1. LASER HAIR REMOVAL

What is LASER HAIR REMOVAL?

It is the most modern non invasive specific procedure of hair removal by using lasers.

Q. How does Laser work?

Laser or light of specific wavelength is absorbed by melanin present in hair of follicle and so its temperature increases to destroy the follicular cells permanently.

Q. Why laser hair is chosen over other alternative methods?

When one wants to remove hairs of larger area, electrolysis, waxing, tweezing, threading are more painful, time consuming and less safe procedures. Their results are lasting for short period. Often these procedures tend to stimulate more hair growth later on. But laser hair removal process offer better and longer lasting results. It is fastest and safest among all the methods of permanent hair removal.

Q. What are the advantages of laser over electrolysis?

Laser in non invasive, safer, fast methods. Electrolysis is invasive, some what unsafe (as compared to electrolysis) and more time consuming method.

Q. In laser hair removal what risks are involved?

In some patients, having sometimes skin, temporary slight reddening of skin, and some temporary swelling may develop. Those who do not follow post treatment precautions may develop temporary hyperpigmentation due to direct sunlight exposure. If sunlight is avoided, this risk can be prevented.

Q. What are advantages of methods of laser hair removal in comparison to other methods?

Laser hair removal does not have risk of making hair grow back thicker, darker or quicker. It will certainly reduce thickness of hair and hair count. This advantages are absent in other methods including electrolysis.

Q. Is it painful procedure?

One may feel tingling and snapping sensation like a rubber band. It is the most often a feeling of discomfort rather than pain. It is quite less as compared to other methods of hair removal.

Q. How much is discomfort during LASER hair removal?

Ans: Discomfort is like a rubber band snapping against the skin and tends to create some discomfort. People with light skin tend to have less discomfort. This discomfort indicates maximum energy that can be used in particular case without any side effect. But if patient does not want even this much discomfort, then, in first sitting, maximum tolerance of energy in particular person is assessed. Later on from second sitting, this dose is delivered under topical local anaesthesia locally. Topical anaesthetic cream is applied one hour before the treatment. Ice can also be used. After the treatment skin becomes slightly pink. Patient may feel slight sunburn. Patient can attend her usual work after some time.

Q. Is hair laser removal permanent?

Laser removes all active hair follicles on the body. There are very small vellus which are not easily visible to naked eye. Due to variety of factors like age, hormone, certain medicines. If these hair become active & grow then the person may wrongly feel as if hair are recurred. To destroy dormant hair follicles sittings are given at intervals. So, in few sittings 70% to 90% of hairs are destroyed. In some patients due to some medicine, ovary tumor or hormonal imbalance, the dormant hair follicle becomes active. In such case, one may need to repeat another session. Scientifically permanent hair removal means destroying the active hair follicle permanently and so results last for many years.

Q. How to get best results from laser treatment?

To get best early and permanent results follow post treatment instructions and schedule of suggested session.

Q. Which area of the body can be treated?

Laser can treat all part of body where we do not want hair e.g. in women, upper lip, chin, bikini line, arms, legs, underarms, unwanted hairs of eye, brows for reshaping, eye lashes etc. In men, beard area, shoulders, back, ear pinna etc.

Q. How safe is laser treatment?

As it is non invasive and faster treatment, there are no chances of infection, much pain, mutation etc. Laser hair removal method which we follow and machine we used is approved by Food and Drug Administration (FDA) of America.

At some centre, there are mobile laser machines and of old generation laser machines which are less safe in comparison to non mobile heavy machines of recent generations.

Q. Does laser cause cancerous changes?

No, laser is non ionizing, light which does not cause any mutation in cell. So, laser is safe and does not cause cancer.

Q. Why laser hair removal is done in multiple sittings? OR Why there is need of treatment at certain interval?

Laser is effective against all hairs which are in active phase and destroys them forever. Laser do not destroy hairs which are in inactive phase at the time of laser exposure session. At present, no method is available to destroy hairs which are in inactive phase. After certain time, these inactive hairs become active and so, to destroy hairs which have entered in these active phase, one need another sitting. So, depending on hair growth cycle and pattern of hair growth, one may generally need 4-8 methods. The laser expert can have idea of need of more sessions only after second treatment i.e. after observing the individual response. Those who have hormonal problem, who develop this problem later on, may need maintenance sitting later on. Those who have undergone frequent plucking, threading & waxing methods of hair removal may need more sessions.

Every hair of the body passes through three cycles of hair growth. The active growing phase (Anagen), the regression phase (catagen phase) and the resting phase (telogen phase). At any given time, all hairs anywhere on the body are not in one phase of cycle. LASER destroys hairs which are in the active growing phase. So, a single sitting permanently destroys the hair which are in active phase (anagen phase). Those which are not in these phase need more sittings till all of them pass through this anagen phase. So, single sitting is not enough for any available LASER SYSTEM.

LASER acts on hairs, which are in active phase (anagen phase). Hairs grow differently depending upon hormones, ethnicity, weight, age, metabolism, medicines consumed etc. So, more than 2-3 sittings are required for hair removal. Those who have excess hairs which do not respond, need to undergo investigation for hormonal imbalance and its causes.

Q. What is difference between other methods of hair removal and laser hair removal?

Laser treatment definitely destroys active hair follicles permanently. But such permanent results are not seen in other methods. So, after some sessions of laser treatment, skin is almost free from hairs.

Q. After laser hair removal, does one need to take rest?

No, one can directly go to work after the treatment. But one should avoid direct sunlight.

Q. Is laser treatment economical?

By using other methods of hair removal, one spends small amount of money every 3-4 weeks for about 20 years. So, indirectly on summation one spends more money. Thus, indirectly much money is wasted. Summation of time and energy which patients spend is multiple times much more. So, also the summation of risk to which an individual is exposed everytime is non acceptable. Due to these valid reason, one should choose method of laser hair removal.

After laser treatment, one gets 80-90% response in 3 sessions. With few more sessions, almost most of the hairs are removed.

Few patients who have hormonal imbalance or some silent medical disease have a tendency of hair growth irrespective of any method one uses for hair removal. In such patients, one may need repeat treatment of laser at interval & maintenance treatment with Lasers and results are scientifically better than other methods. Thus, laser is highly effective.

Q. How many treatments are required?

Ans: All hairs are not in active phase. So, to remove rest of the hairs at least 4 sittings are required. Most of the hairs are removed in 4 sittings. With each sitting, results go on improving. Rarely hair having fine texture may regrow. People who have hormonal imbalance or who have waxed or plucked hairs need more sittings.

Q. How much time is required for each exposure per sitting?

Ans: LASER removes hair with high speed and without causing pain as compared to electrolysis: For removing hairs of back, LASER method which requires one hour and for electrolysis method requires 125 hours for some extent of area.

Q. What is done at the time of evaluation?

Ans: Your skin type and hair type is decided. What you expect is taken into consideration. Some test spots may be given.

Q. What precautions should be taken before taking treatment?

Ans: Patient of darker skin should use bleaching regimen at least two weeks prior to the first sitting. Stop bleaching or plucking hairs two weeks before treatment. It is better to shave 2 days earlier so that residual hairs will be very small. Shaving reduces treatment time.

Do not take Laser treatment when you have suntan or sun burn.

Q. What post treatment precautions one should follow?

Ans: After hair removal treatment that part of the skin may appear slightly red and may have bumps. Cold compression helps to reduce it. Use moisturizer. Make up may be used. Use sun block of SPF 25 or more for 2 weeks.

After 2-3 weeks hairs from hair follicle will fall out. It may seem as if there is new hair growth. With the help of wash cloth these can be removed. One can shave hairs in this period.

If one notices cold sore or genital herpes, start antiviral Tab. Zavirax (Acyclovir).

Q. What is the mechanism of removal of hair by Laser?

LASER energy is attracted by colouring pigment in hair follicles. When Laser rays are absorbed by the cells of hair follicles, light energy is converted into heat energy and so these cells are destroyed. Such hair follicle destruction also destroys the secretary sac. In other procedures of hair removal secretory sac continues to send out new hair even if hair is repeatedly destroyed and even if it is ripped out by the roots. But this does not happern in case of LASER hair removal.

Laser can destroy hair follicle by photothermolysis of pigmented cells containing melanin. Laser is absorbed by these cells and not by other cells in the skin and thus destroys only the cells of root of hair. Some laser is absorbed by upper layer (epidermis) of the skin.

Q. How the skin is protected during laser hair removal?

This layer is protected by keeping it cool. Upper layer is saved by laser energy by using laser having long wavelength (e.g. Nd: YAG). To protect skin, the laser exposure is given only for few millisec.

Q. Which is the best painless method and permanent method to remove hairs? What about other methods?

Ans: LASER hair removal is the most modern, the most effective, painless, best and permanent method of hair removal approved by Food and Drug Administration (FDA), USA. This is non-invasive procedure. Many hairs are targeted in a single light flash. Hairs, which respond to laser treatment, do not recur or grow again forever.

Some people use uncomfortable and unsuitable techniques like abrasive live pumice stone, depilatories threading, plucking, and waxing. These are painful and messy methods. These methods give temporary results. Electrolysis is available since few years to remove hairs permanently but it is invasive painful procedure. It involves insertion of needle into each root of the hair and delivering electrical charge. So, it has higher rate of complications. It needs repetition after a few months and sometimes years. As one individual hair is electrolysed at a time, it is time consuming method.

Q. Who should undergo Laser hair removal?

Ans: 1. If you are intelligent woman who no longer wants to be wishing in the four walls of home and if you want to mix with people without embarrassment due to your unwanted hair, you need to undergo LASER hair removal. If you are working in public offices or daily if you coming in contact with many people for business or profession or service then, it is better to undergo laser hair removal. Young girls of marriageable age should undergo laser hair removal. 2. Those who want to look smart and dress well must think of unnecessary hairs on the face and rest of the body. 3. Those who have unnecessary hairs on the area above lips, eyebrows, area between eyebrows, cheeks, pinna, neck, axilla (including arm area), arms, legs, chest area (including mammary area), bikini line should be thought of. 4. Many men want to be free from shaving everyday. Some are tired of dense beard hairs, thick hair and rapid growth of hairs. So, to reduce the number of hairs, or to eradicate hairs on chin and cheek, male may undergo laser hair removal. Common areas of unwanted body hair of women vary from unwanted body hairs on men. For everybody more than acceptable number of hairs on the body is embarrassing.

Q. Why Nd-YAG is used and preferred over the other LASER SYSTEMS?

Ans: It is absolutely best LASER currently available for any skin type. It suits most to most of Indian skin type. We also use intense light pulse for better results of hair removal. These are safe, reliable, painless and permanent methods. We have chosen it because of its proven results and unmatched track records of the experts all over the world. The long wavelength system of Nd: YAG LASERs helps to work in both light and dark skinned persons with least risk. It is approved by Food and Drug Administration of America. Now all over the world majority of people have preference to undergo Nd YAG Laser hair removal.

Q. Why Nd: YAG is preferred over diode laser?

Nd YAG laser has a longer wave length than diode laser. So, when Nd: YAG is used, less energy is absorbed at epidermis level and more energy is absorbed at deeper dermis level where route of hair is present. As wall of hair follicle has cells containing melanin and other surrounding tissue does not contain melanin, by Nd YAG laser damage to the hair follicle is more & deeper and damage to surrounding tissue is lesser. So, also, effect of Nd: YAG Laser, sub ablative rather than destructive, in comparison to diode laser. As Indian skin has less contrast with hair, laser longer wave length like Nd YAG is preferable to protect dermis.

As diode laser rays are absorbed more by melanin which is at superficial level as compared to melanin of the wall of hair follicle, so, less energy reaches at greater depth of hair bulb follicle. So, effective fluence of diode laser is the richest in lesser quantity as compared to effective fluence of Nd YAG. Nd: YAG laser rays are less absorbed by melanin of basement layer in epidermis and more energy reaches at greater depth where follicle is present. So, hair follicles are destroyed in better way by Nd: YAG laser as compared to diode laser energy.

Q. How Nd: YAG LASER and Intense Light pulse works?

Ans: Flashes of LASER Light pass through the skin. These rays are absorbed by the pigment melanin which is present at the bulb of hair root. Such absorption destroys the root of the hair. 4-8 sittings are required at interval of 4-6 weeks for permanent hair removal.

Q. Why cost differs from clinic to clinic?

Ans: Cost differs from location to location, depending on type of LASERs. Generation of LASER SYSTEM used and facility of use of other LASER SYSTEM as adjuvant treatment for better results.

Q. How does hair grow?

Ans: Hair follicle is a punch like depressed tunnel in the skin. Hair follicle occupies a space in superficial part of skin (epidermis) and deeper part of the skin (dermis). Hairs are in 3 phases: a) Active growth phase (called anagen phase): It lasts for several years. At any given time about 85% of our hairs are in this phase. In this phase, hairs have abundant melanin, b) Regressive or catagen phase: In this phase, hairs stop growing but these hairs do not shed. About 3-4% body hairs are in this phase at a given time. This phase lasts for two weeks. Resting phase (telogen phase): In this phase, hairs fall out and new hairs begin to grow. This phase lasts 5-6 weeks. Approximately 10-13 per cent of our body hairs are in this phase at any given time.

Q. Describe structure of hair?

Ans: We see hair shaft outside the skin. It is keratinized hardened tissue. Hair shaft, which grows from the base of pouch like structures below the skin, is called as hair follicle. Thicker pigmented hairs are terminal hairs. These are thicker and pigmented. We consider these as real hairs. These are present on the scalp, eyebrows, legs, and backs.

Most of our hairs are fine and pale hairs (vellus hairs), so, even though we have more hairs than chimpanzees and gorillas per square inch of the skin, we do not appear hairy.

We believe in 3D performance. A)Your performance, b) our performance and c) technical performance. So, we are leaders in technology. Now or never. Now your beauty is in your hand. Take our help. Never in city such help was available. Never before beauty was so improvable. If you are beautiful, we will help you to improve more. If your are not, we will make you beautiful.

Beauty is for presentation, confidence and social acceptability.

Beauty is for better confidence, better job, better efficiency, better success and best life.

 

 

2: FACE SURGERY

What are the risks of facial implant surgery?

Facial surgery is usually safe. Rarely implants may cause infection. Rarely some patients need removal of implants to cure infection. Sometime implants may become mobile or may shift from original place. In such case, one needs to correct the position of implant. In some patients bruises may develop for some period. Face implants are more safe and durable as compared to implants in breasts.

Consultation: Doctors evaluate health and contours of the body including the face. Alternative methods of facial contouring are discussed. Patient is expected to tell frankly his expectations, any continued medical problem and medications. He should also reveal about his habits like smoking or tobacco chewing and alcohol consumption. If patient wants to undergo surgery complete physical check up is done.

 

3. EYELID SURGERY

Q. What is blepheroplasty?

The excess skin and bulge on the eyelids or below lower eye lid make our appearance like tired and older face. Eyelid surgery (blepharoplasty) is a procedure to remove excess laxity and bulged part of eye lids.

Q. Who is suitable candidate for a blepheroplasty?

Ans: Person should be healthy, psychologically stable and should have realistic expectations. Those who have droopy and boggy eyelids at younger age can also undergo blepheroplasty. Usual age is 35 years or more.

Q. Who should undergo blepharoplasty?

People above 35 years of age prefer to undergo this surgery. But younger person having baggy or saggy eyelid also need to undergo this surgery.

Q. Are the marks of wound are visible after healing?

The incisions are made along the natural lines and marks of wounds are almost invisible.

Q. What are the risks?

Ans: Every surgery is associated with some uncertainty and risk. Individual vary greatly in their anatomy, physical reaction and recovery abilities. So, outcome is never completely predictable. If patients are carefully selected and if operating facilities are properly equipped, it is safe surgery.

Q. How are the results?

Ans: The aim of surgery is to improve outlook of face more alert and youthful. Results are long lasting and even permanent.

 

4: RHINOPLASTY

Who needs rhinoplasty & septorhinoplasty ?

To improve function of nose (to reduce / improve air way in nose) and to make it more beautiful rhinoplasty surgical reconstruction of the nose. It corrects the birth defects and disfigurement. It can also remove unwanted extra tissue.

Rhinoplasty is done in various situation to increase size of the nose, to reduce extra size of the nose, to widen the narrow nose, to reduce extra length of the nose, to reduce extra bone in nose, to correct asymmetry of the nose, to elevate tip of the nose, to reduce broad tip of the nose into narrow pointed tip, to reduce length of alew, to improve angle of the nose with upper lip. If patient desires to improve his present unwanted shape or appearance of the nose rhinoplasty operation is performed.

 

5: LASERs

What is LASER?

Long form of LASER is light amplification stimulated emission of radiation. This intense light beam of bright light travels in one direction. They have precise and selective wavelength. So, these can be used for specific treatments. Such LASERs selectively act and vaporize the skin to treat wrinkles and scars.

Why Laser?

Laser is more precise tool to perform complex micro procedures with far more accuracy. It causes minimum trauma and improves surgeons views. Due to absence of contact between tool and affected tissue, infection is minimum. Surrounding tissue is not traumatized. It is less time consuming. It produces less scar. It causes minimum pain. It has shorter recovery period.

Why Laser surgery:

Laser surgery has revolutionized many cosmetic surgery procedures and their results. Lasers have an ability to blast away or diminish imperfections or growth with a minimum bleeding, bruising and scarring. Not al lasers are alike. Many Lasers are of varieties. It is better to get treated at the centre where multiple types of lasers are available.

 

6:LIPOSUCTION

What is ultrasound assisted liposuction (UAL)

When ultrasonic probe is used to remove fat by suction it is called as ultrasonic assisted liposuction.

Why fat deposits feeling hard to budge persists in spite of proper dieting and exercise?

This is due to hormonal changes in woman caused by pregnancies, menopause or hormone replacement therapy. Many women have genetic predispositon. If exercise and dieting does not help, one may undergo liposuction method of liposuction.

I am in adult age but still I have double chin. Why? What can I do?

Double chin develops due to fat deposition. Such deposition may be due to overweight, hereditary cause or aging. Liposuction produces remarkable reduction of double chin.

I have failed to reduce fat around waist? Please advise me.

Nobody likes 'bear belly'. Liposuction gives predictable results when dieting and exercise fail. In men, fat is more in 'love handle area', the abdomen and occasionally chest. New techniques like ultrasonic and power canula used in our set up produces better results. Removal of fat cells by liposuction helps.

Goal of liposuction is to expose muscularity in men and to create sensuous curves in females.

What is done during liposuction?

Under anaesthesia, tumescent fluid is injected through small puncture holes of size 2-3 mm are created to suck fat. Injected fluid is sucked along with fat. Replacement fluid is given through vein. After the procedure, area is compressed with tight dressing and compressive garment. Patient is discharged on the same day.

How much fat can be removed?

Amount of fat removal varies from case to case and need in the patient. 60 to 70% of local fat below the skin can be removed. If more fat is removed, then, there will be rippling and dimple formation. Skin will hang. In one sitting, 1 to 5 Kg of fat may be removed safely. Depending upon number of sites from which fat is to be removed, one requires number of sittings. These number of sittings can be decided.

These fat cells which are removed do not grow later on.

Why compression garment is required?

To reduce swelling and to help the skin for shrinking to new body frame, compression garment is used. Compression garment also helps to prevent bleeding and to reduce swelling.

How excess skin will look like after liposuction?

In liposuction, cells are sucked through cannulas by passing in subcutaneous plane in multiple direction. So, it allows to preserve fibrous connections between the skin and body. These fibrous connections help to contract the skin. But dimples, ripples and stretch marks remain unchanged.

Whether effect of liposuction or fat removal is permanent?

After age of puberty, when we gain weight the number of fat cells does not increase but the cells enlarge in size. When we remove fat in liposuction, these sucked fat cells no longer remain behind and so there is no enlargement. So, effects are permanent. After liposuction, if you do not control weight, by proper diet and exercise fat cells in other part of body may increase in size and may create body out of balance.

So, liposuction is not just removing the fat but it is 3D fat reduction or artistic liposculpture of the body to maintain natural shape of the body and to make it fit for wearing proper clothing. Areas like the abdomen, flanks and under the bra area is treated to make proper borders of the waist i.e. to achieve narrow waist.

Is liposuction is helpful to lose weight?

Liposuction is effective procedure to make uneven proportions of fatty body in to proportions.

So, weight loss is not main aim of liposuction but it is resultant effect. Thus, it improves relative proportion of fat deposition. If after liposuction, an individual will control weight by dieting and exercise the weight will not increase and shape will maintained. If the individual does not control weight by diet and exercise the fat will be deposited in other areas.

When will I see results of liposuction?

An individual easily feels that the fat has been removed when he or she touches the area. During healing there is reaction as swelling and some tumescent anaesthetic solution still remain for several days. So, improvement of liposuction remains hidden for several weeks. After about 4 weeks patient realizes that he/she needs new clothes which can fit proper and also find that it is easy to wear clothes which had not fit for a long time. Improvement continues for six months. Patient achieves enormous satisfaction and he/she is more ease with own body.

How the effect of liposuction is permanent?

After liposuction, there is scarring in sub dermal area and permanent decrease in number of fat cells. So, effect of liposuction is permanent. The body's tendency to store fat in old favourable area no longer continues. If patient does not control diet, he/she will gain weight but it will go to new areas and not in former troublesome areas.

If liposuction a safe procedure?

Liposuction done under local anaesthesia is safe procedure. When liposuction is done under general anaethesia inherent risk of anaesthesia is involved and not risk of liposuction. When liposuction is done under local anaesthesia there are no life threatening complications.

Who should wait before going for abdominoplasty?

Those who want to lose lot of weight should wait till weight is sufficiently reduced. Those who plan for pregnancy should wait till delivery or end of lactational period. Abdominoplasty enhances your appearance and self confidence.

Who should undergo liposuction?

Any person who has excess fat or who has local fat deposition or who is candidate for traditional liposuction is also a candidate for liposuction. This technique can be used over area of abdominal wall, face, neck, arms, thighs, carries, ankles, waist etc.

 

7. HAIR TRANSPLANT

Q. Who is an i deal candidate for hair transplant surgery:

Ans : A person who has

a. Age above eighteen years,

b. No active scalp infection,

c. Adequate hairs on back and sides of head,

d. Stabilized hair loss,

e. Medical treatment tried without success,

Patient should not have a habit of consumption of any tobacco product and alcohol. He/she should not have diabetes, high blood pressure, hypothyroidism, keloid tendency, systemic disease, bleeding disorder. If reader feels that he fits in this category, he should consult cosmetic surgeon.

Q. Can hairs be transplanted in eyebrows, eyelashes, moustaches, pubic area, side burns?

Ans: Yes, in these areas hairs can be transplanted.

Q. When baldness runs in family? What are the possibilities?

Ans: Although male baldness is known to have hereditary factor in families with many bald males inheritance pattern is unpredictable. It is also uncertain to say about onset time of male pattern baldness. Environmental factors also affects baldness process.

Q. Some young people ask this question, "My father had baldness. Will I lose hairs like his pattern of hair loss?"

Ans: It is usually difficult to say about how fast baldness will increase. Generally, 25% men develop baldness by the age of 30 years and 40% develop by age of 40 years and 50% male develop baldness by the age of 50 years. If baldness begins earlier, it will likely to continue with aging. Sometimes occasionally pauses may be seen.

Q. In what manner male lose hairs?

Ans: Male pattern hair loss generally starts at frontal lines above the forehead and moves back in 'M' like pattern. Simultaneously or later on hairs over the vertex (crown) of the scalp are reduced. Frontal and vertex pattern may enlarge and merge into each other. Areas of temple over the ears and back of the head persist even if all hairs from other parts of scalp are lost. Even if one has not developed baldness upto age of 40, it does not mean that he will not develop. In many males, minimal and gradual hair loss is not recognized by themselves.

Q. When should I decide to undergo hair transplant?

Ans: If you have noticed your hair loss very early and hair loss is mild to moderate, have trial of medical treatment with hair restoration drug like minoxidil (Roga and finasterial). These agents slow or reverse hair loss. Thus, by taking preventive treatment at proper time, you may delay the need of hair transplant for many years by the use of these medications.

Q. How the hairs regrow and how much time is required?

Ans: Good regrowth of transplanted hairs takes place after three to four months. Initially, these hairs are thinner and softer. Soon they become thicker, coarser and darker. Sometimes, initially hairs are curlier. Exposure to sun makes the colour of hair lighter.

Q. How long transplanted hairs continue to grow?

Ans: Usually, transplanted hairs have same life span as that of hairs of donor site. Normally hair sheds off from hair follicle after every three to six years and grow again from the same root of hair follicle.

Q. Are the other natural hairs are affected after transplant of the hairs?

Ans: Natural hairs are not at all affected by transplant of the hairs. Natural hairs are very tough. These can tolerate surgery and irritation of the scalp. With the experience of hair removal, we know that usually it is difficult to remove unwanted hairs. Even if hair is plucked hundred times it regrows again.

Q. Does one need additional session of surgery?

Ans: Those who have completely bald area may need two or three surgeries at the gap of six month. If the area is partially covered with hairs, one usually needs only one sitting. Twenty five per cent density of hairs is restored in comparison to original donor site. After 2 nd sitting, 50% density is restored. Response of takeover graft varies from person to person and status of health.

Q. Can the hairs from other relatives and friend transplanted?

Ans: No, such hair transplant is not done.

Q. Can fallen hairs or hairs from other parts of body be transplanted?

Ans: No, because these have not active and alive hair roots.

Q. Are hair transplanted lasts for whole life?

Ans: Hair retains its genetic characteristic even after transplant. Hairs for transplantation are taken from donor area, which is not sensitive to baldness. So, these hairs continue to grow for rest of life.

Q. Why only few doctors perform this surgery?

Ans: This procedure is more labour intensive, it takes longer time. It needs special training.

Q. How many hairs transplants one needs?

Ans: Number of hair transplant, one need varies from person to person. It depends upon how much hair loss. one has, how much is area of baldness, how much density of hairs are required, what are goals and expectation of the patient etc. Usually one needs 500 to 1000 grafts. But one may need even more than two thousands follicular grafts.

Q. How far medical treatment is effective in preventing hair loss?

Ans: Medicines like propecia and rogaine are not effective in frontal and temple area where usually one sees hair loss. These medicine slow down the hair falls.

Q. What about cloning of hairs?

Ans: Although cloning of hairs will be boon for those who have more baldness. This procedure is still in early experimental phase.

Q. What are side effects of hair transplant surgery?

Ans: Bleeding: Sometimes one may see slight temporary bleeding which stops after some local pressure for few minutes.

Pain: Pain is minimum. 50% patients do not require pain reliever. Pain killer like Tylenol may be required for few days. Some patients develop numbness on the site, which lasts for three to eighteen weeks.

Itching: Some patients do feel itching due to crusts. Medicines and shampooing helps to relieve itching.

Swelling: Swelling develops due to transplant. This swelling may last for 4 days after surgery. It develops in local area. Medicine helps to reduce the swelling.

Infection: It is rare complication. It can be controlled with appropriate antibiotic.

Some patients develop hiccups temporarily. Its cause is unknown. It can be controlled with medicine.

Scarring: Keloid and scarring may rarely develop in patients who have such tendency in past.

Cyst: Some patients develop small cyst of size of pimple in the recipient area, which usually disappears after few weeks.

Neuralgia: Due to traumatic irritation or inflammation of the nerves, some patient may feel pain, numbness, tingling or pins and needles sensation or very rarely shooting pain, which is relieved in one to four weeks.

Q. Is hair transplant painful? How much pain is felt after surgery?

Ans: Such pain or discomfort is minimal like dental surgery. It can be easily controlled by painkiller. As surgery is done after injecting local anaesthetic, so there is no pain during surgery.

Q. Does transplanted hairs need special maintenance care after surgery?

Ans: Once these hairs grow, they require same maintenance care as one's original or natural hairs on head. These hairs can be washed, trimmed and even coloured.

Q. Can the hairs from other areas of body like chest, back, stomach can be used for transplant?

Ans: Yes. These hairs can be used.

7. HAIR IMPLANT BIOFIBRES

Q. What is hair implant?

Ans: It is implantation of artificial hairs on the scalp.

Q. What is difference between hair transplant and hair implant?

Ans: Hair implant are artificial and non-living thing. So, no scar of removal of hairs at donor site is present. Hair transplant are natural and slight scar develops at the site of removal of hair from donor site. Implants have fixed length and cannot grow. Transplanted hairs have live base and so grow upto usual length.

Q. Who can undergo hair implant surgery?

Ans: Patient should have good health; controlled weight, healthy scalp area, normal laboratory investigations, and commitment to follow post implant protocol strictly. Thinning of hairs affects both sexes and all ages. Without having any scar all of them can be benefited by artificial hair transplant.

Q. Who should avoid biofibre?

Ans: Those who have h istory of allergy to synthetic material disease of Immune system, dismetabolic disease, on going scalp disease, psychological disease, people working in unsuitable climatic conditions should avoid biofibres.

Q. What are advantages of hair transplant over hair implant?

Ans: These are natural and growing.

Q. What are advantages of hair implant of biofibres ® ?

Ans: These can be implanted upto 8000 in spite of no natural hair at donor site. No scar develops. Results are immediate. There are only 1% chances of rejection.

Q. How many hairs are required per square cm?

Ans: Above 25 hairs are required to cover 1 sq.cm area.

Q. What maintenance care is required?

Ans: Wash hairs twice in a week with gentle massage. If dandruff develops, use medical shampoo. Have hair cut from the barber that knows maintenance care. Comb the hair gently with metal comb with wide teeth.

Q. What type of shampoo should be used?

Ans: Any commercially made shampoo having pH 7 above can be used. For very scaly scalp used shampoo prescribed by the doctor.

 

8. COSMETIC SURGERY

Who should not undergo cosmetic surgery?

If you try to achieve your goal of overcoming crisis through an unrelated change in external appearance, do not choose cosmetic surgery. First overcome the crisis e.g. loss of job, divorce, death of a spouse. If you have unrealistic expectations having nose or face like any celebrity, restoring original perfection following severe accident or severe illness or those who want to develop appearance of youth of many decades past or you feel that you may easily want to acquire celebrity life style after cosmetic surgery do not undergo cosmetic surgery.

If you are not able to give proper answer of why you feel need of this cosmetic surgery, cosmetic surgeon may not select you for surgery. If you feel that after removing minor defect in your appearance, life will be perfect, do not choose cosmetic surgery. Elimination of minor defect has no relation with making life perfect. So, many people live their life successfully in spite of gross defect in appearance. If you are taking psychological or psychiatric treatment do not undergo cosmetic procedures because it is not your urgent need and this procedure will not solve your problem of mental health, social /professional career and frustration. First psychiatric treatment is compulsory.

How to adjust with change in appearance: -

If cosmetic surgery, will make dramatic change in your appearance post operative adjustment takes longer time. Try to accept your redefined body image on your own, as it helps to make you well versed with your self. After surgery, it is better to have some one who understands you and gives emotional support and physical help. Even most independent person may need emotional support. After surgery one may likely to feel depressed and unpleasant. It is temporary phenomenon provoked by swelling, bruises, discomfort, anxiety & doubt whether I will really get results in improvement of appearance. To aggravate such depression & unpleasantness.

One may feel stress, exhaustion, metabolic change or frustration of waiting for the results to appear. One may feels depression temporarily due to anxiety about results. It usually recorrects within a week. So, take brisk walk, involve in light social activity, be busy with your hobbies and have small out goings.

We can have control on ourselves and our thinking, speaking and accepting. But we cannot have control on others and on their thinking, speaking and accepting. Generally, more than 60% people in the community have dominant negativity in personality. So, they have habit of giving negative advice and negative comment for others even if others do not ask. They just want to dominate others through their negative approach and want to prove how they are right and how others are wrong. They insist that their opinion must be not only respected but accepted by others. If others do not accept, then, they make it prestige issue. They do not think whether they are really commenting in proper manner and whether it will create positive effects. Beware from such persons who may be your family member, relative or friend.

Some people have a habit of passing negative comment. Such people may be your friend or relative so be prepared to hear their shocking comments. You may say, "I have done this for myself and let me be content with what I have."

Who should undergo cosmetic surgery procedures?

Most of us have some cosmetic problem. So, everybody of us need some cosmetic therapy or some cosmetic procedure. Consult cosmetic surgeon to assess one's problem. Let him know your expectations about your own look. Then cosmetic surgeon will guide you.

Are cosmetic surgeries safe & without danger?

Cosmetic surgery is like other planned surgeries. Each surgery has its share of risks but with modern technique these risks are done with great safety.

How many cosmetic procedures can be done in the same individual at a time?

All cosmetic surgeries discretion and on patient's demand, more than one cosmetic surgical procedures can be done at a time. It saves patient's down time. It is economical. But the risk may increase in some of the patients having other physical problem.

 

9. MICRODERMABRASION

Who should choose microdermabrasion?

Those who do not want longer recovery time, and want to join work immediately may choose Microdermabrasion. Those who have skin which is sensitive to chemical and those who are not responding to medication given for acne may prefer this procedure. Results are seen immediately. Skin becomes more soft and light pink. Those who need vigorous microdermabrasion, pinkness of the skin persists for longer period. Patient should avoid sun exposure for the first 24 hours.

What is microdermabrasion?

It is an European technology designed to rejuvenate and refresh the skin. There is no down time afterwards one can immediately go to work.

How does microdermabrasion works?

This method removes the upper layer of non viable skin cells mechanically. This seems to stimulate lower layers of healthy skin to reproduce. Particles of aluminium oxide crystals, sodium bicarb cells or silicon delivered particles are forcibly directed to the skin and are suctioned back into the machine.

What are the effects of microdermabrasion?

Microdermabrasion softens fine wrinkles, reduces superficial skin discoloration, small skin surface and provide healthy glow on the skin. When microdermabrasion is combined with superficial chemical peel, better results are obtained. Microdermabrasion does not remove deep wrinkles, deep pigmented skin changes and acne scars. For these conditions, laser and deep, chemical peels are required. Consult your cosmetic surgeon because each person has a different skin with different needs and desires.

What is expected during treatment?

During the procedure, one may feel a slight pulling sensation. It is non painful procedure which takes 20-30 minutes.

 

9. BOTOX

What you meant by Botox treatment?

Botox blocks impulses from the nerve to contracting muscle and so keeps them relaxed. Botox weakens the contracting muscles and keep them relaxed. Thus, wrinkles disappear & face becomes smoother and softer. It prevents formation of new wrinkles. It is injected in contracting muscle.

Botox is safe and simple way to minimize wrinkles which are caused by contractions of underlying facial muscles. Results last for 3-6 months. Duration of results increases on repetition. Botox is injected by micro needles. It takes few minutes. The injection shows result in 3-5 days. Do not massage after injection. It can also be used in axillary and palmer hyperhydrosis, excess sweating.