Minoxidil Dread Shed - What is it?

 Minoxidil lotion and foam are FDA approved for the treatment of Androgenic Alopecia (AGA), both for men and women. This type of hair loss is also called Male Pattern Balding and for females this is known as Female Pattern Hair Loss. These two diseases are very common to the best hair transplant surgeon in Kolkata.

 

A common concern among individuals who are deciding whether or not to use minoxidil is the potential for them to develop an increased amount of daily hair shedding in the first 6-8 weeks of starting minoxidil. This is known in the public as the "dread shed." Medically, the term is "immediate telogen release." This type of shedding is not to be confused with the shedding that happens when people with androgenetic alopecia incorrectly stop using minoxidil. (One must never stop treatment if they have androgenetic alopecia or else new hair growth will be shed and all benefits will be lost).

 

The 'dread shed' can be frightening when it occurs but is generally mild for most. Understanding why this occurs is important to help individuals decide whether this treatment is right for them to start or not but if the patient is willing to do it then it should be done by the best hair transplant surgeon in Kolkata.

 

The increased shedding that accompanies starting minoxidil needs to occur for most people. It's not something that is really all that abnormal - it just looks abnormal. When you look closely at the scalps of men and  women with androgenetic alopecia (especially early stages of AGA), one will notice that a higher than normal proportion of cells are in the shedding phase. These hairs are waiting their turn to shed. Hairs generally need to wait in line 2-3 months before they are shed. That's just the rule of nature. That's what it means to be human.

 

When minoxidil is applied to the scalp, a signal is sent to all hairs that are waiting in line to be shed. The message that is relayed is that the hairs no longer need to wait 2-2 months in that line. Rather any hair that is waiting in line to be shed is welcome to shed now.  The mandatory 2-3 month waiting period has been temporarily waived. And so what the patient then experiences is an increased amount of hairs coming out on a daily basis once they start minoxidil. What is being shed is hairs that were destined to come out anyways:

 

Instead of coming out tomorrow, a hair comes out today

Instead of coming out in 2 weeks, a hair comes out in tomorrow

Instead of coming out in 4 weeks, a hair comes out in 1 week

Instead of coming out in 6 weeks, a hair comes out in 2 weeks

This is the 'dread shed' or 'immediate telogen release" which is the most frustrating topic towards the best hair transplant surgeon in Kolkata.

Reasons Behind the Male Pattern Baldness (MPB)

 

Male Pattern Baldness or MPB or Androgenic Alopecia is a symptom which can be seen in male body. Though a female variant is also present.

 

Andro genetic means basically two components. Andro or androgen owing to the Dihydrotestosterone naturally originated in the body from testosterone.

And secondly, being the genetic part can't likely escape. The treatment can be done in the best hair transplant clinic in Kolkata like PLCSC.

 

What is the reason behind the baldness?

It is not caused due to only Dihydrotestosterone. It is one of the reasons but it is also regulated by many of the genes present in your body. There are several studies on what ch is done in the best hair transplant clinic in Kolkata where it is stated that it may be multifactorial.

 

So an explanation of male Pattern baldness is coming to that part as to why only the native hair is affected by it and not the back donor. So the research is still in dark though we know that the unknown chemical signalling at the molecular level causes the roots of the hair follicles in the frontal, temporal, parietal, lateral, hump, mid scalp, crown to be negatively impacted causing them to slowly thin out.

 

However the hair follicle roots in the back donor are relatively insensitive in the presence of Dihydrotestosterone in the male body. Thus when these follicles are transplanted the recipient stays and grows strong if you had done the surgery from the best hair transplant clinic in Kolkata.

 

Dihydrotestosterone even after being considered as the main evil of all, a good nutrition is also needed for a lustrous mane.

How to Identify the person who can Undergo Hair Transplant?

 

Modern medication has given us the miraculous ability to transplant hearts, lungs, kidneys, livers, pancreas, intestines, corneas and alternative organs from one person into another person. So, will we transplant hairs from one person to another person too? It’s a great question and one of the top hair transplant surgeons in Kolkata is asked at least once each week. In theory the answer is yes, but truly the solution isn't any.

So there are some points by which you can understand that who is the ideal candidate for hair transplant?

 

1. It is a procedure by which hair from one part of the body is implanted to another body part. It is mainly used for balding people according to the top hair transplant surgeon in kolkata.

 

2. The hair is mainly collected from the back of the scalp and also the beard in many case of hair transplant in Kolkata. This is known as the donor area and transplanted on the bald area is known as the recipient area.

 

3. Before going in for a surgery, many types of blood tests are done to check out if any pre existing diseases are present or not.

 

4. It must be noted that going in for a hair transplant, this does not stop hair loss progression.

 

5. A strong donor area is a very important aspect in hair transplants and care has to be taken during extraction of grafts to prevent overharvesting or damage during the extraction process. The quality of hair and texture in the donor area is another important aspect.

 

6. It is generally seen that thick and curly hair has a better coverage property and creates a better density appearance, rather than the thin and straight hair.

 

7. After the surgery, especially in the younger age group, one has to be put on certain medication, so as to preserve the existing hair and has been seen in many cases to help in new hair regrowth also.

So it is a delicate, time taking procedure done very skilfully and artistically by experienced hands to get good and desired results for the case of hair transplant in Kolkata.

7 Facts You must Know About Hair Transplant

 

Hair transplant in kolkata basically includes the movement of the uncovered safe hair follicles to the going bald zones on top of the head from the rear of the stow away. This interaction is basically lasting since hair follicles from the rear of the head will in general be impervious to hairlessness independent of where they have been found.

 

Fact - 1

Follicle is a single strand of hair. A group of existing follicles on the scalp is called a follicular unit or graft. The number of follicles depends upon the person with an average of 2-3 per graft.

 

Fact -2

In case of baldness there is a permanent zone and a temporary zone from where the hair is prone to early miniaturisation due to baldness on the scalp. According to a ln average statistics around 100000 hair grafts, out of which 75000 are temporary and 25000 are Permanent. The usual permanent area is above the neck and the ears which forms a horseshoe shaped area on the back scalp.

Fact - 3

Hair fall and baldness are not the same thing. Hair fall is the root of discarding the hair strand after maturation in order to give birth to younger hair strand which is a typical phase of a normal hair cycle. In baldness, however, the hair follicles miniaturize along with the roots and eventually disappear altogether due to its sensitivity to the presence of DHT in the body.

Fact - 4

First of all Androgenic Alopecia is not a disease. It is just a natural phenomenon occurring to all men of any age.

Fact - 5

Hair transplant doesn't stop the progression of baldness. Always find the best hair transplant clinic in Kolkata for the surgery purpose.

 

Fact - 6

If you are doing the surgery form the best Hair Transplant clinic in Kolkata like PLCSC then you will not feel any pain. It is a very significant procedure and the patients are okay immediately after the whole procedure. No admittance is required.

Fact - 7

Hair transplant is a very tedious process so a skilled and experienced surgeon from the best hair transplant clinic in Kolkata.

5 Features of A Biopsy Report By The Best Hair Transplant Surgeon In Kolkata

1. SIZE OF THE BIOPSY SHOULD 4 mm.

A punch diagnostic test is ideal and will be four millimetre in size, suggested by the best hair transplant surgeon in kolkata . Too often smaller punches (3 or a pair of mm) are used in plan to limit scars for the patient. while this can be an honest thought, smaller biopsied provided limited info.

 

2. THE SPECIALIST SHOULD TOUCH UPON THE DEPTH OF THE BIOPSY.

Ideally, it’s nice to see that the diagnostic test goes deep enough into the scalp so the pathologist features a smart chance to check what’s happening at the very bottom of the hair follicles and even into the fat. Conditions like alopecia areata and lots of response and inflammatory conditions and scarring alopecias (dissecting cellulitis) go quite deep. A biopsy should be deep enough to capture. this.

 

Many biopsies aren't deep enough. Sometimes, there’s simply an excessive amount of injury throughout the biopsy and a physician is afraid to go deeper. typically the punch technique the physician is using isn't adequate and therefore the punch is just not pushed deep enough once taking the sample.

 

 

3. HORIZONTAL SECTIONING OF THE BIOPSY SAMPLE WAS CONSIDERED.

A biopsy specimen will be cut side to side (horizontal sections) or up and down (vertical sections). several labs nowadays can do both. It’s nice to possess horizontal sections as this offers the pathologist a great deal of information on 12-30 hair follicles. Vertical sections provide info on 3-7 hair follicles. I prefer to highly to|favor to|opt to|choose to} work with a diagnostician United Nations agency reads horizontal sections because it offers a great deal more information. Most labs perform horizontal sections.

 

4. THE PATHOLOGIST COMMENTS ON THE PROPORTION OF TERMINAL HAIRS, VELLUS HAIRS, ANAGEN HAIRS AND TELOGEN HAIRS IS GIVEN.

If horizontal sections are used to process the sample, it’s important to know exactly what the pathologist sees. In this regard it’s nice to have information about the proportion of terminal hairs, vellus hairs, anagen hairs and telogen hairs in the biopsy.

 

1) A high proportion of vellus hairs relative to terminal hairs given a clue to possible androgenetic alopecia. Horizontal sections allow the pathologist to comment on the ratio of terminal hairs to vellus hairs - which is a wonderful clue for diagnosing androgenetic alopecia and in some cases also chronic telogen effluvium. A terminal to vellus ratio less than 4:1 means androgenetic alopecia in most cases and a T:V ratio above 8:1 signifies chronic TE.

 

2) A high proportion of telogen hairs may also offer information about possible underlying telogen effluvium. For example, normally there are less than 12 % telogen hairs in a biopsy. As the percent of telogen hairs rises above 12-15 % one must also wonder if a telogen effluvium is present. The diagnosis of telogen effluvium is more of a clinical diagnosis than a pathology diagnosis. So, even if the percentage of telogen hairs is less than 12 %, it’s still possible that a patient has a telogen effluvium.

 

5. THE PATHOLOGIST COMMENTS ON THE SEBACEOUS GLAND (OIL GLAND) DENSITY.

When I scan a report, i would like to understand what’s happening to the oily glands (oil glands). I definitely do wish to understand what’s happening to the hair follicles (see below), but I’d wish to understand if the oily glands are present, if they seem larger within the biopsy or if they're reduced. Reduction in the density of oily glands is incredibly much a feature of scarring alopecias. A relative increase in the look of oily glands may be a feature of the many non scarring baldness like androgenetic alopecia, reported by the best hair transplant surgeon in kolkata.

Long Hair Transplant - Truth or Myth?

 

The idea of having a full head of hair without shaving is as lucrative as it gets. There is a specific increment towards making everything instant and it is not just your favourite things to happen.

 

Reasons why a long hair transplant is attempted by many?

'Long hair transplant' is considered as a taboo though there are many opportunities for the best hair transplant clinic in Kolkata. Even a common man doesn't want people to know and hence, wants to avoid unnecessary speculations.

 

What can be offered to these patients?

There are two ways to meet the satisfaction of a patient's demand. These are FUT and FUE but it doesn't require completely shaving the recipient site.

 

Window trimming:

In this the donor area is trimmed to a ‘0’ or ‘1’ clipper restricted to small zones, while the hair above it hides it. A sharp/blunt punch with a manual way can be used. Smaller diameter punches yield a higher number of grafts. It is also evident to note here that with extremely small punch the quality of graft may be on the lower side, due to inadequate tissue surrounding it.

 

Pros:-

It is the go to technique for female hair transplant, since shaving the entire back of the scalp is not a possibility.

The donor is well hidden under the hair and it’s impossible to make out if extraction is being done if it is done by the best hair transplant surgeon in Kolkata.

 

Cons:-

You can do only a limited number of grafts; around 1000-1500 grafts as this number can be easily grafted but not more due to the limited space available for extraction.

 

2. Long hair FUE

It is also known as non shaving FUE (NS-FUE)

Here none of the hair in the donor area is shaved.

The whole donor area used while extraction is done

It requires special FUE punches (motorized/manual) The punch first cuts the long hair, and then steps to cut the skin, further advancing to dissect the arrector pili muscle attachment. This loose hair graft is carefully pulled out with aid-to-extraction or jeweler’s forceps.

So the long hair transplant can be done successfully only when u will be cared for by the best hair transplant clinic in Kolkata.

 

Pre and Post Hair Transplant Instructions

Hair Transplant is not a very big issue for today as there are many places like PLCSC, the best hair transplant clinic in Kolkata. It is important to have some basic blood test to examine whether you are physically fit or not like diabetes, infection or any kind of bleeding disorders. Besides this HIV and viral liver disease tests are also done for the security issue.

 

1. If you are on anticoagulants or 'blood thinners' then you should be discontinued 5 days prior to the procedure. Alcohol intake, smoking is prohibited at least a week before surgery, as this may interfere in the healing process and graft uptake may be hampered.

 

2. Hair oils are to be discontinued, but shampoos can be used regularly.

3. Hair present on the head should not to be trimmed and one should not shave for 2-3 days prior to the surgery, suggested by the best hair transplant surgeon in Kolkata.

 

4. And lastly, on the day of surgery, if one is on medications for any disease such as Diabetes, Blood Pressure or Thyroid disorders, medicines must be taken as per the daily routine. And one must have a good and proper breakfast and most importantly, be mentally relaxed in preparation for the surgery.

 

5. After the surgery, avoid sleeping prone, so that pressure is not put on the implanted grafts, to prevent them from getting damaged. Avoid touching or fiddling with the transplanted grafts and also take care that your head does not bump into any object, wall or car.

 

6. A saline spray bottle will be provided, which has to be sprayed on the transplanted area at 2-3 hourly intervals for 5-7 days after the surgery.

 

7. Antibiotic ointment can be applied to the donor area after cleaning with sterile water.

 

8. A loose surgical cap can be worn on the head or preferably, if at home, don’t wear anything on the head. While sleeping, remove the cap from the head.

 

9. Normal activity can be resumed from the next day itself but heavy physical activity should be avoided for at least 7 days.

 

10. After the first hair wash on the 7th day, you can use your normal shampoo as was used before surgery, suggested by the best hair transplant surgeon in Kolkata.