Instrumental advancement in FUE hair transplant


Follicular Unit Extraction(FUE) is become an advanced procedure over Strip method of hair transplantation due to significant improvement in instrumental industry through long experience and research in medical by surgeons and physicians living worldwide. FUE is one of the best techniques for hair graft collection that is required to perform a transplant procedure. A transplant procedure may be required to set front hairline or to treat baldness or hair thinning on head. It is also used for transplanting naturally growing hairs on the thinning showing features of face including eyebrow, beard, mustache or eyelash. It is useful and liked by most of patients experiencing the disorder in the world. During this type of procedure no any surgery is required for graft extraction from donor parts like Strip harvesting method where a strip of 1 to 1.5 cm wide and 10 to 15 cm long of skin is removed from back of scalp to collect grafts. So, the FUE technique is more popular among surgeons and patients nowadays as grafts are extracted out one by one using a hair punch of around 0.07mm diameter. The grafts are kept in a solution that keeps them alive for several hours. FUE does not leave scarring on donor parts and density of hairs there is also does not get disturbed as one graft is taken out from a group of five to six hairs. Bleeding does also not occur as no skin is removed in a strip form from donor parts.
Intact and baldness resisting graft extraction:
It is very important that a surgeon should extract out such hair grafts that are generally baldness resistant and remain intact during the extraction. Damage to grafts during graft collection should be negligible. So surgeons worldwide always pay attention in this regard and their experience plays a crucial role in it.
Density of hairs on donor parts:
Density of hairs on donor parts during graft collection is generally kept in mind. A good surgeon never extract out grafts from same area on donor parts that could generate a bald spot later due to lack of follicles. To maintain the density, good surgeons take one graft from a group of five or six hairs with a punch.
Body Hair Transplantation:
Sometimes it is also experienced by the surgeon that patient who comes for hair transplant lacks donor parts on posterior parts of his/her scalp. To face this problem surgeons at Walia Hospital have to transplant hairs by taking grafts from other body parts of the patient including arms, legs, back, chest, abdomen or shoulders etc. When grafts are taken from other body parts except from the scalp, the transplantation is called Body Hair Transplant (BHT).
Instruments for FUE hair transplant:
Along with experience and knowledge of surgeons, sophisticated instruments should also be required for hair transplantation. It had taken a long journey and time to develop modern day devices and tools for the transplantation. These tools however, assist surgeons for improving the operative process through reducing operative time and enhancing its efficiency by saving follicles from unintentional damage.
Manual hair punch:
The original hair punch was a circular hollow scalpel of metal that had 0.7 to 1.0 mm diameter. Before trimming hairs with 1 to 2mm height on donor parts, the punch is placed over a single follicle or a group of follicles and pressed downward and rotated manually with a little force in the skin to remove the follicle from surrounding tissue. It is extracted out of the skin with help of forceps. The punch hence helps to separate a graft from skin. It can extract out one graft from skin at a time. It takes few seconds to separate and collect a graft. A graft may be a single follicle or a group of 2 to 6 follicles. A follicle produces one strand of hair after its transplantation. The punch is really useful for eliminating the possibility of developing rounded scars on donor parts. The manual punch is further improved through addition of other useful characteristics such as reducing its diameter and enhancing its rotational properties to get intact grafts.
Advanced FUE instruments
To speed up graft collection, new instruments were developed for the technology. These instruments were ranging from mechanical to robotic punches and systems.
The SAFE System: It is a three step method to get a graft through reducing potential for transaction. During this system, a sharp punch is used to incise skin around a graft and then a blunt circular punch is applied to loosen the unit from its surrounding tissue. The third step of it is extraction of the unit finally.
The Powered SAFE Scribe:
It is an electrically motorized hand hold instrument that is used to extract grafts. It is a minimal invasive instrument that does not damage follicles. It speeds up graft collection. Scarring is also minimal during use of this device. The punch rotates with the help of motor installed in it with the help of electric power.

Powered hair punch

Roto Core:
The manual punch is further modified to facilitate automatic rotation during graft harvesting. A Roto Core punch came into existence that rotates itself automatically when it is used to make a rounded incision around a graft. The penetration depth of the punch is also adjustable in this the punch.


Feller Hair Punch:
Feller punch, which was designed by Dr Alan Feller, supports friction less graft harvesting without rotation. It is useful to create minimal fatigue during hair transplantation. These punches are generally available in two forms with 0.9mm and 1.0mm.
Core Isolation Technique:
Dr. John P. Cole had invented the Core Isolation Technique after his previously developed Follicular Isolation Technique (FIT). It is an advanced technique to extract intact grafts from donor parts. This technique is efficient for cutting the dermis just beyond the arrector pilli muscle. This helps to extrude out an intact graft form the skin. Graft damage is minimal during this technology.
Neo Graft:
Neo Graft that was developed by a trademark of mechanical instruments, is used to support physician’s proficiency for graft harvesting and plantation. The mechanized instrument contains a rotating sharp punch to extract intact grafts and a suction device that helps for removing the graft from skin and moving it in a graft collection dish.
Counting Incision Device:
Counting Incision Device (CID) is a useful device for perfectly maintaining the incision count during transplantation of grafts or preparing a recipient area. It provides virtual reading of incisions on its small screen or LED display that supports five digit counts. The depth of incision, that is to be made on recipient site, is adjustable in the device. It is reusable and its blades and needles are disposed after use. It provides an opportunity to a physician for concentrating himself/herself not only on incision making job but he/she may talk to the surrounding staff. He/she does not need for counting each incision and remembering it for further addition. The surgeon can do other job during the procedure without counting the incisions.
Artas System:
The Artas System is the most advanced technique for FUE graft collection. It is completely a robotic technique for FUE hair transplantation. Restoration Robotics Inc had developed it first time in the surgery. It is US FDA (Food and Drug Administration) approved technique used for treating male pattern baldness. It is installed with computer based commands for extraction of grafts using air suction pressure. The robotic technique is useful to collect one thousand grafts per hour.

Altas robotic machine

Hair transplant cost determining factors and options

Knowledge of hair transplant cost is necessary for all individuals who want restoration of their natural hairs through hair transplantation. First of all, it is important to know that transplant surgeries can be done manually or robotically nowadays worldwide. Manual transplant procedures are quite cheaper than robotic ones. So you have to decide first which procedure you prefer and afford well against your hair loss. Both manual and robotic procedures require good skills and experience of a surgeon. Cost of transplant also depends on type of hair loss you are experiencing. It is different for setting front hairline, treating bald spots, or baldness. The cost for baldness and hairline setting on head is usually determined through cost of per graft basis, as these areas require 1000 to 8000 hair grafts to transplant. On an average 3000 to 4000 grafts are generally transplanted to treat such cases.  The cost of per graft varies from country to country, city to city, or clinic to clinic. It is not fixed; however contains variations in it, depending on quality of servicesinfrastructure of clinics, and labor of surgeons plus staff.  It also includes cost of instruments and medicines used during a procedure.

Hair transplant rate for beard transplant also quoted on per graft cost basis if transplanted area is quite larger and requires over one thousand grafts.  Price or rate of other transplants including for eyebrows, eyelashes or mustache, where grafts are generally required under one thousand, is quoted as a cosmetic or surgical procedure. The cost for such procedures is charged considering expense on instruments and medicines plus time taken to complete the surgery. Moreover, the cost of transplant is also influenced by Medical Tourism Industry that includes these surgical procedures to treat baldness or thinning. Hair transplant costs in USA are generally expensive, so, some Americans have opted to have this surgery done outside the nation. Countries that provide cheaper hair transplants are India, Malaysia, South Africa, Argentina, and Philippines. 75% US dollars can be saved by Americans facing hair loss, if they get hair transplant procedures done in such countries. This doesn’t only apply to hair transplantation, but most of cosmetic or medical procedures also.

In USA, the cost of hair transplant can range from USD 5000 to USD 30000 to treat baldness or other hair loss type. The same surgical procedure in Medical Tourism offering nation such as India could be done spending as low as USD 2000 to USD 5000 only. The cost of hair transplant is also altered by discount packages that are provided in most of clinics to fight competition. This is also a positive factor for hair loss experiencing individuals. The cost may further be decreased through availing such discount packages. In conclusion, there are several factors and options regarding to hair transplant cost. It depends on you how you take it. If you are a resident of American, European, or Australian country, facing hair loss and feeling unable to bear the cost in your country, then you can avail medical tourism for your hair transplantation to cut its cost. Moreover, manual procedures can also give you relief by decreasing the cost to great extent.

Tips to prevent hair loss

Several people living worldwide are facing several hair loss issues nowadays. It could be prevented if they properly care a little bit for it. Hair fall up to 100 to 150 hairs per day is a normal condition and if it increased to over 150 hairs, the situation found to be considered as onset of the loss. But it is generally seen that most of people with hair loss ignore it in its beginning and they do not put a step ahead to stop it or discuss it with a dermatologist. They start thinking to prevent it until they get noticeable hair loss in form of hair thinning or baldness. If you care your locks, you will be blessed with better appearance as well as healthy hair.

  • Hairs represent our good or bad health. They are very fast growing dead tissues which get affected by any health abnormality running in our body. If you are experiencing the hair loss then go for medical checkups. You might have anemia, hypothyroidism, and deficiencies of mineral, vitamins and proteins.
  • Manage your stress by playing with kids, pets, watching movies, walking in the morning and evening, sharing stories with friends and family members plus whatever you like. Take daily physical exercises to be fit and fine.
  • Diet plays a crucial role in hair care. To keep it healthy, eat more fruits, dry fruits, fresh vegetables, protein rich foods to gain iron, biotin, calcium, zinc etc. Always keep yourself hydrated too that decreases your stress level and helps in digestion of minerals and accelerates several metabolic reactions in the body. Avoid fried foods stuffs.
  • Dirty and too oily hairs are more likely to get infected and likely to fall. So, it is necessary to keep them clean. Wash your hairs at least once a week in winter and twice a week during summer. Use good quality mild shampoo and soft hair products. Concentrate on scalp and hair roots while shampooing and apply hair lotion or conditioner on the ends of your hair as these are more prone to dry and damaged through exposure.
  • Avoid hair styles that create regular pull on your hairs including ponytail, cornrows and braids. These may develop a hair loss type termed as Traction alopecia. A bald spot or decline in front hairline may be caused by this type of hair loss.
  • Also avoid using heat dryers as these may damage your hair follicles present in scalp skin. Do not comb or rub your hairs with a towel when they are fully wet. Comb them gently when they are semidry. Use broad toothed comb for this purpose and comb your hairs’ tips first then reach to their roots gradually with gentle force.
  • Avoid using harsh chemical treatments for bleaching, straightening, curling and coloring to your locks as these make your hair brittle and dry. Massage your hairs once a week with warm almond, coconut or olive oil. To remove dandruff from your hair, use anti-dandruff shampoo. Hair care is very important for us as we could prevent them from unnecessary falling. The loss could be prevented if we take care of hairs. These are associated with our aesthetic appearance.
  • We must also take such prescribed drugs which do not create any hair loss as side effect. Many medications, as you know, including for heart problems, ulcer treatments, acne treatment, blood thinning, inflammation etc, cause hair loss by side effects. We should ask our physicians to prescribe such drugs for our running health issues only that do not cause the loss due to their side effect. This is very important as we ignore it generally.

Hair loss by side effects of medicines


There are several people living worldwide with different hair loss problems nowadays. They may get it from different factors including genes, age, hormones, child birth, trauma, stress, depression, thyroid, epilepsy, long illness, surgery, heart problems etc. These issues deteriorate their health and cause the loss. You would be astonished to know that even some medicines used to treat these issues may cause the hair loss. Patients are generally not aware of the side effects causing medicines. They even do not take interest to know medicines that could cause the loss. They only think that their health and disease are responsible for the loss. Drug induced hair loss is not good for their physical and mental health. Medicines which are generally certain chemicals, used against several disorders to improve health. They also cause hair loss by their side effects. These medicinal side effects sometimes target hair follicles that prevent hair growth or cause the loss. Some medications prescribed by physicians can cause serious problems to naturally growing hair on head, eyebrows, eyelashes, mustaches or beard. This may cause temporary or permanent hair loss. The side effect may trigger onset of male pattern baldness or female pattern baldness. Patients must get knowledge about side effects of the medicines they are going to consume from their doctors. They could boldly ask their doctor not to prescribe such a drug whose side effect causes hair loss. Moreover it is also useful for doctors not to prescribe such medicines to their clientele positively.

Medicines to treat acne are generally derived from vitamin A. Accutane, generic name isotretinoin, is such a drug whose side effects may cause hair loss. Anticoagulants are such medicines which are used to dilute blood. Their side effects cause hair loss. These medicines include Panwarfin, Sofarin, Coumadin that come under generic name warfarin sodium. Heparin injections, used for blood thinning are also responsible for the loss. Cholesterol lowering medicines like Atronid-S and Lopid also cause the fall. They come under generic names �?clofibrate’ and �?gemfibrozil’ respectively. Anticonvulsants like Tridone (trimethadione) may cause sudden loss. Anti-depression drugs like Prozac (fluoxetine hydrochloride) Zoloft (sertraline hydrochloride), Anafranil (clomipramine), Elavin (amitriptyline), Norpramin (desipramine) etc may become a cause for the loss. Several drugs prescribed for heart problems including beta blockers and treating high blood pressure including Tenormin (atenolol), Lopressor(metoprolol) Blocadren (timolol) etc may cause hair-fall problems. Hormone replacement therapy for women, birth control pills, male hormones, anabolic steroids and several other steroids may become a cause behind the loss. Anti-inflammatory drugs, such as Arthritis drugs, Nonsteroidal Anti-inflammatory Drugs like Naprosyn (naproxen), Indocin (indomethacin), Clinoril (sulindac) may bring hair-fall. Many drugs which are used for several thyroid disorders may cause the loss as a side effect. Moreover, a lot of drugs used to treat indigestion, stomach problems and ulcers including prescribed ones and those available on the counter easily may cause hair loss. These include Tagamet (cimetidine), Pepcid (Famotidine) and Zantac (ranitidine). Some anti-fungal medicines also create the loss. No doubt, it is mandatory for us that we must aware of side effects of several medicines used to treat various disorders for the safety of our beauty as well as natural hair.

Hair loss articles

Hair loss causes in women

Hair loss causes in women

Female hair loss picture

Hair Loss causes in women includes several factors. Stress is a main cause behind it. Women can get stress through various reasons like any abnormal conditions to their health and beauty, diabetes, overweight, divorce, financial problems, a severe infection, major surgery and other negative situations. Extreme stress in women suddenly brings 90% hair follicles to resting stage from their growing stage. This may go for months to some years and referred as Telogen effluvium. It is also observed that after child birth women usually experience hair loss as child birth stress creates hormonal imbalance to them. However HL after child birth is categorized as a temporary hair loss. It is generally restored after returning to normal health in few weeks. In general 50 to 100 strands of hair fall out each day from our head. If the number is increased then it is termed as starting of a hair loss condition. Other reasons for it in women include poor diet, thyroid imbalance and excessive use of unsuitable hair care products like shampoos, hair dyes, hair conditioners etc.

Female Pattern Baldness is such a type of the loss in which women get hair thinning on their head. The main cause behind it is Dihydrotestosterone (DHT), a derivative of male hormone called testosterone. Small traces of testosterone are also present in a female under her normal health conditions. DHT causes hair follicle miniaturization and gradually destroys hair follicles. DHT is also a main cause behind Male Pattern Baldness. Sudden decline in female hormones just after menopause also create the problem. The cyclic nature of both hair and female hormones is one reason behind sudden and excessive hair loss. The symptoms of this type of hair loss include hair thinning mainly on the top and crown of the scalp; however the front hair line remains as such. Hypothyroidism is also a cause behind female hair loss. Body starts producing less amount of thyroid hormone which supports several metabolic activities of the body. The hormone also supports growth of skin, hair and nails. The disorder leads to brittle and weak hair and prevails in most of women after 50s. Anemia or iron deficiency is also associated with the hair loss. It is a condition of lower number of RBCs in blood. Iron is useful for keeping hair follicles active as it is necessary to send oxygen to every cell of the body. Zinc deficiency also causes the loss as the element is useful for well functioning of hair follicles. Lack of biotin in body is also related to the loss. Vitamin A is also required in sufficient amount for metabolism of several activities. Moreover protein deficiency sometime shows enormous hair loss as proteins are useful for production of hairs and follicles too.

Some medications to treat ulcers, epilepsy, depression, acne, cancer, birth control, blood thinning, cholesterol, anti inflammation, thyroid disorders may bring hair loss due to their side effects. It would be important to confirm from a physician whether the prescribed or on the counter available medicine you are consuming causing the loss as side effect. Chemotherapy or radiotherapy also causes hair loss as it targets hair follicles along with rapidly diving cancer cells. 90% of active hairs in their growing stage fall out of the body soon after chemotherapy against cancer. This type of hair loss is termed as Anagen Effluvium. An autoimmune disorder called Alopecia areata may cause the loss in which own immune system generally attacks hair follicle mistakenly. This is also found in men. It causes small round smooth patches of baldness on scalp, eyebrows, legs, beard or mustaches. Continuous pull on hairs for several hours during certain hair styles like braiding, cornrows and tight ponytails plus wearing of hair extensions and hairpieces also cause the loss. This type of loss is known as Traction alopecia that develops a bald spot overtime. Over hair straightening, bleaching and coloring to locks may also lead the loss. Polycystic ovarian syndrome also creates hair loss in women. Ovaries start producing too much male hormone that may causes infertility in women. This disorder may cause hair loss, facial hair growth, irregular periods, cysts on the ovaries and acne formation. This may starts at early teens of their age.

It is generally noticed that women restore their temporary hair loss after some weeks if their health improves and they take nutritious diet full of minerals, vitamins, proteins, unsaturated fat and some carbohydrates. If they could not get any relief to their disorder even after using Minoxidil or Finasteride then hair transplantation is only the best option for them. Follicular Unit Extraction hair transplant is a very effective for women hair loss. It is really a very economic and permanent solution for the loss. These hair transplant surgical procedures are quite painless and bloodless. These make no any scar on donor parts of an individual who goes under the treatment.

Causes of baldness in men

Males whether they are residing in India or foreign countries worldwide used to get decline in their front hairlines during their thirties. This decline is caused by hair fall in front parts of the scalp. The decline continuously grows and covers temporal parts for the scalp leaving a V shape hair style there. Some men also get hair loss at their central parts of head. They appear older than their actual age due to the loss. It also causes lack of confidence in them. There are various causes of the loss like genealogy, aging, hormones, vitamins, stress, trauma, medications, lifestyle, diet, mineral deficiencies etc. We would like to describe here some main causes of the loss in them. The main cause of hair loss is DHT (Dihydrotestosterone) formation which leads to create male pattern baldness in males. This causes shrinkage of active hair follicles and this process is termed as follicular miniaturization. The follicles stop growing hairs where and develop bald parts on the scalp. DHT is formed from derivation of a male hormone known as testosterone after reaction for an enzyme, 5 alpha reductase. Our genetics also plays a role causing loss to our hairs through our genes.

Cost of hair transplants in India

HT Cost in India

A Hair Transplant (HT) procedure is a very delicate and time consuming surgery which is performed under local anaesthesia by an experienced specialist. Hair Grafts (HGs) are harvested from donor parts and then transplanted on recipient parts distributing equally without leaving any spot. A HT procedure is generally carried out through two HT techniques including Follicular Unit Transplantation (FUT) and Follicular Unit Extraction (FUE). FUT is also termed as Strip Harvesting. Prior to performing FUT or FUE, hairs are trimmed in such a way that their length remains around 3 mm so that their HGs can easily be extracted out and separated.



Baldness in men and women image

Baldness is an extreme situation of hair thinning or hair loss generally on human male or female scalp rather than face and body. The degree of hair loss as well as pattern of the baldness might be different in both sexes; however androgenic alopecia/alopecia androgenetica causes it worldwide. Baldness is quite different from alopecia areata which generally shows patchy hair loss. Alopecia totalis, more extreme form of alopecia areata, shows all hair loss on head while alopecia universalis represents all hair loss on head as well as body too. Over 95% of males worldwide face male pattern baldness or androgenic alopecia. Male pattern baldness commonly starts with receding front hair line with/or a thinning crown (vertex).

FUT hair transplant

What is FUT hair transplant?

Follicular Unit Transplantation is a hair transplant technique which is implemented for restoration of human hairs on head and face. In this technique a strip about twenty to twenty five cm long and one to two and half cm wide is taken from donor parts usually posterior head with natural hairs. It is further cut to tiny pieces separating several hair grafts/follicular units which are transplanted to donor parts on scalp or face.



Female hair lossis also known as female pattern baldness. One of the most common forms of female hair loss is a condition called Telogen effluvium which involves a diffuse shedding of hairs on scalp, face and other parts of body. This is generally because of a reaction to intense stress involving hormones or as a reaction to medication.Telogen effluvium usually causes thinning of hair density rather than bald patches. Women facing this symptom can easily be diagnosed as overanxious or neurotic, which often gets better with time. Andorgenetic alopecia is another type of hair loss in woman which affects man and woman over their age of 40 without recession of their front hairline. Researches have shown that around 13% women have some degree of Androgenetic alopecia after their menopause which turned to be more common up to 75% women over 65.Androgenetic Alopecia in women is due to action of male hormones called androgens which found in rare amount in women. Heredity plays a significant role in this disease. Women may face hair loss on their front hair line including scalp, eyebrows and eyelashes.

  • Heredity: Genetics is mainly considered to be a main cause of female pattern baldness in which genes used to carry it to next generations.
  • Reaction of male DHT (Dihydrotestosterone) hormone which is present in lower levels in women and even active to bring hair loss which gradually miniaturize hair follicles.
  • Traction alopecia occurs in braiding, cornrows, hair extensions and tight ponytails due to pull on female hair.
  • Radiotherapy also causes female hair loss against cancer treatment
  • Several medications against birth control and pregnancy.
  • Child birth also cause hair loss in women
  • Reaction of hormones to ovarian cysts, birth control pills and high androgen index
  • Anemia, a condition of lower number of RBCs in blood also cause hair loss.
  • Poor nutrition which does not contains sufficient amounts of proteins, vitamins and other elements useful for healthy hair growth.
  • Stress and anxiety also cause excessive hair loss in women.
  • Thyroid hormone also play role in women hair loss.
  • Age is also a crucial factor to cause hair loss in women. After 35 years age women are prone to get hair loss issues.
  • Excessive oily scalp provides suitable environment to Domodex folliculorium a microscopic mite which helps to cause female hair loss.
  • Sunlight exposure, air pollutants, water pollutants etc are other factors which cause hair loss in women.
  • Any skin infection may also contribute its part to cause hair loss in women.
  • Several disorders including typhoid and cancer also cause hair loss in women.
  • Several number of hair grafts are required to treat female hair loss