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We offer the following methods for hair transplantation( also see
power point presentation):
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FUT or follicular unit hair transplantation with Trichophytic
closure, the gold standard method
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FUE of follicular unit extraction
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Transplantation of other sites such as eyebrows, moustache,
beard etc.( see power point)
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Body hair transplantation
Dr Venkataram has undergone special courses in FUT and Body hair
transplantation in Sydney
and Montreal.With over 8 experience in the field, we can do any
method as desired by patients.
Comparison of different methods of scalp hair :
The main difference in FUT and FUE are in donor area only; there is
no difference with respect to recipient area. In FUT, a strip of
skin with hairs is removed, dissected under microscope to separate
follicular units and then transplanted.The removed strip area, is
sutured by a special method called trichophytic closure which heals
with an imperceptible thin line which is hidden under the hairs. In
FUE, each unit is pulled out
individually, with tiny 0.8mm -1mm instrument called punch
and then transplanted in to bald area, These tiny holes then heal
with minute imperceptible scars. For this reason, FUE is also called
suture less transplantation.
It has also been wrongly advertised as scarless transplantation on
internet sites. Once there is some damage in skin , there is
always scar , however small
and hence scarless transplantation is a wrong and unscientific
terminology.
Comparison of FUT and FUE
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FUT
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FUE
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Strip excision of donor skin with suturing
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Extraction of individual units one by one through small
punch holes; each alternate hair unit is removed
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Heals with a single linear scar which is 1-2 mms wide ,
hidden under hairs
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Heals with multiple tiny scars
in between hairs
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Healing over 2 weeks
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Healing over 3-5 days
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Donor area not shaved
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Donor area completely shaved; to remove 2000 grafts, at
least 20*4 sq cm are is shaved
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Quicker;4 hours for 2000 grafts
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Slower 12 hours for 2000 grafts
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More precise because of microscopic dissection
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Imprecise as units are manually pulled blindly
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Minimal damage to hair roots
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Damage to hair roots possible
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Operation in one day
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Operation over 3-4 days
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More comfortable as patient is sleeping face up watching TV
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Patient in head down position for several hours- more
uncomfortable
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Operation site over
donor hidden completely even on the day of surgery
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Operation site shaven
and hence visible
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Outstation Patients can leave
Bangalore
the very next day
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Stay in Bangalore atleast for 4
days- greater expense for accommodation
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Less expensive
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3 times more expensive because of the prolonged procedure
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Body
Hair transplantation:
Body hair transplantation is generally done
only when scalp hair is exhausted. Body hair is not the
preferred source when
scalp hair is visible for the following reasons:
a)
Body hair has to be extracted singly and hence is slow- takes 3-4
days for a 2000 graft session
b)
Body hair occurs mostly as single hair units and hence gives less
density
c)
Body hair diameter is
less and so gives less density
d)
Long term behavior of body
hair is still not known as the technique is new.
e)
Body hair may grow long when transplanted on to scalp, but not as
long and as thick as scalp hair- so it is inferior to scalp hair
f)
Lastly and most importantly, Body hair transplantation is possible
only for patients who have good body hair on chest.
We offer body hair transplantation at
our centre for selected patients; however the cost is 5 times
that of conventional
hair transplantation.
Our opinion:
1. In our opinion , for Indian situation , for patients with limited
budget, FUT is the best method as it is cheaper, more convenient and
give outstanding results . The only advantage of FUE is the
avoidance of suture. With recent introduction of trichophytic
closure , the scar produced is almost imperceptible even after strip
excision.
2. Despite this FUE holds attraction to many patients who are
apprehensive of the FUT method because
of “ skin being removed” . In such patients, with adequate
financial resources, FUE can be done.
3. Body hair in our opinion Is inferior to scalp hair and is
therefore recommended only
when scalp hair is not
available. Again this is a technique receiving a lot of hype and
exaggeration on internet sites, and many patients ask for it hoping
not to disturb their scalp hair.
4.It is to be emphasized that FUE method has reached exaggerated
attention and publicity on internet. Despite all the hype in
internet sites, 95% of all hair transplants in the world are done by
FUT only. FUE accounts for only 5% of all transplants because of its
high cost. This is the case with us also- we have many patients who
seek FUE after reading on internet, and then change their minds to
have FUT after knowing full details. One possible reason for this
could be the fact that FUE needs a smaller team and less expertise
in hair dissection.
Our team has the capability to perform all methods as per the desire
of the patient.
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