Pace Hospitals | Best Hospitals in Hyderabad, Telangana, India

Hair Transplant Surgery

Hair Transplant in Hyderabad, India | Cost & Procedure Benefits

PACE Hospitals is one of the best hair transplant hospital in Hyderabad, India, renowned for delivering exceptional results using cutting-edge technology and techniques. Our team of skilled and experienced hair transplant surgeons offers personalized care to ensure natural-looking outcomes with minimal discomfort and downtime.


We specialize in advanced methods like FUE (Follicular Unit Extraction) and FUT (Follicular Unit Transplantation), designed to address different types of hair loss while prioritizing patient safety and satisfaction. With state-of-the-art facilities and a focus on long-lasting results, PACE Hospitals is the trusted choice for FUT and FUE hair transplant in Hyderabad.

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    What is hair transplant?

    Hair transplantation is one of the aesthetic surgical treatments that is rapidly developing as a treatment option for male or female pattern hair loss. With an adverse record emerging from the punch transplant era, surgical hair restoration has a turbulent history. Nonetheless, more modern methods, such as follicular unit transplantation, have greatly improved the hair transplantation procedure's credibility. Increasingly balding men and women are choosing this surgical option as it can produce results that look incredibly natural.

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    Considerations for the hair transplant

    Hair transplant can be done in any person with pattern hair loss primarily, possessing adequate donor area, and with reasonable expectations. The general criteria to be considered before opting hair transplant are:


    • Age
    • Type of hair loss
    • Donor hair sufficiency
    • Scalp laxity
    • General health
    • Psychological stability
    • Outcome expectations
    • Stable hair loss

    Hair transplant Indications

    The foremost quality of a candidate for hair transplantation is to have a healthy scalp, good health, adequate donor hair area with minimum or reasonable expectations. Some of the major indications are:

    

    • Pattern hair loss irrespective of gender
    • Class III- V on the Norwood scale for men and Class II on the Ludwig scale for women
    • Traction alopecia
    • Fibrosing alopecia (Frontal)
    • Lichen planopilaris (Inflammatory scalp condition)
    • Folliculitis decalvans (Chronic inflammatory hair follicles and scalp condition)
    • Facial hair placement in case of transgender patients
    • Facial hair transplant for eyebrows, beard, or for the patients with sideburns due to facial trauma or burns

     

    However, it is important to note that the conditions like fibrosing alopecia or other inflammatory scalp, hair follicle conditions should not be in active stage while planning for hair transplantation.

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    Hair transplant before and after

    Before hair transplant procedure

    • Before planning for the hair transplant procedure, it is recommended to check for any allergies to medications in the past, previous surgical history, any complications and current medications the patient is on should be documented in the case record. 
    • Special documentation of drugs used for hypertension, epilepsy, thyroid, cardiac drugs and diabetes should be done, as these medicines can be continued after obtaining medical clearance from the concerned doctor.

    Preoperative checklist

    • Alcohol should be avoided a week before and after the procedure
    • Smoking should be cut down as much as possible before the surgery
    • In case of anxious patients, preoperative tranquilizers are administered
    • Restriction of non-steroidal inflammatory drugs a day before the surgery
    • Drugs for hypertension can be continued but beta blockers aren’t encouraged
    • In case of vitamin or herbal supplements being taken by patient, they should be avoided at least 3 weeks before the surgery
    • Sensitivity test for anaesthesia shall be carried out a day before the procedure, to check for delayed allergic reactions to anaesthetics.


    On the day of surgery

    • To manage scalp swelling, a unit dose of preoperative systemic steroids can be given
    • Preoperative antibiotic prophylaxis should be administered with cephalosporins or macrolide antibiotics
    • Recipient area marking is done, including the proposed hairline along with the pattern and direction of native follicular units
    • Donor site marking should be done as per the technique employed
    • Acquire anaesthesia with the combination of local anaesthetics and nerve blocks like supraorbital, supratrochlear, occipital etc.
    • The proposed donor and implantation sites should be given infiltrate tumescent anaesthesia and tumescent saline to have the graft harvest and placement.

    Hair transplant procedure

    Surgeons used to treat androgenic alopecia with scalp reductions, transposition flaps, and plug grafts. Currently, 99% of all surgical hair loss management involves hair transplantation. Follicle unit harvesting can be done individually as follicular unit extraction (FUE) or in follicular unit strip surgery (FUSS). At the moment, follicular unit extraction is the more popular method because of its possible benefits over follicular unit transplantation (FUT), which include:


    • Harvestable grafts number is more
    • Scarring is minimal when compared to other harvesting methods
    • Laxity of the donor site or its density are not a considerable deterrent
    • Postoperative pain is minimal 
    • Postoperative healing time is less
    • Follicular groups of specific size and hair with specific dimensions with pigmentation is possible 
    • If required, the surgeon can target hair out of the actual donor site like parietal scalp, beard, chest etc.


    On the other hand, follicular unit transplantation also has some advantages over follicular unit extraction like:


    • Less operative time
    • Transection of follicles is less
    • Bleeding at donor site is less
    • A single strip can provide up to 1000 to 1500 grafts
    • Denser packing and cosmetically better results are possible due to the placement of individual follicular units in each slit.


    Follicular unit transplantation (FUT) donor site harvest

    • The patient should be placed in prone position and donor site hair should be trimmed to 2mm
    • The calculated strip length should be marked and injected with local anaesthetic into the dermis.
    • To increase the hemostasis, dermal turgor and anaesthesia, tumescent solution should be injected
    • A parallel incision to the existing follicles is made into subcutaneous tissue of 4-5mm deep
    • The donor strip is dissected away from aponeurosis and occipital fascial by using the lateral retraction by sharp skin hooks
    • The permanent follicular units damage will be decreased by using cauterization sparingly
    • To not damage the follicle unit, 2mm of fat beneath the follicle should be left while removing the donor strip’s excess subcutaneous tissue. 
    • The strip is then dissected into 1 follicle unit thick segment by placing them immediately into a chilled saline holding medium.
    • For graft implantation and recipient site preparation, the patient is transitioned to a sitting position.


    Follicular unit extraction (FUE) donor site harvest

    • To visualize the follicular angles, the donor site is shaved to 2 mm
    • For easy harvesting, the patient is placed in a prone position
    • Local and tumescent anaesthesia is injected into the donor site


    Manual follicular unit excision

    • Make a 0.8 to 1.2mm punch in the hair follicular center at the same angle and move further in pendulum motion up to a depth less than 4mm to avoid transection
    • With the help of delicate forceps, remove the follicular units in atraumatic way and position them directly onto the recipient site or a chilled sterile saline 
    • The patient is transitioned to seating position to prepare for recipient site implantation.


    Recipient site creation and implantation

    • The perifollicular tissue alone is used to manipulate grafts and thereby to avoid trauma
    • Without transecting the native follicles, recipient sites are created randomly in irregular pattern with the help of flat-edged blades or a combination of 19 gauge or 21- gauge needles. 
    • The graft is gently placed into the recipient site without pressure applied using a wet cotton-tip to encourage hemostasis and avoid graft extrusion.
    • The donor sites are then applied with emollient or antibiotic ointment and placed non- adhesive bandages across the sites.
    • To ensure that the outcome seems natural, consideration for the recipient's hair pattern is crucial. For instance, hair follicles in the temporal region are oriented inferiorly. For males, the surgeon aims to replicate a sharp temporal recess; for females, it is a rounded recess. Follow the crown's spiral orientation and angles to get a natural look. 
    • Although comparison studies are scarce, the use of robotic devices to harvest follicular units has resulted in more precise and speedy graft harvesting, a lower rate of FU transection, and improved implantation accuracy at the recipient site. Still, the robot presents a potentially useful method to optimize HT results. 

    Postoperative care after hair transplant

    • For the first week following surgery, sleeping with the head of the bed raised by 15 to 30 degrees to reduce edema (Swelling) is recommended.
    • For one week after surgery, refrain from intense activities and heavy lifting.
    • For the first few days, apply ice to the forehead—not the grafts—for 20 minutes every two to three hours.
    • Start applying 5% steroid topical solution to the donor and recipient areas five to seven days following surgery. 
    • Until neovascularization takes place, washing often with regular saline is recommended. 
    • After three days, wash with baby shampoo.

    Hair transplant contraindications

    The hair transplant is not recommended for some patients considering their safety and well-being. Some of the contraindications of this procedure are as mentioned here:

    • Inflammatory conditions (Active)
    • Trichotillomania and body dysmorphic disorders (Active)
    • Active scalp infection
    • Anaesthetics allergy
    • Patients who are unfit medically 
    • Hemorrhage
    • Diffuse unpatterned Alopecia
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    Hair transplant side effects

    Though the vigorous supply of blood to the scalp allows for faster healing and less infection rates, there could still be some complications seen:

    • Swelling
    • Pain
    • Hemorrhage
    • Folliculitis
    • Anaesthetics allergy
    • Anaesthetic overdosage
    • Scalp cellulitis
    • Scalp numbness 
    • Telogen effluvium
    • Infection

    Medical Conditions that Complicate Hair Transplantation

    • Tobacco smoking
    • Diabetes associated with microvascular damage
    • Advanced stage of balding
    • High Blood pressure
    • Scalp exposure to sun damage
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    Benefits of hair transplant​

    The major benefits of hair transplant include the below mentioned:


    • Natural appearance: Transplanted hair can look and feel like natural hair and can be combed just like your own hair. 
    • Permanent solution: unlike the temporary solutions for hair loss like hair wigs, hair transplantation remains to be the permanent solution. 
    • Minimal maintenance: Transplanted hair requires less maintenance than other procedures. 
    • Quick recovery: Hair transplant procedures have a short recovery period, and you can often return to work soon after. 
    • Reduced scarring: Some hair transplant techniques, like Follicular Unit Extraction (FUE), leave virtually no scarring. 
    • Improved confidence: Hair transplants can help people feel more confident about their appearance. 
    • Enhanced hairline: Hair transplants can help create a natural hairline. 
    • Improved outlook: Hair transplants can help improve a person's overall appearance and outlook.
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    Hair transplant results

    The results after hair transplantation are clearly visible and easy to discuss in two time periods like up to 4 weeks and up to 3 months post hair transplant procedure as mentioned here: 


    Up to 1month after a hair transplant

    • Discomfort: Following a hair transplant procedure, it's normal to feel slight discomfort for a few days, mainly in the donor area. Additionally, some patients may have trouble falling asleep the first few nights following surgery. 
    • Edema: Notable edema is uncommon following most hair transplant procedures, but it can happen after invasive procedures or surgeries that place a lot of emphasis on the hairline. 
    • Itching: Following surgery for hair transplants, patients may experience itching, which typically lasts seven to fourteen days.
    • Healing and recovery: Following surgery, patients should feel normal within a day or two, but one may experience some soreness and numbness on their scalp. 


    Up to 3 months after a hair transplant 

    • The patients will notice that the transplanted areas are starting to sprout hair in the first month following the treatment. Since complete natural growth typically takes roughly 10 months, the new hair growth may initially be erratic and coarse. But since every patient recovers differently, if their hair is growing slower than expected, it doesn't always indicate the transplant wasn't effective; it may just take a little longer. 

    Frequently Asked Questions (FAQs) on Hair Transplant Surgery


    • Is hair transplant safe?

      Usually, hair transplant is a safe procedure but associated with minor risks like every other type of surgery. There could be complications of bleeding, infection or allergic reaction to anaesthetics. Other than these complications, there’s also the possibility of noticeable scars forming on the scalp and hair falling out.


    • Is hair transplant permanent?

      Yes, generally hair transplants are considered permanent. But special cases like aging, hair graft survival or usage of medications leading to hair loss etc. might affect the results. A point to note is that there could be hair fall initially during the first 3 months after transplantation. Full recovery and scalp healing can take between 6 to 12 months.


    • Can hair transplant cause cancer?

      As of now, there is no scientific evidence to prove that hair transplants could be cancerous. Hair transplant procedure usually does not affect the brain or eyes and such wise do not trigger any genetic mutations that are cancerous.

    • How long does recovery take?

      Initial recovery usually takes 7-10 days, during which scabs may form around the transplanted grafts. Full recovery can take several weeks, and the final results may not be visible for several months.

    What is a hair transplant?

    A hair transplant is a surgical procedure in which hair follicles are taken from one part of the body (usually the back or sides of the scalp) and implanted into areas experiencing hair thinning or baldness.

    How does hair transplant work?

    The trichologist removes small pieces of skin, known as grafts, from areas of the body with healthy hair (referred to as the donor site, often located at the back of the scalp where hair is thickest). These grafts are then transferred to areas of the scalp with no hair. After the transplanted skin has healed, it should continue to produce hair.

    How to sleep after hair transplant?

    Patient should lie flat on their back with their head slightly elevated, with the body fully supported by pillows and cushions underneath them. It is recommended to place a pillow under the nape of the patient's neck to keep their head elevated at around 45 degrees. The patient's head and shoulders should form one straight line

    Who is a good candidate for a hair transplant?

    Ideal candidates include men and women experiencing pattern baldness, thinning hair, or hair loss due to injury or surgery. Candidates should have enough donor hair and be in overall good health.

    What are the different types of hair transplant techniques?

    The two main techniques are:

    • FUT (Follicular Unit Transplantation): A strip of skin is removed from the donor area, and hair follicles are extracted and transplanted.
    • FUE (Follicular Unit Extraction): Individual hair follicles are extracted directly from the scalp and transplanted to the recipient area.

    Is PRP session required after hair transplant?

    Yes, platelet-rich plasma (PRP) treatments can be beneficial after a hair transplant: 


    • Healing: PRP can help speed up healing and reduce inflammation. 
    • Hair growth: PRP can strengthen hair follicles and promote better hair growth. 
    • Scarring: PRP can help minimize scarring.

    Can I wear helmet after hair transplant?

    One should avoid wearing a helmet for at least two to three weeks after a hair transplant. There’s a possibility of damage to hair follicles, graft dislodging or bald patches by wearing helmet too soon.

    How long does a hair transplant procedure take?

    Depending on the technique and the extent of the transplant, the procedure can take 4-8 hours, sometimes spread over multiple sessions.

    Is a hair transplant painful?

    Local anesthesia is used during the procedure, making it virtually painless. Patients may experience mild discomfort or tightness afterward, which can be managed with medication.

    When will I see results?

    Hair typically begins to grow after 3-4 months, with noticeable improvement after 6-9 months. Full results can be expected within 12-18 months.

    Are the results permanent?

    Yes, the transplanted hair is usually permanent. However, natural hair loss may continue in non-transplanted areas, which may require further treatment or procedures.

    Are there risks or complications?

    As with any surgical procedure, risks include infection, scarring, bleeding, and poor hair growth. However, these are rare when performed by a qualified surgeon.

    Can women undergo hair transplants?

    Yes, women can benefit from hair transplants, especially those experiencing female pattern baldness or hair thinning in specific areas.

    Can I wear a hat after the procedure?

    You can wear a loose-fitting hat after the first few days, but it’s important to avoid any pressure or friction on the transplanted area for at least 7-10 days.

    Will I need another hair transplant in the future?

    If hair loss continues in other areas, additional procedures may be needed to maintain overall hair density and coverage.

    What is shock loss?

    Shock loss refers to the temporary shedding of transplanted or native hair after the procedure due to trauma from surgery. This hair usually grows back within a few months.

    Can I resume normal activities after a hair transplant?

    Light activities can be resumed after a few days, but strenuous activities, including exercise, should be avoided for at least 2-3 weeks to prevent complications.

    What is the success rate of Hair transplant surgery?

    Hair transplant surgery has a high success rate of 90-95%, but factors like surgeon skill, patient characteristics, post-operative care, age, and patient satisfaction can affect the success rate. Age may also affect the transplanted hair follicle's growth and thickness. In rare cases, patients may be unhappy with their results due to scarring, insufficient growth, or overall appearance.

    How much does a hair transplant cost in Hyderabad, India?

    Hair transplant cost in Hyderabad can range from ₹70,000 to ₹2,45,000 (US$750 to US$3,000), depending on several factors. The method of transplantation, whether FUE (Follicular Unit Extraction) or FUT (Follicular Unit Transplantation), can impact the cost, as can the cost per graft and the extent of hair loss. The number of grafts required for the transplant will also affect the overall cost, as will the expertise of the doctor, surgical fees, anaesthesia fees, medications required for post-surgery care, and approval from corporations or insurance providers. It's important for patients to discuss these factors to determine the best course of treatment and the associated costs.


    Hair transplant surgery is typically priced based on the number of grafts required for the procedure. In Hyderabad, the cost per graft for FUT (Follicular Unit Transplantation) ranges between ₹25 to ₹35, while the cost per graft for FUE (Follicular Unit Extraction) ranges between ₹35 to ₹45. For instance, if 1,000 grafts are required, the cost could range between ₹25,000 to ₹45,000, while for 2,000 grafts, the cost may range between ₹50,000 to ₹90,000.


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