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Our Methods
 

We offer the following methods for hair transplantation( also see power point presentation):

  1. FUT or follicular unit hair transplantation with Trichophytic closure, the gold standard method 
  2. FUE of follicular unit extraction
  3. Transplantation of other sites such as eyebrows, moustache, beard etc.( see power point)
  4. 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  

FUT

FUE

Strip excision of donor skin with suturing

Extraction of individual units one by one through small punch holes; each alternate hair unit is removed

Heals with a single linear scar which is 1-2 mms wide , hidden under hairs

Heals with multiple tiny scars  in between hairs

Healing over 2 weeks

Healing over 3-5 days

Donor area not shaved

Donor area completely shaved; to remove 2000 grafts, at least 20*4 sq cm are is shaved

Quicker;4 hours for 2000 grafts

Slower 12 hours for 2000 grafts

More precise because of microscopic dissection

Imprecise as units are manually pulled blindly

Minimal damage to hair roots

Damage to hair roots possible

Operation in one day

Operation over 3-4 days

More comfortable as patient is sleeping face up watching TV

Patient in head down position for several hours- more uncomfortable

Operation site over  donor hidden completely even on the day of surgery

 Operation site shaven and hence visible

Outstation Patients can leave Bangalore the very next day

Stay in Bangalore atleast for 4 days- greater expense for accommodation

Less expensive

3 times more expensive because of the prolonged procedure

 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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