Hair transplantation procedure.
Dr Junaid Ahmad (MBBS FCPS) is the best plastic surgeon in Lahore. He is a well known, trained and expert in his field. He is MBBS and FCPS in Plastic and Recosntructive Surgery. He is a post graduate of the College of Physicians and Surgeons Pakistan which is oldest and best institute for post graduation in this area of the world. He is doing his practice in Lahore, Pakistan. He is always kind to the patients and listens them carefully as it is part of modern clinical skill and training. He is expert in both cosmetic as well as reconstructive surgery. He is also skin cancer and burn expert. A few of Dr Junaid Ahmad expertise are listed here..... call 03104037071
3. ALOPECIA
lopecia is a loss of hair from the head or body.
• Androgenic alopecia
• Alopecia areata
erminology
• Alopecia totalis
• Alopecia universalis
4. ALOPECIA
t has adverse effect on
• Appearance of a person
• Social Life
• Self Esteem
• Psychological state
5. HAIR FOLLICLES
air are the appendages of skin
eated deep in dermis
row in single or groups of two three or four
surrounded by collagen
9. NORMAL HAIR LOSS
he number of strands normally lost in a day
varies, but on average is 100
10. PATTERNS OF HAIR LOSS
n male-pattern hair loss, loss and thinning begin at the
temples and the crown and either thins out or falls out.
Female-pattern hair loss occurs at the frontal and parietal
or patchy
13. HORMONES
ihydrotestosterone causes hair loss in genetically
suseptible patients
strogen increases the hair thickness so after
pregnancy females notice hair thining
14. MALE PATTERN BALDNESS
ore than 95% of hair thinning in men is “male pattern hair loss
• Male pattern hair loss is characterized by hair receding from the lateral
sides of the forehead
• A thinning crown leaving a horseshoe-shaped ring of hair around the
back of the head
pproximately 25 percent of men begin balding by age 30; two-
thirds begin balding by age 60.
15. MALE PATTERN BALDNESS
here is a great chance of receiving the baldness gene from
any of parents
here are muliple genes for baldness
he trigger for this type of baldness is dihydrotestosterone
16. MALE PATTERN BALDNESS
ale pattern baldness is diagnosed primarily on the basis of history
and physical examination.
/D
• Diffuse alopecia areata
• Acute and chronic telogen effluvium
• Early cicatricial alopecia
17. NUTRITION
igh animal protein diet (fast foods) and hypervitaminosis
with vitamin A causes more hair loss
eficencies of diet zinc and iron causes hair loss
20. TRAUMA AND BURN
cid and flame burn are common in our country
auses permanent hair loss
any times complete skin loss during trauma or burn is
replaced with skin grafts which lack hair follicles
22. SIGN AND SYMPTOMS
eceding hair line in males
or L shaped prominent hair lines in females
ncreased daily hair loss
lopecia associated with other diseases or factors should be
evaluated according to associated sypmtoms
25. MEDICINES
nly stop further loss and rarely regrow any hair with
medicines
ven if a stable growth is achieved it terminates with
discontinuing medicines
26. MEDICINES
inoxidil (Rogaine) is a nonprescription medication approved for male
pattern baldness and alopecia areata.
air regrowth can take eight to 12 months.
reatment is continued indefinitely because, if the treatment is
stopped, hair loss resumes again.
ost frequent side effects are mild scalp irritation, allergic contact
27. MEDICINES
inasteride (5 alpha reductase inhibitor) is used in male-pattern hair
loss in a pill form taken on a daily basis.
t is not indicated for women
reatment is effective within six to eight months of treatment.
ide effects include decreased sex drive, erectile dysfunction,
ejaculatory dysfunction, gynecomastia, and myopathy.
28. MEDICINES
orticosteroids injections of into the scalp can be
used to treat alopecia areata.
onthly basis oral pills
esults may take up to a month to be seen.
29. MEDICINES
ormonal modulators (oral contraceptives or
antiandrogens such as spironolactone and
flutamide) can be used for female-pattern hair
loss associated with hyperandrogenemia.
30. WIGS
ale or female patients with trauma and burn
ost complete scalp hair
ost skin over most of scalp and grafted skin
31. SHAVE
• Andre Agassi famous tennis player
• Vin Diesel from fast and furious
• Ali Azmat singer and actor
• Many others
38. HAIR TRANSPLANT
tart with
• Trim donor area
• Oral Antibiotic
• Anxiolytic Diazepam
• Markings on the recipient site
• Position the patient
39. HAIR TRANSPLANT
osition the patient
• Prone during strip taking
• Sitting in a hair transplant chair in rest of
procedure
40. HAIR TRANSPLANT
arkings
• Take care of male pattern of hair
• Do not shorten the forehead
• Randomize the frontal line with
triangles for natural look
41. HAIR TRANSPLANT
• Marking should be zigzag
• Appropriate sized forehead
• Take care of fronto-parietal angles
• Discuss with patient
50. HAIR TRANSPLANT
issection
• All silvers are then subject to dissection
• Graft are prepared as single double and
triplets
• Loupe magnification of 6x is used
• Trained team is requires
61. HAIR TRANSPLANT
ngles and Depth of hair follicles varies depend upon
patient and location of hair follicle
enerally 30 degree to 45 degrees
epth 4mm to 5mm
irection of hair must be kept in mind
62. HAIR TRANSPLANT
pecial Considerations for FUE
• Only 3rd
or 4th
follicle should be extracted as
the density of donor area is reduced
• More than 1mm extractor diameter leaves a
visible scar
69. HAIR TRANSPLANT
• Grafts are placed
• Single in frontal area
• Then multiples hair grafts
• In the directions of incision
• According to markings
• Randomized for natural
70. HAIR TRANSPLANT
ost operative care
• Dressings for one day
• Soaking the scalp
• Ice along neck
• Shampoo after 48 hours
• Gels or oil applied twice daily
• Analgesics
