Scarred areas Hair Transplant - Hair Transplant Surgery

Scarred areas -
Scars in hairy areas are visible because of lack of hairs in it. Scars can be made practically invisible by hair transplant procedure. It is said that hair growth may not be up to the mark in scars (owing to less blood supply in scarred area) and a sample grafting can be done in a portion of the scar. If the growth is good over the period (usual period is six months), the session can be repeated to cover the full scar.

Eyebrow Hair Transplant - Hair Transplantation Pakistan

Eyebrow- Hair transplantation is done to improve or recreate eyebrows

It is aesthetically essential to follow the direction of eyebrow hairs while creating a new line. Around 150 micro grafts are usually required for an eye brow of one side. The donor site is usually nape of neck or temporal region (finer hairs are preferred).

The rate of growth of transplanted hairs is usually faster and will need training from time to time.

What is better Strip method or Follicular unit extraction?

Studies say that STRIP method is still the number one choice for hair transplant, because of excellent maximum density achieved that too with little compromise of a hair line scar which becomes practically invisible over the time in most of the patients. Weighing the benefits of strip method with almost 100 % success rate, the compromise of this very fine scar (that too becomes invisible due to growth of hairs through this line in most of the patients) is really negligible.

This method requires well equipped center with skilled plastic surgeon; who owing to the nature of plastic/micro surgical specialty can perform it with utmost care. In this method the highest number of follicles can be harvested (according to size of strip as per need, a strip as long as 20 cm and as wide as 3 cm can be harvested) and that too leaving the area adjacent to strip untouched thus maintaining normal density adjacent to the closure line. This uses the elastic/stretchable property of skin, and after strip harvesting the wound is closed primarily giving natural look.

There is no wound or gap visible. The whole process is done under direct vision keeping the roots visible maintaining the highest quality of grafts ensuring complete success of grafts without any damage to the grafts (each and every graft is valuable in bald patient, it is hair bank).

In follicular unit extraction method inserting the punch is little blind technique and there are chances (though very low in experienced hands) of damage to follicles owing to vibration energy of punch and chance of transection of roots due to different angulations of hair roots. Moreover we need larger donor area and to get about 2500 follicles or so we need to span whole of back of head (to maintain sufficient left over density on donor site). In this way the highest number of available follicles is lesser as compared to STRIP method. Moreover second or subsequent stages lead to further decrease in density in the donor site in follicular unit extraction method as multiple punch holes lead to scarring over larger area (In strip method it is localized along a single line and adjacent hair density remains untouched).

But we cannot ignore the utility of follicular unit extraction method.

This is good choice for a certain group like--
For those who need smaller sessions; or need donor sites other than head (like moustaches, beard, chest, thighs, abdomen etc.). Moreover this is a very good supplement to strip method in subsequent stages. There are patients in which combined techniques can be done.

Tell me about scalp flap surgery/ scalp reduction surgery/scalp tissue expander?

With the advent of micro follicular hair transplant technique, these techniques  nowadays are being considered as of  historical interest. In these techniques the bald area is removed surgically and adjacent hair bearing area is moved using skin laxity. In some cases the hair bearing skin is increased in size by putting tissue expanders (balloons) under it; and this is used to replace the bald areas.

These techniques though considered history, still are useful in select group like–

Localized bad/thin scar over head, where the transplanted hair will not grow due to lack of proper blood supply. In these cases the scar can be excised in one or multiple stages and can be replaced with adjacent hair bearing area giving instant natural results with practically insignificant scarring. This also involves skills of a cosmetic surgeon.

Is there any role of medicines in baldness?

The role of medicine in hair loss has been said temporary because the hairs which have destiny to fall will fall ultimately because of their genetic programming. Though the drugs have been said useful to decrease the hair fall and increase the density but once the use is stopped, the effect vanishes. But the role of medicines has been established by promoting growth of the transplanted hair after hair transplant. This is said to be helpful in two ways.

1. The transplanted hair are said to be permanent and once the medicine promote and expedite the growth of these hairs; the resultant growth is early and permanent.
2. The existing hair will increase in density with these medicines, thus supporting the density of transplanted hair and amply contributing to change, enhanced look after hair transplant.

There are 2 medicines whose role is established for this.

1. Minoxidil – used as a local(topical) application works primarily by increasing blow flow. Nowadays combinationof  Minoxidil and Aminexil is being claimed to decrease fibrosis and maintain the growth potential.
2. Finasteride- reduces hair loss, and is said to be more useful in younger population. Studies have shown that it requires at least 6 months to 1 year for some significant improvement to be seen from the use of finasteride.

The Latest Skin Cancer News

Here are some recent skin cancer headlines:

If your kids are very light skinned (not redheads) and they tan, they are at higher risk for developing more nevi (birthmarks, moles, colored skin spots) than kids who don't tan.  Why is this of concern?  Well the number and size of nevi are used for determining the risk of developing melanoma.  And in fact, numerous benign or atypical nevi are considered a strong risk factor for melanoma.  Researchers have concluded that UV tanning in non-redhead children with the lightest skin pigmentation promotes nevus development.  If this describes your child - avoid this risk by making sure they always use sun block and reapply it during the day.

The National Institute of Health has identified a new group of genetic mutations that are involved in melanoma.  Some of the newly identified mutations were found in nearly 20% or melanoma cases.  Better yet, there is a drug approved for certain types of breast cancer that target this gene.  The PTK family of genes contains many genes that when mutated, promote a variety of cancers (including certain breast cancers, melanoma).  Research will now continue to identify more drugs that directly battle these genetic mutations.

For a largely unknown reason, melanoma is much more common among women than men under age 40.  Between ages 40 to 50, the incidence is pretty similar for both groups.  Over age 50, the incidence of melanoma skews to men.  Researchers have recently reported that a specific genetic mutation leads to a nearly four-fold increase of melanoma in women under age 50.  The gene is called MDM2 and its activity is associated with estrogen, hence the disparity between men and women's incidence of melanoma in the below 50 age group.  The gene's risk impact may be even more profound than blistering sunburns, freckles and even a family history of melanoma.  If scientists could develop a genetic test to identify this specific gene mutation, then many pre-menopausal (younger) women would be aware of their risk.  That awareness could lead to close scrutiny, frequent skin evaluations by a dermatologist and early intervention and treatment, which is crucial to a positive outcome in this deadly disease.  Drugs could also be developed to target this gene mutation.  More than 62,000 people get diagnosed with melanoma yearly and over 8,000 patients die yearly.

Hair Transplant Surgery in Cosmetique Pakistan

Welcome To Cosmetique^®

“Our goal is to be the Gold Standard of skin care and cosmetic surgery in South Asia. I personally see every new patient who visits our clinic. I am Board Certified by the American Board of Dermatology, American Board of Internal Medicine and American Academy of Cosmetic Surgery. These are exceptionally difficult degrees and fellowships to earn. These credentials attest & ensure that you, the patient, is in the best qualified hands. I returned to Pakistan after spending more than 15 years in training, teaching and practicing the art and science of Dermatology and Cosmetic Surgery at some of the finest institutions in the United States. My passion was to provide the same highest quality of services in Pakistan that we were used to provide in America. And, Alhamdulillah, we have been able to achieve that goal. The love and respect given to us by our ordinary patients as well as the Crème de la Crème of politics, sports, media, education & business of Pakistan and abroad, is very near and dear to our hearts at Cosmetique^®. Most importantly, many highly acclaimed and top-notch doctors trust their and their family’s skincare and appearance enhancement with us. Being doctor’s doctor is not easy but is self rewarding. Rest assured that the trust and faith that you put in us will always be protected with our utmost efforts to provide you with the skin care and cosmetic surgery at par with the most advanced centers in the world. Please take a moment to explore our website. Our philosophy is simple…Doctor’s Qualifications Count and Quality Matters. After all, at Cosmetique^®, our goal is to make you look good and feel confident with a beautiful YOU.” .....

A few words about hair transplant in Pakistan

Hair transplant in Pakistan have now become the most popular cosmetic surgery procedure for men. Many options to get the affordable hair transplant pakistan are available. From a totally non qualified wig-specialist to a barely qualified doctor to a very highly skilled cosmetic surgeon who specializes in hair transplant Pakistan there are many options to choose from. In Pakistan Hair transplant surgery is not strictly regulated by the government agencies, and can be performed by any non-qualified or a less qualified doctor as well, and thus the patients are advised to thoroughly check the credentials of the hair loss treatment specialist you are going choose as the hair transplant surgeon in Pakistan. The cost of hair transplant in Pakistan is considerably low as compared to any western country. Hair transplant is a small surgery in which hair is taken out from a patient's own back of the scalp (skin of the head) and planted on the front balding part of the head or on any part of the body where hair is needed. They are ones own natural hair and they grow for the rest of ones life as ones other normal hair. The transplanted hair requires cutting just like ones other normal hair.

At our exceptionally equipped clinic in Pakistan hair transplant is performed using our state-of-the-art technology and latest techniques of micro hair transplant surgery with single and follicular unit grafts, follicular unit extraction (FUE), body hair transplantation or a combination of these techniques as required by the patient. Local anesthesia is used to numb the skin and make the procedure absolutely painless. No hospitalization is required and the patient can resume his routine daily activities immediately after the transplantation. At Cosmetique Pakistan hair transplant is being performed using our latest equipment and all the medications used are of highest quality and imported from United States. The equipment used during the hair transplant surgery is of the most importance as this enhances the surgeons ability to perform the highest quality hair transplant.Surgery usually takes around 5-7 hours. We maintain the highest standards of patient safety, privacy and confidentiality.