In conversation with the Medical Director, DHI India

1. Is it safe to do hair transplants?

Today with modern techniques like DHI Direct Technique TM, hair transplant is a very safe, minimalistic procedure which can be finished in a few hours, giving lifetime permanent results. But it is important that it is performed by trained doctors following strict protocols such as pre-screening, medical tests so that we choose the right patient for hair transplant.


2. Which doctors perform hair transplants in India?

Today, in India, Homeopathic doctors, Dentists, Ayurvedic doctors and even gynaecologists are performing hair transplant procedures without proper training. At DHI, all procedures are performed end-to-end by Dermatologist (MCI Registered) doctors.


3. Are the doctors suitably trained and certified?

Hair Transplant is not taught in any medical college world-wide. Doctors learn it from other doctors on the job, without proper training, assessment or certification, thereby compromising on safety. At DHI, each doctor is extensively trained on DHI Total Care System and certified by London Hair Restoration Academy.


4. How can you measure the results?

Research shows that on n average, only 1 out of 2 implanted follicles grow at clinics without verifiable results. DHI guarantees 100% growth of the implanted hair using international quality protocols and instruments. One third of DHI patients come for repair after their case has been spoilt by other clinics.


5. How do some clinics offer very cheap pricing?

Clinics which offer cheap hair transplants have substandard facilities, unqualified doctors and they use cheap instruments which may be reused on multiple patients, compromising safety and causing scars.
DHI’s high quality, imported instruments are ‘single use’ and destroyed after every case, ensure zero scarring or damage.


6. What is the importance of diagnosis/ alopecia test?

There are several types of alopecia and one could be suffering from any of them. A correct treatment of alopecia requires a proper diagnosis to begin with. Unfortunately, most clinics do hair transplants without proper diagnosis. DHI’s Diagnostic System for Alopecia (DSA) follows a dermatological examination, psychological aspects, precise mathematical count of donor and recipient area, and computerized alopecia test. This results in a comprehensive lifetime treatment plan and best results for the hair loss problem.

All About Hair

1. What is hair made up of?

Hair is made up of Keratin – a fibrous structural protein.
Hair also contains natural oils (lipids) and water. These hair “ingredients” are arranged in 3 primary structures: the cuticle (which is the outermost, shingle-like layer); the cortex (the inside of the hair consisting of bundles of protein filaments); and the medulla (a soft spongy-like core in the center of the cortex).


2. How many hairs are there on the human scalp?

On an average there are over 100,000 hairs on a human scalp.


3. What are the 3 growth cycles of hair?

The growth cycle of hair consists of 3 stages:

  • Anagen – It is the growing period of a hair follicle that typically lasts about 3 to 5 years.
  • Catagen – At the end of the growth period, hair follicles prepare themselves for the resting phase. This stage of the hair growth cycle usually lasts about 1 to 2 weeks.
  • Telogen – This is the resting period of a hair follicle. It is usually 3 to 4 months in length and at the end of this period older hairs that have finished their life will fall out and newer hairs will begin to grow.


4. What are the causes of hair loss in men?

By far the most common cause of hair loss in men is “Androgenetic Alopecia” also referred to as “male pattern hair loss” or “common” baldness. Androgenic Alopecia is due to the male hormone dihydrotestosterone (DHT) acting on genetically-susceptible scalp hair follicles that causes them to become progressively smaller and eventually disappear. This process is called “miniaturization.” The other causes can be Stress, scalp bacteria, poor nutrition, hormonal imbalance, injury and high fever.


5. What are different types of Alopecia?

Alopecia is classified into 2 major groups: Non-Scarring Alopecia & Scarring Alopecia

Types of Non-Scarring Alopecia:

AGA, Alopecia Areata, Telogen Effluvium, Anagen Effluvium, Trichotillomania

Types of Scarring Alopecia:

Lichen Planopilaris, Frontal fibrosing alopecia, Pseudopaladae of Brocq, Folliculitis decalvans, tufted folliculitis, dissecting cellulitis, folliculitiskeloidalis, central centrifugal alopecia, alopecia muconosis, keratosis pilaris atrophicans


6. What are the causes of hair loss in women?

The most common form of hair loss in women, Chronic Telogen Effluvium (long term diffuse hair loss), is an increase in hair loss and decrease in hair thickness over a long period of time.


7. Why do people have different types of natural hair colour?

Hair color is the pigmentation of hair follicles due to two types of melanin:

  • Eumelanin – pigment which gives Black or Brown colour
  • Pheomelanin – pigment which gives Red colour to the hair.


8. Why does hair turn grey/white with age?

With the reduction of Eumelanin and Pheomelanin, the melamine that causes pigmentation in hair, hair turns grey. The loss of melamine causes the hair to turn white.


9. What is the average number of follicles per sq. cm in a healthy adults?

The average number of hair follicles in a healthy adults is 100 per sq. cm.


10. Is Hair quality and rate of growth same for everyone?

The hair quality and growth rate highly depends on the race:

  • African hair grows more slowly and is more fragile than European hair,
  • Asian hair grows the fastest and has the greatest elasticity,
  • African and European people are more prone to balding than Asian people.


11. Why do women lose a lot of hair after pregnancy?

The massive production of the hormone Estrogen during pregnancy puts hair follicles into their ‘growth phase’. After the birth, the hormonal balance is restored and the hair follicles go into the ‘loss phase’, causing a large number of hairs to fall out at once.


12. How strong is a human hair?

Hair is strong as a wire of iron. It rips after applying a force equivalent to 60 kg, only after it is stretched for about 70%. A single strand can support 100 grams in weight.


13. How many hairs grow out of each follicle?

Each follicle can grow many hairs over a lifetime. On average, each grows a new hair around twenty times.


14. Will shaving of hair increase thickness?

Shaving your hair doesn’t increase the thickness or quality of the hair. At first it looks thick, as at the roots, the hair looks denser. As the length grows, it looks the same as before.


15. What are the Hormonal effects on hair loss?

Thyroid hormones affect the growth of hair. Androgens (male hormones) play the biggest role in hair growth in males. Estrogen in males slows hair growth.


16. What is the hair shaft production rate in scalp?

The hair shaft increases 0.35 mm/day and approximately 1cm per month.


17. Is there any survival difference between grey & black hair?

No, Both grey and black hair can be transplanted and grow naturally.


18. What is the alopecia test?

The DHI Alopecia Test is a new diagnostic tool. With the help of a micro camera and specific software, it allows our experts to analyze and diagnose the current condition of your hair loss by measuring each hair follicle separately and establishing how many hairs are in Anagen or Telogen phase at the moment. When combined with medical history and a proper medical examination of the scalp, it can lead to the proper diagnosis of your hair loss problem.

About DHI Procedure And Results

1. What precautions should be taken pre & post procedure?

One week prior to procedure the client needs to avoid vitamins, aspirin, consumption of alcohol and smoking.
Also, the TCC (Total Care Consultant) needs to advise the client in case he’s diabetic, suffering from high blood pressure, on cardiac related medication or prescribed any medication by a psychiatrist. The doctor will prescribe antibiotics for 3 days after the procedure. Heavy exercise, weight lifting, swimming and scalp exposure to direct sunlight has to be avoided for 15 days after the procedure. The client can resume light exercise and brisk walks 7 days after the procedure.


2. Are there any medications prescribed post session?

The client is prescribed antibiotics and anti-inflammatory course which needs to be followed for 3 days post procedure.


3. Does the client need to be on any long-term medication post procedure to prevent transplanted hair from falling?

There’s no requirement of any medication, as the implanted hair will not fall.
However, Minoxidil applications are required to prevent thinning and falling of the existing hair.


4. Can diabetic patients undergo DHI session?

Yes, DHI can be performed on diabetic patients. The doctor has to check whether the blood glucose level is controlled and stable at the time of the procedure.


5. Will blood pressure affect the procedure?

High blood pressure may lead to excessive bleeding, and it is not recommended to perform a session on a client with low blood pressure. The DHI certified assistant will monitor the blood pressure before the procedure.


6. What are the common postoperative complications?

There are no complications as such but some patients may experience mild headache, burning itching or tenderness over the operating area.


7. Will the hair transplant have an adverse effect on the existing hair surrounding the transplanted area?

No, with the DHI technique, a minimum distance is maintained between 2 transplanted hairs and also between the transplanted and existing hairs. This ensures that surrounding hair follicles are not harmed due to “shock loss.”


8. Which Shampoo is recommended post session?

We recommend a special Extra Mild DHI Shampoo, which is Sulphate and Paraben free. The same can be purchased from the clinic or website.


9. When can a client start colouring his hair after the session?

The client can start colouring his hair 45 days after the session.


10. Why does sun exposure have to be avoided after a hair transplant?

Sun exposure has to be avoided to prevent sunburn of the grafts.


11. After how many days can you resume sports and exercises?

Post session, Cardio exercise and swimming can be resumed after 2 weeks and intense exercise, like weight lifting, etc. can be resumed after 4 weeks.


12. For how long does the client need to refrain from alcohol consumption after the procedure?

The client should refrain from consumption of alcohol for 3 days after the procedure, as he would be on antibiotics during this period.


13. Are there any side effects from the procedure?

The local anesthesia can occasionally cause swelling of the forehead for 3 – 4 days post procedure. There is no pain or danger, and only 10% of patients experience this side effect. Some patients develop small red individual spots in the recipient area of the head, months after the procedure. This is an irritation of the skin and can be cleared up easily by using medicated shampoo once a day for 4 days. During this period it is important that no other shampoos or hair products are used on the head.


14. Can the client resume work the next day after the procedure?

The client can resume work the next day after the procedure in an office environment. The scabs take 3 days to fall off after the first recipient area wash. In case the work involves heavy physical exercise, exposure to direct sunlight or a job that involves outdoor activity, he should consult the Doctor.


15. How safe are the instruments used for the DHI session?

DHI uses fresh disposable punches and needles for the procedure for every session and are destroyed after every procedure. The clients are encouraged to check the destruction process of single use instruments.


16. Is the procedure carried out under a sterile environment?

DHI is performed under a completely safe and sterile environment. The procedure room is sterilized with Basilol and all the equipment and tools used are sterilized before the session.


17. What is the performing Doctors qualification and experience?

A Degree in Medicine in Dermatology or Plastic Surgery qualifies a Doctor to apply for DHI trainee Doctor. DHI is a specialized procedure in which only a Doctor can be trained in our DHI system, hence prior experience is not mandatory.


18. What is the certification process for DHI Specialists?

A DHI Trainee has to undergo a series of tests, practice sessions and a strict evaluation process before he is certified as a DHI Specialist and allowed to perform paid sessions. A trainee doctor, on an average, does a minimum of 20 individual sessions before he is certified by the DHI India Medical Director based on his performance (quality and speed). Successful completion of Online tests with DHI Global and a viva session with the DHI Global Medical Director completes the certification process for the DHI specialist that allows him to do paid sessions.


19. What is the role of DHI certified assistants during the procedure?

The DHI certified assistant counts and separates the hair follicles. During implantation he/ she loads the hair follicle in the DHI patented implanter and hands over the instrument to the DHI certified specialist. Complete extraction and implantation is performed by the DHI certified specialist.


20. Is DHI a painless technique?

The procedure is virtually painless and causes less irritation than say getting a tattoo. The procedure is done under local anesthesia and the client can relax, listen to music, watch TV, enjoy a light lunch and even nap during the procedure.


21. Is the procedure done under local or general anesthesia?

The DHI session is performed under local anesthesia. Anesthesia is injected in the donor area first during extraction and then the recipient area at the time of hair implantation. This is to ensure that the client does not feel pain at the time of the procedure.


22. How long does the DHI session last?

The DHI session lasts anywhere between 4 – 12 hours, depending upon the session agreed upon.

  • Small session: 3 to 4 hrs
  • Regular session: 5 to 6 hrs
  • Mega session: 7 to 8 hrs
  • Giga session: Between 8 to 12 hrs
  • Triga session: Between 2- 3 days


23. How much does it cost?

The cost of the DHI session depends on the size of the session required to give the best possible density and natural results. The session size can only be determined after the DHI Total Care Consultant (Consulting Doctor) performs an Alopecia test, examines the donor and recipient area to calculate the total number of hairs from each zone, which can be extracted and implanted.


24. Is there a guarantee of natural growth of implanted hair and results?

DHI gives a guarantee form to our client and promises 80% – 90% growth of implanted hair. DHI also gives a guarantee of 100% natural results.


25. How is DHI different from the rest?

DHI is the only organized Hair Implant system in the world. The systems, processes, continuous research and development in the field and the stringent training program make the DHI system the most reliable system in Hair Transplants.