Ludhiana- Delhi- Dubai

At AK Clinics we often operate upon people from Europe, America & Australia who are of Caucasian descent. Though the basic principles of Hair Transplant always remain same but definitely there are few things that always change with the ethnicity.

Q.   What are the main points that you take into account at the time of operating upon people of Caucasian descent? In what way is it different compared to Asians or African descents?

A.  The Asian hair transplant surgeons operating upon Caucasian patients should keep the following points in mind at the time of performing surgery

·      The hair density is more in Caucasians, as compared to Asian or African descent people. 

·       The hair caliber and the length of the hair shaft is less(around 4.5 mm).

·       The percentage of 3 haired follicular units is also more, (around 50%) as compared to maximum 2 haired units in Asians.

·     The contrast with the underlying skin is also less. Therefore, the coverage with the same number of grafts is more in these type of patients. Further FUE can sometimes have a higher transection rate as high as 20-30%. Different hair types lend themselves to this; particularly coarse, curly wiry hair & real point is hair visibility.

Q.           Difference in the hairline design? 

A.       The skull shape in Caucasians is ovoid. This means that head is long from front to back relative to its width from left to right; as a result of which we have  a hairline with deeper front to temporal angles. 

Q.           Difference in density in various races?

A.         The density in Caucasians is around 100FU/cm2 as compared to around 60 FU/cm2 in Africans and 80-90FU/cm2 in Asians. 

Q.           How are the results at AK Clinics of these  type of patients?

A.           The results are very-very good. We regularly extract around 2800-3000 grafts in these patients as compared to around 2200-2500 for Asians. Therefore, the coverage is better and hence the results. Depending on the requirement of grafts we’ve seen great results with FUE, FUT or a combination method.  Another important aspect is the experience of the surgeons; if doctor is not experienced in Caucasians then a fox test is recommended before attempting this transplant. Dr Aman Dua & Dr Kapil Dua being among the first few surgeons to bring FUE to India are highly experienced  in  these   patients.

Q. We’ve seen not many doctors actually do hair transplant in African decent males in fact just AK Clinics or may be one or two more in India and likewise rare in world. Is there a particular reason for this kind of pattern. What are the challenges in Hair Transplant procedure of African decent males or Females?

A. In fact it is really difficult and takes large amount of expertise to do transplant in case of African decent males. This pattern is owing to actually few people developing & getting exposure. We’ll share the main reasons & points in the same

The following characteristics are useful to determine the outcome of the hair transplant surgery in the African patients:

Skull shape:

Africans have a mesocephalic skull of intermediate width and breadth (medium sized skull). This means that head is not particularly short or long from front to back (relative to its width from left to right); as result of which the surgeon has to give them a flat hairline. 

Hair characteristics:

 Physical Structure: The African hairs have a curl as a result of which the chances of cutting the hair follicles are more during extraction and graft preparation.

Color: The results are usually good as there is hardly any contrast between the hair color and the skin.

Diameter: The diameter of the African hair is less as compared to other ethnic groups. This determines that the handling of the grafts is generally very carefully done.

Hair Density: The hair density is less as compared to others.

Challenges & Expertise Required

Hair Transplant in case of African decent males or Females requires quantum of expertise & skill. So there very few doctors who’ve reached this level of skill and ready to invest time to gain it because it sometimes in not economically viable. But at AK Clinics, it is always our endeavor to serve each and every ethnic race. So Dr Kapil Dua & Dr Aman Dua have travelled length & width of the globe to gain expertise in this area.

Problems during donor closure: Like keloid formation, hypertrophic scarring, hypopigmentation & hyperpigmentation are common.

Harvesting: Give more tumescence as it straightens intradermal curl of the hair. Use of tissue spreader as it will help reduce transection rates further.

Graft Preparation: More perifollicular tissue should be left on the sides of grafts to avoid transection during preparation of grafts.

Recipient Site : Flatter hairline; further placing of grafts is more difficult as the grafts have to be placed in the background of dark color.

Dissection: Slow, there is a curl as a result of which you have to be extra careful

Implantation: Fat is more, so implantation is difficult – need to trim grafts.

Which technique FUE or FUT is better for performing surgeries in African decent males or females?

FUT is better than FUE as the transection rate during extraction is very high. It is imperative to understand that since the roots are curled it is very difficult to presume an angle for extraction. So we generally do a FOX Test to determine the possibility of FUE & transection rate.  If the FOX test is negative, then only FUT is done.

Dissected Grafts & Sutured Line

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Conclusion: Hair Transplant in patients with African decent is tedious procedure and requires expertise to deliver results. 

Dr Aman Dua, gives a detailed seminar on FUE Hair Transplant at Dermatologist forum at Hyderabad. This was done in association with Wockhardt.

Visit www.akclinics.com

Know it all about the mood-swings of your hair!!

The complete Hair Cycle
 
Hair is the most hard-working part of your skin. They are highly exposed to sun, sweat, pollution, and chemicals that come from shampoos, conditioners, perms, colors and yet they continue to grow throughout the life.

Hair is genetically predisposed to follow a particular growth pattern i.e. grow, rest, fall and so on. This phenomenon is essentially an extraordinary one as in a lifetime; a hair follicle goes through the hair cycle 10 to 20 times, with each cycle comprising certain embryological changes.

The hair growth cycle is composed of three different stages: Anagen (growth) phase, Catagen (involution) phase, and Telogen (resting) phase. There is also a shedding phase, Exogen, which is a sub-phase of Telogen, during which the hair falls out. Anagen lasts from three to six years, catagen phase two to three weeks, and telogen phase three to four months. Normally at any one time, up to 80-90% of the hair is in Anagenphase, 10-14% inTelogen and only 1-2% % is in Catagen phase.

Let’s have a closer look at the hair cycle!

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Are your really worried about damaged hair and want to know the secrets for how to moisturize your dry hair at home naturally and looking the ways for how to get moisturized your black and curly hair. Maintaining your hair duly hydrated is very essential to keep it healthy and look best.  To keep up the moisturizing level high in the hair, conditioning your hair is a must. It can battle against dryness and defend it from various types of damages.

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