Can I Use Minoxidil During LPP?

 

The best hair transplant surgeon in India is often asked if any patient can use Minoxidil who has active Scarring Alopecia. But it cannot be said easily as it depends upon the patient and more over the specific details. Before we tackle the question, we need to know what active scarring alopecia is.

What is Active Scarring Alopecia?

Active scarring alopecia refers to hair loss caused by an overactive immune system process. The patient may have scalp itching, have increased scalp burning and may be shedding more and more hair. All of these things point to active scarring alopecia. What do we do when scarring alopecia is deemed active? Well, we increased the amount of immunosuppressive and immunomodulatory treatments we are using.

 

Here are just some of the examples of how we change treatment is we feel LPP is active.

Example 1: Instead of using steroid injections, they might use steroid injections and topical steroids.

Example 2: Instead of using topical steroids, we might add oral doxycycline.

Example 3: Instead of using oral doxycycline and topical steroids, a patient might take oral doxycycline plus oral hydroxychloroquine, suggested by the best hair transplant surgeon in Kolkata.

 

In other words, once the LPP is determined to be active (or still active) we are going to make some pretty important decisions about increasing treatment. These are indeed big decisions because treatments have potential side effects, cost money.

 

What are the potential side effects of minoxidil?

Now, let’s focus on minoxidil and the potential side effects. In addition to side effects like headaches, dizziness and heart palpitations and hair growth on the face, minoxidil can cause two important side effects for patients with scarring alopecia: 1) Minoxidil can cause increased hair shedding and 2) Minoxidil can cause scalp itching for some people.  These two side effects can make it difficult to figure out if the itching and shedding are coming from the active LPP or coming from the minoxidil.

So can anyone use minoxidil if they have LPP or not?

They always advise that patients review use of any medication with their dermatologist. In general, if a patient was using minoxidil for a very long time (without any problem) before the LPP even started, it’s usually fine to continue.

 

In these situations, it’s unlikely any increased shedding or scalp symptoms the patient experiences is going to be attributable to the minoxidil. But starting up or initiating the use of minoxidil when one has active LPP is active is not usually a good idea. If the patient gets more shedding or more scalp symptoms, it will be impossible to tell if they are coming from active LPP or coming from the minoxidil.

 

In the worst case scenario, one can imagine a situation where the doctor increases the dose of medications thinking that the change in clinical symptoms or signs was due to increased activity of the LPP when really it was just the minoxidil.

 

Imagine if the patient developed a side effect of the new medication - and it never needed to be started in the first place said by the best hair transplant surgeon in India.

Hair Restoration Surgery: The State of the Art

Hair restoration is a complex subspecialty that provides great relief to people suffering from hair loss. Since the original description, the approach to surgical hair restoration has been transformed by greater understanding of the aesthetics of hair loss and cosmetic hair restoration, hair anatomy and physiology, and the advent of micro vascular surgical instruments according to the best hair transplant clinic in India. Graft size, site construction, packing density, and medical control of hair loss are all factors that contribute to the present state of the art in hair restoration.

 

Hair restoration produces natural-looking outcomes that are backed by a high level of patient satisfaction and safety. This part of cosmetic surgery is a fantastic source of internal cross-referral and is a welcome addition to a typical aesthetic practise. Hair restoration surgery in the future will be focussed on minimal-incision surgery and cell-based therapies.

 

 Alopecia is a general term for hair loss that involves a loss of visible hair. Alopecia comes in a variety of forms. Androgenic alopecia is the most frequent type of surgically curable alopecia (AGA). The existence of scalp hair has long been associated with traits of health, energy, vitality, and strength. As a result, hair loss in males (MAGA, or male pattern androgenic alopecia) and women (FPHL, or female pattern hair loss) can have serious psychosocial consequences.

 

Hair transplants account for the vast majority of hair restoration treatments, and the introduction of microvascular surgical instruments, as well as a better understanding of the anatomy and physiology of hair loss, has transformed the art of surgical hair restoration since its inception.

 

Anatomy, Genetics, and Physiology of Hair Loss:

In genetically predisposed males and some women, androgenic alopecia is characterised by increasing noticeable thinning of scalp hair. The latest scientific evidence suggests that AGA is a polygenic characteristic. Variants of the androgen receptor gene, which is found on the X chromosome, have been linked to significant outcomes.

 

Caucasians have the highest incidence of AGA, followed by Asians, Africans, and Native Americans, with Native Americans having the lowest rate.The frontal, midscalp, vertex, and temporal portions of the scalp can be split for hair transplantation purposes. Hair thinning and shedding are caused by the gradual shrinking of genetically marked hair follicles, which is characterised by a reduction in the anagen (growth) phase of the hair follicle and an increase in the telogen/anagen ratio of the affected scalp suggested by the best hair transplant clinic in Kolkata. The physiology of hair loss is inextricably tied to an understanding of the typical hair follicle life cycle.

 

Although testosterone is the most common androgen that causes hair loss, it must first be transformed to dihydrotestosterone (DHT) by the enzyme 5-reductase in order to be most effective. The absence of AGA in men with congenital impairment of type II 5-reductase and varied amounts of hair regrowth in men with MAGA treated with finasteride, a selective type II 5-reductase inhibitor, demonstrate the relevance of DHT as an etiologic factor in male pattern hair loss. Excessive amounts of 5-reductase, DHT, and the DHT androgen receptor are found in the balding scalp. DHT's activity is mediated by nuclear androgen receptors found within cells.

 

There is no consensus among women on whether or not hair loss is actually androgen dependent. The majority of FPHL patients do not have biochemical hyperandrogenism. In fact, some women with no detectable circulating androgens may acquire FPHL, implying that non-androgen-dependent processes may play a role. Based on this information, it is reasonable to replace the term androgenic alopecia in women with the more recent and scientifically descriptive term female pattern hair loss (FPHL), which encompasses this known variation.

 

The bulk of human hair shafts come from the scalp in single-, two-, and three-hair clusters on a macro level. The groups are the apparent surface of the follicular unit, which is a separate histologic structure (FU). Follicular units are almost solely used as the transferred element of tissue in today's hair transplants, hence this operation is now known as a follicular unit hair transplant (FUT).

 

Nonsurgical Options for Treating Hair Loss:

Only two drugs have been licenced by the US Food and Drug Administration (FDA) to enhance scalp hair growth. Finasteride and minoxidil are the drugs in question. Other drugs that claim to treat hair loss are many, but their effectiveness is debatable.

 

Finasteride (Propecia; Merck & Co, Inc, Whitehouse Station, New Jersey) is a medicine that inhibits the 5-reductase type 2 pathways, lowering DHT levels. Finasteride was proven to prevent hair loss or have favourable benefits related to hair growth in 90% of patients in a prospective randomised study conducted by the company, and independent research has also confirmed the drug's safety and efficacy.

 

Propecia is solely approved by the FDA for men. The FDA only authorises the company to make claims about hair development in the vertex area of the scalp, although many doctors have noticed that this medication has a broad effect on the hair on the scalp.

 

 Minoxidil (Rogaine; McNeil-PPC, Inc, Morris Plains, New Jersey) has been available since 1988 as a topical medication indicated to treat hair loss. It has been used in men and women. The mechanism of action is unclear, but it is recognized that the vasodilatory effects of minoxidil do not fully explain its positive action on hair growth. Observed benefits include increased proliferation of dermal papillae cells, increased hair caliber, and diminished telogen phase during the hair growth cycle.

 

Evaluation and Planning:

The main metric by which results are objectively documented is photography of the hair restoration surgery (HRS) result. Hair photography has been defined in terms of lighting and typical positions. To avoid the upper borders of black hair blending into the backdrop, a light grey or blue-colored background is recommended. This background is also suitable for people with white or blond hair.

 

General Evaluation:

The indicators of hair loss have been particularly distressing. Because of their low self-esteem and vulnerability to an imagined outcome, this group of patients is more prone to rash decisions and excessive expectations. For patients with hair loss, managing these expectations and developing a realistic surgical plan is important to the procedure's long-term success.

 

The fact that hair loss is progressive is a critical idea that physicians and patients should keep in mind when evaluating and preparing for HRS. Hair loss that appears in the office during a consultation is only a snapshot in a long-term process that began years ago and will continue till death.

 

Communication on the quality of the patient's donor hair is also an important part of managing expectations.Curl, hair shaft diameter, colour, texture, follicular unit density, and the telogen/anogen ratio of in situ donor hair are all traits that should be examined. These characteristics of the donor hair should be examined and documented in order to anticipate how well the transplanted hair would conceal scalp baldness according to the best hair transplant surgeon in India.

The Procedure of Hair Transplant: How and What?

According to the best hair transplant in India, Hair transplantation entails extracting small punch grafts from the hair-bearing scalp or cutting a bigger section of the donor scalp into smaller pieces for use as grafts. These grafts are then transplanted to a bald or thinning scalp area.

 

The grafts made in this way are all different sizes and shapes. Around 10-15 hairs are frequently present in round-shaped punch grafts. The micro-graft comprises one to two hairs, whereas the mini-graft has two to four hairs. Slit grafts comprise four to ten hairs each and are put into slits formed in the scalp; strip grafts are long and thin and include 30-40 hairs.

 

To attain appropriate fullness, numerous surgical treatments may be required, with a healing gap of several months advised between each operation. With a full transplant series, it could take up to two years to see the ultimate result.

 

The amount of coverage you'll need is partly determined by your hair's colour and structure. Hair that is coarse, grey, or light-colored provides more coverage than fine, dark-colored hair. The number of large plugs implanted in the initial session varies from person to person, but the average is around 50.

 

The number of mini-grafts or micro-grafts per session can be as high as 700.

 

●      The grafts are spaced about one-eighth of an inch apart to preserve good scalp circulation. Additional grafts will be used to fill in the gaps between the plugs in subsequent sessions. When removing and placing grafts, your doctor will take great care to ensure that the transplanted hair grows in a natural direction and that hair development at the donor location is not harmed.

 

●      The scalp will be washed and wrapped with gauze after the grafting operation is over. For a day or two, you may need to wear a pressure bandage. Some doctors enable their patients to heal without the use of bandages according to the best hair transplant in Kolkata.

 

Tissue Expansion:

Tissue expansion is another method for treating baldness. Tissue expansion, a method often employed in reconstructive surgery to mend burn wounds and traumas with severe skin loss, is a specialty of plastic surgeons. Its use in hair transplant surgery has had tremendous results, providing considerable covering in a short period of time.

 

A tissue expander, a balloon-like device, is implanted beneath hair-bearing scalp that is adjacent to a bald spot in this treatment. Over the course of weeks, the device is gradually inflated with salt water, causing the skin to expand and develop new skin cells. This results in a bulge beneath the hair-bearing scalp, which can be rather noticeable after a few weeks.

 

Another technique is conducted to pull the extended skin across to cover the neighbouring bald spot once the skin beneath the hair has stretched enough—usually around two months after the first operation. To learn more about tissue expansion, request a copy of the American Society of Plastic Surgeons, Inc. brochure Tissue Expansion: Creating New Skin from Old from your plastic surgeon.

 

Flap Surgery:

 

For more than 20 years, scalp flap surgery has been conducted effectively. This method can swiftly cover huge regions of baldness and is tailored to the needs of each patient. The flap's size and placement are mostly determined by the patient's goals and needs. A single flap can replace 350 or more punch grafts.

A flap of hair-bearing skin is raised off the surface while still attached at one end, and a portion of bald scalp is cut away. While staying "tethered" to its original blood supply, the hair-bearing flap is moved into its new position and sewed into place. As you recuperate, you'll find that repositioned hair grows to the very border of the incision, which camouflages—or at least obscures—the scar.

 

Scalp Reduction:

 

Because pieces of hair-bearing scalp are dragged forward or "advanced" to fill in a bald crown, this procedure is sometimes referred to as advancement flap surgery. Scalp reduction is used to hide bald spots on the head's top and rear. It is not suitable for frontal hairline covering.

 

A section of bald scalp is removed after a local anaesthetic is injected into the scalp. Depending on the patient's goals, the pattern of the scalp portion removed varies greatly. Doctors typically remove a portion of scalp in an inverted Y-shape if a great amount of covering is required.

 

Excisions can also be in the shape of a U, a pointed oval, or any other shape. The skin around the cut-out area is relaxed and tugged, allowing the hair-bearing scalp parts to be brought together and stitched together. At this stage, you're likely to feel a significant tugging as well as some pain.

 

Procedure Steps-

 

Before: Candidates for hair transplants should have some visible hair loss and good hair growth on the back and sides of the head to serve as donor sites.

 

Step 1:

Round grafts are punched from the donor location and implanted in the area where hair replacement is needed using a tube-like tool.

 

Step 2:

 

Round grafts are punched from the donor location and implanted in the area where hair replacement is needed using a tube-like tool.

 

Step 3:

The skin underlying the hair is surgically put over the bald area once it has stretched enough.

 

Step 4:

During flap surgery, a section of bald scalp is cut out and a flap of hair-bearing skin is sewn into its place.

 

Step 5:

Scalp reduction techniques vary greatly, but they all have the same purpose of bringing hair transplant in India and scalp together to conceal bald spots.

 

After: Hair transplant surgery can improve your appearance and boost your self-esteem.

Calcutta cosmo aid - Kolkata

Calcutta cosmo aid - Kolkata

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Bald to Bold, Best Hair transplant in Kolkata, Low cost hair transplant with amazing results

 

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at a very affordable price. Boost your confidence.
We are providing you the most advance and reliable technique FUT technique of hair transplant in Kolkata. We have all the latest types of equipment and surgery methods to provide you complete hair solutions in Kolkata.

          

What is Hair Cuticle? Hair Transplant in Kolkata (কলকাতায় হেয়ার ট্রান্সপ্ল্যান্ট)

 

What is Hair Cuticle? 

The cuticle of hair shaft is outermost protective layer which made up of 

flattened epithelial cells. Cuticle is present through out it's length which 

gives shine and luster to the hair at the same time protect damage of hair

from external environment which includes pollution, dust&dirt and chemical

damage when application of strong shampoos and soaps hair dryer hair dyes.

It may also damage whenever chronic disease, Nutritional deficiencies vitamins

deficiencies and other metabolic disorders. 

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You can check our other video also -

Hair Transplant in Kolkata | FUT Hair Transplant | Dr. Nagwani - https://youtu.be/20EzV31U-YI​ Hair Transplant In Kolkata II Best Hair Transplant Clinic In Kolkata II Hair Transplant Review - https://youtu.be/rfaFy7JbGeQ​ Female PRP Hair Loss Treatment Review in Kolkata | মহিলা পিরপি | Dr. Nagwani - https://youtu.be/GMfWfwOyfcA​ Beard Transplant | Amazing Results After Surgery(Thick Beard) | Dr. Nagwani https://youtu.be/csd8d5Imm3o​ Hair Transplant in Kolkata | FUT Hair Transplant | Dr. Nagwani - https://youtu.be/TSTqyXR3uAs​ Hair Transplant In Kolkata II FUT II FUE II Hair Transplant Surgery II FUE vs FUT - https://youtu.be/qu4MYS-rJ2E​ Hair Transplant or Patch - Which Is Better And Why ?- https://youtu.be/LL9vIOaeNyU​ Hair Transplant Pain II Pain During Hair Transplant II Hair transplant in Kolkata - https://youtu.be/Um7gru1gQok

TO Book Appointment On Whatsapp Click on this link: https://wa.me/917044234868​ Contact : 7044234868 http://cosmoaid.com/​ email: dranandnagwani@gmail.com For more information about Hair Transplant, please visit our page: https://www.cosmoaid.com/hairtransplant

  

Best Hair Transplant in Kolkata, Best Results of hair transplant in Kolkata

From Bald To Bold, best-FUT hair transplant in Kolkata

 

WHAT SHOULD BE YOUR MINDSET BEFORE YOU GO FOR A HAIR TRANSPLANT SURGERY?

 

There are certain things that you need to keep in mind and prepare yourself well before getting a hair transplant surgery. A hair transplant in kolkata is a complicated process and one must take care and research about every aspect of a hair transplant surgery.

Let’s begin with five things that you need to keep in mind before getting a hair transplant surgery:

 

Ensure credibility, Reassure with the past records:

It is important to note that while we a hair transplant surgery is called to be relatively risk-free and many before after pictures will amaze you, one has to take care that their medical practitioner is certified. It is not just about certification; reassure you by going through the past records of the surgeon and talking to people who have previously got the surgery done. Also, the clinic and the medical team should also be taken in regard. Check upon the track record of the surgeon to ensure you with his/her efficiency and experience.

 

You will face hair loss after the surgery:

While this may come as a surprise to you but one need to understand that the hair transplanted will be there lifelong and would not fall off. However, the rest of the hair that has not been affected will fall off at a normal and natural rate and hence, it involves nothing to be scared off as it is a completely natural process. This process deals with individual hair follicles and therefore, the untouched hair will fall off after the surgery at a normal pace.

 

After care is significant:

You should not expect that once the surgery is done, the whole process is finished and nothing else is to be taken care of. The result of this surgery is lifelong but it comes with a strict after care. There might be some redness and common allergy after a successful hair transplant surgery. After care is necessary to ensure that these side effects do not aggravate, this is done to keep the scalp clean.

 

Trust Reliable sources and Have realistic expectations:

You cannot compare yourself with someone else with a different situation and in the same manner, do not expect your hair to grow in the exact same manner someone else’s did. This treatment uses hair follicles from areas that have thicker growth; it would make you confident about the process if you understand it and avoid any comparisons.

 

It’s a surgery not a miracle:

Do not expect instant results from this procedure. Like any other practical medical procedure, hair transplant surgery takes time for the results to be visible. It would take about 5-8 months for the procedure to show the complete results. While the hair from the transplanted grafts will fall shortly after this surgery, the further new hair growth is dependent on biological factors and will take time. One can expect full growth to occur in about a year.

 

Above were the things you should keep in mind before getting a hair transplant surgery, it is important to know that the process has continuously improved in results and quality. If you plan on getting a hair transplant surgery done, make sure you research well and talk to a certified hair transplant surgeon in India for further guidance.