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Hair Loss in Women

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Weight loss, low iron levels, poor diet, and stress, along with thyroid and hormonal imbalances, can all cause hair to fall. Hair needs a healthy diet and a well-functioning endocrine system to flourish.

But diffuse hair shedding linked to weight, anemia, diet or thyroid problems is temporary. The hair follicle isn’t damaged and the hair grows back automatically or once an imbalance is addressed.

There is another type of female hair loss, however, that is less dramatic and less visible, but can be incredibly distressing. The hair thins gradually, often over decades, around the top frontal area and extending back to the crown. It can start at any age, is progressive and inherited.

Genetic hair loss is the only hair loss in which the follicle gradually gets smaller and finer and producers smaller and finer hair until it stops altogether and then you get the thinning.

Androgenetic alopecia, as the condition is known, is male hormone-related but isn’t caused by too much testosterone. Instead, the hair follicles become sensitive, due to a genetic predisposition, to normal levels of male hormones in a woman’s body.

Stress can exacerbate genetic hair loss since the adrenal or stress glands secrete male hormones into the body. Polycystic ovaries can also accelerate the condition, and genetic hair loss will worsen in menopause unless treated as oestrogen levels.

but if they’ve died, the hair won’t grow back, experts say. Existing hair can be

Hair loss facts

Telogen effluvium – general shedding from all over the head. We typically lose some 100 hairs a day but sometimes shedding accelerates due to stress, illness, medication or hormones. Hair generally grows back within six months.

Androgenetic alopecia – in women, hair generally thins in the top, frontal area, just behind the hairline, but stays thick at the back. An enzyme causes conversion of the male sex hormone testosterone to another hormone, dihydrotestosterone (DHT), causing the hair follicles to produce thinner hair until they stop.

Alopecia areata – an autoimmune disease that affects up to 2% of the population. It causes round patches of hair loss and can lead to total baldness. In many cases, the hair regrows.

Treatment for Hair Loss

The only over-the-counter medication approved by the Food and Drug Administration (FDA) for female pattern hair loss is minoxidil

If minoxidil does not work, there are other “off-label” medicines, which include spironolactone (Aldactone), a drug used to treat hypertension; cimetidine (Tagamet), a class of histamine blockers; Ketoconazole, an antifungal agent and sometimes hormone replacement therapy (HRT).

Which Women Are Good Candidates for Hair Transplant?

  • Women who have suffered hair loss due to mechanical or traction alopecia (nonhormonal).
  • Women who have had previous cosmetic or plastic surgery and are concerned about hair loss around the incision sites.
  • Women who have a distinct pattern of baldness, similar to that of male pattern baldness. This includes hairline recession, vertex thinning (on the crown or top of the scalp), and a donor area that is not affected by androgenetic alopecia.
  • Women who suffer hair loss due to trauma, including burn victims, scarring from accidents, and chemical burns.
  • Women with alopecia marginal, a condition that looks very similar to traction alopecia.


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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.


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1511258282585blobWHAT IS HIFU ? —

HIFU (High Intensity Focused Ultrasound) otherwise known as Ultherapy is a non-invasive & non-surgical cosmetic skin tightening treatment that uses ultrasound to lift and tighten collagen and elasticity of the skin, for both men and women.

HIFU specifically targets the skin and its deep foundational layer of tissue that would usually be addressed in surgery, but without cutting or disrupting the surface of the skin, bypassing the epidermis during treatment.


With the HIFU treatment what we are doing is heating small targeted amounts of soft tissue below the surface of the skin to a level where the tissue will contract and the body will create new collagen. To achieve a significant lifting and tightening effect, the right amount of heat is delivered to the right depths of tissue and this fantastic treatment is capable of accomplishing both without any injury to the surface of the skin.

PREPARATION before the procedure—

The degree and nature of any discomfort will vary from person to person and from area to area on the face and or neck, with bony areas such as jawline being more sensitive than others. usually we use topical anasthesia 45 mins before the procedure


Some clients will see an initial effect right after their treatment, generally a refreshed glowing look, but the real results appear over the following 2 to 3 months as new collagen works to lift and tighten skin on the neck, chin and brow.

Results can be seen up to 9 months following the treatment, and depends on the variety of different factors including age, health, lifestyle and diet, and how much pre-existing collagen there is to build on when having a procedure for the first time.It is a clinically proven non-invasive procedure for face and neck lift.


  • Where this treatment really excels is that there is also no downtime, so you can go back to work the same day.


The only FDA cleared non-surgical, non-invasive treatments that are proven to be safe and effective in clinical studies and have had over 450,000 treatments worldwide.

What to Expect After Treatment?

  1. It is normal for the area to feel tender immediately after the procedure.
  2. We recommend no sun exposure for 24 to 48 hours after the treatment.
  3. No strenuous exercise for 24 to 48 hours.
  4. The treated area maybe flushed, reddened and feel tingly.
  5. Temporary bruising and numbness in the treated area can also occur (although this is rare)
  6. Apply a gentle cream gel every 4 to 6 hours for up to 72 hours’ post treatment.


The Skins Appearance Post Treatment

  • Skin feels tighter with a mild sensitivity to touch; however this will last up to 48 hours. After three days, your skin will feel back to normal.
  • Results visible 6 to 8 weeks and improve further over time.  Collagen induction process continues to work for another six months after the treatment.

TRANSDUCER    depths and mechanism of using the ultrasound measurement underneath the skin. Using a 4.5 mm transducer head, down to a 1.5mm, we change the transducer heads depending the areas we are treating. These are outlined below;

  • 5mm works to the SMAS (Superficial Muscular Aponeurotic System) layer. This means this works just above the muscle.
  • 3mm works to the Deep Dermis
  • 5mm works to the Superficial Dermis

Results with HIFU;

  • Improves skin elasticity
  • Shapes & tightens the face contours
  • Lifting of Eyebrow
  • Lifts and tightens the cheekbones
  • Defines jawline
  • Skin lifting and tightening of the Chin & Neck (yes it really can get rid of that double chin)
  • Improves surface layer of the skin
  • Slows down the development of aging signs
  • Slows down the development of aging signs on the face and neck


  1. What is it?

HIFU is a safe, nonsurgical ultrasound treatment that counteract the effects of time and gravity on your skin. The treatment uses the body’s own regenerative response to gently and gradually lift the skin on the eyebrow, under the chin, onto the neck and smooth lines and wrinkles on the décolletage.

  1. Can it replace a face lift procedure?

HIFU treats the deep foundation layer addressed in cosmetic surgery, but won’t duplicate the results of the facelift. However, it is a great alternative, especially for those not ready for surgery, or clients looking to extend the effects of cosmetic surgery.

  1. How is it different to laser procedures?

HIFU uses sound energy, which has unique properties that allow it to bypass the surface of the skin to treat depths not matched by any other non-invasive cosmetic device. HIFU stimulates collagen production in the skins foundation, resulting in a clinically significant lift of tissue over the following 2 to 3 months. Lasers rely on light energy, which cannot reach deeper skin layers as an optimal temperature, so laser treatments typically only treat superficial skin. Since the two technologies often treat different types of skin issues, they are very compatible.

  1. How does it stimulate collagen production?

During the treatment, the transducer head delivers and deposits focused ultrasound energy deep beneath the skin at the optimal temperature for collagen regeneration. The treatment jump starts a natural process, known as ‘neocollagenesis’, to produce fresh, new collagen. The treatment itself doesn’t involve any creams, fillers or toxins; it just relies on your body’s own collagen building process for natural, noticeable results.

  1. How long will the treatment take?

The length of the treatment will depend on the area being treated and your individual treatment plan. The face and neck procedure typically takes between 60 to 120 minutes, while a chest treatment on its own may take approximately up to 60 minutes.

  1. Will I need to take time off work after the treatment?

With a single HIFU treatment there is no down time. After your procedure, you can resume your normal activities immediately, without having to follow any special post treatment measures. We even have clients come in during their lunch break to have the treatment.  No cream is required and a general skin care plan and make up can be applied as normal.

  1. What does it feel like?

As the ultrasound energy is delivered, you will feel tiny amounts of energy being deposited to the precise depths, indicating that the collagen building process has been initiated. Comfort levels vary from person-to-person, but the sensation only lasts while the ultrasound energy is being delivered.

  1. How many treatments will I need?

Most clients only need one treatment. However,  as this may be based on the degree of skin laxity, the biological response to ultrasound energy and individual’s collagen building process, some clients may benefit from an additional treatment. Because the skin continues to age, future touch-up treatments can help clients keep pace with the body’s natural ageing process.

  1. Who is a good candidate for a treatment?

A good HIFU candidate will have mild moderate skin laxity where the skin begins to look less firm. Examples include a lowered eyebrow line, loose skin on the neck, sagging under the chin and lines or winkles on the chest area. Of course, the best way to find out if you are suitable candidate is to consult with our practitioner.

  1. How much does the treatment cost?

The cost of the treatment can range depending upon the area being treated. Please get in touch to discuss.

  1. Is it a safe treatment?

The HIFU procedure has been used safely in over 450,000 treatments worldwide. Ultrasound energy itself has been used safely in the medical field for the 50 years.

  1. Are there any side-effects?

The skin may appear flushed at first. This could be during a treatment but sometimes lasting longer. The redness should however disappear within a few hours. Some clients experiencing slight swelling, tingling or tenderness to the touch, but these are temporary in nature. Other, less common post-procedural effects may include temporary bruising or numbness in small areas of skin. As with any cosmetic procedure, there is a possibility of other rare effects, which your practitioner will review.


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.

Hair Fall – Stages & Causes

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Hair Fall – Identify Stages

You may be knowing that Average adult head has about 100,000 to 150,000 hairs and it is very NORMAL to loose about 100-150 strands everyday. It is a normal cycle of follicles producing new hair cell and old feels are being pushed through the surface of the skin. It is therefore, a not to worry situation if you have new hair strays in your comb within this range throughout the day.

Hairfall1Each follicle has its own cycle which differs according to age, disease, infection, treatment, medicines, season, use of harsh cosmetics & a lot many factors. This cycle has mainly 3 stages:

Anagen: An active phase of Hair Growth

Catagen: Transitional Hair Growth

Telogen: (Resting Phase) – at the end of this phase, the hair sheds and a new hair follicle takes its place and starts all over again with 1st stage.

BUT, there is a condition called alopecia, very commonly known as Hair Fall/ Hair Loss, which goes far beyond the normal shedding of 100 strands and person may tend to loose hair from all over the scalp or from a particular area of head. They are of various types:


Involutional alopecia – a natural condition in which the hair gradually thins and fall with age, there is no pattern and it may trigger anytime.

Telogen effluvium – temporary hair thinning because of changes in the hair growth cycle.

Androgenic alopecia – a genetic condition that can affect both men and women. In Men, called male pattern baldness, it is identified by a receding hairline and slow disappearance of hair from crown and front scalp. In Women, this condition called female pattern baldness, experience thinning over the entire scalp.

Alopecia areata usually starts suddenly (an auto-immune disorder) and causes patchy hair loss in children and young adults. This condition may result in complete baldness (alopecia totalis).

Alopecia universalis causes all body hair to fall out, including the eyebrows, eyelashes, and pubic hair.Hair Fall

Scarring alopecias result in permanent loss of hair. Inflammatory skin conditions and disorders often destroy the ability of the hair to regenerate.

There are various factors that can trigger hair loss, out of which some are genetically induced and others are eternal factors:

Hormonal Changes – a sudden change in hormonal balance due to medication, pregnancy, age – can cause hair fall.

Genetic Pattern – Its usually seen with male that if the older male members family have a pattern of hair thinning, then later, it continues with other male members too.

Stress/ Illness – A stressed lifestyle or prolonged illness can cause hair shedding.

Drugs/ Treatment – Strong medications like for Blood pressure, birth control pills, treatments like chemotherapy etc.

Cosmetic Procedures – Harsh treatment done to hair for a long course of time, have adverse effect on their life and strength.

Medical Conditions – Suffering from Thyroid, anaemia, Iron deficiency, diabetes may all cause hair fall.

Diet – Last but not the least, a poor / imbalanced diet has detrimental effect to hair strength. One should be very careful with nutrient rich diet as it contributes with health in and out.


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Precautions You Should Take When You Dye Your Hair
Follow these safety tips when dyeing your hair:
• Don’t leave the dye on your head any longer than needed.
• Rinse your scalp thoroughly with water after using a hair dye.
• Wear gloves when applying hair color.
• Carefully follow the directions in the hair dye package.
• Never mix different hair dye products.
• Be sure to do a patch test for allergic reactions before applying the dye to your hair. Almost all hair dye products include instructions for doing a patch test. It’s important to do this test each time you dye your hair. Make sure your hairdresser also does the patch test before dyeing your hair. To test, put a dab of dye behind your ear and don’t wash it off for two days. If you don’t have any signs of allergic reaction, such asitching, burning, or redness at the test spot, you can be somewhat sure that you won’t have a reaction to the dye when it’s applied to your hair. If you do react to the patch test, do the same test with different brands or colors until you find one to which you’re not allergic.
• Never dye your eyebrows or eyelashes. The FDA bans the use of hair dyes for eyelash and eyebrow tinting or dyeing even in beauty salons. An allergic reaction to dye could cause swelling or increase risk of infection around or in your eyes. This can harm your eyes and even cause blindness. Spilling dye into theeye by accident could also cause permanent damage.
How safe is your hair dye?
It has been used for so many centuries that it was thought to be harmless. Henna, which enhances the colour of dark hair, is one of the oldest known cosmetics. But scientists have found that a component, naturally occurring lawsone, is highly toxic.
This research comes shortly after a European Union watchdog said that some hair dyes – linked to bladder cancer and rheumatoid arthritis – were unsafe, and advised concerned consumers to stop using them.
So what are the chemicals that cause concern?
PPD (para-phenylenediamine)
This chemical is the main source of concern. It is found in dark hair dyes – concentrations of up to six per cent are legal – and is easily absorbed through the skin on the scalp and the hands. Research has shown that people who use darkcoloured permanent dyes every four to six weeks have twice the incidence of bladder cancer, which causes 4,900 deaths each year in Britain.
Advice: Use less dark dye and apply less often.
A naturally occurring chemical, found in henna at concentrations of between one and two per cent, but, none the less, one that is toxic, and can affect the kidneys, blood supply and stomach. This discovery, by the European Union’s scientific committee on cosmetic products, has raised questions about the safety of henna-based products, and may lead to some being withdrawn.
Advice: Weigh up the evidence: henna has been used for thousands of years without complaint.
Ammoniated mercury and other metallic chemicals
If a dye doesn’t contain PPD, it may well have higher concentrations of lead, mercury and other toxic metals. These have a bleaching action which enhances colour in the hair, but they can cause allergic reactions.
Advice: Read the ingredients on the packaging.
This breaks down the melanin in the shaft to lighten the hair. Peroxide also releases oxygen, which combines with molecules of dye to help establish colour. Can cause allergic reactions and can irritate the skin and lungs, but is not toxic.
Advice: Do a skin patch test 24 hours before first use.
Immune inhibitors
Recent Swedish studies among sufferers of rheumatoid arthritis suggested that chemicals in colouring products might damage the immune system, and even trigger the condition, though no particular chemicals were implicated.
Advice: Avoid man-made dyes.
Nonylphenol or octylphenol
Members of a group of chemicals which studies suggest are hormone disrupters and bioaccumulators. This means they can build up faster in body fat than they can be broken down.
Advice: These chemicals will not appear on the label.
Aniline dyes
Derived from coal tar and used in semi-permanent dyes. Can irritate eyes, skin and mucous membranes, or cause allergic reactions. For similar reasons, also be wary of ammonium tholactate (a neutraliser), stearic acid (an emulsifying agent), pentasodium penetate (a binding agent) and ammonium hydroxide, all found in this type of product.
Advice: Again, do a skin patch test.
Highlights or lowlights
These are the safest options. Here, the dye is painted on the length of the strand of hair, but not the scalp. It is not absorbed by the skin.