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Is hair transplantation safe for androgenic allopecia?

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Posted on Thu, 24 Jul 2014
Question: Sir. I am 31 year old man and lost most of my hair due to androgenic allopecia and am considering hair transplant.Can you please guide if it is safe or not and also is it a permanent solution for the problem as advertised by professionals (which I doubt as they say that hair on rear side of head are not affected by DHT. Also, can I regrow hair using medicines or mesotherapy etc, without going for transplant

doctor
Answered by Dr. Kakkar S. (16 minutes later)
Brief Answer:
Androgenetic alopecia treatment

Detailed Answer:
Hello and welcome to healthcaremagic

I am Dr. Kakkar. I have gone through your query and I have understood it.

Hair transplantation is broadly achieved by removing grafts from the back (occipital area) of the scalp which are more resistant to hormonal changes, and placing them in areas of scanty growth or baldness.

Let me tell you in detail about the methods of hair transplant and there advantages over each other. There are two methods to remove the grafts

-Follicular Unit Transplantation (FUT) and
-Follicular Unit Extraction (FUE)

In FUT method, a strip of scalp is cut out from the back of the head and is dissected into individual grafts

FUE method of hair transplantation involves taking the individual follicular units/grafts from the back of the head one by one by cutting around it through a punch machine and removing them.

Advantages of FUT method:

-Larger areas of baldness can be covered in fewer sittings.

-The resection rate (the grafts that get cut and therefore damaged, whilst removing) may be lesser providing superior results.

Advantages of FUE method:

-This method does not involve taking an entire strip of scalp from the back of the head like in strip surgery, there are no cuts or stitches

-The recovery time is much quicker with the patient often returning to work the next day itself.

-There is no linear scar.


Post surgery care after transplant

Swelling of the scalp, face is common for a few days. You will be on antibiotics, steroids, painkillers for a few days and will be asked to use Minoxidil and/or Finasteride for the rest of your life.

The grafts are wetted with saline repeatedly for a few days after the transplant. Hair is washed with a diluted shampoo after 3-4 days. The transplanted hair will eventually fall out after two weeks and the new growth will be seen anywhere between three to six months.

In FUT method, post-op wound care of the scar is important and the sutures are removed after a week.


Besidse hair transplant Platelet rich plasma therapy (PRP) has also revolutionised the treatment of androgenetic alopecia. It is done as Mesotherapy.

Platelet rich plasma OR PRP, is an autologous concentration of human platelets in a small volume of plasma has a higher platelet concentration (4-7 times) above the baseline. It is obtained from the patient's own blood after processing in an automated centrifuge and it is injected subcutaneously into the area of alopecia.

The beneficial effects of PRP in Androgenetic Alopecia can be attributed to various platelet-derived growth factors causing improvement in the function of hair follicle and promotion of hair growth.

Advantages: It is safe, cheap, and non-allergic and it appears to be a useful adjuvant in the management of AGA.

The PRP treatment is indicated in cases of male AGA, XXXXXXX – Norwood grades I-V.

To get satisfactory results, 2 - 3 treatments should be performed at intervals of 3-4 months. You need to use Minoxidil and finasteride along with PRP.

If you want to choose between PRP and Hair transplant, then you should go for Hair transplant. As for a transplant...definitely a solid option!

However, as I mentioned before, if your hair fall is still progressing then it is better to go for PRP first because hair transplant is not done for an evolving androgenetic alopecia because while you may get new hair growth from transplanted hairs your may develop bald patches/hair thinning elsewhere, as your alopecia would still be evolving.

Hope this helps.

regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kakkar S. (9 minutes later)
Where can i use platelet rich plasma treatment and will it regrow hair already lost or only maintain the remaining
doctor
Answered by Dr. Kakkar S. (13 minutes later)
Brief Answer:
PRP

Detailed Answer:
Hi.

PRP is commonly administered by many dermatologists. You need to visit a dermatologist in your area.

Yes, it regrows as well as preserves existing hair. The results vary from individuals to individuals depending on the degree of existing hair loss.

PRP treatment is indicated in cases of male AGA, XXXXXXX – Norwood grades I-V. Looking at the Image posted by you, you have grade V androgenetic alopecia.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kakkar S. (6 minutes later)
Final st of questions sir. From my PIC it appears to be grade V AGA. Means PRP may help in my case (just wanted to reconfirm. Is this service available at your clinic, if not, any recommended doctor? and what could be the approximate expenditure?
doctor
Answered by Dr. Kakkar S. (4 minutes later)
Brief Answer:
PRP

Detailed Answer:
Hi.

Yes, you are a candidate for PRP.

I would recommend Dr. R. K XXXXXXX at Apollo hospitals, XXXXXXX vihar. He has vast experience in PRP. You need to visit him for exact expenditure, but it would be somewhere around 10,000/- to 15,000/- per session

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kakkar S. (2 minutes later)
Thanks a lot. Really useful
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Dr. Kakkar S.

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Practicing since :2002

Answered : 9467 Questions

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Is hair transplantation safe for androgenic allopecia?

Brief Answer: Androgenetic alopecia treatment Detailed Answer: Hello and welcome to healthcaremagic I am Dr. Kakkar. I have gone through your query and I have understood it. Hair transplantation is broadly achieved by removing grafts from the back (occipital area) of the scalp which are more resistant to hormonal changes, and placing them in areas of scanty growth or baldness. Let me tell you in detail about the methods of hair transplant and there advantages over each other. There are two methods to remove the grafts -Follicular Unit Transplantation (FUT) and -Follicular Unit Extraction (FUE) In FUT method, a strip of scalp is cut out from the back of the head and is dissected into individual grafts FUE method of hair transplantation involves taking the individual follicular units/grafts from the back of the head one by one by cutting around it through a punch machine and removing them. Advantages of FUT method: -Larger areas of baldness can be covered in fewer sittings. -The resection rate (the grafts that get cut and therefore damaged, whilst removing) may be lesser providing superior results. Advantages of FUE method: -This method does not involve taking an entire strip of scalp from the back of the head like in strip surgery, there are no cuts or stitches -The recovery time is much quicker with the patient often returning to work the next day itself. -There is no linear scar. Post surgery care after transplant Swelling of the scalp, face is common for a few days. You will be on antibiotics, steroids, painkillers for a few days and will be asked to use Minoxidil and/or Finasteride for the rest of your life. The grafts are wetted with saline repeatedly for a few days after the transplant. Hair is washed with a diluted shampoo after 3-4 days. The transplanted hair will eventually fall out after two weeks and the new growth will be seen anywhere between three to six months. In FUT method, post-op wound care of the scar is important and the sutures are removed after a week. Besidse hair transplant Platelet rich plasma therapy (PRP) has also revolutionised the treatment of androgenetic alopecia. It is done as Mesotherapy. Platelet rich plasma OR PRP, is an autologous concentration of human platelets in a small volume of plasma has a higher platelet concentration (4-7 times) above the baseline. It is obtained from the patient's own blood after processing in an automated centrifuge and it is injected subcutaneously into the area of alopecia. The beneficial effects of PRP in Androgenetic Alopecia can be attributed to various platelet-derived growth factors causing improvement in the function of hair follicle and promotion of hair growth. Advantages: It is safe, cheap, and non-allergic and it appears to be a useful adjuvant in the management of AGA. The PRP treatment is indicated in cases of male AGA, XXXXXXX – Norwood grades I-V. To get satisfactory results, 2 - 3 treatments should be performed at intervals of 3-4 months. You need to use Minoxidil and finasteride along with PRP. If you want to choose between PRP and Hair transplant, then you should go for Hair transplant. As for a transplant...definitely a solid option! However, as I mentioned before, if your hair fall is still progressing then it is better to go for PRP first because hair transplant is not done for an evolving androgenetic alopecia because while you may get new hair growth from transplanted hairs your may develop bald patches/hair thinning elsewhere, as your alopecia would still be evolving. Hope this helps. regards