SKIN, NAILS, COSMETOLOGY AND HAIR TRANSPLANTATION CLINIC Office Number +91-7709271086

DIRECT FOLLICLE TRANSPLANTATION
 

Direct Follicle Transplantation or DFT is a hugely popular and evolving technique of hair transplant. In this method, a small round punch is used for extracting follicular units from a patient’s bald resistant donor areas one at a time. These 1, 2, 3 and 4 hair groupings known as follicular unit grafts are then transplanted into the balding areas of a patient. The demand along with the popularity for DFT has increased considerably over the past many years, whether, it’s the lack of linear scar related with conventional follicular unit hair transplantation through strip harvesting or FUT, its nature being less invasive or potentially faster healing time. The recent developments in FUE technique as far as hair transplant is concerned has proven that DFT is here to stay.

FAQ about hair transplant and DFT

Frequently Asked Questions (FAQ) for people thinking about hair transplant and DFT

This is the full/extended version of the FAQ about hair transplant and DFT.
This FAQ is designed to be helpful in raising awareness about hair transplants.

What is a hair transplant?
Hair transplantation is an advanced redistribution system for relocating hair follicles from a donor area, often at the back of the head, and artistically transplanting them to thinning or bald areas. With today’s microsurgical technology, a hair transplant results in a very natural appearance that is only limited by supply and demand. The supply depends on the amount of viable donor hair you have, viable meaning the hairs that are genetically programmed to grow for a lifetime. The demand depends on how great an area the patient wants to cover with the transplanted hair. We mainly take hair from areas where you have more than enough and transplant it to areas where you need it.

What is the DFT method?
DFT is refined the Follicular Unit Extraction (FUE) technique. Instead of using instruments that are 1 mm in diameter, we use tools that are 0.5 – 0.9 mm. This leads to faster healing times and a dramatically reduced risk of visible scarring. Thanks to the refined technique of DFT, more than 99 % of grafts will be transplanted intact. DFT also includes more exact incisions that allow denser placement.

What is the difference between FUE and DFT?
The methods are similar, but DFT is an improvement over the original FUE technique. DFT involves tools that are 0.5 -0.9 mm in diameter, whereas traditional FUE tools measure 1 mm. Aside from denser placement, DFT shortens the healing time and further reduces the risk of visible scarring. Additionally, DFT more or less ensures that all transplanted grafts will remain intact.

What is the difference between DFT and FUT/Strip?
The list below shows you the difference between DFT and FUT/Strip.
The transplant procedure
FUT/Strip: The STRIP method has been used for many years. It involves removing a strip of skin from the back of the head (the donor area) using a scalpel. After removal, the gap at the back of the head is stitched back together. The strip of skin from the donor area is divided into grafts. Serious clinics will perform this stage using a microscope, as the grafts should be divided to contain one, two or three follicles. Unfortunately this is not always the case, which leads to unnatural-looking hair and dissatisfied patients.
DFT: FUE is an advanced technique for extracting hair follicles done entirely without a scalpel or stitches. The hair follicles are removed one by one from a donor area with the help of powerful magnification and special microsurgical instruments that are less than a millimeter in size. DFT is very patient-friendly thanks to its minimally invasive nature. The grafts are always small due to the micro instruments and the method regularly leads to a natural look.

Is there risk of damaging hair follicles?
FUT/Strip: The scalpel might damage 10 % or more of the grafts during removal from the donor area or when grafts are divided. Using a microscope can minimize the risk of damage.

DFT: The risk of damaging grafts is minimal with DFT. The doctor determines and picks which individual grafts to be transplanted and can always avoid disturbing or even destroying nearby hair follicles.

What are the surgical techniques?
FUT/Strip: This technique is extensive and entails linear incisions with a scalpel in both nerve and blood vessel areas. It is important for these procedures that the doctor has surgical experience because there is a risk of temporary or permanent loss of sensation. The area must be sutured and then the stitches are removed after about ten days. Here there is a risk of visible scarring, although hair growth can provide some cover.
DFT: Neither scalpel nor stitches are used, which minimizes the risk of visible scarring. The grafts are transplanted with the help of microscopic (0.60 – 0.90 mm) instruments. Because no stitches are needed, the patient feels neither pain nor loss of sensation and the surgical area heals within a few days. The surgical area will be nearly impossible to detect in the future.

What happens after the hair transplant operation?
FUT/Strip: The patient must avoid physical activity for at least 30 days after the day of surgery.
DFT: The patient can participate actively in sports without restriction after a week.

What about hair follicle quality?
FUT/Strip: When a strip of donor skin is removed with a scalpel, a number of hair follicles will be damaged. However, powerful microscopes, the right instruments and a skilled surgeon will help minimize the damage.
DFT: Our method at the Dermacity Skin Clinic does not usually damage any follicles during the operation itself.

Can I check the number of hair follicles?
FUT/Strip: The number of hair follicles extracted partly depends on the size of the strip of skin removed and partly on the density of the hair follicles within the strip.
DFT: With DFT, the doctor can determine precisely how many grafts are needed and transplant exactly the desired number to the recipient area.

Is there scarring after a hair transplant?
FUT/Strip: When a FUT/STRIP operation is performed, thin scar lines form in the donor and recipient areas. In most cases, surrounding hair growth will hide the scars. If the hair is kept short there is a risk that the scarring will be visible.
DFT: Patients are practically scar-free after DFT operation, even if the hair is kept very short. The grafts are extracted individually, without a scalpel and without surgical incisions.

How long is the healing period and what is the healing process like?
FUT/Strip: After a strip procedure the skin needs about 12 months to heal before another operation can be performed. The doctor must be sure that the skin has regained its full elasticity before operating again.
DFT: In consultation with the patient, the doctor transplants the number of hair follicles needed to the recipient area. It is even possible for patients to influence the number and positioning of hair follicles during the operation. New procedures are not subject to waiting periods.

When will all the scabs fall off?
All the scabs should fall off after about seven to ten days.

When can I see the result?
The results will be fully visible 12 months after the operation.

 How long does the transplanted hair last?
Since the hair used is taken from a donor area that is not sensitive to the hormones that cause hair loss, for example the back of the head, it will retain its genetic characteristics even after transplantation. Most patients retain their “new” hair for the rest of their lives. Occasionally, a percentage of transplanted hair may be lost with old age.

What is meant by follicular units?
A follicular unit is the size of the graft and the number of hairs the graft holds. Through 30 years of work developing hair transplant techniques, it is possible to have very small follicular units. Originally transplants involved large grafts, but now with modern hair transplant methods, such as FUE, it is possible to have one, two or three hairs in each graft.

What is Follicular Unit Extraction (FUE)?
FUE makes it possible to transplant individual hair follicles without a scalpel, without the excision of a strip of skin and without the need for stitches. The hair is selected from a donor area, for example the back of the head or the body, and extracted under local anesthetic. The grafts are then removed one by one with each graft encapsulated in a small cylinder of skin. The surgeon then makes tiny incisions in the recipient area and determines the thickness and direction of the new hair. The grafts are then inserted, again under local anesthetic. The transplant looks entirely natural and the new hair is as strong and healthy as it was before being transplanted.

How many hairs are transplanted during DFT treatment?
Normally we transplant 500-3,000 grafts per day, which are equivalent to about 1,000-6,000 hairs.

Does Dr. Manoj Waghmare perform the incisions in the recipient area?
Yes, Dr. Manoj Waghmare is very particular about determining the size and direction of each incision.

Will it hurt?
A local anesthetic is used during the treatment. Most patients experience no pain during or after their hair transplant. The patient also receives medication after the treatment if he or she wishes, but this is seldom necessary.

How much does the treatment cost?
The cost depends on the type of treatment and the size of the area treated, and can vary greatly. We provide this information after a free consultation at the Dermacity Skin Clinic.

How does treatment at the Dermacity Skin Clinic differ from other procedures? We can only express an opinion about our own technique, the DFT. The most important thing for us is to minimize scarring while achieving optimal, natural results. We tailor every treatment to suit your needs and wishes.

Will there be any scarring?
When an incision is made in tissue it always heals via a process called fibrosis. Fibrosis is the skin’s way of healing. After a FUT/STRIP treatment there is always a visible scar in the donor area. However, after DFT treatment, scarring is almost non-existent.

How effective are Regaine and Propecia?
The manufacturers of both Rogaine and Propecia state that they are not effective for frontal hairlines, an area that is most significant for most patients. Some patients experience a slowing down of hair loss when taking these medicines.

Why don’t all hair transplants look natural?
If you see a recently performed hair transplant that does not look natural, then the procedure was badly performed. In most cases, our transplants are impossible to detect with the naked eye.

Is there risk of infection from a hair transplant?
An infection from a hair transplant is rare. If one should occur it is usually easy to treat with antibiotics, which can be prescribed by your doctor. To date, we have no record of infection during operations using the DFT.

How many hairs are needed to cover a certain area?
It is impossible to say before we have examined the patient, as the number of hairs needed depends on the hair structure and hair quality. Darker, coarser hair requires fewer hairs to cover the same area as lighter, thinner hair. The hair required also depends on the patient’s wishes regarding density and look.

Does Dr. Manoj Waghmare perform hair transplants on women?
Yes. Female hair loss is quite common and women can be particularly sensitive about it. Studies show that around 50 percent of women over the age of 50 suffer from female hair loss. Most of them can be helped. Women often have a similar donor area as men, i.e. the back of the head.

Does Dr. Manoj Waghmare repair less successful hair transplants?
Yes. DFT is perfect for reconstructing poorly performed procedures. Every "re-transplant" case has its own special requirements, which we discuss with patients at a free consultation. Please note that a reconstruction usually requires more than one treatment.

How much time must pass between two treatments?
A FUT/STRIP operation requires twelve months before another hair transplant can be done. An extra DFT treatment, however, can take place the day after.

Why do I not need to spend the night at the clinic after undergoing DFT treatment
DFT is a minimally invasive technique that does not require a general anesthetic, only a mild local anesthetic. You will feel fine afterward and do not need to stay for observation.

How will I be sure that you will extract the exact number of grafts I have paid for?
Our business and reputation is built on trust, honesty and respect for the patient and it is our number one priority to make you satisfied. Although, you are welcome to count them if you want to be extra sure!

Why is DFT practically risk-free?
We have performed many FUE procedures without experiencing any side effects commonly associated with other hair transplant methods. This includes infections, permanent numbness, and loss of sensitivity, scarring and hypersensitivity.

Why does DFT produce no visible scarring?
DFT does not use a scalpel or stitches like FUT/STRIP. For a more detailed look, see pictures comparing the two methods here.

How can you guarantee that I will have a natural hairline?
After performing a comprehensive examination of your hair during a free consultation, we can see exactly what we can do. If you are not a suitable candidate, or have unrealistic expectations, we will not perform the procedure.

You say DFT is practically painless. How is this possible?
It is possible because we don’t do invasive surgery. The surgery is minimal and you will heal in days.

Can you aesthetically “fix” or hide scars from earlier procedures at other clinics?
Alarmingly, over 40 percent of our clients come to us to remedy unsatisfactory hair transplant operations that they have received earlier at other practices. We are confident that we can help you as well.

Can you help me regain the feeling in my head after a FUT / STRIP operation?
Sadly, we cannot do this.

Can I meet the surgeon who will operate on me?
Yes, it is important that the doctor who will perform the procedure meets you for a consultation to plan your procedure.

Can I see the doctor’s credentials?
Absolutely!

Can I talk to the surgeon during the operation?
Yes. You will be able to talk as much or as little as you like throughout the entire operation.

Why do you not use a general anesthetic?
There is no need. Plus, our patients prefer to be awake to watch films, read or talk to the doctor.

What risks are there associated with general anesthetic? Can the procedure be compared to any other kind of surgery?
Many of our patient’s have compared the procedure to visiting the dentist.

BOTOX
 

At DERMACITY we provide Botox treatment (www.botox.com) which is a simple, non-surgical, treatment that can temporarily smooth moderate to severe lines and wrinkles on the face and neck like :

FOREHEAD LINES
CROWS FEET (Wrinkles around eyes)
FROWN LINES
NECK BANDS
BROW LIFT
NEFERTITI

It is also approved for excessive Sweating or Hyperhydrosis. In people from 18 to 65 years of age, it is the only anti aging, wrinkle treatment of its type is approved by US FDA (United States Food and Drug Administration). Botox is a purified protein complex produced by clostridium bacterium. Botox  relaxes the fatigued muscles, which in turn causes these lines to fade, giving one’s face a relaxed rejuvenated look. One 15 minute treatment- a few tiny facial injections- and within 7 to 14 days there is noticeable improvement in moderate to severe lines on your face, which can last upto 4 to 6 months. Individual results may vary.

FILLERS
 

If you’d like to restore youthful fullness to your face, enjoy plump lips, enhance shallow contours or soften those facial creases and wrinkles, DERMAL FILLER  may be the answer. Dermal fillers have been called “LIQUID FACELIFTS” because they offer many benefits of a surgical facelifts without the downtime.

Although they can’t help with excess sagging skin, these soft tissue fillers can add more volume and provide immediate results at a lower cost than a surgery. These treatments aren’t permanent, however, and they must be repeated and maintained. At DERMACITY we provide different fillers like

JUVEDERM (www.juvederm.com)
ESTHELIS (www.esthelis.com)
FORTELIS (www.fortelis.com)
MODELIS (www.modelis.com)

These fillers are used for different indications like

TEAR TROUGH (Hallow under eyes)
NASOLABIAL AND MENTOLABIAL FOLDS
CHEEK AUGMENTATION
LIPS ENHANCEMENT

NOSE SHAPING and  for SCARS.
CHEMICAL PEELING
 

Chemical peel, also known as chemoexfoliation or dermapeeling, is a technique used to improve the appearance of skin. In this treatment a chemical solution is applied to the skin, which causes it to exfoliate and eventually peel off. The new, regenerated skin is usually smoother and less wrinkled than the old skin.

At DERMACITY we provide different, the best and standard peeling agents like

COSMOPEEL (www.dermaceutic.com)
SALICYLIC PEEL (www.skinaesthestics.com)
GLYCOLIC PEEL (www.skinaesthetics.com)

And different COMBINATION PEELS
Chemical peels are used to treat
WRINKLES
MILD SCARRING
PIGMENTATION and MELASMA
ACNE
AGE SPOTS and FRECKLES
DARK CIRCLES and DULLNESS, etc

MICRODERMABRASION
 

Are you looking for a non surgical way to freshen and rejuvenate the skin on your face?

At DERMACITY we provide MICRODERMABRASION (SKIN POLISHING) treatments, a less aggressive approach than dermabrasion, make use of minimally abrasive instrument to gently sand the skin, removing thicker, uneven outer layer.

It uses microparticles, or a diamond-tipped wand, to slough off the top layer of skin and stimulate new skin growth. There is no discomfort and no downtime.
This treatment is useful in
LIGHT SCARRING
LIGHT WRINKLES
DISCOLOURATION and PATCHY TONE and DULLNESS
SUN DAMAGE

DERMAPEN / DERMAROLLER
 

Dermapen / Dermarollers are used for a treatment process called microneedling or skin needling. It is a form of collagen induction therapy similar to Fractional laser.Dermapen / Dermarollers will increase 4% to 87% absorption of skin and hair products by blocked pores which stimulates harmones effectively and naturally without inducing hyperpigmentation and sun sensitivity to the skin. Dermapen / Dermarollers improves blood supply on scalp, face, neck, skin and throught the body.

At DERMACITY we provide best quality Dermapen / Dermarollers which are used for the treatments of
ACNE SCARS
STRETCH MARKS
ANTI AGING
HAIR LOSS

ACNE SURGERY
 

At DERMACITY we provide different acne surgeries to improve acne prone skin like

COMEDONE EXTRACTION
SCAR REVISION
SUBCISION
PUNCH EXCISION, ELEVATION and GRAFTING

KELOID AND HYPERTROPHIC SCAR THERAPY
 

Keloids and hypertrophic scars are the  increased growths at the site of injury. This is a great matter of concern if it comes on a visible site of the body.

At DERMACITY we do intralesional steroid, 5 Flurouracil, and bleomycin injection therapy to effectively treat these concerns.
Intralesional injection therapy is also effective for the treatment of
ALOPECIA AREATA
HYPERTROPHIC LICHEN PLANUS, etc.

PLATELET RICH PLASMA THERAPY
 

At DERMACITY we provide Platelet rich Plasma Therapy which is the revolutionary treatment used to regenerate hair growth. PRP is blood  that has been concentrated with platelets. These concentrated platelets contain proteins and growth factors which help increase circulation to the hair follicles, stimulate the follicles to grow, and even thicken the hair shaft.

After a small amount of blood is taken from the patient to produce the PRP, the scalp is cleaned and numbed with local anesthetic. Calcium-activated PRP is injected via syringe and applied topically with dermaroller (optional).
Individual response may vary from person to person.
PRP therapy is also used for the rejuvenation of skin something known as
 “VAMPIRE FACELIFT” or “DRACULLA THERAPY”

STEM CELL MESOTHERAPY
 

At DERMACITY we provide the latest innovation for hair loss called

STEM CELL MESOTHERAPY

Just imagine being able to clone your own skin and hair cells damaged by intrinsic and extrinsic factors, it will be holy grail for skin care. Stem cells are unique cells that have the ability of developing in different type of cells. Stem cells come from several sources in the body and at the hair root as well.
Hair restoration can be multiplied by stimulation of hair follicle stem cells and dermal papilla cells. In this innovative therapy a meso cocktail rich in active ingredients ( A Stem cell activator, DHT blockers, Blood circulation enhancers, Active peptides, Vitamins and Minerals ) formulated to activate and revitalize stem cells in hair follicles is injected into the scalp with tiny needles. The therapy is repeated at regular intervals and maintained
The result is healthier looking hair and scalp. Individual response may vary.

HAIR TRANSPLANTATION
 

Hair transplantation is an operation that takes hair from the back of the head and moves it to the area of hair loss. The fringe (back and sides) of hair on balding scalp is known as donor dominant hair that will continue to grow throughout the life of most men. This hair retains its characteristics of growth after it is transplanted to the bald area. Donor dominance (of hair from the back and sides of the head, which continues to grow throughout life) is the scientific basis for the success of hair transplantation.

There are two types of procedures for hair transplantation
FOLLICULAR UNIT TRANPLANT
FOLLICULAR UNIT EXTRACTION

WOOD’S LAMP EXAMINATION
 

It is a test that uses ultraviolet light to closely look at skin colour changes. This test is  to performed to detect bacterial infections, fungal infections, vitiligo, porphyria, skin colour changes, etc.

RADIOFREQUENCY
 

At DERMACITY we provide Radiofrequency surgery which is a skin surgical procedure used for the treatment of skin lesions by using various forms of alternating current at an ultra high frequency with the help of radiofrequency machine. It is used for the treatment of

SKIN TAGS
WARTS and MOLLUSCUM CONTAGIOSUM
MOLES
DPN and SEBORRHEIC KERATOSIS, etc

CHEMICAL CAUTERY
 

Chemical cautery is a technique of applying caustic chemicals such as Trichloroacetic acid(TCA), Glycolic acid, Phenol, Silver nitrate, Sodium hydroxide to remove various growths such as SKIN TAGS, WARTS, MOLLUSCUM, CORN, XANTHELESMA PALPEBRAM, etc.

SURGERY FOR VITILIGO
 

Simple and effective surgical therapy for stable vitiligo is available at DERMACITY

SUCTION BLISTER GRAFTING

Suction blister grafting involves the creation of blisters on a donor site such as thigh. The upper layer of skin (epidermis) is removed from the vitiligo area being treated. The roof of the blister is then carefully removed and placed on the prepared vitiligo area. Pigment cells from the graft begin moving in to the vitiligo area within a week.
Repigmentation is usually complete within three months.
MINIATURE PUNCH GRAFTING
This therapy is quite similar to Suction Blister Grafting. In this procedure instead of the blister roof grafts mini punch grafts are used to produce pigmentation.

PHOTOTHERAPY FOR VITILIGO
 

UVB light phototherapy for home use is provided at DERMACITY.

Phototherapy is well known, documented, safe and effective therapy for the treatment of vitiligo. In this therapy the vitiligo area is exposed to the ultraviolet light to stimulate pigmentation in white spots.

LASER TREATMENT
 

LASER HAIR REDUCTION

Through lasers it is now possible to reduce the hairs permanently. The laser light beams are absorbed by the dark  colour melanin in the hair root without harming surrounding skin. The  process reduces the hair from the root and also prevents further hair growth. Visible results may be seen in 6 to 8 sessions and a few maintainance  may be required.

LASER PHOTOFACIAL

With the help of laser rays it is possible to stimulate the new collagen synthesis, rejuvenate the skin, reduce fine lines and wrinkles and tighten the skin. This procedure is quite simple and very effective and can be combined with the microdermabrasion to enhance the treatment effect.
LASER is also effective in
ACNE and SCARS
PIGMENTATION and FRECKLES
TELANGIECTASIA
Coming soon to DERMACITY

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