Dr. Kapil Dua Posted April 15, 2015 Share Posted April 15, 2015 (edited) A 36 years old female approached us with chief complaint of hair loss over scalp since 11 years in 2011. She noticed patchy hair loss on scalp right after first childbirth. It was associated with no other symptoms. The patient had taken multiple treatments outside but no relief. On examination, the scalp showed a big patch of hair loss over central scalp. The skin showed atrophy and wrinkling with shiny appearance. A provisional diagnosis of cicatricial alopecia was kept. A consultation was taken from the Dermatologist ( Dr. Aman Dua, my wife) who did biopsy to confirm the clinical diagnosis. It revealed cicatricial alopecia with possibility of lichen planopilaris. The patient was put on oral deflazacort, hydroxychloroquine, biotin, omega 3 fatty acids, topical steroids, tacrolimus and benzyl nicotinate, vitamin k, salicylic acid tincturefor 4 months. The patient showed some improvement in terms of no further hair loss and some areas also showed hair regrowth in the periphery. Then a second biopsy after 4 months to check the activity of the disease. It showed partially treated lichen planopilaris. She was given intralesional steroids in resistant areas with mild improvement in terms of vellus hair regrowth seen. After seeing that the disease had stabilized she started asking for a hair transplant. Then again, biopsy was done to study the activity of the disease which showed post inflammatory pigment alteration.This prompted us as well as the patient to think about hair transplant. The same treatment was continuedfor 5 more months, aim being disease inactivity before we jump to hair transplant. Five months later, the final biopsy showed dermal sclerosis with focal pigment incontinence and few terminal hair follicles. Then after the insistence of the patient and the inactivity of the disease, we decided to do a test patch of 100 grafts with FUE in 2012.It was planned with FUEtechnique as the patient did not want to undergo surgery with stitches. Picture before surgery Picture of 1st Post-Operative Trial FUE Hair Transplant Surgery for 100 Grafts She showed excellent results with seen approx. 80% re-growth in 6 months. Picture after 1st Trial FUE Hair Transplant Surgery Second time over we did 1000 grafts covering the most prominent area by FUE technique in 2013. Again the result was excellent and resulted in a robust regrowth in one year. Picture of 2nd Post-Operative FUE Hair Transplant Surgery for 1000 Grafts Picture after 2nd FUE Hair Transplant Surgery Again the result was excellent and satisfactory by patient. Encouraged by good result, 1 year later patient has come for full area coverage and need for more grafts. Fifteen hundred (1500 )grafts were given this time as donor did not seem to support more in 2014. Patient is very happy with the surgery and a lot satisfied. Picture of 3rd Post-Operative FUE Hair Transplant Surgery for 1500 Grafts Now, the patient had again come for a visit ( in 2015) and her picture is completely changed. She is very happy with result of 2600 grafts ( done over three sessions) and is ready to have more to increase the density on the back side. Some More Final Results Pictures after 3rd FUE Hair Transplant Surgery Picture with Partition Picture with Wet Hair Edited April 16, 2015 by drkapildua Kapil Dua, M.B.B.S. M.S. ,FISHRS Chairman & Chief Hair Transplant Surgeon Dipl. American Board of Hair Restoration Surgery Past President, Association of Hair Restoration Surgeons of India Board of Governor, Asian Association of Hair Restoration Surgery Board of Governor, ISHRS, USA Dr. Kapil Dua is recommended on the Hair Transplant Network" http://www.akclinics.org Link to comment Share on other sites More sharing options...
Senior Member hairlosscpa Posted April 15, 2015 Senior Member Share Posted April 15, 2015 Beautiful work and very interesting case. Thank you for sharing! 1st Procedure, Oct. 2012 - 1,704 grafts FUT w/Dr. True 2nd Procedure, Sept. 2015 - 2500 grafts FUE w/Dr. Vories FUE Progress - http://www.hairrestorationnetwork.com/eve/180966-my-experience-w-dr-vories-2-500-grafts.html FUE 1 year result - http://www.hairrestorationnetwork.com/eve/184716-1-year-results-2-500-grafts-w-dr-vories.html Link to comment Share on other sites More sharing options...
Senior Member mosd Posted April 15, 2015 Senior Member Share Posted April 15, 2015 so the new hair cant fall out? Link to comment Share on other sites More sharing options...
Senior Member TakingThePlunge Posted April 16, 2015 Senior Member Share Posted April 16, 2015 Life-changing result! Will she need to continue with any medications in order to keep the disease in remission? David - Former Forum Co-Moderator and Editorial Assistant I am not a medical professional. All opinions are my own and my advice should not constitute as medical advice. View my Hair Loss Website Link to comment Share on other sites More sharing options...
Dr. Kapil Dua Posted April 16, 2015 Author Share Posted April 16, 2015 so the new hair cant fall out? Once transplanted the hair don't fall... unless the disease reactivates... Kapil Dua, M.B.B.S. M.S. ,FISHRS Chairman & Chief Hair Transplant Surgeon Dipl. American Board of Hair Restoration Surgery Past President, Association of Hair Restoration Surgeons of India Board of Governor, Asian Association of Hair Restoration Surgery Board of Governor, ISHRS, USA Dr. Kapil Dua is recommended on the Hair Transplant Network" http://www.akclinics.org Link to comment Share on other sites More sharing options...
Dr. Kapil Dua Posted April 16, 2015 Author Share Posted April 16, 2015 Life-changing result! Will she need to continue with any medications in order to keep the disease in remission? Thanks @David for the comment, No... we just give vitamins and hair growth factors... transplant is done after biopsy rules out the active disease Kapil Dua, M.B.B.S. M.S. ,FISHRS Chairman & Chief Hair Transplant Surgeon Dipl. American Board of Hair Restoration Surgery Past President, Association of Hair Restoration Surgeons of India Board of Governor, Asian Association of Hair Restoration Surgery Board of Governor, ISHRS, USA Dr. Kapil Dua is recommended on the Hair Transplant Network" http://www.akclinics.org Link to comment Share on other sites More sharing options...
Senior Member sutureless Posted April 16, 2015 Senior Member Share Posted April 16, 2015 Superb results, I also saw your NW6 transformation, you seem to be taking on channelging cases like NW6 and 7, scar repairs, interesting to know, great job. Any update on that Afghanistan patient with NW6 who underwent third transplant? Link to comment Share on other sites More sharing options...
Dr. Kapil Dua Posted April 17, 2015 Author Share Posted April 17, 2015 Superb results, I also saw your NW6 transformation, you seem to be taking on channelging cases like NW6 and 7, scar repairs, interesting to know, great job. Any update on that Afghanistan patient with NW6 who underwent third transplant? Thanks for the acknowledgement and appreciation. Regarding, the Afghani patient, he's not come back yet......once he comes for a follow up, we will post his pictures. Kapil Dua, M.B.B.S. M.S. ,FISHRS Chairman & Chief Hair Transplant Surgeon Dipl. American Board of Hair Restoration Surgery Past President, Association of Hair Restoration Surgeons of India Board of Governor, Asian Association of Hair Restoration Surgery Board of Governor, ISHRS, USA Dr. Kapil Dua is recommended on the Hair Transplant Network" http://www.akclinics.org Link to comment Share on other sites More sharing options...
BUSA Posted April 20, 2015 Share Posted April 20, 2015 nice work! Link to comment Share on other sites More sharing options...
Senior Member sl Posted April 20, 2015 Senior Member Share Posted April 20, 2015 Nice outcome and all the best for the patient. I represent Dr. Bisanga. Dr. Christian Bisanga is recommended on the Hair Transplant Network Link to comment Share on other sites More sharing options...
Regular Member jaswalraj1 Posted November 21, 2016 Regular Member Share Posted November 21, 2016 Yeah ! It was nicecome Online Representative and Patient Advisor for: Dr. Kapil Dua, AKClinics - Hair Transplant in Delhi, Ludhiana and Bangalore, Chennai - India. Dr. Kapil Dua, Board of Governor at ISHRS(USA), Board of Governor at AAHRS, President of AHRS India is a recommended surgeon at Hair Transplant Network. Disclaimer: I am not a medical professional and my opinions should not be taken as medical advice. Link to comment Share on other sites More sharing options...
Rahul-India Posted December 23, 2016 Share Posted December 23, 2016 Life changing result... Nice work Link to comment Share on other sites More sharing options...
rupa Posted January 23, 2017 Share Posted January 23, 2017 superb work, very fine results......... Link to comment Share on other sites More sharing options...
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now