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Hair Transplant

For more information on hair transplant,hair transplant cost,hair loss, FUE hair transplant technique,hair transplant in chandigarh,mohali, punjab, best doctor for hair transplant and faq on hair transplant,visit website www.drwaliashairtransplant.com 

With regards,

Dr Parmjit Walia

Consultant dermatosurgeon

Dr Walia skin & laser clinic

Scf-30, phase-3b2, Mohali.                     

0172-2221456, 09257221456

Hair Transplant

Hair transplantation is a surgical technique that involves moving skin containing hair follicles from one part of the body (the donor site) to bald or balding parts (the recipient site). It is primarily used to treat male pattern baldness, whereby grafts containing hair follicles that are genetically resistant to balding are transplanted to bald scalp. However, it is also used to restore eyebrows, and beard hair, and to fill in scars caused by accidents or surgery such as face-lifts and previous hair transplants.

Follicular Unit Extraction (FUE) Hair Transplant

Follicular unit extraction or FUE is a hair transplant technique in which a small round punch is used to extract follicular units from a patient's bald resistant donor areas. These 1, 2, 3 and 4 hair follicular unit grafts are then transplanted into a patient's balding areas.
Given the time consuming and tedious nature of this procedure a physician is often limited to transplanting 600 to 1000 follicular unit grafts in one day. The cost per graft of FUE is also typically twice the cost of the standard follicular unit hair transplant procedure in which a strip of donor tissue is removed from the back of the head and trimmed under magnification into individual follicular unit grafts.

How a FUE Hair Transplant is performed?

FUE hair transplant is a surgical procedure in which skin containing hair follicular unit (each unit has 1-5 hairs) are extracted from one part of the body (the donor side) to implant to bald area (the recipient side). The hair plantation here is done under local anesthesia; the patient remains conscious during the period of surgical procedure of hair transplantation. Hair transplant by FUE is done in sessions in one session patient can have 2-4 sittings in which he can get about 2000-3000 follicular grafts combined from scalp and body and even more if the patient desire so. FUE is today's most advance technique of hair transplant, which gives permanent and natural appearance to the person who undergoes hair transplant here from India as well as abroad. A person after transplantation can go back to his work within 24 hours and later on use any kind of shampoo & oil. Next session transplant surgery can be done after a period of 6-8 months.
Primarily this technique was used to restore male pattern baldness only but now days this technique is used to restore moustache, beard, eyebrow hair plantation and restoration of hair in women as well. Hair of any part of the body can become donor and can be transplant to any part of the body.

For more details and information on hair transplant please see this website www.drwaliashairtransplant.com

Herpes labialis

Herpes labialis is infection of the lips, mouth, or gums with the herpes simplex virus. It leads to the development of small, painful blisterscommonly called cold sores or fever blisters.

Causes, incidence, and risk factors:

Herpes labialis is a common disease caused by infection of the mouth area with herpes simplex virus type 1. The initial infection may cause no symptoms or mouth ulcers. The virus then remains dormant (asleep) in the nerve tissue of the face. Herpes virus type 2, which usually causes genital herpes and can infect babies during birth to infected mothers, can also cause herpes labialis.

Herpes viruses are contagious. Spread may occur through intimate and personal contact, or through contact with infected razors, towels, dishes, and other shared articles. Occasionally, oral-to-genital contact may spread oral herpes to the genitals (and vice versa).

Symptoms:

The first episode may be mild or severe. It usually occurs in children between 1 and 5 years old.

·         First symptoms usually appear within 1 or 2 weeks, and as long as 3 weeks, after contact with the virus. Sore throat and fever that can last up to 5 days may occur before the blisters appear. There may also be swollen glands in the neck.

·         First episode may last 2 to 3 weeks. The lesions may be on the gums, in the mouth and throat, or on the face. It may hurt to swallow.

An outbreak usually involves:

·         Skin lesions or rash around the lips, mouth, and gums

·         Small blisters (vesicles) filled with clear yellowish fluid

o    Blisters on a raised, red, painful skin area

o    Blisters that form, break, and ooze

o    Yellow crusts that slough to reveal pink, healing skin

o    Several smaller blisters that merge to form a larger blister

Signs and tests:

Diagnosis is made on the basis of the appearance or culture of the lesion. Examination may also show enlargement of lymph nodes in the neck or groin.

Treatment:

Untreated, the symptoms will generally go away in 1 to 2 weeks. Antiviral medications taken by mouth may help the symptoms go away sooner and decrease pain. Acyclovir, famciclovir, and valacyclovir are the three oral treatments currently available.

Expectations (prognosis):

Herpes labialis usually goes away by itself in 1 to 2 weeks. It may come back. Infection may be severe and dangerous if it occurs in or near the eye, or if it happens in immunosuppressed people.

Complications:

·         Recurrence of herpes labialis

·         Spread of herpes to other skin areas

·         Secondary bacterial skin infections

·         Generalized infection -- may be life-threatening in immunosuppressed people, including those with atopic dermatitis,cancer, or HIV infections

Avoid direct contact with herpes sores. Minimize the risk of indirect spread by thoroughly washing items such as towels in hot (preferably boiling) water before reuse. Do not share items with an infected person, especially when they have herpes lesionsAvoid performing oral sex when you have active herpes lesions on or near your mouth and avoid receiving oral sex from someone who has oral or genital herpes lesions. Condoms can help reduce, but do not entirely eliminate, the risk of catching herpes from oral or genital sex with an infected person.

Herpes Zoster

Herpes Zoster

Anyone who has had chicken pox can develop herpes zoster. Also known as shingles or zoster, herpes zoster is caused by the same virus as chicken pox. After the chicken pox clear, the virus remains dormant (inactive) within certain nerve cells of the body. When the virus reactivates, zoster, which can be quite painful, develops.

CAUSES OF HERPES ZOSTER

It is not clear what reactivates or "awakens" the virus. A temporary weakness in immunity
(the body's ability to fight infection) may cause the virus to multiply and move along nerve
fibers toward the skin. Although children can get zoster, it is more common in people over the
age of 50. Illness, trauma, and stress also may trigger zoster.

SIGNS AND SYMPTOMS OF HERPES ZOSTER

        

Zoster typically causes more pain and less itching than chicken pox. A person may feel burning, itching, tingling, or extreme sensitivity on the skin (usually limited to an area on one side of the body). These symptoms are typically present for one to three days, sometimes more, before a red rash appears in the same area. A zoster rash usually occurs on only one side of the body. A fever or headache also may develop.

TREATMENT OF HERPES ZOSTER

Zoster usually clears on its own in a few weeks and seldom recurs. While zoster is clearing, pain relievers can help ease the discomfort, and cool compresses may provide soothing relief.

When diagnosed early (within 72 hours), oral anti-viral medication can be prescribed. This medication is often prescribed when the zoster is severe or affects an eye. Patients who have decreased immunity also are routinely prescribed an anti-viral medication. In addition to treating the zoster, an anti-viral medication can prevent post-herpetic neuralgia (pain, numbness, itching, and tingling that last long after the rash clears). 

Molluscum

A common skin disease, molluscum contagiosum is caused by a poxvirus that infects only the skin. This virus enters the skin through small breaks in the skin barrier. After an incubation period, growths appear. These growths can develop anywhere on the skin. Like warts, which are caused by a different virus, molluscum contagiosum is considered benign. Molluscum contagiosum does not affect any internal organs and rarely causes symptoms. As the name implies, molluscum contagiosum is contagious.

WHAT MOLLUSCUM CONTAGIOSUM LOOKS LIKE

Mollusca are usually small flesh-colored or pink dome-shaped growths that often become red or inflamed. They may appear shiny and have a small central indentation or white core. Because they can spread by skin-to-skin contact, mollusca are usually found in areas of skin that touch each other such as the folds in the arm or groin. They also are found in clusters on the chest, abdomen, and buttocks and can appear on the face and eyelids.

In people who have a disease that weakens the immune system, the mollusca may be very large in size and number, especially on the face.

HOW MOLLUSCUM CONTAGIOSUM SPREADS

The virus spreads in three ways. As described above, a person who has molluscum contagiosum can spread the virus to other parts of the body. This may happen by rubbing or scratching a growth and then touching unaffected skin.
Molluscum contagiosum also spreads from person to person through direct skin-to-skin contact. And it is possible to get the disease by coming into contact with an object that has touched infected skin such as a towel, toy, or clothing. There have been reports of people contracting molluscum contagiosum from a swimming pool or gymnastic mat.

THOSE MOST AT RISK

Children tend to get molluscum more often than adults. It is common in young children who have not yet developed immunity to the virus. Children also tend to have more direct skin-to-skin contact with others.
Anyone who is exposed to the virus through skin-to-skin contact has an increased risk of developing molluscum contagiosum. This may happen by participating in a close contact sport such as wrestling or having sexual contact with an infected person. Living in a tropical area also increases the risk. The virus thrives in areas that are warm and humid. Certain medical conditions also make a person more susceptible. People who have atopic dermatitis or a disease that weakens the immune system are more likely to develop molluscum contagiosum.

TREATMENT

While molluscum contagiosum will eventually go away on its own without leaving a scar, many dermatologists advise treating. Treatment can prevent the growths from spreading to other areas of a patient's body and to other people.

Treatment for mollusca is similar to that for warts. Growths can be frozen with liquid nitrogen, destroyed with various acids or blistering solutions, or treated with an electric needle (electrocautery) and scraped off with a sharp instrument (curette). Laser therapy also has been effective in treating mollusca. 

Gonorrhoea

Bacteria known as Neisseria gonorrhoeae or gonococcus cause gonorrhea. It usually affects the genital area but it can also infect the throat or anus. It is easily transmitted during vaginal intercourse but it can also be transmitted during anal or oral sex.

How do you get it?

You can get it by having unprotected (no condom) oral, vaginal or anal intercourse. As mentioned previously if you get vaginal gonorrhoea it can spread to the rectum.

Who Is at Risk?

Any male or female that has unprotected vaginal, oral or anal sex with someone who has gonorrhoea is at risk of contracting the infection.

Symptoms of oral or anal gonorrhoea

Both men and women may experience a sore throat or discharge from the rectum (as well as itching) if gonorrhoea is present in these areas.

Alternatively, there may be no symptoms at all.

In Men

Symptoms usually occur within 2-10 days after infection, though symptoms sometimes take months to appear. Gonorrhoea can also cause infertility in men. Inflammation of the epididymis (the thin tube leading from the testes to the vas deferens where the sperm mature – see anatomy diagram) may develop causing it to become painful and swollen. This can lead to infertility if left untreated. (7)

Symptoms in men are due to a urethral infection. The main symptoms due to urethritis are:

• A burning sensation on passing urine
• A pus-like (white or yellow) discharge or leak

In Women

Because women are less likely to experience symptoms from gonorrhoea the infection can go undetected for longer. Sometimes gonorrhoea causes:

• An unusual discharge from the vagina
• Pain while urinating
• Abdominal pain

Getting Tested

Gonorrhoea (gonorrhea) can be diagnosed by a swab collected from the urethra, cervix, anus or throat, or by urine sample. It is important not to pass urine for a minimum of three hours before having these tests collected.(1)

Treatment

Treatment of gonorrhoea involves antibiotics (penicillin) usually given in a high, single dose by injection. A drug called probenecid can also be given prior to the injection to prolong the action of penicillin – other drugs are available if you are allergic to penicillin. Oral medications are also available. (2)

Gonorrhoea – Prevention is Better than Cure

Condoms are one of the best forms of STI prevention for all sexual activity including oral sex, anal sex and vaginal sex.

Crow's Feet Botox Treatment

Crows' feet are small wrinkles which appear around the eye, classically starting at the outer corner of the eye. Many people associate crows' feet with age, as they tend to deepen and expand with age, and some people consider crow's feet to be an undesirable trait. Crow’s feet are also called laugh lines or character lines. They may show up earlier for people who don't take good care of their skin and later for those who do. But either way, crow's feet are all but unavoidable.

The skin on our faces stretches like a rubber band, thanks to a property called elasticity. This means that it can return to its original form after being pulled or compressed. Unfortunately, as we get older, our skin loses its elasticity. That's why we form wrinkles and certain parts of our body start to droop. One of the main reasons for this is that our bodies' production of collagen and elastin, two proteins responsible for our skin's elasticity, lessens with age.

One way to avoid crow's feet would be to never smile, laugh, frown or squint. Since that seems next to impossible, most of us have to look into other ways of fending off those v-shaped wrinkles. 
       

Botox is one of the best simple, nonsurgical, doctor administered treatment that can temporarily smooth moderate to severe frown lines between the brows or crow lines in people of any age. This is a 10-minute outdoor lunch time treatment- a few tiny injections-and within days there's a noticeable improvement in moderate to severe crow lines, which can last up to 4-6 months. However, maximum results are shown on the 14^th day of treatment. Results may vary on individuals, depending on the severity of wrinkles and the strength of muscles treated.

 

       

Traction Alopecia

Traction alopecia

Traction alopecia is a form of alopecia, or gradual hair loss, caused primarily by pulling force being applied to the hair. This type of hair loss is more common among African Americans, Indian Sikhs and Japanese women who tie their hair too tightly. Also women who tie their hair into a very tight knot, tight beard or turban or ponytail experience this type of hair loss on the front or the sides of the scalp. This increases the tension in the hair giving rise to breakage of hair. Unlike other types of alopecia, Traction alopecia is more common among children, teenagers and young adults due to different styles they make with their hair. People who attach hairpieces on their hair and don’t remove them for long periods of time also suffer through this type of hair loss.

Besides tight hair styles one more cause that leads to Traction Alopecia is over processing of the hair with certain thermal or chemical treatments such as dyes, bleaches, strengtheners etc. The chemicals present in these products are harsh for the hair making them fragile and weak. This damage is irreversible if it has greatly affected the health of the hair. Also the heat from heating instruments such as blow dryers contributes towards traction alopecia. The heat from these devices is harmful for hair follicles causing them to break out.

Traction alopecia can only be stopped if it is diagnosed at an early stage. This can be done by avoiding tight hairstyles that put extra pressure on the roots of the hair causing them to break out. People can make the same hairstyles by avoiding extra tightening or they can switch to loose and gentle hairstyles that are not harsh for their hair follicles. People who have identified that they are suffering through traction alopecia should take immediate action and consult a doctor as soon as possible who usually warns them against hair styles such as braids, cornrows, weaving and chemical processing. Many traction Alopecia patients expect quick results once they have stopped making tight hair styles. This is completely wrong because often it takes several months for the hair to recover from this severe hair disorder. Also there are many cases in which some of the areas on the scalp never fully recover from traction alopecia.

It is advised to treat Traction Alopecia as soon as possible because if ignored for a long period of time it sometimes leads to permanent hair loss. A treatment suggested for advanced stages of Traction Alopecia is hair transplant and this is a very effective treatment. The best way to treat hair loss related to traction alopecia and Trichotillomania is with the help of a strict hair care regimen and by showing patience. Hair transplant is the solution for long standing cases.

Juvederm Voluma

Juvederm Voluma

Juvederm Voluma is injectable hyaluronic volumiser that recontours the face to restore volume to chin, cheeks, and cheekbones that have become hollow or thin due to weight loss or age-related facial fat loss. Over time, skin can lose its firmness (thinning skin), elasticity (sagging skin) or both (volume loss). As we lose facial volume, cheeks appear to deflate and descend. Loss of volume and deflation can also cause one’s face to lose definition, balance, and even change shape. However, the deep hollowed look that’s revealed is slowly becoming a thing of the past!

Juvederm VOLUMA offers revolumisation that is characterised by smooth round contours, high cheekbones, hollow jowls and a well defined jaw line

How does Juvederm Voluma works?

An attractive face is characterised by smooth, round contours, high cheekbones, hollow jowls and a thin, well-defined jaw line. These features together comprise the “triangle of beauty” or “heart of face’’. As we age, facial fat loss, gravity, and loss of the skin’s natural elasticity conspire to reverse this triangle’s composition, leading to a narrower, less youthful forehead and temple area, and a wider, heavier jaw line.

Fortunately, Juvederm Voluma can restore the face’s balance and heart-shaped proportions, revolumising facial hollows and  lost volume and recontouring the cheeks, cheekbones, and nose for a fuller, softer, more youthful appearance. Juvederm Voluma helps recapture the facial volume that age and weight loss can diminish. With Juvederm Voluma, an innovative injectable hyaluronic volumiser, you can enjoy a smoother more youthful appearance of your cheeks, cheekbones, and chin.

How long results remain?

The results are immediate, however it will continue to improve for a few days and the effects of treatment have been shown to last up to 18 months. There is no downtime required after Juvederm treatment. Patients who undergo Juvederm treatment can expect to be able to return to work or other normal activities immediately, with only mild redness or soreness at the site of the injections which goes off in 1-2 days.

Seborrhoeic dermatitis

Seborrhoeic dermatitis

What is seborrhoeic dermatitis

Seborrhoeic dermatitis is a common, harmless, scaling rash affecting the face, scalp and other areas. It is most likely to occur where the skin is oily. The American spelling is ‘seborrheic’, and ‘dermatitis’ is sometimes called ‘eczema’.

Dandruff (also called ‘pityriasis capitis’) is an uninflamed form of seborrhoeic dermatitis. Dandruff presents as scaly patches scattered within hair-bearing areas of the scalp.

What does seborrhoeic dermatitis look like?

Within the scalp, seborrhoeic dermatitis causes ill-defined dry pink or skin coloured patches with yellowish or white bran-like scale. It may spread to affect the entire scalp.

Seborrhoeic dermatitis is common within the eyebrows, on the edges of the eyelids (blepharitis), inside and behind the ears and in the creases beside the nose. It can result in pale pink round or ring shaped patches on the hairline.

Sometimes it affects the skin-folds of the armpits and groin, the middle of the chest or upper back. It causes salmon-pink flat patches with a loose bran-like scale, sometimes in a ring shape (annular). It may or may not be itchy and can be quite variable from day to day.

What is the cause of seborrhoeic dermatitis?

Seborrhoeic dermatitis is believed to be an inflammatory reaction related to a proliferation of a normal skin inhabitant, a yeast called Malassezia. The main species found in the scalp is M. globosa. It produces toxic substances that irritate the skin. Patients with seborrhoeic dermatitis appear to have a reduced resistance to the yeast.

Infantile seborrhoeic dermatitis

It is uncertain whether infantile seborrhoeic dermatitis is the same condition. This arises in newborn babies up to the age of six months. It usually presents as cradle cap, but infantile seborrhoeic dermatitis may also affect skin creases such as armpits and groin (when it presents as a type of napkin dermatitis). Non-itchy salmon pink flaky patches may appear on the face, trunk and

Treatment

Seborrhoeic dermatitis in adults may be very persistent. However, it can generally be kept under control with regular use of antifungal agents and intermittent applications of topical steroids.
Infantile seborrhoeic dermatitis usually clears up completely before the baby is six months old and rarely persists after one year. If treatment is required, mild emollients, hydrocortisone cream and / or topical ketoconazole are useful.

Scabies

Scabies is a contagious skin infection that occurs among humans and animals. It is caused by a tiny and usually not directly visible parasite—the mite Sarcoptes scabiei—which burrows under the host's skin, causing intense allergic itching. The word scabies is derived from the Latin word scabere, which means scratch. The disease in humans may be transmitted from objects or bedding (like mattresses,etc.), but is most often transmitted by direct skin-to-skin contact, with prolonged contact being more efficient. Initial infections of scabies require four to six weeks to become symptomatic. Scabies mites prefer thin hairless skin, and for this reason concentrate on intertriginous parts of the body below the neck (e.g., between fingers and in skin folds), avoiding callused areas. Infants may be infected over any part of the body, as may also immunosuppressed persons. Otherwise healthy persons with good hygiene may be infected with only an average of 11 mites. Crusted scabies, formerly known as "Norwegian scabies," is a more severe form of the infection often associated with immunosuppressed hosts. In crusted scabies, the mites, numbering thousands in such cases, cause scaly rashes and thick crusts of skin.

In both humans and animals, the disease can be effectively treated with a number of medications. Permethrin cream is the most effective, but expensive compared to other treatments. Crotamiton is less effective, but also nontoxic and soothing, allowing it to be used more often. Ivermectin is also used orally and topically, subject to restrictions involving treatment toxicity differences between hosts. Treatment with lindane preparations have fallen out of favor due to high toxicity and parasitSigns and symptoms

The characteristic symptoms of a scabies infection include intense itching and rashes.The symptoms are caused by an allergic reaction of the host's body to mite proteins, though exactly which proteins remains a topic of study. The mite proteins are also present from the gut, in mite feces, which are deposited under the skin.  

 Prevention

Mass treatment programs that use topical permethrin or oral ivermectin have been effective in reducing the prevalence of scabies in a number of populations. There is no vaccine available for scabies. The simultaneous treatment of all close contacts is recommended, even if they show no symptoms of infection (asymptomatic), to reduce rates of recurrence. Asymptomatic infection is relatively common. Fomites pose little risk of transmission except in the case of crusted scabies thus cleaning of the environment is of little importance.In hospitals, rooms used by a patient who was diagnosed with crusted scabies are often thoroughly cleaned because an outbreak is hard to control.

 

 

Body Lice

Body Lice
(pediculus humanus corporis)

Definition & Overview: Body lice are small, parasitic insects that live on the body and in the clothing and bedding of those who are infested. Body lice feed off small amounts of blood that is sucked which can cause itching, irritation and infection. In the United States, body lice are common and most prevalent in homeless people and transients who may not have regular access to laundry equipment, showers or changes of clean clothes. Body lice are similar, but not the same as head lice, pediculosis capitis, and pubic lice, phthirus pubis.

 Causes: Body lice live mostly in the clothing and feed off their hosts once or twice a day. Infestations of body lice spread easily in crowded conditions where hygeine is poor. "Body lice are frequently seen among the homeless and others living in overcrowded conditions, where clothes are not washed often and where overall cleanliness is lacking."

According to IntelliHealth, female lice glue their eggs onto infected clothing. The victim's body heat allows these eggs to hatch in about a week. A female louse (one lice) can lay 10 eggs a day and 300 or more eggs in her adult life. Once hatched, the nymphs (young lice) can grow to adult stage within 9 days. Once they reach adulthood, the females will become reproductive and the infestation can exponentially worsen.

 Symptoms: Symptoms of body lice are obvious as intense itching, rashes, and red welts on the skin. A long and severe infestation can lead to a general darkening and thickening of the skin. If left untreated, scratching can lead to bacterial infection. Symptoms of body lice also include infestations in one's clothing and bedding.

Diagnosis: A diagnosis of body lice can be made if the patient is subject to poor hygeine, lack of laundry facilities and skin itching and irritation with lice eggs, called nits, and lice themselves being present on the body and body hair, as well as in the clothing of the individual. Nits, nymphs and adult lice are yellow, tan and brown in color, smaller then a sesame seed and have six legs.

Treatment: Body lice are easily treated with improved hygeine practices. Patients should take a hot shower and have a clean change of clothes. Infected clothing should be discarded or burned. If this is not an option, body lice in clothing and bedding can be killed if laundered in strong soap and hot water with temperatures exceeding 130 degrees Fahrenheit. Medicated shampoos for head lice can be used on the body, but only with caution and should not be applied to sensitive areas such as the face, genital area, and anus. Medications should be applied according to the directions on the bottle or advice of a physican. Delousing agents (a type of pesticide) may be required for patients with excessive body hair