Introduction

Hair is an important organ for good look. Hairstyle and length are characteristic features of an individual’s character. The burden of hair fall is huge and so is its psychological impression. They become socially withdrawn and lack self-confidence.

Baldness is the most common cause of progressive hair loss globally. Interestingly baldness can affect both men and women and both young and old. Baldness affects approximately 50% of men and the occurrence progressively increases with age. Similarly, 13-20% of ladies suffer from this problem and the incidence increases rapidly after menopause. Affected individual suffer a lot due to the problem.

Our scalp hair may be shed according to the various stages of hair cycle. Daily 50 – 100 hair loss is considered to be normal for human. It can reduce self-respect, self-confidence, personal-image and limit the ability to enjoy life to the fullest. Lack of hair growth despite trying multiple hair growth treatments or shampoos is further frustrating for the patient.

Balding isn’t the end of the world! Bald people are considered to be more intelligent. They are considered to have a more attractive masculine body shape and are found to be good at sports. Modern anti-androgenic medications and Permanent Hair transplant is a boon for patients with baldness.

Started in 2014 AD, Hair transplant in Nepal at cutis care is a pioneer institute performing more than 1000 satisfied clients of hair transplant. The modern technique of FUE has an advantage of being a day care procedure, immediate home return, lack of pain and excellent results.

Why do people get bald?

The medical term for baldness is “Androgenetic Alopecia”. The term is composed of two terms: Andro: meaning androgens, a hormone namely testosterone and dihydrotestosterone; and genetic (बॊग्शानुगत) meaning familial tendency. Hence, baldness is a process caused by genetics and hormonal changes that result in hair loss.

We have a hormone called testosterone secreted from the testes in males and minimally by ovaries in ladies. The hormone is transformed to a potent hormone called dihydrotestosterone (DHT) by an enzyme called “5-alpha reductase”. This enzyme 5-alpha reductase, is expressed more in the frontal hair of human (the area where people get bald). And under genetic influence people gradually get thinning of hairs and finally go bald.

Treatment of Baldness

The treatment options can be divided as medical and surgical management. Regarding medical management, the Food and Drug Administration (FDA) of the US. has till date recommended only two medications for androgenetic alopecia. The first one is an oral medication called Finesteride. This drug in very lower dose inhibits the action of the enzyme 5-alpha reductase and helps regrowth of hair. The second drug is topical Minoxidil, helps stopping hair fall and stimulates new hair growth. But there are disdvantages of the medical therapy and are as follows:

  1. Medical management of only helps in the early phase of the disease.
  2. Medical management does not stimulate hair growth in areas that are already bald.
  3. The duration of treatment is not fixed. Guidelines recommend the use of drugs for life long.
  4. Once you discontinue the medical therapy, hair starts falling again.

Hence because of these disadvantages, the surgical option, Hair transplantation (कपाऱ प्रत्यारोपण) has become a boon for patients with baldness.

Hair transplant can help bring back what looks like a fuller head of hair. Hair transplantation (कपाऱ प्रत्यारोपण) is a type of minor surgery that moves hair we already have in our body to fill an area with thin or no hair. For example, generally we transplant normal hairs from the back of the scalp (the donor area) of a client to the front bald area (Recipient area). In this minimally invasive procedure, grafts containing hair follicles that are genetically resistant to balding, (like the back of the head) are transplanted to the bald scalp. Because of this reason, the transplanted hairs and natural, grows normally and do not fall for lifetime.

 

Follicular Unit Extraction (FUE) Hair Transplant:

This is the latest technique of hair transplant where individual hair follicular units are extracted from the back of scalp. These follicular units are then preserved in an optimal situation for 4-6 hours and then transplanted over the bald area.