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Dr. Sujit is good Dr. I am first time visit her clinic. My fungal infection problem recovering
It is common to get concerned when you find hair on your pillow or on your bed on waking up in the morning; finding hair clustered near the drain after a shower or noticing a lot of hair falling out when combing your hair. However, rarely patients know that 50-100 hair can be lost in a day and still be considered normal. Patients don't often know that it can just be due to increased shedding and not necessarily due to hair loss. You would wonder - What's the difference?
The adult head has an average of about 100,000 to 150,000 hairs and can lose up to 100 of them a day. At any one time, about 90% of the hair on a person's scalp is growing. Each follicle has its own life cycle and this life cycle is divided into three phases:
• Anagen -- active hair growth which lasts for two to six years
• Catagen -- transitional hair growth that lasts two to three weeks
• Telogen -- resting phase that lasts about two to three months; at the end of the resting phase the hair is shed and a new hair replaces it and the growing cycle starts again.
The duration of the hair follicle life cycle can be influenced by age, disease, and a wide variety of other factors.
Hair Shedding -
When you lose more than the normal expected number of hair in a day, then the patient is said to have excessive shedding and as the volume of hair on scalp decreases which gives a thinned out look on the scalp. This excessive hair shedding commonly occurs when the patient has had a recent episode of stress. This stress refers to the stress on the growth cycle of the follicle which can be affected by various factors. Recent history of losing weight , post delivery, recent illness, discontinuation of certain medications like birth control pills, use of harsh hair products, or mental stressors from strain in personal or professional life. These episodes can result in increased shedding of hair and the condition is called telogen effluvium. The increased shedding can continue for a few months after the stressful event. However, if the stressor continues to be a part of your life it can also lead to long term continued shedding which is then termed as chronic telogen effluvium. As your body readjusts, the hair shedding reduces and hair begins to regain its normal fullness over 6 - 9 months.
Hair Loss which is different from Hair Shedding -
Hair loss occurs when the volume of hair over your head decreases due to reduced growth of hair. Hair loss can occur due to a number of reasons such as patterned hair loss (androgenetic alopecia), hereditary hair loss due to genetic predisposition, immune system derangements, certain drugs or medications, hormonal imbalance, hair follicle infections.
From these causes androgenetic alopecia is the most common of hair loss. It affects 20% men by the age of 20, 30 % by the age of 30 and 40% of men by the age of 40. It is imperative to seek help and consultation from a qualified professional. A proper examination by a certified and qualified dermatologist is needed to properly assess the situation so that appropriate treatment can be advised accordingly.
If you are bothered with you hair thinning there is no longer any need for you to suffer in silence. Dermatologists are doctors who are specialized in diagnosing and treating skin, hair and nail. A dermatologist can examine appropriately and help you figure out if you are suffering from hair loss or hair shedding. The dermatologist can recommend any investigations that would be needed to figure out the cause and target the problem efficiently.
Effective treatment options are available for many types of hair loss. However, the sooner the treatment begins, easier it is to reverse the damage and better the prognosis.
We all learn in school that sun exposure is good for the body as it helps to produce Vitamin D. However, that's not all that sun exposure does. Increased exposure - be it short term or long term - leads to dangerous effects on the skin. UV radiation is made up of UVA and UVB rays which are able to penetrate the skin and cause permanent damage to the cells below. UVA penetrates deeply into the skin (the dermis) causing genetic damage to cells, photo-ageing (wrinkling, blotchiness etc). UVB penetrates into the epidermis (top layer of the skin) causing damage to the cells. UVB is responsible for sunburn – a significant risk factor for skin cancer, especially melanoma.
With every passing year, your skin continues to age and this aging process is further accelerated by the damage done from the UV rays of the sun. Increased exposure to the skin on short term basis like when you are out on a trip can cause suntan, sunburn and also increase freckles or other skin discolourations. Long term cumulative exposure to sun over several years leads to wrinkles due to loss of elastic tissue and also causes premature aging of skin. Exposure to UV radiation is the main factor that causes skin cells to become cancer cells. Almost all skin cancers (approximately 99% of non-melanoma skin cancers and 95% of melanoma) are caused by too much UV radiation from the sun or other sources such as solaria (solariums, sunbeds, and sun lamps). The sun rays are worst between 10 am to 2 pm when they have the potential for causing maximum damage. The following tips can prove useful to protect yourself from the harmful effects of the sun.
1) Use Sunscreen -
It is imperative to use sunscreen religiously. Sunscreen should be applied for 15-20 mins before stepping out in the sun. It should be applied on all the exposed parts of your body. Also, repeated application is important as the sunscreen offers protection only for 2-3 hours at a time. Ideally, shot glass full for your body and a full teaspoon just on your face is needed for its optimum efficacy. There are numerous brands in the market and not all products suit everyone. If you have a sunscreen that you are comfortable with, that's good; or else seek professional help from a dermatologist who can examine your skin , assess your sun exposure and recommend a sunscreen that works best for you with due consideration to your daily activities.
2) Drink lots of water -
Excessive sweating due to the summer heat causes water loss from the skin cells. This dehydration has to be avoided with good intake of water to preserve the glow of your skin. You should consume 2-3 liters of water daily to maintain rehydration.
3) Protect your lips-
You will notice that your lips can become dry very often in summer just like the winters. So make sure that you not only keep your skin moisturized but also apply a nourishing SPF enhanced lip balm on your lips regularly to keep them moisturized.
4) Go for minimal make-up-
During summers less make-up is best. Under the intolerant sun, natural looks are best. If you intend to use foundation then also apply face powder with SPF to avoid patchy skin. To protect your lips always use a gloss or a lip balm with an SPF of 15 to make your lips fresher. Eye make is something which should be very much avoided in summers.
5) Wear a hat or cap while traveling -
Although sunscreen offers protection it is not 100% . By wearing protective clothing you can avoid direct impact of the rays on your face. However, the use of these is not an alternative to sunscreen but its an add-on to further boost your protection.
6) Wear sunglasses -
Apart from the skin, excessive sun exposure can also cause damage to the retina. Hence, wearing goggles will be advisable to protect the eyes as well. Also, it is always nice to have an excuse to look cool and savvy.
- Dr Sujit Shanshanwal, MBBS, MD, ECFMG(USA), FDS
In recent times, many of the big companies are trying to push their new fancy (and more expensive) shampoos to consumers by marketing them as paraben free and sulfate free. But, in reality, do you really need them? Lets tackle this query in two parts - by discussing about sulfates and parabens separately.
Sulfate free Shampoo:
Sulfates are detergents and they’re extremely good at what they do, cleansing [hair and the scalp] by cutting through dirt. The most common sulfates you’ll spot in ingredient lists are sodium lauryl sulfate (a.k.a. SLS) and ammonium lauryl sulfate (a.k.a. ALS). While sulfate-based shampoos do a great job of getting rid of oil and product buildup, they can also potentially dry out your hair, leading to a lack of moisture and sometimes even damage the hair with split ends. So, if your hair is naturally prone to dryness—coarse, curly hair or fragile, fine hair fit the bill—a sulfate-free product might be a good choice for you. If you get regular dye jobs, you might also want to consider using sulfate-free shampoo, since sulfates can strip strands of color in addition to grime. And, if you know that you're sensitive to sulfates, you should definitely opt for a sulfate-free formula to prevent any scalp irritation.
So when you use sulfate free shampoo they will also have less cleansing action. It really all depends on your hair type; those with parched or color-treated hair may benefit from using a gentler cleansing choice to prevent their hair from feeling super dry, while those who have greasier strands will probably find that they need to use sulfates to truly feel like their hair is clean.
PARABEN free Shampoo :
Parabens may come in the form of butylparaben, ethylparaben, isobutylparaben, methylparaben, or propylparaben and are present in various cosmetic products as a preservative. Whether it is a cleanser, lotion, toner, blush, foundation, or mascara, without preservatives like parabens these everyday items would become overloaded with bacteria, mold, and fungus, making them harmful to skin, eyes, and mucous membranes.
Toxicology Letters reported in December 2013 that in references to parabens causing health issues “Overall, despite of 20 years of research a human health risk from exposure to low concentrations of exogenous chemical substances with weak hormone-like activities remains an unproven and unlikely hypothesis."
So unless, you have sensitivity or allergy to paraben itself. There is no reason to particularly avoid shampoos containing it.
In the past couple of years, the number of "correction" hair transplant surgery that I have done has been on a rise. Patientshave come to me for correction because they were unhappy with their hair transplant results either due to decrease density of hair or because of an unnatural looking hairline. After discussing in detail with these distraught patients I tried to analyse and understand the cause of these dissatisfied patients. The exigency for writing this blog is to prevent patients from making mistakes and guiding them to make the right choice. There is an urgent need to increase awareness because every patient's donor area is limited and once the donor area is used to perform surgery (and if it is done incorrectly), the hair follicle grafts which are extracted are gone forever.
I have tried to list out a few points which should make it easier for the patients to rightly choose the place for performing their hair transplant surgery.
Qualifications & Experience Of Your Operating Surgeon -
As per the Medical Council of India (MCI) guidelines, dermatologists and plastic surgeons are the only two qualified specialists who are certified and undergo requisite training to perform hair transplant surgery. Dermatologists are also the true Trichologists who have proper experience and training for the medical management of hair loss apart from the surgical management with hair transplantation. Hair transplant being a surgical procedure it is very important that the patient gets it done from the duly qualified specialist. There are many commercial chains in operation where just MBBS doctors(without certified specialist training) and even dentists (I wonder how they ever deal with hair during their training in the oral cavity) perform transplantation. As a patient you have the right to know the credentials of your operating surgeon. When ever you visit the clinic you can usually see the doctors qualifications and degrees on display in the clinic which will convey the doctors qualification. If they're not displayed you have the right to ask for it so that you are not at risk of being operated by some unqualified hack.
Who Is Your Consulting Doctor During Your Initial Visit-
When you go for a consultation regarding your hair loss or hair transplantation make sure your consultation is taken by the same doctor who will be your hair transplant surgeon so that you can discuss in detail regarding your expectations, the plan for procedure, the approach and the course that would follow for the procedure. At many chains across the country the person who takes the consultation is quite often a marketing person(who has never attended a medical school) or somebody else who is more qualified to convince the patient for Hair Transplantation so that the outlet or the clinic can make money out of it. One has to be careful not to fall prey to such tricks and meet only the operating surgeon for consultation. Patients often complain to me that at such commercial chains, few months after the procedure when they wanted to discuss about the results, they could not meet the surgeon who had operated on them because very often the doctors keep changing at such centres. This is very disappointing & frustrating for the patient as the patient was often promised more and the patient is unhappy with what the final result is.
Viewing Pre Post Photos Of Previously Operated Cases -
Any surgeon with considerable experience will have a good collection of pre-and post photos documenting their previously operated cases. By looking at a variety of results you can get a good idea on how they operate and how reliable the surgeon's skills are to perform the procedure effectively. You could also ask your surgeon to show you the pre-and post hair transplant photos of a patient with balding pattern similar to yours so that you get a fair idea on the result that would be expected after the procedure.
Previously Operated Patients' Reviews -
Getting information on the experiences of previously operated patient can also be a good indicator to know about the surgeon, the centre and the procedure. With the consent of the previously operated patient the surgeon can get you in touch with one of the patients so that you can speak to them directly and clarify any doubts on your mind. This will further solidify your faith in the surgeon and also make you comfortable to get the procedure done.