Dr. Sumeet Jaiswal

While some scars are negligible, others can mar your beauty. With cosmetic surgery, today, it is easy to remove scars and make them less prominent. Scar revision surgery can range from invasive procedures such as scar excision to non invasive procedures such as cryotherapy, laser therapy and topical silicone therapy. However, none of these have perfect results. The main aim of scar revision surgery is to make the scars blend in as much as possible with the surrounding skin in terms of colour, texture and elevation.

Picking a scar revision procedure is a matter of weighing the pros and cons of each type of procedure and - the cause for dissatisfaction

• functional limitations of the scar and likelihood of functional impairment after surgery
• patient's expectations
• location of the scar
• quality of skin type and surrounding tissue

Scars are formed due to a number of reasons such as acne, cuts, burns, surgery and infection in a wound. Scars created by an over production of collagen are the most difficult to treat. In most cases, a patient requires multiple surgeries for scar revision.

Some of these surgeries are:

Surgical Excision: This procedure is usually performed on large scars that do not respond to medication. Here the surgeon shaves and cuts down scar tissue to minimize the size of the scar.

Laser Surgery: This is used to smoothen the scars with raised or uneven surfaces. It involves the removal of the top layer of skin and tightening of the layer below it.

Z plasty and W plasty: These surgical treatments aim to reduce the visibility of the scar by repositioning them along the natural lines and creases of the skin. All topics that sent after editing should be considered as approved.

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What is FUE Hair transplant?
Follicular Unit Extraction is most widely used and the most reliable method of hair transplant being utilized for the permanent and scar-less restoration of hair. FUE is so effective surgical method that it is impossible to distinguish transplanted hair from natural hair. Results are natural and undetectable.

How is FUE done?
The procedure is performed in the OPD under Local Anaesthesia. Anaesthesia is given to prevent any discomfort to the patient during the procedure.

FUE is the method of extraction donor hair directly from donor site in a follicular unit hair transplant procedure. An instrument is used to make small circular incisions in the skin around a follicular unit while separating it from the surrounding tissue. The follicular unit is directly extracted from the scalp leaving a small open hole.

This process continues until the surgeon accumulates large number of follicular units for the planned hair restoration. For single session, this procedure can take two to three hours whereas for long session, it may be accomplished over two consecutive days. The donor scars are approximately 1mm in size which completely heals within ten days.

Before the grafts are harvested, tiny 'recipient sites'; are made in the balding area of the scalp using a fine needle-point instrument. The follicular units are then placed into the recipient sites where they will grow into healthy hair-producing follicles. The creation of recipient sites and the placing of follicular unit grafts are essentially the same in both FUE and FUT procedures. The difference lies in the appearance of the donor area and in the quality and quantity of grafts obtained with each technique.

How is the healing phase after an FUE?
The donor wounds, approximately 1-mm in size, completely heal over the course of seven to ten days, leaving tiny white scars buried in the hair in the back and sides of the scalp.

When does the hair begin growing?
The transplanted hair generally shed within 2 to 6 weeks after the surgery as roots enter in resting phase. Within three to eight months, transplanted roots start sprouting hair. It takes ten to twelve months to have denser hair as hair continue to mature and thicken gradually. Once transplanted hair begin to grow, it will continue to do so for lifetime.

What is biostimulated FUE?
It comprises of hair transplantation by FUE along with 3 sessions of Platelet rich plasma therapy which simultaneously enhance residual hairs as well as transplanted hairs by presence of high concentration of growth factors directly near the hair roots and stimulation of STEM CELLS.

In this hair follicles to be transplanted are preserved in a special solution enriched with patient's own growth factors and at the end of surgery this concentrated solution of growth factors is injected into the whole affected area.

With biostimulation, a good proportion of transplanted hairs remain in growth phase (ANAGEN) and directly start growing after transplantation.

In case you have a concern or query you can always consult an expert & get answers to your questions!