Dr Amit Gupta is a Plastic Surgeon from Maulana Azad Medical College, Delhi, who has specialized in the fields of Minimally Invasive Cosmetic Surgery, Microfollicular Hair Transplant, and Lasers. He joined Maulana Azad Medical College in 1994, and completed his MBBS in 1999, with University Honours. He was awarded with Gold Medal during his training for his academic excellence. He was awarded with the Lt. Governor’s Trophy for the Best All Round Medical Graduate in the year 1999, and Dr KB Sharma Shield for Best Contributor to Corporate Life of College. Dr Amit Gupta joined the superspeciality Course of Plastic Surgery at Maulana Azad Medical College which he cleared in 2007 in his attempt. During his training he underwent training in Burns Trauma Management Cancer and Microvascular Surgery Reconstructive and Congenital Defect Correction Surgery. He then pursued specialized fellowships in Cosmetic Surgery in Belgium (Europe) and Brazil. He has trained with Dr Patrick Tonnard in Belgium where he was trained in MACS Lift Surgery which is the most current development in the field of Facial Rejuvenative Surgery in Europe. He then pursued fellowships in Cosmetic Surgery in Brazil where he trained with the likes of Dr Ruth Graf and Dr Ana Zulmira who are regarded as icons in Cosmetic Surgery
Technical refinements in Hair transplants – Part 1
http://divinecosmeticsurgery.com/hairtransplant.html
Baldness is a major problem in today’s world. The high stress jobs, late night work, poor diet, smoking, all contribute in their own way to the genetic pattern of baldness. Microfollicular hair transplant technique is the most natural way to cover bald areas and produce hair growth, which is permanent, maintenance free and comfortable to be with. As the process is being better appreciated, it is important to continuously define newer refinements to help get better results
Step wise technical refinements
Harvesting of the strip
As we can see, that the hair bearing strip is taken from the back of the head. Now the scalp has 5 layers of tissue. The galea layer is an important layer in the scalp, because all the nerves, which carry sensation travel below it, and all hair follicles end above it. The level below the galea is easier to work in, is fast, almost bloodless, but leads to higher sensory losses, and abnormal sensation on the back of the head. It is more difficult to take the strip out from above the galea, because of greater bleeding and chances of injury to hair follicles, but it is not associated with any permanent sensation problems. So refinement No. 1 – always harvest the strip above the galea for a happier patient
Injection of local anesthesia
It is better to use a tumescent technique of anesthesia while taking out the strip. Try to infiltrate each layer of the scalp with the local anesthesia solution. By doing so the strip gets turgid, hardly bleeds at all, and the distance between hair follicles increase, making it far easier to splice each individual hair follicle
While implanting hair also, it is better to use tumescent anesthesia in the bald areas. By doing so. There is hardly any bleeding when making slits for the hair follicles, and the process proceeds much faster. There is also a greater density creation by following this step
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