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Last Updated: Mar 19, 2019
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Skin And Hair Related Problems

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Dr. D G SapleHIV Specialist • 29 Years Exp.MBBS, MD - Dermatology
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Hi,

I am Dr. D G Saple, who is a consultant and the director of the La'Mer Clinic. La'Mer clinic solves dermatology dermatological problems and the cosmetological problems. Patients with any skin conditions or any cosmetic conditions, they come to our clinic, we look after them and we give them proper advises. Specially, when they come with dermatological problems, there are various skin diseases like psoriasis, atopic dermatitis. Nowadays fungal diseases have become very common but mainly the La'Mer clinic where we get patients for the cosmetic problem like acne or what do you call pimples, pigmentations, what we call it many times is the melasma and hair loss. Hair loss has become a big problem. Almost one-third of the population of the world they are suffering from the hair loss and among the hair loss there are various diseases that are responsible for hair loss, many deficiencies are also responsible like low haemoglobin, vitamin d deficiency, vitamin B12 deficiency or vitamin b1 deficiency. But the most common cause of the hair loss nowadays what you call is the male pattern hair loss or female pattern hair loss.

So, when they come to the clinic first thing, we try to find out what is the cause, this is because of any underlying hair disease, is it because of the deficiency or is because of the male pattern or female pattern. And the treatment is given accordingly. For that they need clinical examination, history, some investigation that is blood investigation, TrichoScan and scalp biopsy sometimes where we can come to the diagnosis of what is it or we come to the proper diagnosis which helps us to give specific treatment. So, when they come with hair problems, hair problem whether they come with hair loss or receding frontal-parietal area or them come with the itching or the dandruff in the scalp and many people they contribute the hair loss is because of dandruff but dandruff is not responsible for the hair loss, but that's how they think. So, when they come, we find out what is the cause and we start treating accordingly. Hair loss there are many treatments as you said that there is an underlying disease, we treat the disease. There is an underlying deficiency, we treat the deficiency. But in the male pattern or female pattern hair loss then they can be medical treatment and surgical treatment. Medical treatment usually is 70-75%, they improve with the medical treatment and only 20 to 25% may require hair transplant.

So, hair transplants, when you do it, there is a certain pre-operative procedure, we explain to the patient because each and every patient who is who needs hair transplant may not good results or proper results. So, we find out again there is no underlying disease like a diabetes. If there is underlying diabetes, you have to correct diabetes then we can go for the hair transplant other we don't get proper results. Then, we go for the quality of the hair. If the quality of the hair is good, then the hair the results are good. So, the quality of a hair, the length of the hair, the thickness of the hair and family history is very important. So, we explain to the patients and accordingly you tell. When it comes to the medical treatment, there are various medical treatments for hair loss. What I am talking about is the female pattern or the male pattern. One of them is we give minoxidil, but minoxidil disadvantage you have to continue for lifelong. So minoxidil alone is not enough. Then we give what is called peptides. Peptide increases the thickness of hair, they maintain what you called is a terminal hair which are very dark and thick.

So that is the action of peptide. Then we give nutraceuticals which also helps in activating the hair follicles, the growth of the hair follicle and increase thickness and shininess of what is called it gives shininess to the hair. Then another treatment is what you call is a procedure. One of the procedure is called PRP that is platelet-rich plasma therapy where we remove patient's blood, we separate platelet and this platelet contains hair growth factor and we inject that hair growth factor once in a month for first three months. Patient gets good improvement, significant improvement then we continue for 6 months and after that once in six months or once in a year for a few years, they may require maintenance of this PRP. But PRP therapy results are quite encouraging and many patients are happy. Some of the patient only PRP is not enough so we go for peptides and PRP combination.

Sometimes we have to go for laser, peptide and PRP combination. So now we know or you have enough information about the hair loss. So, if you want any treatment or you want any advice, you can contact me through lybrate or you can book appointment through lybrate not only for the hair problem but you know the La'Mer clinic is known for skin diseases, cosmetic problems like pigmentation, acne as you said the hair loss and scars and so on. For that you can contact me through Lybrate or you can book your appointment through Lybrate.

Thank you!

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