Thursday, October 6, 2016

Instructions before Hair transplant Surgery.

www.drvaibhavshah.net
Vaibhav Shah
Dr Vaibhav Shah

 Instructions before Hair transplant

1.     Inform your doctor of any known allergies, previous surgeries and any other medications you are following.
2.     Inform doctor if you had an event during administration of local anesthesia or you have never had local anesthesia before. 
3.     Blood pressure, diabetes, epilepsy, thyroid, medicines, can be continued. Take morning dose on the day of the procedure. Aspirin and anticoagulants can be continued after informing the doctor.
4.     Stop, multivitamins Minoxidil, Mintop, Tugain, Rogain & hair growth medicines 5 days before the procedure.
5.     Stop Smoking one week prior and three weeks after the procedure.
6.     Do not ware T – shirts, pullovers, on the day of the hair transplant.
7.     Have light breakfast 30-40 minutes prior & reach the hospital by 8.15am on the day of the procedure.
8.     Keep 3-5 inch long hair on the back to cover the shaving of the donor area.
9.     Shaving of the head as required for FUE will be done on the morning of the procedure.
10.                        Shaving for body hair can be done 5 days prior and for beard hair grafts, keep unshaven beard for 2 days prior.
11.                        Antiseptic head wash will be done at the clinic, on the morning of the procedure.
12.                        Grey hair requires to be colored down to the scalp, one day before or on the morning of the procedure.
13.                        No heavy exercise, workouts, energy drinks, alcohol, high intake of caffeine, one day prior to the procedure. 

Lab Tests to be done before the Hair transplant –   CBC, Blood Sugar, HIV, HCV, HbSAg, BT/CT.
Other tests may be added as per pre-existing medical conditions and fitness certificate requested from your treating physician.
      
Medicines to be taken for 5 days after the Hair transplant
1.     ZiFi LBX 200mg (Cifexime antibiotic)
one morning  ---  one evening  x  5 days       
2.     Disperzyme (enzyme for faster healing & prevention of swelling)
two morning ----  two evening x 2 days,   stop after 2 days.
3.     BTR (enzyme and pain killer)
one morning ---  and  ---  one evening  x  5 days.
4.     Sebowash Shampoo
for hair wash after from 3rd day morning, then wash alternate day  x  10 days.
5.     Normal Saline Spray provided should be used over the grafts every 3-4 hours x 3 days from evening of the surgery.
6.     Start ice cold compresses on forehead & finger massage on evening of the procedure and continue 3 times a day x 4 - 5 days.
From day 6 to day 10 there are no medicines. Start minoxidil & hair growth vitamins from day 10.

One dose of the medicines has been administered before starting the procedure. Take your evening dose when you reach home. 

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Tuesday, September 27, 2016

Thick & prominent Eye-lashes.

www.drvaibhavshah.net
Vaibhav Shah
Dr Vaibhav Shah 





Thick & prominent Eye-Lashes
        Bimatoprost ophthalmic solution 0.03% is indicated to treat hypotrichosis of the eyelashes by increasing their growth including length, thickness and darkness.
Dosage and Administration
Ensure the face is clean, makeup and contact lenses are removed. Once nightly, place one drop of  bimatoprost ophthalmic solution 0.03% on the disposable sterile applicator supplied with the package and apply evenly along the skin of the upper eyelid margin at the base of the eyelashes. The upper lid margin in the area of lash growth should feel lightly moist without runoff. Blot any excess solution runoff outside the upper eyelid margin with a tissue or other absorbent cloth. Dispose of the applicator after one use. Repeat for the opposite eyelid margin using a new sterile applicator.
Do not reuse applicators and do not use any other brush/applicator
Do not apply to the lower eyelash  . Upon discontinuation of treatment, eyelash growth is expected to return to its pre-treatment level.
Dosage Forms and Strengths
Bimatoprost ophthalmic solution 0.3 mg/mL.
www.vaibhavshahblog.blogspot.com.

Saturday, September 24, 2016

Bye-Bye to Pain.

www.drvaibhavshah.net
Vaibhav Shah
Dr Vaibhav Shah 



Bye-Bye to Pain.
         Well, being a facial Cosmetic Surgeon I perform lot of small Surgery & Procedures on Face over Facial Skin. Most Important thing from Patient point of view is Not to have Pain. “Will it be Painful? “ is most common Question. I use something called EMLA . Which is good Surface Anesthesia Cream. The lidocaine/prilocaine combination is indicated for Demal Anesthesia. Specifically it is applied to prevent pain associated with intravenous catheter insertion, blood sampling, superficial surgical procedures; and topical anaesthesia of leg ulcers for cleansing or debridement. Also, it can be used to numb the skin before tattooing as well as electrolysis and laser hair removal. It is also sometimes used in advance of injected local anaesthetics for minor surgery and biopsies.
           A topical spray consisting of an aerosol formulation of lidocaine and prilocaine was evaluated under the name PSD502 for use in treating premature ejaculation. The spray is applied on the penile skin prior to intercourse. While this formulation was not approved by the FDA a similar product, Promscent , is available over the counter in the U.S.
            So say bye bye to Pain with just cream one can use before Waxing, Small Tag Removal, Pimple, Acne Removal, Black Heads removal .
www.vaibhavshahblog.blogspot.com.

Tuesday, September 20, 2016

Facial plastic & Cosmetic Surgery- Most Common Question.

www.drvaibhavshah.net
Vaibhav Shah
Dr Vaibhav Shah 



How long will cosmetic facial surgery procedures last?
           This is one of the most common questions asked. In short, we cannot stop the clock, but we can turn it back. Hopefully, most cosmetic facial procedures will last a decade (sometimes longer for some patients and shorter for others.) Mother Nature and time march on and it is unrealistic to think that any procedure is permanent as we are not permanent. If you had a twin sibling and you had a facelift and she did not, then you will probably look younger forever. So, depending how you look at it, cosmetic facial surgery is a good long term investment. Also in the consideration of how long a procedure will last one must consider multiple factors such as genetics, compliance and lifestyle. Unfortunately, some patients just don’t have good skin texture and elasticity. These patients will age quicker before and after cosmetic facial surgery because it is in their genetic code. Other patients will age faster after a cosmetic procedure because they do not change their lifestyle and continue with sun damage, smoking, and over eating. Having cosmetic surgery is a good time for one to change ones habits and embrace a healthier lifestyle to look and feel better.
www.vaibhavshahblog.blogspot.com.

Wednesday, September 14, 2016

Head Ache , Facial Pain, TMD - Dr. Vaibhav Shah

www.drvaibhavshah.net---
Vaibhav Shah
Dr Vaibhav Shah


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Although my practice is limited to cosmetic facial surgery of the head and neck,  Some of these patients are referred for Botox injection in the facial muscles that involve facial pain syndromes, TMJ and TMD.  Relaxing these muscles can improve the patients pain and function and decrease stress on the jaw joint. Basically Botox inhibits the Acetyl choline Secretions from Nerve endings which stops the all possible sorts of Sensation including Pain. Its temporary but sometimes big Relief to Ptients.
www.vaibhavshahblog.blogspot.com

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Tuesday, June 14, 2016

Pain Free Hair Transplant Surgery by Dr. Vaibhav Shah.

www.drvaibhavshah.net
Dr Vaibhav Shah.


         Pain Free Hair Transplant Surgery by Dr. Vaibhav Shah.
        A topical anesthetic is a local anesthetic that is used to numb the surface of a body part. They can be used to numb any area of the skin as well as the front of the eyeball, the inside of the nose, ear or throat, the anus and the genital area. Topical anesthetics are available in creams, ointments, aerosols, sprays, lotions, and jellies. Examples –include   benzocaine, butamben, dibucaine, lidocaine, oxybuprocaine, pramoxine, proparacaine, proxymetacaine, and tetracaine (also named amethocaine) all derived from the natural chemical cocaine from the coca plants. which is still used for some medical procedures such as rhinoplasties.
             We use such topical anesthesia before injecting local anesthesia to make scalp numb which makes hair transplant surgery procedure virtually pain free.

www.vaibhavshahblog.blogspot.com.