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What Options Do You Have – Hair Transplant Surgery

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The most common plastic surgery these days is a HAIR TRANSPLANT  surgery, it doesn’t  even need an admission to a hospital. The fast life style of today’s generation, the world totally running around physicality, the race to reach at the top, the stress generated  to survive the targets given to office going crowds…. is all what has left us to secrete more and more adrenaline… adding to it is adultration of food stuff, a polluted environment …..has increased the number of cases of baldness..

In today’s topic I will cover the aspects related to this misery of HAIR TRANSPLANT.. needs and available we are going to talk about the treatment options with us , not much about the causes.

Basically, hair transplant is the surgical procedure of bringing hair from the “DONOR AREA” which is the area from back of one ear  to the back of another ear. This particular area have follicles which are immune to Testosterone and it’s allied hormones, follicles from these areas are surgically removed and then planted/ relocated  to the area of needs like front and vertex.

We have quite a few good options in this regard, we will elaborate on these options, in the coming paragraphs.

1. FUT or FUHT:-  In this kind of HAIR TRANSPLANT a strip of the DONOR AREA, is taken out , by the use of scalpel and cautrery, the gap thus created after the removal of the “STRIP” is given a surgical closuer, in two layers, BETTER is to have a trichophitic closure , where one the margin  is cut reverse oblique, follicles may be left in the scar line to make it more inconspicuous.
The area of the STRIP could be increased by increasing ,the thickness of the STRIP, the length of the strip and course of the strip could be made serpentine. A maximum of 7000 grafts or follicles could be done in a Single procedure under best available STRIP, with best densities and thickness with best hands doing it.


  1. It gives you a SCAR.
  2. It leaves you in pain for 10 days minimum.
  3. Blood is lost during the surgery.
  4. Nerves are cut in the procedure, and there are very long periods of NUMBNESS over the back of the scalp.
  5. Skin at the Back of the Scalp loses, a part of its vertical dimensions, and there is a feeling of stretching at the Back of the Scalp, whenever you look downwards.

2.FUE ( FOLLICULAR UNIT EXTRACTION)Some how this procedure came as a breather, after the purely surgical FUHT/ FUT procedures, though this procedure developed slowly, from 600 follicles in one sitting ,to now, up to  4500 follicles, in a sitting, depending upon the skills of the surgeon, the DONOR AREA of the patient ,in relation to his needs. IF your doctor is not competent enough to give you desired number of follicles in one single sitting, he may try to enumerate to you, the benefits of multiple sittings of 1500 follicles or so … be sure that’s his / her way of concealing his / her incompetence, no benefit to you, as you will take the ABUSES of LOCAL ANAESTHESIA twice or thrice.

3. FUE WITH BHT (FOLLICULAR UNIT EXTRACTION WITH BODY HAIR TRANSPLANT).. As FUE  alone, may sometimes  not be able ,to supply you the number of needed follicles  ( as yields with FUE procedures are not more than 4500.follicles usually)  a body hair transplant procedure, from the beard, chest ( usually) could be added, to it, to increase the number of follicles  and then meet the extreme follicle needs..

4. FUE WITH FUHT– Some of the surgeons, give this idea to their patients, its just because to facilitate themselves to practice the art of FUE ,while there period of  switching from FUHT/ FUT to FUE… THIS HAS NO BENIFIT FOR THE PATIENT.

5.FUE with PRP WITH MESOTHERAPY – Though PRP ( PLATLET RICH PLASMA) have still a lot of studies pending in favour of them, but in most of the cases it’s found to be a beneficial adjunct, to a procedure of HAIR TRANSPLANT, by any method, the platelet rich plasma adheres to the transplanted, as well as already present follicles over the RECIPIENT AREA, and help  in making the transplanted follicles grow early and giving health and thickness to the already existing vellus and sick/ weak follicles.

6. FUE WITH HAIR BONDING OR WEAVING – Whenever the DONOR AREA is deficient, then a front line  area, is covered with the transplant procedure, and rest of the back / vertex area is covered with the  partial wig/ bonding/ weaving, this makes the FRONT look very natural and also makes the wig or bonding 100% undetectable, few of the ace Bollywood stars are with it, can you guess them…..
FUE is also known as FOLLICULAR UNIT EXCISION…these days..
Please decide your CLINIC and SURGEON carefully, thanks for reading the content of the blog..

Dandruff – A Problem

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Dandruff is a house hold name as a problem usually presenting with

  1. ITCHY Scalp
  2. FLACKY Scalp
  3. Boils over Scalp


To differentiate Dandruff is present with symptoms of INFLAMMATION, such as Oily Scalp,Severe nocturnal itching, redness of scalp.

Dandruff is usually a Fungal infection with 1, Malassezia 2. Candida,.

Harmful Effects of DANDRUFF –

  1. Itching your scalp every now and then causes embracement.
  2. Hair tend to fall as a result of inflammatory process.

Is Treatment necessary-

Definitely a treatment is mandatory, in case a doctor is available its advisiable to see him/her.

Usual products are

  1. Anti yeast and Antifungals-
  2. Fluconazoles
  3. B, Itraconazoles
  4. Cotrimoxazoles

 Local Theraputics is by-

  1. Ketoconazoles
  2. B, Selinium Sulphides
  3. Borates
  4. Piroctone Olamines
  5. ZPTO

Few effective home remedies are also available-

  1. Boiled Neem Leaves – the stock should be boiled to make thick and dark , applied to the scalp for 30 minutes. Use three times a week to wash the scalp.
  2. Vinegar – 1:1 diluted in water should be applied to dandruff infected scalp. Twice or thrice a week.
  3. Lemon Juice with Coconut Oil to be applied to the scalp for30mts, then rinse.

Usually dandruff infections are hutty to treat , it comes back again and again, for hair transplant patients its a nightmare..

Non surgical — THREAD FACE LIFT

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This is blessing in disguise procedure which takes around 30 to 40 mins . This procedure is painless and very effective and shows instant results and is pocket friendly. It can be used for improving the jaw line,   reduce jowls and increase the facial volume face tightening.


Patient is briefed about the procedure and topical anaesthesia is applied on the area and patient is advised to wait for 30 to 40 min.


Face is cleaned with antiseptic solutions .Thread is chosen according to the size of the face . Then slowly the threads are inserted in a desired pattern and plain, to treat the concerned problem. Meanwhile the patient is awake and comfortable. This procedure can be combined with PPC also —–for fat reduction and double chin reduction.


It is an OPD procedure. Patient goes back home immediately,

No pain killers are to be taken.

If there is slight swelling it can be taken care by applying ice.


So it is a very effective, noninvasive,instant result producing and in long time it  leads to collagen production which causes face tightening and reduces wrinkles.

Best Hair Transplant Deals For Hair Transplant in Pune

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As the science of HAIR TRANSPLANTS is growing up and so is the need of people getting bald to make up their minds for a procedure, it’s very evident that the desirable method for HAIR TRANSPLANT now is FUE in most of the cases…

Before making a decision please try to understand the differences between FUE and FUHT in truly scientific terms.

I am not speaking a word about those who should not do a Hair Transplant (like technicians, BAMS, BHMS & BDS Graduates)

Most of the older lot of the surgeons prefer doing hair transplant by FUHT METHOD as they have learned it that way, these senior doctors may tackle with their AGE and EXPERIENCE in such good manner that you went thinking of FUE but turned to FUHT. But if you are thinking of FUE, do not let yourself to be convinced against your thoughts, as somebody is aged and senior.

Another group is of doctors, who say we will use both the methods, i.e, FUHT and FUE  both simultaneously…… according to me, this is a tricky business. As the doctor was trained in FUHT and now he wants to learn FUE, and he is using you and your SCALP, as an experimental material and subject. Don’t let it happen don’t be used this cheaply, this is cheating.

Sometimes the surgeon may use both the methods simultaneously for the betterment of the patient, It really is a happy situation but sadly seen very rarely.

Now there are those doctors and clinics, which promise and do FUE Only, here comes the need to compare few of the clinics…
Points should be degree and registration of the doctor with local, state and country bodies like MCI.
AGE of the surgeon may give some indication of his /her experience.

A doctor from a surgical background is better than a physician when comes to surgery and rarely arising surgical emergencies. Please take a written note of free PRPs WITH MESOTHERAPY.

Please see whether the doctor takes an accurate account of detailed history from you, past disease any sick episodes, environmental history some places are predisposed to iodine deficiency other like malaria and viral infection and allergies.. if the doctor is not asking then you should speak about it.

Whether he is taking your Blood pressure and doing a Skin Test for local anesthesia is very important.

Finally, the payment and mode of payment are important, the papers should transparently mention the number of follicles done indicating the area also. Hense, Sai cosmetics is one of the best hair transplant center in Pune.

This could be called the right approach to the clinic.

Best Hair Transplants in Pune A Selection

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please do read these notes by Dr Amitabh Shrivastava…

Once you are sure about the need of a Hair Transplant for yourself or a close one, the first thing you need to know is  which METHOD  FUE/ FUHT  you are planning for yourself and why…  you need to know the pros and cons of both the methods.

As, I may suggest or understand it should be FUE, as it’s the method of the latest times.

Secondly, you should start searching for a good clinic, there are clinics that are too costly as may be they believe in SHOW AND BUMP, again you need to understand that, who is paying for the show—– right the last in the chain ( customer/ patient) ….. so deal it..

Clinics, that are very very cheap, then judge who is operating there a doctor or a technician. A doctor well versed might not be too cheap..

So , the best would be to know YOUR surgeon in person, discuss your case with him in detail tell his knowledge with your previous experience and read materials…

See some of his results, his celebrity patients, you can judge with your super fine IQ, is he for you and are you for him..


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1.  Locally ice or glycerine pack could be applied to the area which is going to have a shot of injection of local anaesthesia. In our opinion a frozen Glycerine pack is a better idea as it doesn’t melts down like ice and wets the scalp/ face.

2. After this step, Oint. Tetralid or other surface  anaesthesia could be applied in a thin layer, it would then be covered by a water paper or metal foil and tied with loose bandage  ( crape) for another 20 minutes.

3. Effect of topical anaesthesia would be attained early and more complete and deep by using ULTRASONIC VIBRATORS for 5 more minutes over the area.

3. Finally after waiting for 30 minutes the time to inject local anaesthesia comes. First do a skin test with 0.1ml of the drug, then
Local should be mixed with Adrenaline in definite proportions for normal male patients, hypertensive and those with history of convulsions or other contraindications and  all FEMALE patients should not be administered with Adrenaline.

5.For injections of the local anaesthesia needles used should be of 26 to 28 gauge.

6. AREAS should be given local injections as per their shape as large circular areas should be anesthetized with concentric rings of shots in alternate manner each circle .
Injections should be given pricking the needle in the anesthetized small area of the previous shot. A light local could be added to the tumunesce liquid too.. to enhance the time period of the effect of the anaesthesia..

7. A further shot of local could be given to the patients, with lower pain thresholds at the donor areas, with an intragleutal injection of Diclofenac Sodium if the patient is normotensive and with normal renal functions refer to investigations before transplant.

What age is correct for a Hair Transplant.

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Hair and nails are scientifically vestigial organs of human body, hair is waste products of Nitrogen and Sulphur , the irony of the situation is so , that when you need these waste products most in your life ( to enhance your look and appearance) say between the age of 20 to 35 year, they cease to be with you.
A question is ” what should be the right age for a  Hair Transplant in Pune ? “

My philosophy applied to the issue is with the proverb ” A PERSON IS AS OLD AS HE FEELS “

Scientifically the age for transplant could be after the age of 26 years to 28 years. ,i;e, the time when the natural testosterone  starts dipping.

But I have given procedures to patients even younger than 20 years of age, the reason is that the boy has just crossed adolescent age and he is high on hormones, but is very depressed due to the hair loss disfigurement, so in a very sympathetic gesture explaining the science to him, and opening the  fact,  to him that he may get loses at newer areas, we can do a procedure on him.Such individuals are usually accompanied by their parents, who listen to the consultation/counselling very carefully,and are the decision maker.

Regarding middle age and older aged patient the average age is between 35 years to 45 years, the story is,that, he was too much in the battle of life taking the challenges of life, hands on, to make a mark in the society…… and when achieve that…. a fine day, he is relaxed…. he looks at the  mirror and notice the pigmented spots on his hands, extra melanin here and there one the face….a bald area on the top and a receding hair line….. he sits on internet and starts searching for a Hair Transplant CLINIC.

Don’t worry whatever age you are.. .. our website is

We are always there for you Sir…. some times Madam also…


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In every part of the globe the smoking is prevalent as a fashion  and had addicted about 30% of the world’s population. At least 65 % are trying hard to refrain from it. Bad news is , most of them fail.
The most fundamental constituent of a smoke cigar or cigarette is
1. Nicotine —  this gives the smoker a mild euphoria  ( a false feeling of  wellbeing ) . Increases the B.P by causing vaso construction at the peripheral blood  vessels.. this vaso construction hampers  with the blood supply  of the follicles and they fall.
The hair of the habitual smokers, smell like cigarette smoke.
The hair become frizzy  and brittle.
Hair loose the shining. Looking lifeless. .
Other bad contents of the smoke are .
  1. Carbon monoxide
  2. Lead
  3. Arsenic
  4. Hydrogen Cyanide
  5. Ammonia
  6. Nitrosamines
  7. Benzene
  8. poly cyclic aromatic hydrocarbons  ( PAH) and
  9. Formaldehyde
All are bad for general health and well-being, most are carcinogenic , traces of radio active element uranium is also found, due to the manure used in the agricultural production of the plant..
It’s you to decide…..
 If you wish to quit, Sai Cosmetics is ready to help..

Bigger Transplant with FUE METHOD

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Since the advent of FUE Method a lot of development had occurred…..

In the initial stages a transplant of 500 to 600 follicles was a big thing,and then on the merits of the FUHT Method,FUE Method used to loose the battle of positive credits, but as 10 to 13 years more passed those doctors,Who were extracting 500 to 600 follicles,practiced their skills to take out 2000 to 3500 in a Single sitting. I believe that such a change is usually seen in upcoming promising branches of surgery.

But with this advent few set backs or weeds also joined the main stream of good workers. Few of the centres were talking too much time to take out the desired number of follicles, This was associated with necrosis of the follicles in the dish, though improvement also occurred in the  field of the HOLDING SOLUTION…
Mainly with the  Temperature
Electrolyte ions
Adding Oxygen
Adinosine mono phosphate
And plasma  ( human or prepared).


Any way this is true that the follicles should not be made to wait too long,outside the body.

Here some of us choose to

  • Tell an increased number of follicles to the patient,say putting 2500 and mentioning 3000 . Not giving any written and transparent account of the job they have done to patient.

Others preferred to complete the PROCEDURE in two sittings

  1. On two or three different dates far from each other.
  2. Two or three different sittings on two or three consecutive days.

As a patient and as a part of the doctor team I want to throw some light on this very important issues.
Most of the time I will try to be on the side of science or natural logic…

What happens when we decide to give a patient 3000 follicles to day ,and will call him again the very next day to give him 2000 or 3000 more, in this case when the patient is coming to the clinic next day,inflammation had set up in the donor as well as the recipient areas, and now to harvest or transplant more follicles from and to,  the area used the last day is difficult due to biological barriers. My point of emphasis is     ” what is the NEED??.

Science says do your best in the first day,and if you feel to give more follicles as per patient’s need …..
Call him some other date …. after one or two months..
Till the inflammation has subsidised..

Giving local anaesthesia to the patient on two consecutive days is not humanly and good for the wellbeing of the patient… it may sometimes cause severe hypokelemia….

Second procedure over the same area, will harm the previously planted follicles ad mechanical trauma and electrolytes diffusion from the cell membrane..

We can earn the bread by working ethically also, I am scientifically against the practice of two session instead I will put emphasis on practice more follicles in single sitting.

Acne – Diagnosis, Treatment & Result

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Acne – Diagnosis, Treatment & Result

Most of the people do not know the difference between acne and pimples. Acne is a skin disease caused due to oil entrapment inside the hair follicles of face & around area. This causes skin to puff out. In many cases, bacteria, known as p. acnes, also gets trapped inside the pore, making the condition worse.

Very importantly, one needs to understand that acne has various stages and should consult a dermatologist.

Comedonal acne – mild acne that involves blackheads and whiteheads. It forms because skin oil called sebum, along with old skin cells, block skin pores. This acne appears often on the forehead, nose, and chin.

Inflammatory acne – occurs when the area just under the the blackhead or whitehead becomes red and inflamed.

Cystic acne – severe form of acne, it develops as the result of an actual infection in the area of the outbreak. Cystic acne often runs in families. It’s often very painful and can result in permanent scarring.

There are various treatments available across, which can treat acne effectively. Although not every treatment works for everyone; but if causes, stage, and other factors are identified for an individual, a specific treatment can be applied to get rid of this disease. One should remember that no cure can remove acne overnight and it takes as minimum as 4 weeks to 8 weeks to see the results.

Treatments varies from:

  1. Topical treatments – Cure which is applied on the skin in form of Medicinal creams/ lotions. They are used over the skin (for external use) which helps in reducing oil secretion and some are used to kill bacterias from skin surface. Creams containing benzoyl peroxide/ salicylic acid are commonly prescribed by the dermatologist.
  2.  Medicines – in form of pill/ liquid which works on entire body. , mainly antibiotics to kill bacteria, reduce inflammation. It may also include Birth control pills for hormonal imbalances.
  3. Procedures – laser therapies, chemical peels etc.
  • Lasers and other light therapies: reduce the p. acnes bacteria.
  • Chemical peels:  to treat 2 types of acne — blackheads and papules.
  • Acne removal:  a procedure called “drainage and extraction” to remove a large acne cyst. This procedure helps when the cyst does not respond to medicine. It also helps ease the pain and the chance that the cyst will leave a scar. If you absolutely have to get rid of a cyst quickly, your dermatologist may inject the cyst with medicine.

Results: As already advised, one shouldn’t expect a vanishing result overnight, instead they should ensure a proper treatment, regular cleansing and certain precautions to maintain the treatment effectiveness.  Without treatment, acne can cause permanent scars, and may imbalance your confidence for social gatherings or even individually.

To avoid these possible outcomes, we recommend that people should get treated for acne. When the skin clears, treatment should continue. Treatment prevents new breakouts.