overlap with those of the front few rows making it look a lot denser. This is akin to seeing the forest from the road and then from the top of a mountain- when you see it from the road, the density appears much better while when seen end- on from the mountain top, the density is lesser. Hair transplant is creating an illusion of density. We can never match God’s creation. With minimal grafts we can make the bald spot look denser. It’s also common sense- when the crown/vertex area looses around 30,000 grafts before becoming bald, how can we create the same density with 5000 grafts alone!
2. The density in the crown area is 30 per sq cm while that at the hairline is 55-65 per sq cm. The density has to progressively decrease as we go back towards the crown otherwise we shall run out of grafts just midway to the crown. These are the reasons why hair transplant surgeons are never as gung-ho about the crown area.
We routinely do the “no shave” technique procedure for cases requiring an average 2000 grafts. The term “no shave” is a misnomer since it is a must to have hair awaiting extraction to be shaved down to 1 mm in length in order to accomplish an FUE procedure. However, these stripes (not to be confused with strips) are not visible due to overlapping of hair from above and hence the donor site looks the same after a hair transplant procedure. The common denominator for a “no shave” technique is long hair at the back of the scalp long- enough to cover the shaved stripes from where the grafts are going to be extracted. The following are the number of average grafts that can be taken based on given hair length over the donor area in an individual with 100 hair per cm sq- ½ inch length- 1000-1200 1 inch length-1200- 1500 1½ inch length- 1500-1800 2 inch length- 1800-2000 2½ inch length- 2000-2500 It is impossible to extract more than 2500 grafts in this technique since the hair lower down over the neck are spared and so are the thin hair bearing stripes which go untouched.This limits the extraction of greater number of grafts. If a patient with the same variables were to get a “full shave” FUE, up to 4000 grafts can be extracted.
Dr Bhatti does one large case (3500 grafts) and one small case (1500-1800 grafts) on a typical day. This is so planned that the 2 cases finish by 7 PM. Dr Bhatti does the counseling, hairline design, trimming of hair, anesthesia, harvesting of grafts, anesthesia over the recipient site and slit making. The plantation is done only by his trained staff. The world over the best centers have planters who perform this part. If you say how much time Dr Bhatti is actually with the patient- A typical patient’s case(3000 grafts) starts at 7.30 AM
7.30 AM- 8 AM: Counseling, hairline design, trimming (Dr Bhatti)
8 AM- 8.30 AM: Anesthesia (Dr Bhatti)
8.30 AM- 11.30 AM: Harvesting of grafts (Dr Bhatti)
11.30 AM- 12 noon: Anesthesia and 8Slit making (Dr Bhatti)
12 noon- 12.30 PM: Break
12.30 PM- 2.30 PM: Plantation (Team of Planters)
2.30 PM- 2.50 PM: Lunch
2.50 PM- 5 PM: Plantation (contd.)
6 PM- 6.15 PM: Dressing change and instructions for the evening ( Dr Bhatti)
Warranty/ guarantee is an illegal practice in medicine and we do not engage in commercial behavior like this. However if you research us well you will know where our clinic stands as far as hair transplant results and consequent satisfaction is concerned and where others who offer questionable “guarantee” do. If you wish you can name the surgeon and I will show you a host of his dissatisfied clients whom we have revised. I personally stand by all my results.
a. Wearing a cap/helmet (even in Bangalore)
b. When there is lack of cool air at the place.
c. While taking meals (Even in a decently air conditioned environment)
Does any of the above reasons, make me a non-candidate for HT or diminish HT results?
Back and sides of the scalp
Body hair- chest, beard, underarms, groin, etc.
These hairs from the permanent zone when transplanted grow for a lifetime.
You should be above 21 years of age if you are suffering from male pattern baldness.
Your density in the recipient area (area of balding) should be less than 50% or else there might be a risk of shock loss.
You should have an adequate donor site and for this you need to take an online consultation.
You should have realistic expectations from a hair transplant.
1) Pattern Baldness
2) Non-pattern baldness
we deal with maximum number of pattern baldness (99.5%) and hence we shall discuss this malady. Pattern baldness is hereditary and if it occurs in the male it is termed as Male Pattern Baldness. Usually the gene comes from the mother’s side of the family in 80% cases. To determine what pattern you are going to land up with if you have started to thin, you can see how the balding is with your maternal grandfather and maternal uncle. There is a high chance that yours shall be even more. Once a person is predisposed to balding due to his genes, the hair roots end up being born with DHT receptors. These receptors attract DHT ( a metabolite of the male hormone testosterone) which binds to the receptors and thereby cuts off the blood supply to the roots. This leads to decreased nutrition and the hair shaft begins to thin. Eventually it gets worse and the thin hair shaft looses length and eventually the roots disappear. This happens mostly over the vertex and not on the back of the head.
- Less popping in tight packing
- Better survival
- Most grafts transplanted grow
- Crusting is less
- Shedding of grafts is lesser