Plastic Surgery is a speciality involving various surgical and non-surgical techniques to cosmetically enhance the appearance and restoring the function of a person’s body part. The word Plastic surgery is derived from a Greek word Plastikos’ meaning to mould’.
What is cosmetic surgery?
In certain procedures, where aesthetics are considered more important than functionality, plastic surgery is also referred to as cosmetic surgery. Procedures like liposuction, nose reshaping, tummy tuck, face lift, breast enhancement or reduction, hair transplant, botox injections and fillers are some such examples.
What is reconstructive surgery?
Whenever and wherever there is tissue loss such as skin, muscle, bone etc, reconstructive surgery provides cover for such wounds trying to get back the lost tissues to near normalcy by various means. This entails flap cover, skin, muscle, bone and nerve grafts. Microsurgery is the most advanced form wherein tissues from distant location of the same persons are removed and placed over the defect by anastomosing to the recipient microvessels.
What are the other procedures a plastic surgeon can perform?
Plastic surgeon is trained for three years in the specialisation after training for three years in General Surgery. They are trained to manage burns and its squeal, Electric burn injuries, hand injuries, tissue cover for limb injuries, facio-maxillary trauma, cover for post cancer excision defects, craniofacial surgery, congenital birth deformities and Cosmetic Surgery.
Are Plastic Surgery procedures covered by insurance? Except for trauma, birth deformities and few reconstructive surgery procedures, cosmetic procedures by and large are not coveredin most parts of the world including India.
Am I a good candidate for nose surger?
It is important that you have a clear idea of how you would like your nose to look and, at the same time, realize that there are limitations to the procedure. Patients with sufficient physical and emotional maturity who undergo rhinoplasty because they want to enhance their self-image are usually very satisfied with their decision.
What is the right age for Rhinoplasty?
Nose is done after 15 years in girls and 16 in boys when the nose growth is complete. There is no upper age limit.
How is the nose surgery done?
There are two main techniques closed rhinoplasty wherein all the incisions are made inside the nostrils and Open rhinoplasty where external incision is placed in the columellar region. Other steps involved are depending upon the need and the necessity.
If you want to narrow the upper part: Osteotomies are performed.
For removing the Hump on Nose: Excess bone/cartilage is shaved off.
For elevating the nose Bridge: Silicone implant or bone or cartilage graft is placed on the nose bridge under the skin.
For flared nostrils and broad lower nose: Alar excision-small wedges of skin, as shown, are removed to narrow the base of the nose or reduce the width of the nostrils.
For bulky tip: Tip reduction- the cartilages that make the tip, are made smaller and shapely, fat is removed.
For tip shaping: Cartilage graft from septum of nose or from ear is placed inside the tip.
Are there going to be visible scars on the nose?
If you undergo open rhinoplasty or surgery for alar flare you will have visible stitches. The resultant scar due to these stitches is negligible and not visible.
When can I resume my normal activities?
Straining, bending and lifting should be avoided during the early postoperative period. In many instances, you may be able to return to work within a week or ten days after surgery. Most normal activities including exercise can usually be resumed within three weeks.
How long will the results last?
In most instances, the results of rhinoplasty are permanent, except for possible changes associated with the normal aging process.
What are the complications associated with rhinoplasty? Significant complications from rhinoplasty are infrequent. If you have opted for implants for dorsal augmentation there is a potential risk of extrusion or infection involved. Occasionally, if the surgical outcome needs further improvement, additional surgery may be necessary.
How much does the nose surgery cost?
Cost of nose surgery depends on how much alterations in nose are required, on surgeons experience and skills and hospital facilities. Plastic surgery is a combination of science and art and results vary from person to person and from surgeon to surgeon. Personal consultation is the best way for surgeon to assess you and your nose and for you to assess the surgeon. Only then the cost can be best determined.
How many days I need to be off work?
After surgery you may have Splint or Taping over the nose. You will be required to have them for 7-10 days. Additionally if you have to undergo any osteotomies you may have swelling around your eyes with bruises. This also lasts for 7-10days. It is safe to take two weeks off work. It is very important to remember that every person heals at different rates.
How soon after the surgery can I see the results?
It takes 3-4 weeks before you start appreciating the results. Nasal skin drapes over the modified framework gradually over the subsequent 3-6 months. Your final outcome will be visible appreciably by the end of one year.
Is nose surgery covered by insurance?
Cosmetic / plastic surgery of nose are not covered by insurance in India.
Is it possible to show me how my nose will look after surgery?
Yes, it is possible to do so. But it is not advisable for you to judge the outcome of your surgery on that. Surgeon cannot make tissues respond like a click of a button. Hence actual result will always be different from the software image so real result may be better or worse than the software modified image.
Can other surgeries be combined with nose surgery?
Yes, other surgeries like chin augmentation, fat injection liposuction and any other body contouring surgery can be combined with nose surgery.
What is the difference between implants and grafts from one’s own body? Which is better?
You have an option of choosing artificial implants or go for autogenous tissue such as your own bone / cartilage. There are advantages and limitations of each option. You can discuss them during your consultations.
What is the right age for Brow lift?
Forehead lifts are most commonly performed on men and women in the 40- 60 year old age range. However, there is no age limit to the procedure. It can also produce good results for younger adults who have inherited stress related conditions, such as low eyebrows or furrows above the nose.
How is the brow lift performed?
The technique chosen for your surgery depends on your features, your surgeon’s preferences and your desired results. There are several variations to the forehead lift procedure. Dr Sumita will recommend the surgical technique that she feels will obtain the best outcome for you. One common method is the coronal incision technique. Using this technique, an incision is made across the top of the scalp, beginning above the ears and concealed within the hair. Sometimes, the incision may be placed at the front of the hairline. The incision is inconspicuous when healed. Through this incision, parts of the muscles that cause wrinkling and frown lines are modified or removed lifting your eyebrows to a more pleasing level.
What are the risks involved?
The possible complications in these procedures are bleeding, hematoma, asymmetry of eyebrows, numbness in the operated area.
What are the other surgeries combined with this procedure?
This procedure is commonly clubbed with face lift, blepharoplasty, and laser resurfacing of the face.
How long will my result last?
A number of factors, including your heredity and your lifestyle, play a role in how long the results of your forehead lift will last. Even if you age in the future, you will still look better than you would have looked without surgery. Patients are usually happy with their appearance for many years following a forehead lift.
How does a person get rid of the constant puffiness’ under the eyes? A lower blepharoplasty (lower eyelid surgery) can get rid of the pockets of fat that can cause the puffiness.
Is there any way to alleviate the heavy feeling of the eyes that make it difficult to hold the eyes open?
Yes, upper eyelid surgery can alleviate the heaviness’ that people feel around their eyes when the excess skin of the eyelid weighs down on them.
Where is the incision for eyelid surgery?
The incision for upper eyelid surgery is hidden within the natural fold of the upper eyelid and extends slightly beyond the outside corner. For the lower eyelid, the incision is also hidden but below the lower eyelashes.
How long do I need to take off from work after eyelid surgery? There will be some swelling around eyes and it is advisable that you take off 3-5 days from work but refrain from strenuous activity for up to one month after the surgery
What is a good age to have a facelift?
There is no specific age for having a facelift. The results of a facelift can be subtle or very dramatic depending on the patient’s appearance before surgery.
Are the incisions visible after facelift surgery?
No, if done correctly, all of the incisions associated with facelift surgery can be hidden in normal creases / folds of the face or in the hairline.
How long do I take to recover?
Immediately in the postoperative period you can have some swelling and bruises over you face. Your drains will be removed in 48 hrs. It takes a week to 10 days for that to subside. You will be able to perform routine activities. In three to four weeks time you can perform strenuous activity such as jogging, swimming etc.
There is a potential risk of hematoma, infection and scarring like any other procedures. In face lift in addition to that there is a possibility of damage to facial nerve. This can be temporary.
What are other options to face lift?
Facial implants, soft tissue augmentation to recontour the facial structure, resurfacing techniques to improve the tone and texture of facial skin, wrinkle reduction by injection such as Botox, Fillers like Juviderm.
Are there any other procedures which are combined with face lift?
Face lift is very commonly combined with blepharoplasty or eyelid surgery, and brow lift. Some surgeons also prefer laser resurfacing along with this procedure.
Is a mid-face lift for me?
The mid-face lift procedure is particularly useful for patients with sagging cheeks, deeper nasal furrows, thinner lips and down-turned corners of the lips.
Is there any other way this procedure can be performed?
Yes, procedures like brow lifts, face lifts, neck lifts and breast augmentation can all be performed Endoscopically. Dr Sumita is trained in endoscopic surgery as well.
What are the benefits of endoscopic facial surgery?
The main benefits of endoscopic surgery include: no visible incisions, minimal scarring, less bleeding, no hair loss, minimal numbness and a much quicker recovery.
Who is a good candidate for liposuction?
The best candidates for liposuction are people at their normal weight who have isolated areas of fat. Firm, elastic skin allows for a better outcome.
Is there any age limit?
The patient’s age is not a factor. However, older patients have less skin elasticity and may not achieve the same results as younger patients
Are there different types of Liposuction?
Besides Traditional Liposuction, other types are power assisted liposuction using vibrations and, Vaser using ultrasonic energy are becoming very popular.
Can liposuction be used as a weight loss method?
No, liposuction is used to get rid of isolated areas of fat which are diet and/or exercise resistant. Weight loss is achieved as the fat removed does have mass.
When can I get back to my normal routine?
Each patient differs with recovery times. Also, the recovery time will vary depending on how much liposuction was performed. Most patients are able to return to work 2-7 days after surgery depending on the areas treated.
When can I start exercising?
You are recommended to walk within the first couple of days – this helps with the swelling, pain etc. Depending on the areas treated, you will be able to resume exercise 2-4 weeks after the procedure.
Will the fat return to the area that was treated?
Liposuction is based on the fact that we are born with fixed number of fat cells in our body. Hence unlike diet and exercise liposuction is a permanent method of fat removal. But if after liposuction surgery one does not eat healthy and exercise regularly, the fat cells that remain in the treated area can increase in size.
Can I be operated upon at different areas at the same time?
Yes. Dr Sumita will discuss what procedures may be performed at the same time while still being safe. Combination surgeries can reduce the need for multiple surgeries thus reducing the overall cost.
What is the risk involved?
Seromas, infectoin, skin discouluration like bruises which are temporary, can occur. There may be rippling on your skin which can be smoothened with massages.
Will I be wearing any special garments after the surgery?
Yes. When you wake up after the procedure, there will be a garment on the treated areas. This compressive garment decreases the swelling.
Abdominoplasty (Tummy Tuck)
What is a Tummy Tuck?
A tummy tuck- also known as abdominoplasty, removes excessive fat and skin from a patient’s lower and middle abdomen. A tummy tuck also tightens the abdominal wall muscles. If you have excess fat and a fold of skin in the lower abdomen, you may be a right candidate for Tummy Tuck.
What are the benefits of a tummy tuck?
Because a tummy tuck removes fat and sagging skin, the procedure produces a flatter and firm stomach and a slimmer waistline. This is one of the most popular plastic surgical procedures available. Most patients are satisfied with the results of a tummy tuck and have a stronger self-image.
How is a tummy tuck performed?
During tummy tuck surgery, incisions are made in the natural fold above the pubic bones which correspond with the bikini line. The skin is then lifted and the abdomen muscles are pulled, tightened and stitched into a new, firmer position. It is generally combined with liposuction to remove excess fat along the sides, waist and back region.
Can it be combined with other procedures?
Yes, combination procedures are becoming more popular such as Breast lift, face lift etc. It avoids second surgery and reduces the overall cost. A word of caution is necessary here, there are higher risks of potential complications and the recovery can be delayed.
How long does tummy tuck surgery take?
Normally, a tummy tuck surgery will take between two to four hours. However, the exact time of the tummy tuck procedure will depend on the type of tummy tuck performed. A mini tummy tuck or partial abdominoplasty will require less time than a normal tummy tuck.
What are the risks and complications in a tummy tuck?
As with any major surgery, there are some risks associated with tummy tuck surgery too. Though rare tummy tuck surgery poses the risk of blood clots, infection and noticeably lose areas of skin following tummy tuck surgery. Poor healing could potentially lead to a second tummy tuck operation. To avoid further possible complications any plans of future weight loss or pregnancy should be discussed before the tummy tuck procedures.
What should I expect after the operation?
The healing process after a tummy tuck can span two to four weeks. You will have drains in the form of tubes with an external collector for minimum 48- 72 hours. You will need to wear pressure garment in the form of abdominal belt or a lipopanty, if you have undergone liposuction of thighs in the same sitting.
Will I have a scar after the tummy tuck?
Scar lies in the natural fold and fades over a period. It will be just at the level of bikini line, hence not visible even while wearing swim suit.. The size of the scar will depend on the procedure chosen.
How much does a tummy tuck cost?
The cost varies depending upon duration of surgery and the facility you choose. For details you can discuss with Dr Sumita during you consultation. Additional procedures will entail extra costs.
How long do the results of a tummy tuck last?
The results of this procedure are permanent with proper diet and exercise. However, significant weight loss or gain, pregnancy and age many adversely affect your surgical results. After several years, a second tummy tuck can be performed to restore originally satisfying results.
What is breast augmentation?
Augmentation of the breast consists of insertion of a silicone implants under the breast or under the breast and chest muscle. These implants produces fullness to the breast, gives a better contour, and give more cleavage.
How is the incision made?
The incision may be placed at various locations such as: under the breast at the breast fold; periareolar which is at the edge of the areola; within the areola; in the armpit or in the umbilical area.
What are the choices of implant positions?
The easiest surgical placement of the implant is under the breast tissue or submammary. A slightly more difficult surgical placement is under the chest muscle or submuscular / subpectoral, but this position is associated with a lower incidence of capsule contracture and slightly less occurrence of rippling. There is more pain postoperatively than with a submammary placement.
What are the options for implant size?
The ultimate size of the breast is mainly a personal decision by the patient. Cup size is an inexact estimate of the final size since cup sizes vary with the bra manufacturer and how tight or loose the patient wears her bra as well as how much breast tissue is already present. Describing the preferred cup size does aid the surgeon, but it also helps to look at pictures or photos to show the physician the desired final look.
The most accurate method of estimating the implant size is to fill a plastic bag with measured amounts of water and place in a bra with the patient’s estimated cup size. One can see with the bra on and covered by clothes what the final result will approximate.
What are risks and complications of breast augmentation?
Infection is rare though (1-3%), can be a very distressing problem. If the infection does not respond rapidly to antibiotic treatment, the implant must be removed and the implant can be replaced three (3) months after the wound is completely healed. Bleeding, Capsule contracture, asymmetry and deflation (implant rupture) are some of the other complications which you should know of. It is a good idea to know and discuss about these potential problems with Dr Sumita during your consultation.
What are the problems you encounter with Mammography?
The implant will block some areas of the breast from being visualized on mammography. This is usually less if the implant is placed under the muscle. Because breast implants might affect the clarity of the mammogram, patients who have multiple close family members with breast cancer probably should not have breast implants.
How long do implants last?
It is not known how long implants will last. In the body, the wall of the implant may weaken and become disrupted. This is more likely when there is an impact injury. The implants will be removed and can be replaced with new pairs.
After having children my breast seems saggy. Am I a right candidate for breast lift or augmentation?
Generally, women after child birth tend to have drooping of breasts. This may be associated with loss of volume too. A breast lift can improve the shape of breasts that have a flatter, elongated shape. If you have good volume, breast lift alone is a good option. If you have lost volume as well you may require implants too in addition.
Will I still be able to breast feed after having breast lift surgery?
A breast lift does not typically affect breast function. However, because there are many physical changes that accompany pregnancy, you should discuss future pregnancy plans with Dr. Sumita during your consultation.
Does weight loss affect the results of a breast lift?
Significant fluctuation in weight can affect the long-term results of your breast lift. For this reason, the best candidate for a breast lift is a woman of relatively stable weight.
Is it safe to have a breast lift during the same setting when I am having another cosmetic surgery?
Many women like to combine plastic surgical procedures in order to take less time off from work or to reduce the amount of time that they will need assistance with childcare. Breast lift can be combined with Liposuction and or Tummy tuck procedures. This also helps in cutting down the overall cost.
Are there going to be scars on my breast?
There is usually a scar around the nipple areola and another one going vertically down from nipple till the breast crease. Scars on Indian skin tend to look like dark lines for the first 6 months and then gradually become lighter over next few years.
What are the risks and complications associated with this procedure?
Like any other surgery breast surgery carries the same risk and complications. Commonly seen complications are delay in wound healing, slight asymmetry and the recurrence of problem. Other infrequent side effects which can occur are bleeding, infection and scars.
What is the right age for breast reduction surgery?
Breast reduction can be performed at any age, but it is recommended to wait until breast development has stopped, usually by 18 years. Childbirth and breast-feeding may have significant and unpredictable effects on the size and shape of your breasts. Nevertheless, many women have breast reduction done even in their teens if the symptoms are severe and causing health, social and psychological problems.
How is breast reduction performed?
Individual factors and surgeon’s preferences will determine the specific technique selected to reduce the size of your breasts. One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. After the excess breast tissue, fat and skin are removed, the nipple and areola are shifted to a higher position. The areola, which in large breasts usually has been stretched, also is reduced in size. Skin that was formerly located above the nipple is brought down and together to reshape the breast. Liposuction may be used to improve the contour under the arm.Usually, the nipples and areolas remain attached to remaining breast tissue, and this allows for the preservation of sensation. The ability to breast-feed may also be preserved by this method, although this cannot be guaranteed.
What are the risks involved with breast reduction surgery?
Following reduction, sometimes the breasts may not be perfectly symmetrical or the nipple height may vary slightly. If desired, minor adjustments can be made at a later time. Permanent loss of sensation in the nipples or breasts may occur rarely. Revision surgery is sometimes helpful in certain instances where incisions may have healed poorly. In the unlikely event of injury to or loss of the nipple and areola, they usually can be satisfactorily reconstructed using skin grafts.
How soon can I recover following my surgery?
The day after surgery, you will be encouraged to get out of bed for short periods of time. Within a week you will be able to your routine work. Strenuous activities can be generally allowed after 6-8 weeks of surgery. Any sexual activity should be avoided for a minimum of one week depending upon your healing you may be advised to wait longer.
Will the Scars be visible?
There will be a scar around your nipple-areolar complex and a vertical scar running down. These scars will heal fade over time. Normally they become inconspicuous over a period of time also they are concealed by the breast tissue itself.
Will my breasts grow big again?
If you are planning pregnancy and feeding, the breast size may increase as it routinely does. Unless you significantly gain weight or become pregnant, your breast size should remain fairly constant.
How long do I need to see the doctor after surgery?
You will return to the clinic for follow-up care at prescribed intervals, usually 2 days, 2 weeks one month and 3 months later. At these visits your progress will be evaluated and minor problems are taken care of. Once the immediate postoperative follow-up is complete you come back for periodic checkups to observe and discuss the long-term results of surgery.
Will I be able to breastfeed after breast reduction surgery?
Due to original condition itself your chances of breast feeding are not assured. Your chances of breast feeding may remain same or reduce after breast reduction surgery. A lot of women have breastfed after this surgery but there is no guarantee that you will be able to do so.
Are there methods available to reduce the scarring?
Scars can be improved by creams, gels and taping for 3-6 months. Excessively prominent scars can be revised surgically after 6 months.
Is there a way to do breast reduction surgery without scars?
Liposuction surgery can remove fat but not the gland part so breasts can be reduced to some extent by liposuction through small holes but big reduction is not possible by this method. Breasts also will sag after liposuction.
I have lumps in my arm pits? What are these? What is the treatment?
Some girls or women have swelling under the armpits which is nothing but enlargement of breast tissue in the tail region. The breast tissue present in this region is called as Axillary tail of Spence’. Theses causes discomfort and are visible with tight fitting clothes. They can be excised or liposuction can be performed to remove them.
Is there a risk of breast cancer in future after breast reduction?
Breast reduction surgery does not increase your risk of developing breast cancer. Depending on your age, or if you have a history of breast cancer in your family, you may be required to get baseline mammogram before surgery.
What is breast reconstruction?
Breast reconstructionis a type of surgery for women who have had a breast removed. Various techniques are used to recreate the breast mound and then the nipple. The surgery rebuilds the breast to match the unaffected side or recreate both sides. The nipple and areola (the darker area around the nipple) can also be added, usually at a later shorter surgery. Most women who have had a mastectomy can have reconstruction. Patients with a lumpectomy can also be candidates if the lumpectomy was deforming.
Why have breast reconstruction?
Breast reconstruction helps restoring the feeling of woman-hood by makingtheir breasts look balanced when they are wearing a bra, permanently regaining their breast contour.
When should I consider Breast Reconstruction: Immediate or Later?
Immediate reconstruction is done at the same time as the mastectomy. An advantage to having immediate reconstruction, is that the chest tissues are undamaged by radiation therapy or scarring and one less surgery. Delayed reconstruction means that the rebuilding is started later. For some women, this may be advised if they need radiation to the chest area after the mastectomy. Radiation therapy given after breast reconstruction surgery can cause complications.
What are different types of breast reconstruction?
Several types of operations can be done to reconstruct your breast. You can have a newly shaped breast with the use of a breast implant, your own tissue flap, or a combination of the two. A tissue flap is a section of your own skin, fat and muscle is moved from your tummy, back, or other area of your body to the chest area. Complete understanding of the benefits and limitations of this surgery is necessary for a satisfactory result.
Male Breast Surgery
What is Gynaecomastia?
Gynaecomastia is the development of abnormally large breast tissue in males. Gynaecomastia can result from an imbalance in sex hormones which can be caused by a wide range of conditions such as liver disease, kidney disease, certain genetic disorders, steroid use, and certain tumours or as a side effect of certain medications. In many cases no known cause is found for the breast enlargement and the condition is then often described as idiopathic gynaecomastia.
What should I do if I suspect I am suffering from gynaecomastia?
If you think that you may be suffering from gynaecomastia, they should consult with your doctor to confirm the diagnosis. If the diagnosis is confirmed the physician will then look for any underlying cause for the condition which if found should then be treated appropriately.
Is surgery the only option to treat gynaecomastia?
If an underlying condition is found for the gynaecomastia it should firstly be treated. However in many cases no underlying condition is found for the breast enlargement or the underlying cause is treated but then the patient is left with enlarged breasts which although not directly harmful to the patients health can have a massive psychological impact on the patients wellbeing. In such cases plastic surgery can be a suitable solution as it can help reduce and reshape the breasts to give then a more pleasing appearance.
What does breast reduction gynaecomastia surgery involve?
The surgery primarily involves the removal of fatty tissue and glandular tissue. The fatty tissue can be removed by liposuction alone. The removal of glandular tissue may involve excision. Incisions will be made around the breast region to perform the surgery which is usually very inconspicuous. The exact locations of the incisions will depend on the extent of the surgery and if very large amounts of breast tissue need to be removed it may be necessary to remove the extra skin too. Gynaecomastia surgery can be performed under both general and local anaesthesia. It is necessary to ensure that there is no underlying condition causing the gynaecomastia before operating.
What is the recovery period?
You may have drains, if the original grade of enlargement is grade III or IV. You will need to wear pressure garments for two to three weeks. You will be able to get back to work in a weeks time.
What are the risks involved?
Most common side effects include delay in wound healing, pigmentary changes and loss of fullness beneath the nipple. Other complications which occur very infrequently are bleeding, seroma, infection and anaesthesia risk.
Will it recur back?
Surgery offers the permanent cure. If you gain excessive weight you may collect some fat again which is not a true gynaecomastia.
Am I the right candidate for Hair Transplant?
If you are male or female and have a bald patch with no further hair loss you can be considered for hair transplant. Generally males tend to have male pattern baldness due to the androgenic hormones. Depending on their hereditary pattern they may have male pattern baldness of varying grades or severity. You can consult Dr Sumita for finding out further suitability and discuss the pros and cons in details.
How is the surgery performed?
A strip of hair bearing skin is excised from the back of your head. This is further slivered in to bits and from which follicular units are extracted. After infiltrating the recipient or the bald area with anaesthetic solution, multiple punctures or slits are made into which these follicular units inserted.
What type of the Anaesthesia is used? Is the surgery going to be very painful? The surgery is usually performed under local anaesthesia with sedation. Except for the initial prick while injecting anaesthetic solution you will be quite relaxed and pain free during the procedure
How long will the surgery take?
Depending upon the number of follicular units or the micrografts, the surgery duration may vary from 4-6 hours.
How many sessions of surgery will I need?
If you have a completely bald area, it may take two to three surgeries to cover. If you have an area partially covered with hair, it may take only one surgery to fill in the area. Our goal is to restore about twenty-five percent of the donor’s original density in each surgery. After two surgeries, the density is about fifty percent which is often adequate coverage to satisfy the patient. The time between each session is usually four to six months in order to see how the hair is growing out and to provide more equal distribution. Correct evaluation & estimation is possible after personal consultation with Dr Sumita.
How will the surgery affect me when I return to work?
For the first two days, there will be a bandage around the head. It will be removed on the second day. If you have the surgery done on the hairline, the small scabs will remain for seven to ten days. When the small scabs fall off after seven to ten days, the freshly implanted grafts will be pink, slightly shiny which is usually a similar colour to the surrounding normal skin and is minimally obvious at first. After approximately two weeks, the areas where the grafts were transplanted are barely visible. Pre-existing hair around or adjacent to the transplanted grafts may shed, giving a thinner look, but will begin to grow back within a few months. This temporary thinning of pre-existing hair is called Telogen Effluvia..
How long does it take for the transplanted hair to grow out enough to fill in the balding area?
Usually it takes three to four months for the hair to grow out, and after that it will grow about half an inch per month which is the same rate as the donor hair. Initial hair quality is usually very thin, softer in texture like baby hair and then it become coarser over time. Sometimes the initial hair is curlier which then straightens in about one year. The colour of the initial hair may also be darker. It may be lightened by the sun later.
How long will the transplanted hair continue to grow?
The transplanted hair is the hair from the back of the head, so even though it is transplanted it will still have the same life span. Normally a hair follicle sheds every three to six years and then grows back from the same root. Thus, the transplanted hair continues the same life cycle.
Can hair transplantation affect the rest of my hair?
Hair roots are very tough and can tolerate surgery or any irritation to the scalp. A hair can be plucked out hundreds of times and just keeps growing back. The actual physical trauma of cutting the scalp, then inserting the donor grafts, can cut the shafts and/or damage some hair follicles. But more significant is the interruption to the pre-existing hair’s blood supply which is enough to cause the shedding of this pre-existing hair. It is temporary as most lost hair will grow back after a few months.
What are the complications and risks involved?
There are some minor, temporary complications such as numbness, swelling around eyes, infection etc. Most important aspect is to understand that transplanted hair cannot offer the density in hair. Whatever hair is transplanted is generally permanent, but you can still lose hair from the adjacent areas as a continuation of male pattern baldness.
Can fallen hairs or hairs from other body area or hairs from friend or relative be transplanted?
Can hairs be transplanted in eyebrows, sideburns, beard or moustaches?Yes.