How much time it takes to get hair transplant in India

Duration of hair transplant in your case will depend on following facts 

  1. It depends on the Number of grafts
  2. It depends on technique of hair transplant
  3. It depends on expertise of doctor and his staff
  4. Nature of patient’s skin
  5. Dose of local anesthesia – it depends on your body weight

Normally one session of hair transplant lasts for 7 – 8 hours. 2500 – 3000 grafts can be done in this much time by most of experienced doctors’ clinics. If you require more than 3000 grafts then patient is discharged from clinic after completing the first session. He stays in hotel and he comes again next morning for another session of hair transplant. A 7 – 8 hours session can be performed next day again if required.

Body Hair transplant – Main facts to consider before using beard or chest hair graft in hair transplant in India

Body Hair transplant – Main facts to consider before using beard or chest hair graft

There are many patients coming from different countries who require grafts more than what their scalp can donate in single sitting . So they want the option of grafts from beard or chest to cover large area in same sitting of hair transplant . But you have to consider following facts regarding body hair transplant 

Types of Body Hair Transplant:

  1. Beard grafts:  are thicker than scalp hair grafts. But most of scalp grafts are having 2 or 3 hair but 90 % beard grafts have one hair. So effectively 1000 beard grafts = 600 – 700 scalp grafts. But good thing is that they can become longer like scalp hair. Single session harvest limit is 1500 – 2000 depending on density of Beard.
  2. Chest hair grafts – they are thinner than scalp grafts. There are more chances of residual scars in chest after harvesting grafts. Their hair length does not go beyond 1.5 inch. In few studies it has been found that they can grow longer but in most of patients it is maximal length they can achieve. because of this fact 1000 chest grafts = 400 scalp grafts . Single time harvesting limit is 1000 – 1500 grafts in most cases.Body Hair Transplant
  3. The graft numbers in active anagen stage varies for body hair . While 80 – 85 % beard grafts grow simultaneously to provide you a result but other body hair may not regrow in such numbers . Active anagen may be in less than 50 % body hair at a particular time. So The surgery result and density appears low even after so many chest hair and other body hair .

So in our opinion we should use scalp hair in multiple sessions rather than considering hair from the body if scalp donor area is adequate. If scalp donor area is not adequate we can select beard hair as donor. But we should not use chest or leg hair or any other body hair if donor area is available in your scalp and beard.

Click here To know more about body hair transplant 

How to schedule your travel for hair transplant in India

How to schedule your travel for hair transplant in India

There are lot of patients coming for hair transplant in India at AKESO by Dr Akhilesh Jangid. Medical tourism is big industry now in India as patients get quality with affordability.  It is most important question asked by our patients who come from outside India. Lets first discuss the preparations

  1. You need to quit smoking 2 weeks prior to hair transplant.
  2. You need to quit medicines or multivitamins 7 days prior to HT
  3. You need to Use anti dandruff shampoo with 2 % ketoconazole shampoo starting from 2 weeks prior to hair transplant. It should be daily 10-minute application for 2 weeks if you have dandruff or itching in your head
  4. If you have lot of white hair, doctor has to use black colour to colour your hair to see your hair better during the hair transplant. Always do allergy test or sensitivity test 4 days prior to your hair transplant if you have never used any colour in your life. if you are already using a colour, then you can just carry that colour with you. Clinic will apply that colour in your hair. colour must be black.
  5. If there is any medical history of any treatment has been taken in past you inform doctor
  6. if you are having high blood sugar, then it should be discussed with doctor in detail
  7. If you have high blood pressure then it should be discussed in detail with doctor

Let’s us clear the aspects of hair transplant recovery so that you can schedule your visit to India.

  1. There may be post hair transplant swelling on your forehead and face for initial 3 -5 days after your hair transplant
  2. you can apply normal cap after 3 days of hair transplant so you can hide both your donor and recipient area after 3 days with cap
  3. You need to trim your head hair to do hair transplant but they will take at least 2 -3 weeks to grow enough that nothing looks odd when you resume office.
  4. You cannot go to swimming pool for 3 weeks after hair transplant. You cannot give exposure to sunlight for 3 weeks so you have to wear cap when you go into sunlight
  5. There are scabs in transplanted area which take 7 – 12 days to shed. But you can cover these after 3 days with cap. There may be problem in office if the cap is not allowed in your office.
  6. You can resume office after 4 – 5 days of hair transplant provided cap is allowed in your office. If cap is not allowed then it may take 10 – 12 days days to appear normal because of scabs.

So, How much stay is required in India to do Your Hair Transplant. Schedule your travel like this for Hair transplant in India

  1. Arrive one day before your planned surgery. Do the necessary blood test or consultation one day prior to surgery
  2. Do your hair transplant surgery is next day. First shampoo and donor area dressing removal are done after 2 days of hair transplant
  3. the swelling subsides in 3 – 5 days. So kindly don’t plan any function or social meeting after 3 – 5 days of hair transplant
  4. You can start wearing cap after 3 days of hair transplant
  5. You can book your return flight to your country after 5 days of hair transplant.
  6. If you don’t have Indian passport and you are coming for only hair transplant then we will issue an invitation letter and you can get medical visa to India for your hair transplant.

Is high density hair transplant in India with density of 60 – 80 or 100 grafts per sq cm is possible?

There are many websites which mention the high density hair transplant in India claiming densities 70 , 75 or 80 or 100 or 120 grafts per sq cm in your hair transplant. Lets solve this query As there are many patient who ask this question from us

Article written by – Dr Akhilesh Jangid

First of all i want to go back to basics of mathematics. We have to calculate the area of baldness in square centimetres . Then we have to decide density. When we multiply

Bald area in sq cm multiplied by hair density required = total hair graft requirement to cover bald area

Bald area   X  hair density  = Hair grafts requirement

Calculation of bald area

Now first thing you to be sure is your area in sq cm . You can take a normal scale which has 6 inches or 15 cm markings . Now you can mark your area. Now take a marker pen to divide the bald area into multiple rectangle and triangles . Area of rectangle is Length X breadth . Area of triangle is Base X height divided by 2 . By this way you can calculate your bald area in sq centimetres if you have taken every measurement in centimetres.

Calculation of hair transplant density

Suppose we have 40 Sq cm area and we transplant 2000 grafts in that. So density is 2000 grafts / 40 sq cm = 50 grafts per sq cm . If we want to give density of 60 grafts per sq cm then same area will require 40 X 60 = 2400 grafts . If we want to give density of 80 then requirement will be 80 X 40 = 3200 grafts .

What is you normal hair density

Normal density is between 80 – 120 grafts in occipital area ( back area ) and 40 – 80 grafts per sq cm in temporal area ( area around your ear ) . Each graft may contain 1, 2 or 3 hair or follicles .

What is target hair density in hair transplant

  • World wide acceptable figures in front area is between 35 – 50 grafts per sq cm .
  • In hairline we can go up to 55 – 60 grafts per sq cm . I
  • n mid scalp and crown area usually 30 – 40 grafts per sq cm is adequate .
  • The reason of giving around half of natural density is that , it will look normal in photos or videos or visually . People can only detect when you apply hair oil , hair gel or bright sunlight that density is lesser than your normal hair .
  • High densities are possible but donor area get depleted as we extract more number of grafts and it may be difficult to do hair transplant in future if you get bald from other places .

Do high densities like 80 , 90 or 100 grafts per sq cm get successful in hair transplant

We have to understand that to create high densities we have to make holes very close to each other.

  1. As we increase number of holes per sq cm the existing blood circulation in the skin also get damaged.
  2. As blood supply becomes low so there are chances of skin wound formation ,
  3. There are chances of permanent numbness of scalp ( because of extensive nerve injury )
  4. Because of decrease in blood circulation graft survival rate also decreases.
  5. It may be successful if done in very small area like 5 – 10 sq cm but making so much holes in the entire bald area may lead to massive skin necrosis and wound formation .
  6. Graft survival rate decreases rapidly when we try to cross density of 55 – 60 in majority of patients. Density more than that can be successful in very few patients .

Are clinics really using densities of 75 , 80 or 90 or 100 or 120  grafts per sq cm in hair transplant

  • In vast majority of cases clinics cover 60 – 80 sq cm with 3000 – 3500 grafts providing you average density between 40 – 50 grafts per sq cm .
  • But there are clinics which claim density of 75 , 80 , 90 or 100 grafts per sq cm in their website and YouTube .
  • You have to understand that density of 80 will require 6400 grafts to cover 80 sq cm area .
  • Most of time the clinics don’t use this much number of grafts but give false claims . Beware of such misleading claims .
  • When anyone says that then immediately measure your area and match the graft requirement given by clinic in that area. Now you can calculate yourself what density you will get by number of grafts quoted by clinic .
  • Sometimes they mislead you by term follicle . They said that on website it was written 90 follicles ( or hair ) per sq cm . As every graft contains 2 follicles on an average so it is equivalent to 45 grafts per sq cm . This explanation may come when you catch their false claim
  • Sometimes some clinic claim to do 7000 grafts in 90 sq cm to provide you density of close to 80 grafts per sq cm. But all these are fake claims . After two days of your hair transplant your transplanted hair develop black scabs . by taking photograph of scabs you can calculate the number of grafts implanted by clinic. They may claim 7000 and charge you for 7000 and do 4000 – 4100 grafts because most of patient don’t know how to confirm number of grafts done by clinic.

What should you do if you desire density of 80 – 100 grafts per sq cm

  • You should consider the donor area available and possibility of requirement of donor area for baldness .
  • You should not do such densities if your age is less than 35 because you may become bald in future so more grafts may be required from your donor area

If you are actor or celebrity then you can go for such densities in front hairline zone of 2 cm . First go for density of 50 – 55 grafts per sq cm . After you get result of first hair transplant , we can supplement it in second session for target density of 80 .

 

 

 

 

Hair transplant price in India

Hair transplant in India is quite tough decision to take as there are more than 2000 hair clinics in India. hair transplant prices are variable from Rs 10 – Rs 200 per graft. Based on these factors Hair transplant cost in India varies from clinic to clinic . More than 80 % clinics have cost less than Rs 30 per graft. More than 95 % clinics have cost less than Rs 60 per graft for FUE . More than 99 % clinics have cost Less than Rs 80 per graft in India. So many patients wonder why so much cost difference ? So we are highlighting here the factor which determine cost of hair transplant in India

  1. Qualification of doctor – Although Medical council of India recognizes hair transplant as domain of plastic surgeons but for FUE technique dermatologists are also authorized do hair transplant . Before you understand that you have to understand medical qualifications in Medical field in India. After high school (10 +2 ) the student who want to become doctor have to do MBBS ( 5.5 Years ) as undergraduate degree . After that there is post graduation ( MD or MS ) 3 years course which can be done in dermatology or eye or pediatrics or medicine  or surgery. Dermatologist doctor do MD in Dermatology. To become plastic Surgeon doctor has to do Post graduation in General Surgery  ( 3 years MS general Surgery) . After that Doctor has to do 3 years course more which is M.Ch. in Plastic Surgery to become plastic surgeon . Those who want to become dentist do BDS (5 years ) which is undergraduate degree. After that MDS is 3 year postgraduate degree in Dentistry. So doctor other than MD in Dermatology or M.Ch. in Plastic Surgery can do it . Those using fellowship in Cosmetic surgery or Aesthetic medicine ( FAM ) etc are 15 days courses and cannot be equated to M.Ch. in plastic surgery or MD in dermatology which are proper degrees. Some doctors are using FAM or MISHRS ( Short form for Member of International Society of Hair Restoration surgeons ) as degree ( There are writing Dr ______ , MBBS , MISHRS ) . Don’t confuse it with degree , its a membership of hair society not a degree obtained by Medical College) . So you can now understand by qualifications.
  2. Second Factor is Which hair transplant steps are performed by Surgeon – After you have checked the Factor No 1 you should check the steps done by surgeon. In ISHRS protocol all incision steps are duty of surgeon . So in hair transplant Anesthesia , Extraction of grafts and Slitting process are duty of doctor. Counting of grafts , insertion of graft into slits is duty of assistant. If your graft extraction is done by assistant then cost becomes half . If the slitting process is also done by assistant then cost becomes 25 % . The cost decrease is due to possibility of 5 -6 cases per day in these type of clinics.
  3. Third Factor is Previous results of Surgeon – They determine the cost but don’t get fooled by clinics when they show you results operated by some surgeon and when your turn comes then a unknown assistant or in experienced doctor operates you instead of that particular doctor.
  4. Fourth Factor is City – Metro cities have more rent expense , more salary expense so they are costly in comparsion of hair transplant in small cities. But at same time the doctors in small cities have very limited experience. And number of cases in metro cities are very high.
  5. Factor no 5  is Celebrity or cricketer Endorsement – Every celebrity charges clinic some fees to speak influential about clinic or to use his photographs or videos. So clinic increases his fees to recover this cost
  6. Franchise of Foreign clinic chains – There are certain business who have taken franchise of foreign hair clinics in India . These cost you higher even if their doctor is less qualified .
  7. Technique of Hair Transplant – Depending on technique the price like FUE is expensive than FUT . DHT,  MAGP etc are expensive than FUE  hair transplant.

 

 

Can we do more than 3000 grafts hair transplant in single day

Can i get more than 3000 grafts by extending the hair transplant session to 10 – 12 hours on same day?

Normally one session of HT is of 6 – 8 hours and 2500 – 3000 FUE grafts can be done in single session. There are some patients who ask that if they are ready for 10 – 12 hours single session to do a greater number of grafts in single day.

Answer – Safe local anesthesia doses allow about 7 – 8 hours of surgery . If surgery is longer than this then it can be harmful for your body .

At AKESO – We have modified techniques and capability to do more grafts within 7 – 8 hours duration. It is not possible to do more than 2500 – 3000 grafts by normal FUE technique in single day session but modified FUE techniques can reduce duration of surgery to good extent.

Contact AKESO to know more details

 

Which one is better – FUE or FUT ?

There are many hair transplant doctors who promote FUT as better technique but slightly more painful in post op period. They try to justify that by posting video on YouTube showing you no scar after FUT in their technique.

Most of dermatologists are not well versed with surgical methods , they only learn FUE because cutting , stitching is not part of their training . So most of them are biased with FUE as they don’t know FUT at all . They never tell that they are not able to do FUT , instead they promote FUE as latest Method with less pain in post op period. Some plastic surgeons are biased with FUT Technique and they promote it extensively as better method than FUE.

Before answering the most frequently asked question Let me summarize both techniques and then take questions one by one

Click here to know more about FUE.

FUT Technique

In FUT technique a strip is taken from the donor area

FUT and FUE

 

Above picture tries to explain FUT Process in which we first harvest a skin strip from donor area. It creates a wound in donor area . Which we covers by pulling the upper and lower edges of wound and apply stitches.

It very complex topic to understand for normal patients but i will try to answer most queries about it

Is Graft damage rate in FUE more than FUT ?

Yes Damage rate in FUE is more than FUT. In inexpert hands damage in FUE can reach 30 – 50 % also. But in expert hands it varies from 2 – 5 % . The in experienced surgeons damage 30 – 50 % extra donor area to harvest same number of grafts. SO FUE requires really a expertise and You should do FUE only with selected highly trained doctors.

Never go to a clinic where graft extraction is done by assistant or technician.  But in really expert hands the volume of hair is much more in same number of FUE grafts even if you get 2 – 3 % damage. Reason is thicker grafts in FUE as we can select graft before harvesting it . In FUT we cannot select graft so their average thickness is less than FUE grafts.

Is FUE is not from safe donor area ?

Safe donor area is defined a around 7 cm height area where hair are relatively stable until your old age. FUT utilizes just 1.5 cm height. FUE utilizes 5 – 7 cm height. So a Standard FUE procedure of 3000 grafts is also from safe donor area. Request your surgeon to remain confined to safe donor zone.

Is FUT result better than FUE ?

Suppose we are doing 3000 grafts by FUE and 3000 grafts by FUT . Then FUE result will be having better thickness and better volume than FUT. The reason is that when we do FUE we tend to choose better grafts in term of hair thickness and number of hair per graft. In FUT we cannot control the thickness of graft and average number of hair per graft.

In Microscopic hair transplant ( MAGP ) the specificity of FUE is further enhanced due to Microscope use. And graft will have more thickness and more average number of hair per graft. Because of these reason FUE or MAGP will yield better result in same number of grafts . If we want to obtain same result with FUT , we will have to do 20 % more grafts than FUE to gain same volume.

Can trichophytic closure prevent scar formation in FUT technique ?

Answer is No. Trichophytic closure is done so that one or two row of hair grow inside the FUT scar So that it can be hidden if it is not broad. If the FUT scar is broad then trichophytic closure will also not help much.

Is it possible to do FUT without scar ?

You cannot prevent scar formation in FUT but its width will be minimum if strip is taken after assessment of donor area skin laxity and width of strip is less than 1.5 cm . If you have been shown a FUT donor area after 6 -7 months of Hair transplant without scar , then insist to see that patient photo after 2 – 3 years .

Does the life of FUT graft is more than FUE graft ?

No . FUE grafts taken from safe donor area will have same life. If FUE graft is taken from unsafe donor area then its life will be lesser than FUT graft.

 

 

 

 

 

Best hair transplant surgeon in India

Best doctor for hair transplant in India

If you are searching for best hair transplant surgeon in India then this article will help you to decide the best. There are more than 2000 hair clinics in India and around 100 of them claim best hair transplant in India. You can read profile of Dr Akhilesh here who is one of best doctor for hair transplant in India.

Hair Transplant Surgeon

So let us summarize the points to decide the best

  1. Hair transplant Result on website and YouTube –

    They are criteria which you can say are reliable and you should always check the work of the hair transplant surgeon before deciding that he is best or not

  2. Online reviews –

    I will say that they are helpful only to certain extent . Because clinics who ask it from every patient may have much more reviews in comparison of clinics who leave it to patients. So this parameter cannot be used to rank someone higher or someone lower. But yes they give you idea regarding general emotion of patients so you can read them. But remember no one is 100 % perfect, hair transplant is a surgery on human and results are not dependent entirely on technique of hair transplant. It also depend on quality of hair in patients donor area and nature of recipient site and reaction of recipient site with transplanted hair. So more than 90 % patients are satisfied and around 10 % persons may have complaints. In 5 % patient it may require a small second procedure also to do some additional hair grafts to satisfy the patient.

  3. What steps are done by surgeon –

    Sometimes tall claims are made by surgeons but when it comes for execution of hair transplant they do only planning and hair transplant steps are done by their assistant surgeon or technicians . As per ISHRS protocol all incision steps in hair transplant like extraction of grafts and slitting process must be done by Hair transplant surgeon himself. So always enquire about steps executed by surgeon before booking a hair transplant with him.

  4. Celebrity or cricketer photos –

    Most of clinic use celebrities to rank them higher in comparison of other clinics. We want to say you that when you operate 100 famous personalities then 90 % will demand privacy. No one knows till yet where Salman Khan has got his hair transplant. So we will advice you to consider work of surgeon and his involvement in your surgery as superior factor.

  5. Qualifications of doctor –

    Doctor is plastic surgeon or dermatologist . There are certain Ayurveda doctors , dentists , MBBS doctors etc. who do hair transplant but expertise may not reach like plastic surgeon.

  6. Use of hair society membership to claim superiority –

    Hair society membership is available for doctors having interest in hair transplant field and any doctor can join after paying a membership fees. To become dermatologist a doctor has to undergo 3 years training in a medical college after his MBBS . To become a plastic surgeon in India , doctor has to undergo 6 years of training after completing his MBBS. But a doctor can become a member of society without doing even one day training. The societies are meant for exchange of experience and information. They can organize 5 – 10 day conferences in entire year but they cannot replace years of training. Certain doctors flash the memberships as sign of authority and make patients consider them best. It is marketing gimmick  because if you have already become a plastic surgeon by taking 6 years training , you need not justify yourself that you are eligible to do hair transplant. More than 100 of doctors are members of any hair restoration society. Its up to you to decide whether you want to consider this a factor.

Rating of the Best hair transplant Surgeon (Dr Akhilesh Jangid) on 1mg

I think we have summarized the factors which you can consider to decide who is best. You can read about Dr Akhilesh Jangid here who is doing hair transplant in AKESO clinic , India right now.  He is one of best hair transplant surgeon in India .