Trichoscopy in Alopecias: Diagnosis Simplified

www.drvaibhavshah.net

+Dr Vaibhav Shah

Trichoscopy in Alopecias: Diagnosis Simplified

Hair loss is the most common hair problem and a prompt diagnosis of the type of alopecia may sometimes be extremely challenging. Methods commonly used to investigate may be invasive (biopsy), semi invasive (trichogram) or non-invasive (hair count, weighing shed hair and pull test). Dermoscopy, also known as epiluminescence microscopy or skin surface microscopy is a non-invasive, in-vivo technique, most commonly used for viewing pigmented skin lesions. It has been proved to be of great value in improving the accuracy of diagnosis of melanomas. In 2006, Lidia Rudnicka and Malgorzata Olszewska coined the term “Trichoscopy” for dermoscopy of hair and the scalp. For scalp examination, a manual dermoscope (×10 magnification) or a videodermoscope with lenses ranging from ×20 to ×1000 magnification can be used. This attempts at sensitizing readers to the trichoscopic features associated with the most common scalp and hair disorders.

Dr. Vaibhav Shah

www.vaibhavshahblog.blogspot.com.

Cosmetic Removal of A Sebaceous Cyst on the Face.

www.drvaibhavshah.net

+Dr Vaibhav Shah

Cosmetic Removal of A Sebaceous Cyst on the Face

         I frequently get asked about various lumps and bumps on the face.  Cosmetic surgeons frequently called upon on to treat cysts, lipomas and other soft tissue lesions because patients want the best scar possible.  A sebaceous cyst is similar to a very large pimple (marble size to ping pong ball size) and filled with various cellular contents depending upon the type of cyst.  These cysts are reoccurring and by squeezing them an expressing the contents, they temporarily improve, then return.  These cysts have a sac similar to the skin on a grape and if the sac (epidermal lining) is not removed, the cyst will return.  This video shows the entire procedure.

Dr. Vaibhav Shah

www.vaibhavshahblog.blogspot.com.

Frequently Asked Question on Hair Transplant Surgery

www.drvaibhavshah.net

 Dr Vaibhav Shah 

Why every surgeon does not perform this procedure?

     To achieve good natural appearing result one is expected to plant closely packed large number of follicles at different angles and direction in a single sitting.This makes the procedure intensively effort oriented and time consuming, requiring sustained sittings. 10% of science and 90% of art is involved in follicular hair transplantation. The process demands excellent surgical skill, artistic approach, enormous patience and physical fitness on surgeon’s part. One also requires similar skill with precision, entire supportive staff. Knowing that root-by-root plantation is the best method, everyone cannot practice it due to above mentioned reasons.

Does insurance company cover the cost of the hair transplantation?

        Normally the insurance company does not cover this procedure. It may be considered in special circumstances, when person has lost hairs, due to accident, burns or any other medical condition. Company should be consulted first, before final decision of hair transplantation is made.

How soon can the same procedure be repeated in the same area?

    Theoretically, to increase the density one may repeat the plantation within three weeks of the procedure. With our technology, we can create the desired density, in the very first step, so we have not faced this situation before. If at all required, we recommend it after one year, when person wants more density, even after hairs are fully grown and long enough (about 10 cm).

What is laser hair transplantation?  Do you use laser in your procedure?

         Laser does not cover the entire hair transplantation process but it is mainly used to create the site for implantation. This is only one of the steps of the procedure. Laser produces one size uniform inverted cone shaped sites   by generating heat and destroying body tissue. Insertion of follicles becomes difficult, as they are never of similar size. There is more pop-out ratio due to narrow base and wide opening of the shape of the cavity. Heat generated during creation of the site, reduces the blood supply for take up of follicles, resulting in poor yield as end result. For these reasons, we do not practice laser in hair transplantation.

Can you correct previously performed pluggy look by your method?

       Yes. With our technology we can correct the pluggy look, provided there is enough hair left at the back of head.

Dr. Vaibhav Shah

www.vaibhavshahblog.blogspot.com.

The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb, Mumbai.

www.drvaibhavshah.net

 +Dr Vaibhav Shah 

The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah. The best hair Transplant & Restoration Surgeon in Borivali, Western Suburb,  Mumbai & India  is Dr.Vaibhav Shah.

Scalp Conditions and Hair Loss.

www.drvaibhavshah.net

+Dr Vaibhav Shah

Scalp Conditions and Hair Loss

       There are several scalp conditions that can cause an itchy scalp, hair loss, and flaking; most can be treated with topical scalp meds. Among the most common is dandruff, which causes dead skin cells to flake and fall from the scalp onto the shoulders. Although it is a nuisance and is unattractive, this condition is primarily cosmetic; it does not result in a dry scalp, hair loss, or other serious consequences, and can generally be treated using dandruff shampoos that contain ketoconazole, zinc pyrithione tar or selenium oxide.

       Other common conditions include excessive oiliness (seborrhea), and oily crusts adhering to inflamed, itchy, moist scalp skin (seborrheic dermatitis, also known as cradle cap in infants). The latter condition tends to be the most severe and should be treated by a dermatologist or other physician. However, an itchy scalp and hair loss rarely go hand-in-hand. However, regular scratching of the scalp can lead to hair breakage.

Dr. Vaibhav Shah

www.vaibhavshahblog.blogspot.com.

Alopecia (hair loss).

www.drvaibhavshah.net

 +Dr Vaibhav Shah

Alopecia (hair loss)

             Alopecia is the loss of hair from all or parts of the body, often the scalp. Androgenetic alopecia, also known as male pattern baldness, is the most common form of hair loss, affecting up to 70% of men and 40% of women. It is an inherited genetic disorder, which means that androgenic alopecia cannot be prevented. Alopecia treatment options can vary, ranging from surgical hair restoration (including scalp flap surgery) to cosmetic measures to hide the hair loss.

         Alopecia universalis is a rare condition that causes the loss of all hair from the head and body, including eyebrows and eyelashes. It is believed to be an autoimmune disorder and can be permanent or temporary, although it is impossible to predict if or when the hair may regrow. There is no known treatment for this condition.

Dr. Vaibhav Shah

www.vaibhavshahblog.blogspot.com.

Temporary baldness.

www.drvaibhavshah.net

 +Dr Vaibhav Shah

Temporary baldness.

        There are various causes of temporary baldness. Temporary hair thinning can be caused by a number of medical conditions, but temporary hair loss in men is commonly caused by hypothyroidism. When this condition is treated, the temporary hair thinning is typically reversed. It is important to see a physician to determine whether or not this is the underlying cause. Other potential causes for temporary baldness include general Anesthetic, high fever, physical trauma, and chemotherapy. Temporary hair loss in women can be caused by inadequate iron intake due to heavy menstruation or following pregnancy. This type of hair loss can be reversed with the help of iron supplements and medical treatment.

          High stress levels can also result in temporary baldness. Although this type of temporary hair loss is not fully understood, emotional and hormonal factors can result in an abnormally high amount of shedding. In general with temporary hair loss, these hairs regrow after 3-4 months.

Dr. Vaibhav Shah

www.vaibhavshahblog.blogspot.com.

Robotic hair loss Transplant surgery. Good. Bad. Ugly.

www.drvaibhavshah.net

 +Dr Vaibhav Shah

Robotic hair loss Transplant surgery. 

Good.  Bad.  Ugly.

      

      In recent years, robotics has come to the fore as an indispensible device for certain kinds of surgery. You’ll find robotics used in heart surgery, knee surgery and many other kinds of orthoscopic surgeries.

        In 2005, robotics entered into hair loss restoration surgeries. The Neo Graft device is basically a motorized punch that removes follicular units at the donor area of the back of the head and then sucks them into a storage container for later transplant. If you do some checking, you’ll find that a dedicated hair restoration surgeon is unlikely to use the Neo Graft device.

        Hair restoration surgery is a high stakes game. A good hair restoration surgeon can give you a great hairline, with a great style and look that you will be pleased with. Anyone you choose for hair loss restoration surgery should be a qualified hair restoration surgeon with years of experience dedicated solely to hair restoration surgery. You’ll find hair loss restoration surgeons who may use robotic systems (such as artas or Neo Graft), but it is their skill and artistry that will have the greatest effect on the final result, not robotics.

Dr . Vaibhav Shah

www.vaibhavshahblog.blogspot.com

RISKS, SIDE EFFECTS, AND POSSIBLE COMPLICATIONS OF HAIR TRANSPLANT SURGERY.

www.drvaibhavshah.net

+Dr Vaibhav Shah 

RISKS, SIDE EFFECTS, AND POSSIBLE COMPLICATIONS OF HAIR TRANSPLANT SURGERY.

        In the overwhelming majority of hair transplantation procedures there are no complications. However, a number of side effects, risks, and complications can occasionally occur. For the purpose of putting these things in perspective, we will divide them into two categories: those that occur occasionally and those that occur very rarely and are included here for the sake of completeness:

Side effects that occur only occasionally:

  •Mild Swelling in the forehead, occurs in about 1 in 10 procedures

•Mild “Shocking” (shedding) of Existing weak Hair causing them to drop out for 3 months, after which they grow back.

•Epidermoid cysts,

•Temporary numbness of part of the head,

•Post-op pain or headache

•Minor and trivial side effect: Itching in the area of the new grafts or along the donor scar may occur occasionally.

Side effects or complications that occur only very rarely:

•Irregular or uneven or delayed hair growth

•Discoloration of grafts

•Elevation or depression of grafts

•Bleeding

•Scarring

•Dizziness or fainting

•Allergy or reaction to anaesthetics or medications used: Medications are kept at hand to immediately treat any allergic reactions.

•Failure to improve “quality of life

•Infections: Very rare because of rich blood supply.

•There is also the possibility that other effects or complications not presently known, recognized, or understood, may develop, now or in the future.

Dr . Vaibhav Shah .,

www.vaibhavshahblog.blogspot.com

PRP for Hair Loss.

www.drvaibhavshah.net

 +Dr Vaibhav Shah

PRP for Hair Loss.

How PRP works

      Patients who are good candidates for Platelet Rich Plasma (PRP) injection indicate they are not interested in surgery, want to prevent more hair loss, and are currently experiencing a lot of miniaturized hair. A non-surgical solution for hair restoration, PRP MatriStem is not a pharmaceutical or a drug, but a Medical Device sanctioned by the FDA for use in plastic and reconstructive surgery. Structurally, PRP is a biomatrix that repairs and remodels damaged tissue.

 Platelet Rich Plasma (PRP)

            In hair restoration, PRP will be injected into the scalp. The application of PRP causes miniaturized hair follicles to become healthier and larger, producing more robust hair growth. PRP activates follicular progenitor cells (adult stem cells) and PRP is loaded with growth factors that promote rapid angiogenesis and localized cell growth. Effective for both male and female pattern hair loss, PRP has also regrown hair in alopecia area, eyebrow hypotrichosis and other patient cases with non-hereditary hair loss. The recovery from PRP therapy is typically uneventful. Pain is easily managed in most cases with non-narcotic analgesic medication such as Ibuprofen. Some mild swelling of the forehead is occasionally seen 4-6 hours after PRP injections. This is normal and will resolve in 48 hours. Avoiding vigorous activity is recommended until the swelling is gone. There is no other downtime or noticeable effects of the procedure. Patients can wash their hair normally immediately after the injections. 3.  An PRP treatment takes about 80 minutes to complete. First, a blood sample is obtained which is specially processed to produce the PRP. A local anesthetic is then administered to completely numb the scalp treatment area. If desired, a sedative can be administered. The PRP are combined and then administered via a series of injections over the full scalp or in a localized treatment area such as the eyebrows or beard.

        New hair growth can be seen as early as 2 months, but is typically evident between 5-8 months and will continue to improve up to a year after treatment.

         At Hair Cells Plus, PRP therapy is a versatile tool in the treatment of hair loss for a number of causes including:

1.    Male Pattern Hair Loss – especially in the early stages of balding,or anytime there is a lot of miniaturized hair on the scalp

2.   Female Pattern Hair Loss – at all stages of hair loss

3.   Hypotrichosis (fine/reduced hairs) of the eyebrows or beard

4.   Alopecia Areata, Alopecia Totalis

5.   Metabolic causes of hair loss – iron deficiency and medication induced hair loss

Dr. Vaibhav Shah

www.vaibhavshahblog.blogspot.com

Hair transplant Surgery – FUE Punch technique.

www.drvaibhavshah.net

+Dr Vaibhav Shah 

Hair transplant Surgery – FUE Punch technique.

3-Step Follicular Unit Extraction :

       A significant advance in Follicular Unit Extraction has been the addition of “blunt” dissection to the original technique of “sharp” dissection followed by extraction. This was described by Dr. Harris at the International Society of Hair Restoration Surgery (ISHRS) in 2004. In this three-step technique, a sharp punch is used to score the epidermis (cut just the upper part of the skin) and then a dull punch is used to bluntly dissect (separate) the follicular unit grafts from the surrounding deeper dermis. The third step is the same, namely removing the follicular graft from the scalp using fine forceps.

       The advantage of this hair transplant technique over the original two-step process is that using a dull punch minimizes follicle transection (damage). As the blunt-tipped punch is advanced into the dermis, the follicles, which naturally separate deeper in the skin, are “gathered together” within the opening of the instrument, rather than risk the lower portions of the follicles being cut off. Another significant advantage of the new technique is that it increases the number of patients who are able to benefit from FUE.

        A problem of the three-step technique, however, is a higher incidence of buried grafts. When a buried graft is identified, it can sometimes be extracted by applying pressure to the surrounding skin. If this manoeuvre fails, a small incision is made to enlarge the opening and facilitate the removal of the graft. If not removed, a buried graft can occasionally result in a small cyst that would need to be removed at a later date.

          Another problem is that during the extraction attempt the epidermis and upper dermis may separate from the rest of the follicle. This phenomenon has been called “capping.” When this occurs, the lower portion of the graft can sometimes be grabbed and extracted. When this is not possible, the lower potion is simply left behind. In this case the wound will heal and the lower portion of the follicle should produce a new hair.

Dr. Vaibhav Shah

www.vaibhavshahblog.blogspot.com.

Comparison of Operation Theater Lights. (Halogen & LED Light for Surgery).

www.drvaibhavshah.net

Dr Vaibhav Shah 

            A halogen light operates much like a standard incandescent bulb found in most homes.  At its core rests a tungsten filament in the center of halogen gas filled quartz encasement.  Once electricity is fed into this filament it becomes illuminated, exactly as its cousin, the incandescent bulb.  As more electricity is fed into it, the halogen bulb glows brighter, and the character of the light generated becomes whiter.  The whiter the light – the more clearly the human eye can see the illuminated surface.

        An LED (light emitting diode) is comprised of a single physical element called a semiconductor.  It can be housed in either a glass or a plastic translucent covering.  As electricity is fed through this semiconductor, microscopic subatomic electron particles begin to move in such a manner as to generate energy in the form of light.  And as with a halogen bulb, the more electricity it receives, the brighter – and whiter – the resulting light becomes.

Is One Medically Superior to the Other?

In a typical medical and surgical situation, physicians and clinical technicians are principally concerned with two elements of their light source: color variation and heat.

Color  Variation – Proper visibility for a surgeon or medical practitioner is critical to ensure proper diagnosis and treatment.  If the medical light creates a shift in color on the tissue it heightens the risk of improper diagnosis of a condition.  Lighting color temperature is measure in °Kelvin (°K).  Halogen lights naturally produce hot infrared light which manufacturers filtered out to produce a cooler, white light close to daylight, averaging 4000°K.  Daylight is measured at 5100°K.  LED medical lights have taken it to the next level by producing a significantly cooler & whiter light than its halogen counterpart, which is even closer to daylight at 4300°K.

Heat – since the heart of LEDs is a semiconductor, much less heat is generated in creating the energy that produces light.  They can be touched without fear of injury, and will not cause fires if they come into contact with combustible material.  Halogens, on the other hand, burn much hotter and brighter.  The bulbs actually generate heat to the surrounding area, and touching one is quite dangerous and could result in a burn. Perhaps most important is that working under a hot, halogen light makes the surgeon, medical staff and potentially the patient uncomfortable.  If your surgeon or medical staff is hot or uncomfortable working under a halogen light, could it affect the patient experience?

These features are leading many medical facilities to opt for LEDs in various situations.  However, there are other elements influencing these decisions:

Efficiency - LEDs require significantly less power to operate than halogen lights.

Reliability- LED lighting has a much higher bulb-life rate. Halogen light average about 1500-2000 hours whereas LED light range from 30,000 to 50,000 hours.

Energy usage – LEDs require significantly less energy than a halogen to produce the same or higher quality of illumination.

Design flexibility - LEDS can be easily configured for different requirements, making them extremely versatile for various mounting configurations.

Cost - LED bulbs are generally more expensive than halogens, but the energy efficient System Two LED consumes half the electricity of its halogen counterpart, and saves the medical facility thousands when compared to standard OR lights currently available.

In the final analysis, the decision as to which is the better choice rests on understanding these differences, how they impact specific clinical applications and the specific needs of the health care facilities.

Dr. Vaibhav Shah

www.vaibhavshahblog.blogspot.com

Hair Transplant Surgery & Loupe Magnification.

www.drvaibhavshah.net

Dr Vaibhav Shah 

Surgery & Loupe Magnification

            1.5x level of loupe magnification for most Hair transplant surgeons, and also for most first-time loupe wearers.  However, for certain specialties, an increase in magnification may be justified. Going beyond to a 3.0x or 3.3x will increase the level of magnification – but with a very significant reduction in the field of view.  With a 1.5x loupe will allow you to see the expanded view - so that you can also easily locate instruments on the periphery of your view, plus they will provide you with exceptional depth-of-field so that you can move closer and farther from the patient without losing focus.

Surgery & Loupe Magnification

         Another factor that goes hand-in-hand with the level of magnification is the working distance measurement.   Choosing the correct working distance will ensure that you can see the best, and at the posture.

How do I determine my working distance? 

       It varies by height and body type, but also how you sit and work with your patients.  The best method is to use a tape measure or similar measuring device.  While sitting in an ergonomic position in your normal workspace, measure the distance between your eyes and the patient.  This is your specific working distance.   Please note that at a 1.5x magnification that the optics will allow for 5-6” (125-150mm) depth-of-field, which means you will be able to move your head closer and farther from the patient – without a loss of focus.

Dr. Vaibhav Shah

Dr. Vaibhav Shah Clinic - 1001, Paras Business Center, Near Dahisar – Bandra western express highway, Near Sanjay Gandhi National park, Kasturba crossroad no.1, Near Asara colony, Near Chinchpada, Close enough to hear announcements from Borivali railway station, Borivali East, Mumbai- 400066, Maharashtra, Indiahttps://www.drvaibhavshahclinic.com/hair-transplant-mumbai.html

www.vaibhavshahblog.blogspot.com