DON'T Do This When Going For Hair Transplant - Dr. Abhishek On Early Baldness & Quick Hacks | TRS

Why do so many guys get so insecure about hair loss in the first place? So previously we were seeing balding in 30s,4s or 50s maybe. Nowadays we bald at 1920 also. So this is because of I have instances where mom is also balding. Oh really? Even women bald. Yeah. Yeah. Why not? Why do they work? Can I do a hair transplant and actually grow out a beard? Yes. Yes. I've had a lot of beard transplants. What? Beard? Eyebrows. Eyebrows. Why eyebrows? The most expensive that this procedure can go to is about 10 lakhs. There are

doctors charging 50 lakhs also and there are clinics doing 50,000 also. Also at the same time there are so many EMI options. There's EMI options for hair transplant. Really hair loan and so many banks at 0% interest. Can the transplanted follicles grow into long hair? Yes. Yes. Fully you can cut it, shave it, color it, style it the way you want it. They say that hard water can damage hair quality. Can be used. So when people go to an unqualified person what can go wrong? This is what has been going wrong in lot of patients

who travel to Turkey. What is this turkey angle? Turkey is been very popular. If everyone knows for a hair transplant but the major procedure what is required is not done nicely. What do you have to correct? Consider some hair growing this side some going there. There a lot of gaps and looks very bad. It looks ugly in fact. So we have to correct. Now the donor is already damaged. People can get fooled a lot. Let's talk about some of those so-called scams. There are a lot of uh marketing gimmicks. They tell you to use a

product for a year or two and get your hair back. What percentage of people should actually be going for hair transplants? This was very enlightening from multiple perspectives, then I'm sure this podcast is going to help lots of people out there. First and foremost, if you're facing male pattern baldness, if you're facing a lot of hair fall and you want to maintain your hairline, you want to take care of your hair, let me tell you that this is a very normal, very common problem. And secondly, because of the science available today, this is a very

solvable problem. So relax before you begin consuming this particular episode. Dr. Dr. Abishek Pilani is one of the most renowned hair transplant experts in our country today. There's hair transplant clinics all over the world today, especially Turkey for some reason. But India is coming up as a hair transplant capital of the world along with Turkey because of doctors like Dr. Abishek Pilani. If you're getting a treatment done like this, first and foremost, ensure you're going to the experts of the field. Ideally, you should get treated by an MBBS and MD qualified doctor. And thirdly, you

should educate yourself about this subject and this kind of treatment before you go in for a hair transplant. That's what I've tried bringing you through today's podcast. Enjoy the special of Dr. Abhishek Palani of Ashaw Clinics on [Music] TRS. Just two well-dressed guys talking about men's problems once again today. Dr. Pilani, you're a beautiful man. You kind of look like Ranir Singh. Thank you so much. How are you, good sir? Perfectly fine. It's it's my pleasure and thank you for having me here. Uh I love what you're wearing. I love what I'm wearing. Almost feels

like we're going to be doing an arms deal or something today. I guess whatever conversation happens that will be equivalent to that. It'll be explosive the conversation because this is one of the most explosive men's problems uh related to hair loss. Uh as you grow up as a guy, you deal with pimples, you deal with hair loss, you deal with like weight related problems and you grow up with a lot of insecurities. My personal belief is that you should earn enough money to be able to fix those insecurities through the technologies and biological solutions that

are available. Fair to say that 100% everything is fixable. Everything is now fixible. Right. Let's begin this topic by addressing insecurities because you meet all sorts of bros who come up to you for hair transplant specifically. Why do so many guys get so insecure about hair loss in the first place? Let's talk about that. So, uh before talking about hair loss, let me take a step back and explain you what is hair loss, what is hair thinning and what is hair fall. Because there are a lot of misconceptions regarding the terminologies. Every second person says

I'm having this. So, uh hair fall if I have to say it is a normal cycle where hair goes in a shedding phase and grows back. That's with every individual. Hair thinning is where there is hair miniaturization where you start losing volume, thickness and density. And hair loss is actual thick terminal terminal follicles go in a villa stage which is not visible to naked eye as in. So it is it goes in a complete stage of baldness. So that is the actual hair loss. You mean like the structure of a hair? Yeah. So it's a

thick follicle. So basically entire human body you see somewhere there is fine hair, somewhere there's thick hair on your scalp. You can see small hair follicles on your forehead and something. So these are known as villis hair in medical terminology. Villis hair when it's thick when it's thin thinned out which is not visible to naked eye. Okay. So that that is the phase of thinning and baldness which happens. A thick follicle goes to a finer follicle a finer follicle and goes to a seed which is not visible. So that is where the baldness sits in.

What is the root of the hair shaft called? So root of the hair shaft it's entire unit. It's a follicle unit with multiple parts the bulb the stem the proliferative cells and everything. Okay. For the sake of better understanding, can we compare it to a tree? We can in some sense. So there is like a the main body of the tree which is what we see on the outside. Right. And you're saying that when someone is balding that body of the tree becomes thinner. It starts thinning out completely. And in the highest stage of hair

loss, the root of the tree only dies. It doesn't die but it it is to a phase where it doesn't give you a thick follicle finally like it becomes weakened itself. Yeah. Completely almost dead. Almost dead. Yeah. uh and that's the highest form of hair loss where you see and then that is when you see a complete bald person different grades with a shiny head with a shiny head. So effectively what's happened in the scalp is the roots have become very weak. So basically there's there's a hormonal theory behind that that the major concern about

anything it is your male hormones androgen which gets converted to testosterone a more potent form and a more potent dihydrotestosterone which gets attached to the follicles causes thinning and the damage. One one second. We got to slow it down a little bit. Okay. Sure. Uh so every male body contains testosterone in our balls. So pre it becoming testosterone. The precursor to testosterone is something called androgens. Androgen. Now how is this precursor related to balding? So basically testosterone is a very important hormone related to our body related to many other functions and this gets converted to

a more potent form that is dihydessterone. Why? That's a body that's a reaction because of multiple factors happening in the body and that diet testosterone is the major reason which attaches the follicle causes the thinning and hair miniaturization. So guys who are actually dealing with hair thin or hair loss have a higher level of testosterone. Uh testosterone level may be same there will be more conversion of diet testosterone. Okay. And there can be free testosterone excessive levels also depends. Fair to say this is primarily based on genetic factors majorly. majorly uh I read this theory

when we were growing up in terms of I think dominant genetic factors versus non-dominant. So if one of the two parents is tall the kid will be tall. Similarly if one of the two parents carries a bald gene so the mom one of the parents or the family members also so say if your mom is obviously not bald but her brother might be bald or her dad your nana might be bald. So maternal paternal either of the genes it can come to you much likelier that you will be bald. It is much likelier but then

there are multiple additional factors which contribute to this. Nowadays as you see a lot of people so previously we were seeing balding in 30s 40s or 50s maybe. Nowadays we start seeing a lot of individuals in younger age group uh who started falling into this hair loss problems and getting bald at 1920 also. So this is because of multiple factors like stress, sleep, improper dietary habits, water pollution, environment hormone everything contributes to it. Majorly I'll say it's hormonal but yeah there are multiple additional factors which contribute in percentage how much is genetics versus how much

is life I cannot say in percentage but yeah majorly it's genetics but then there are other contributing factors 90% genetics can be said 70% 75 75% baky it's stress it's stress and other factors and the lifestyle what we have today don't do you think that all those lifestyle factors which go wrong like excess smoking or lack of sleep or drinking actually is because of escapism which happens because of stress anyway. Yeah, finally it is. Yeah, stress you need to run away from stress and that is how it's a cycle. Okay, agreed. But all of us

are ambitious guys and stress is going to be a part of our lives. So if you are balding firstly I think and my take on this and again like I have not faced that exact problem because of genetics like no one in my family none of the guys from both sides have had a balding issue. So I can't completely relate but I've had a lot of friends go through this. I want to begin this podcast by saying hey bro it's normal relax there are biological solutions fair to start like that there are biological there are

surgical there are multiple options available we are in a stage where we have solutions for everything so there's nothing we need to stress about okay I've had friends who used to have hair thinning when they were like 18 19 because their parents also you know had some kind of hair thinning as in the dad not the mom but uh I have instances This is where mom is also balding. Really? That's very common now. I I'll come to that. Even women bald. Yeah. Yeah. Why not? Why do they bald? It's the same hormone. Dihydrotestosterone. So basically

uh there's a theory where a male and a female the androgen receptiveness works in different way where you see balding in male men on the scalp and excessive hair growth on the body and it is reverse in female though it's the same hormone. It's the just receptiveness what our anatomy has done. But uh again multiple hormonal issues like PCOD, PCOS, thyroid issues, stress, post pregnancy, menopausal all these women start facing a lot of thinning and scalp is visible. So I'll not say women also goes to a stage where the scalp is completely shiny like a

men but there's a lot of thinning and the scalp skin is visible and for women aesthetically you need to be 100% sure. So there are options available and there are reasons for it. Yeah. Wow. Okay. Okay, this is the first time I'm hearing about women going through the process of balding. You get women patients also. A lot of women and I've done a lot of women transplants also very nicely and I'll I'll discuss that in brief for sure. Okay, I'm going to cut to the chase. I had a friend who went through intense uh balding

when he was 18 19. Okay. And he was going through a stressful time in life also. And I saw him be stressed until he jumped into this hair transplant solution. And he had a conversation with me where he made me sit down and he's like, "Bro, if ever you get a chance to talk about this problem on TRS, firstly, it's very common. Secondly, tell everyone to directly go for hair transplants." Is that the correct medical advice? Um, no. So, uh, if you allow me, I I'll brief you about the entire journey. What is the right

approach for it? So for a patient uh first thing is I'll just quote something where people don't know what they can get uh unless you show it to them by Steve Jobs. So we have to evaluate the patient first. We have to plan the entire procedure. We have to explain the procedure what the procedure is, how it works, who should be doing it, what you can expect. So if I have to say first thing assessment, evaluation of a patient first you have to consult a doctor. Get it consulted. Understand the problem. What is it? hair

thinning whether it is baldness whether it is a complete baldness or just hairline is receding as per there are different scales like norwood scale to grade the baldness stage 1 to 7 whatever stage you are what what's the difference between hairline receding and so it's like someone who's just balding from the front someone who's balding from the crown someone who's having a complete baldness so it's completely different and we have to first evaluate what is the concern of the patient second would be in a transplant I I'll explain in detail but in a transplant we

take follicles is from the back of the scalp. That's the donor area. So we have to be very sure that the donor area is very healthy. Okay. If the donor is not healthy enough, we'll not be able to plan the procedure properly. We may just overcommit it and we may not be able to give justification. So we have to set realistic expectation to the patient. So evaluating the donor area is very important because I cannot use someone like your friend. I can use your donor and your friend. It is body will not accept it. It

will reject it. So evaluation assessment is very very important. Second step is planning where uh we have to explain it to the patient that hair transplant is we are not just implanting hair follicles anywhere. It's a craft where we have to match with the face. We have to match with the age. Set realistic expectations to the patient. There's an art attached to it. It's an it's an art attached to it. There are a lot of skills required for this because you cannot have transplants in different angles growing here and there and not designing the hairline

properly. In fact, we explain the patient. We take out some testimonials of our previous patients who are in a similar stage of baldness to give realistic expectation and tell them what they can achieve. There has to be very realistic. Last thing is hair transplant. Now transplant I I'll take more time on this topic because this is something very simple scientifically lo logically I'll explain it to you so that everyone understands on your thing. So transplant it's a two-part process. One is extraction. Maybe extract follicles from your body that's your donor area back side of the

scalp and implantation in the recipient area wherever you are balding categor categorically across the globe hair transplant has two types FU and FUE hold on I have to pause you because I speak for the people yeah yeah please very openly just from your experience how much does this cost because that's the concern for a lot of people so let's talk about the cost at the start and I know that the cost varies depending on follicles yeah so it's not so that is a complete commercialization to be frank enough number of follicles as a patient you'll

never be able to count because it's like 5,000 8,000 10,000 how are you going to count that follicles it is just a commercialization way or maybe to charge accordingly for us what we charge at clinic is completely based on the experience of the doctor who's operating it so here I'll tell you across the globe I find only where we are the ones where start to end a procedure is done by a MD doctor including myself I prefer doing the procedure start to end. I don't like technicians where across the globe it is the major thing

where in fact people who are making the guidelines I'll not name anyone but in India or globally they have created a smart loophole in between where they've said that extraction can be done by a doctor because it's a small process skillful for sure and along with that implantation can be done by a technician under a doctor's supervision you tell me supposedly touchwood you have beautiful hair and I don't see it losing very soon but if you come to me and uh uh considering key you are balding and you want a pro procedure done you come

to me because of my credentials my qualifications my experience you've researched about it and you've come to me and when you come and I just say key reanir I'll be planning designing and then some technician will do the job under my supervision what's the point of my credential it's a complete waste see I I don't think you should think about the price when you're paying for an experienced MDc certified doctor uh but Still do yeah still I'll tell you the price that's so depending on the requirement uh our approach is different the number of sessions

number of grafts whatever is required and what are the sessions required and who's operating you how complex is the case see every case is not that simple you'll see a lot of failed transplants done by bad job done you have to correct the surgery you have to invest more time and effort more experienced surgeon would be required so we have different categories like 2 year 5 years 7 year 10 year senior surgeons with ashure with myself doing those cases And accordingly it may range from something from two lakhs to 10 lakhs for the procedure. 2

to 10 lakhs is the range depending on the degree of depending on the experience of the doctor. Degree it's like three four category of doctors who are allowed to do like a dermatology or plastic surgeon. No no I meant degree of hair loss. Yeah the grade of hair loss. What are the sessions required like hairline may be covered in 2 days 3 days. Uh full head may require 7 to eight sessions with intervals in between. But the most expensive that this procedure can go to is about 10 lakhs roughly speaking. That is what we charge.

There are doctors charging 50 lakhs also and there are clinics doing 50,000 also. 50 lakhs. Yeah. Yeah. That's a wide range depending on what VIP client you are treating and what VIP service you're giving. And still I'll tell you even a 50 lakh doctor where it's very common people know who those people are will not do the implantation will be done by a technician. Goldplated hair. Why 50 lakhs and that too uh which is supported with medicines which is a huge controversial topic over here as in so you must have heard about minoxidil finestride it's

a very very commonly used medicine if you I I'll talk a bit more on finestride because I need people to be aware about it so finestride was a drug of choice which was given for uh benign prosthetic hyperplasia so that's an enlargement of prostate gland in a male elderly individual Surprisingly, people found out a positive side effect that people who are taking it for a longer time could see a significant reduction in hair loss. Researching more on that, finding that it's a blocker to form less DHT that's diet testosterone. What I discussed, it was considered

as an FDA approved for male pattern baldness andogenetic alopeesia. My concerns were this medicine has side effects like erectile dysfunction. What decrease libido, decreased fertility. Uh it has a postfinestride syndrome which is registered in journals like American andrology of uh American and European and there is American reproductive uh journal which is which states that and they've assessed this using multiple scales like Arizona sexual assessment scale, aging male symptom scale. So it's purely recorded. The percentage is less but it is there. In fact there there was a lawsuit filed against propacia uh known as finestride uh

where almost thousand plus men had alleged these kind of side effects of erectile dysfunction and libido and uh depression suicidal ideations and all those things and they had to settle this at a $4.3 million which just concluded last year in 2023 June this was in USA in 2012. So these side effects are there. Now my concern is these medicines are easily available over the counter specifically in regions like India and most of the people lack awareness self- administer these medicines without proper medical guidance. So one second the realistic scenario is a guy starts balding he

reads on the internet that take finestride and minoxidil right he goes to the chemist shop goes and buys it without understanding that these medicines have side effects not minoxidil but yeah finite minoxidil is a topical application so also minoxil and finestide are the medicines first it will work only till the time you take it second it is not helping you in regrowth you as you mentioned your friend 1819 start facing so those patients may experience a delay in deterioration of hair loss but not in regrowth and also adding because it's a lifelong obligation. It is

not something which you take it for 3 months, 6 months and that thing you said about erectile dysfunction once you stop taking the medicine does your sex drive and all come back? It does. That is what it is said. But when I said postfinish trial syndrome, it states it's a persistent sexual neurological and psychological side effects which has been observed. I'll not say 100% but there are still studies to happen and you're risking something for your aesthetic appearance. A lot more you're risking it. A dermatologist not guiding this properly. are not evaluating a patient. How

many of the patients who visit a dermatologist does a fertility profile check done? Nowadays IVF is so common. Why? Because people are not aware. They might have some issues with their hormones and everything. And adding to this, if they have this, they may end up having more infertility issues. So I completely refrain myself from advising this medicines. In fact, my take for your audience would be before starting this medicine, consult your doctor, consult your dermat, ask them what are the benefits of these medicines, how long you have to take it, what are the risks involved,

and what happens when you discontin the medicine. This is such an important podcast for bros honestly. Because the thing is, as a guy, when you're dealing with some cosmetic insecurity, you're ready to do almost anything to fix it. But guys, don't understand that certain medicines have certain bad effects or could have certain bad effects on your reproductive system. So you have to be careful when careful we have to evaluate and we have to be under proper medical guidance and whether you have to evaluate yourself whether the risk is worth taking. Okay. What are we risking

at? I just want to mention that doctor is a gold medalist doctor in your MD, right? Not all doctors are the same kind of uh depends where you get it done and what is it but the once we cross uh once we do our masters the competition is already less h because you're in a newer category so yeah the the fields in uh it it streams down to very few seats in a particular field and my my dermat happened by chance. So after my MBBS when I was opting for mast's thing I had dermat and

other field as an option and it was a you can say a gut feeling or an intuition I just selected dermat and there's no looking back from then in fact it was designed to be a part simple question to you you're able to kind of spot who has got a hair transplant and who has not right tooth right for sure because it's your it's your bread and butter 100% we all know that many cricketers have got it because bros keep a track of cricketers look we can actually tell which cricketers have got it also but

without taking names because I am a fan of certain cricketers there's some cricketers where you won't even believe that these guys have got it but when you very very closely check each IPL season you realize ah there's a change in the hairline where you social media people were not even closely looking at get to know about it right uh I went for a shoot once where I can you see these lines here like I lines on both sides where they some people would believe that this is male pattern baldness starting. Now I am very happy

and proud of my own hair and it's genuinely genetics and I take care of myself also but a makeup artist once while doing my makeup had scared me a little bit saying they your baldness and this was like 3 4 years ago nothing has changed since then right so this is a normal hairline which after you cross 20 the body takes a formation and that's a normal hairline but I'll say not even grade one baldness it's a normal thing is this is this any kind of baldness not at all because my granddad who was like

like he passed away but even till the age of 90 he had a similar hairline. Yeah. This is completely fine. This is not so baldness is not just receding it is overall thinning which you start seeing what I explained the start that the thick follicle goes to a terminal fine follicle that is when you see baldness. Okay. And in your case I can you can take my word next 20 years you don't have to even look. How can you tell that from looking that is completely my experience and I've been seeing like last 10 years

I've seen any number of patients. I don't want to number it but yeah I've been doing day in day out procedures so just taking I can identify a person by his head not by the face I had a patient in young 30s uh obese patient very lethargic you can make out what kind of lifestyle he might be having and completely bald but luckily he had good donor area so we just did a transplant an amazing transformation but when he was looking himself in the mirror he realized his selfworth and confidence and he started working out

on on his body, on his health. Trust me, he has six packs today. He's modeling for some some agencies. Wow. And has changed his lifestyle and I believe this lifestyle for generations must be changed. Yeah. Because this is completely transformed him. What's the major insecurity that your patients usually have when they come in and have guys cried in front of you? Yes. Uh so there there's a lot of social pressure, there's a lot of pressure at professionally also and there's a lot of pressure who are of marriageable age. a lot of insecurity, a lot of

stress, a lot of anxiety develops considering the external appearance. For me, I'll say hair isn't everything but since yeah, if person has an option to restore it, get it naturally back and have a good full head and gets him the confidence, you should do it. So that that's what the take is. But yeah, people have gone to extremes. People have had depressions, anxieties, people have been put on medicines just to take care because of the external appearance. And young generation people will not behave that maturely and may in group of people may comment and they

feel always left out in a group of people. A person who's balding will feel left out even if they're not actually left out. Yeah. So they'll because people start commenting. They'll comment on someone, they'll relate you to some elderly person or such kind of things happen and then that is what uh because at this age you are developing a personality at 2022 you are just getting exposed to the outer world and when you start seeing this so that makes you uh a bit back. So that is what I feel I want to say two slightly

controversial things. The first controversial thing is, "Doc, you're such a good guy. You're so calm. Like, I feel more confident around you. I feel like if we were in college together, you'd be the guy I'd get drunk, you know? I'd like force you to have a lot of shots." 100% I would have. It would be on the other side. I I'm the bad influence guy. It appears like this over here. Maybe I really want to party with you and really get you smashed. I want to see that side. Uh the second thing I'll say which

is controversial I really started getting a good amount of spendable income only at 28ish and that was a very voluntary choice because till 27 I kept reinvesting in business and all. So I started investing in my own lifestyle at 28 29 30 and I saw how much it enhanced my state of mind. Uh now for me that could be as simple as like I've had a lot of skin trouble going on over the years when I found a good skin dermat and stuck to it and realized oh this is the effect of it. It really

changed my quality of life but it happened because I could afford it because I worked really really hard from 22 to 27 to be able to pay her fees. Uh I really feel young guys who are dealing with hair loss and who think that that 2 lakh to 10 lakh rupee range is too much. I think you should use that as a motivation to work really hard. It's 2024. Figure out how to make that kind of money. Still I feel it's 2024. One um transplant is basically almost a minimal uh maintenance thing to be frank

enough. Uh it's an investment one time investment. 90% of the people you come across using iPhones as a trending thing which is costing one one and a half lakh which is not going to last for a year or two. This is something you're developing a personality for years. So there's no harm in investing. Also at the same time there are so many EMI options and so many options available across where you can easily manage that something you can invest on yourself which is going to get carried all your life. There's EMI options for hair transplant.

Really? Yeah. And so many banks at 0% interest. Hair loan. Hello. Really to a pre-approved just on your KYC. What? Yeah. Yeah. Why has this happened? So people as you mentioned people would not want to shell out two to 10 lakhs in one go and maybe look for EMI options. It becomes easy on their pocket also and becomes gives them the time frame to do that. So lot of banks I I cannot name the banks but a lot of banks are there with tie up with us also for EMI. Okay. Um damn what I want

to say is that uh I have a mentor called Gorav Kapoor. He does breakfast with champions you know the show and he inspired TRS in so many ways. Uh he was one of our early guests on the show. I asked him to give me the best money advice for my 20s. He said that roughly 30% of your income anyhow save like whatever you can do. uh try reducing your lifestyle expenses like don't buy too many expensive things and all be little frugal in your 20s but definitely there should be a chunk of your income that

you spend on yourself. Now that could be online courses and upskilling and all that uh it could be classes for something or it could be cosmetic. Invest in yourself, invest in your gym fees, invest in your yoga class, invest in the cosmetics oriented doctors. uh this can really change the quality of your life in your 20s and the moment your quality of life changes your thinking patterns change. When your thinking patterns change, you actually can figure how to take your life forward both from a perspective of relationships and your career. Right? 100%. In fact, I

have the saying investing time in how to save money, invest your time in how to earn more money. 100%. This is not spoken about enough. I think that mentality switch is happening in our country where people are Yeah. India is growing like you have so many opportunities every second person if you work hard if you give your 100% whatever you do there are there's a scope to earn to have a very decent life yeah because the information is available online if you're willing to look for it yes yes for sure everything like the craziest career

that you can think of is learnable off of YouTube now so the ball is actually in your quote doctor back to this dermat conversation uh do you want to talk about the hair transplant procedure first and then we'll go to the other procedures related to minoxidil and all these creams and all that. Um first question is when it comes to these hair transplants totally out of all the men and women coming to you what percentage of people um should actually be going for hair transplant again as I mentioned we need to validate who's the right

candidate for a transplant who should be doing it when and how and where. So that is how completely on the evaluation how the patient is coming and what is the expectation requirement. If you see 100 patients in a week uh how many of them usually end up going for some kind of hair transplant which is surgical. See 100 patients who are coming to me they know they're coming for a transplant. Well they've lost hair at some place or for sure they've researched enough and they've lost hair. Now how much is the conversion depends on multiple

factors. time availability downtime they have leaves work-wise or whatever it is how much time do you need depends on the requirement I may need two days I may need three days for a patient because I I my approach towards a patient is different I'll explain when I do an transplant so depending on that again commercially also they have to plan it accordingly but finally I feel someone who's visited me 100 out of 100 will someday or the other go for a transplant 100 out of 100 yes if they've already come that means Since see nowadays

Google is something which you do first before doing anything. So you've already researched and you feel you are more educated for sure than the doctor. You'll ask more specific questions. Honestly 2 years ago I would have come to you. I would have because I was told that listen you're starting to b do you get patients like that as well? Some very rare but people understand like in your case I I'll straight away say don't do anything. Don't use any products. Don't get into hair care extremely because your hair adapts to it the environment. You start

taking more care. You start using supposedly some you visit a doctor who's over a person since you coming as a patient a doctor would want to prescribe something or the other and just for random sake if they ask you to use minoxidil it will damage more you don't use it regularly or you discontinue it will not adapt and cause more hair thinning and loss. So we have to be very cautious not just every patient entering we have to tell them that you have to take medicines. How do you even know that you should go to

a hair doctor? Say for like an 18, 19 year old in college. It's a very simple thing. Normal hair fall, what happens? What I said normal shedding 50 to 100 fall a day is normal. When you start observing excessive hair on your pillow covers or on your shirt and everything, you should visit a doctor. You'll start seeing the volume is reducing, there's thinning overall, the density is not the same. You can visit a doctor just to evaluate. Okay? And it's a normal thing. And it's happening to a lot of people a lot because that's how

human beings are also evolving. We're evolving into being a more bald species right there is a theory that that I'll not let that happen. But but over like a thousand years I think the way genetics I I'll not say over a thousand years but over next uh couple of decades I would want in fact every single person in India say balach because of good hair transants. Fair to say that in thousand years everyone will need hair transplants. Uh too long a vision to see right now because of how the human evolution story is going. Possibly

everyone's becoming bald. Yeah. Then there will be more options also available for sure. There's a lot of research going on. So yeah, you know kea I have is like seeing my girlfriend's dad's uncles. uh am I like getting into a gene pool which will pull my children towards like there'll be good solutions in next two decades where we can always preserve for a longer duration. Okay. Or maybe by that time bald would be more beautiful. Okay. Back to the hair transplant conversation. Um I want to again begin this with a chapa of 2 lak rupees

to 10 lak rupees roughly speaking. It can be anywhere in that range depending on your degree of baldness. Okay. Um the next key question I have for you is how much does it hurt? Yeah. So uh again hair transplant can be a completely pain-free procedure. See what people do there's lot of commercialization across the market. Lot of cost cutting things happening. Anyway anyone you know I'm sure they would have done a transplant. It must be a 1 day 12 or 14 hour job or maybe two days extending or else Turkey or something like that. So

that causes a lot of pain. patient compliance, doctor compliance, technicians doing the job. What we do is supposedly hypothetically have to do 3,000 graphs. I'll distribute that over three days to us each day. It will become it is under a local anesthesia. So, normally it won't hurt at all and people are comfortable the kind of procedure we do. People are comfortable to get back to their routine activities on the days of procedure itself. In fact, I don't even restrict them for major things. Okay. So, I'll not say it's a painful procedure. Mild discomfort would be

there but that's completely acceptable. Okay. Please correct me if I'm wrong. Uh during a hair transplant, basically what's happening is that if you are eligible for it, that means your hair on the side of your head and the back of your head is healthy and it's thick. There are enough follicles there to be removed from there and transplanted on the top and correct your hairline. So the first process in a hair transplant is pulling out the follicles uh medically extraction. Yeah. Correctly. Right. uh so that you're keeping them alive. You pull them out from the

sides and the back and basically place them at the top. And the art required here is near the hairline. How do you place them in such a way that it doesn't look like someone has drawn on your face? Yeah. Yeah. Correct. Do you want to add anything to the procedure? So procedure, yeah, I'll like to explain it medically also and the difference also as I was mentioning FU and FU. I'll directly come to FU because FU is an old school technique majorly mostly people don't follow and don't practice. FUE is a follicle unit extraction where

as you were mentioning extraction of the follicles from the safe zone known as the donor area. Now extraction also is an art and it requires a lot of surgical skills and experience. Reason I'm saying hypothetically consider I'm sorry consider a person who's just having this much and he has to cover the entire head the grade seven bald person the follicles what we are extracting is not going to grow back. So even a single follicle getting damaged or wasted is a waste from your body. You cannot replace it. So normally what happens if I have a

pen? Yeah. Yeah. Go for it. So hypothetically consider this is a follicle. This is a motorized machine with a punch. It goes cuts the attachment. We take out a follicle. This is very simple. Okay. This size of the punch what we are using matters a lot. If it is a bigger punch, what will happen? The adjacent follicles what I'm extracting will get damaged. So if I'm extracting 3,000, I'm damaging additional 3,000 and scarring the donor area also. Here your doctor's experience, skills and everything comes into picture where we are using more finer more conical punches

76 and able to extract more number of graphs without damaging it to take care of the entire supply. So when people go to an unqualified person this is what can go wrong majorly. This is what has been going wrong in lot of patients who travel to Turkey. Where did this come? What is this Turkey? Turkey. Turkey is been very popular if everyone knows for hair transplants like at one point of time any point of time you go to airport you'll see 10 20 50 people with the surgical cap uh going for procedures. So basically Turkey

is um way ahead of the curve in terms of medical tourism and hair transplant because of uh accessibility strategic geographical position uh European countries Middle East Asia it's very very easily accessible and affordability also like Turkey if you if I'm not wrong they'll give you packages of like two lakhs two and a half lakhs for a procedure travel stay tourism and everything they'll prepare the itinary and create everything and give give you the present so it gets attracted for sure but the kind of popularity doesn't uh doesn't indicate or equate with the superior quality procedures.

There are very restricted guidelines by whom should be doing the procedure. What are we risking in terms of this is we are risking patient safety results and finally we want a transplant. We don't want a vacation for that. We can plan it otherwise. So the entire focus is shifted to commercialization and planning the entire medical tourism kind of thing. But the major procedure what is required is not done nicely. In fact once we started a clinic in Dubai I could see a lot of patients where we started doing corrective procedures lodged up transplants. That's an

edit thing what we have. What do you have to correct? So correct in a sense understand a bald person is very beautiful but a person who has a failed transplant consider some hair growing this side some going there a lot of gaps and looks very bad. It looks ugly in fact. So we have to correct. Now the donor is already damaged. In fact I'll tell you a very interesting story. You ever seen WWE? Yeah. There was a scene where Kane took off his mask for the first time. I I don't remember that. Okay. That was

exactly what you're describing where hair is growing randomly. Randomly any direction. So I had a I had a patient in fact uh who had undergone three failed transplants one in Dubai, Turkey and somewhere in Delhi uh FUT and FUEE and the cumulative expenditure would have been expenditure more than that he had invested his time his hope his trust and he was expecting something he had completely failed transment you'll see the patient must have lost his smile so but why three in a row I mean this comes it must have come over a period of 3

four years he would have tried according To me it comes from mentality of trying to save that little money. No, it was enough money spent in a well educated person. But the entire concept of who should be doing the procedure is not there on the internet also. What is it that technician shouldn't be doing a doctor should be doing the procedure start to end. So in this patient when he came for the fourth time Dr. Priyanka my wife she she happened to inquire what motivates him to come for the fourth time. So he was very

blunt enough to say I've done three times it's failed. even if I fail for the fourth time I have nothing to lose. So this was his mentality and he had researched a lot about complex cases and everything. So it was not only a challenge for me, it was my moral responsibility to deliver something. We we are I could manage I could deliver him. He was it was successfully done and he's very happy that finally he could get his hair back and the donor area is still preserved that doesn't look patchy and scarred. So we get

to know that we are here for a purpose and we can deliver if we go out of the way to do that. What had gone wrong in those three previous surgeries? I I believe one as I mentioned the bigger punches the scars and everything and implantation is very important to it's a very time consuming it's a tedious laborous job what people say but that is very important like for a 3,000 follicle as I mentioned I'll take 3 days or 3 hours like 9 to 10 hours behind a patient I would want personally to do it.

I don't want technicians to do the job and just keep observing it. Um can we go back to the procedure again? Yeah. Yeah. So again extraction uh as I mentioned about the implant also simultaneously we follow a different technique where every hair every angle needs to be maintained properly like crown has a circular pattern. If you observe anyone it has to be in a circular pattern. You cannot put 90° angle and hair standing out right. It has to be in circular front hairline as you mentioned. It has to be natural looking fine hair follicles in

the front and all those things needs to be maintained. The depth of the follicle, the density of the entire balding area where we are covering. So everything needs to be maintained. So this is the procedure extraction implantation. If it's a loadoner case, divide it over multiple session. Don't hasten the process. Just try to complete in one day. Divide over multiple time. It's something you're giving it for the life. They can invest 3 days, 4 days extra for that. And do it in a aesthetic way so that you can deliver results which are permanent. respect you

man. Thank you so much sir. Helping a lot of guys going through a lot because all of us no matter what our age is we're boys on the inside and you know you want to look in the mirror and feel like a boy on the inside 100%. So this is one of those aspects of nature which takes away your own sense of boyhood and this is why I respect doctors immensely not just doctors like all kind of doctors because everyone has you know this kind of moral angle that's what I've seen with all doctors A

to Z they may be a good doctor bad doctor it doesn't matter internally the core is moral yeah we we get that satisfaction in fact I remember uh how I get Diwali wishes is a 40 50 year old also will click a selfie and send me a happy Diwali. So he's so happy that the blessings are coming to us and that motivates us to do better. Other than like just money, you earn blessings of people whose whose lives you change. For me though, it's more than that because uh for me though being an aesthetic procedure,

my patient would see themselves every single day. I feel if I've done a good job, the blessing will reach me every single day. The more I do, the more blessings I'm going to get. How does this experience of life feel over the long term? So experience in the sense it's uh I as a person I'm I'm too enthusiastic. I am deeply passionate about my work like I like doing being hands-on with my patients every single day. You're getting to help a bro. Yeah maybe I I'm getting a satisfaction. It's a complete work satisfaction what I'm

getting and uh it's it's a different perception what people have that it's a very tedious it's a monotonous it's a laborous job. And in fact my colleagues also come and ask me when there are guidelines technicians can do it why you want to get involved in yourself. I feel I I remember a conversation with my mother-in-law. So she says that when you are very passionate about something it's a kind of meditation. It it gives you energizes you more than draining you. So for me hair transplant isn't a job. It gives me a good fulfillment a

good sense sense of therapy for me that I I love doing it every day. So people think for me that would be podcast like podcasting would be my meditation but it's actually only good podcast and this is a good podcast. Uh speaking about the topic again I love what you said about that swirl the hair swirl the angles of the hair. Uh I think this is what separates great dermats from good dermats that they look at the face and the head as a piece of art and deliver for the patients from an aesthetics perspective as

well without taking names cricketers and actors have come to you. Yes. Uh a lot of them uh but I completely respect uh professional and personal commitments what may not. So I have this key up celebrities some celebrities promote hair transplant that is good for awareness and taking away the social stigma and some maybe because of their personal professional commitment can't but yeah so for us every patient is a celebrity so like every everyone needs to be delivered safe yeah uh specifically with actors their job is related to the face and the hairline and all so

the risk factors so much higher for these guys 100% they have to be constantly ly in front of camera under the light. Uh we have to be very sure about the density about the natural looking hairline about merging with your existing hair. It shouldn't look patchy and everything. Yeah. Let's talk about all this the art of it little bit more just so that guys who are there's lots of guys already considering this from a medical perspective. There's a bunch of them who can probably afford it also. But I think this is another very very key

factor which is not spoken about enough the cosmetics angle of it in terms of you spoke about the safety uh aspect of a doctor doing it but an artistic doctor is also a requirement in this case right right 100% again the artistry doctors are well educated after getting their qualifications but they need to have an experience and experience is there only when they hands-on do it see then there not much uh institutes which will train you for hair transplant. In fact during our masters also in dermatology we were not inclined or trained towards transplant. It

was where I was working and I could see a lot of transformations happy lives I thought yeah this is what I'm doing it. So I personally got involved in implantation also and trust me till date wherever you go whatever you pay technicians doing the implant I'm not saying they're doing a bad job but there are very minute things which needs to be taken care of as we mentioned already the design of hair hairline how much we can use the donor area I should be very sure that I'll be able to extract 7,000 8,000 to distribute

it or what will happen is I extract overuse the donor area I extract 3,000 4,000 and just do it in the front back side is completely bald then you have to increase the length of the hair camouflage the area all those things. So planning is very important and every hair implantation. You will see a lot of patients where they do where they create a slit push the follicle with the forcep by a technician. The skin is an elastic tissue. It starts closing on its own by the time supposedly you come from left to right. You'll

see a lot of hair follicles popping out on the skin like a dolllet appearance. So those kind of things is not accepted. Finally, it's an aesthetic. Do less procedures but do it yourself. I'm sure a doctor will 100% deliver much better than a technician. I'm sure if I keep asking you questions about the artistry of it, you can keep breaking it down further because each each follicle divide the sessions. Give time enough time for a patient. Don't hasten the process. Don't go for cost cutting. Do it do it expensive. Charge them more but deliver the

best. Okay. I I hate doing this because there are guys who have sort of hairline trouble watching this podcast. So I'm not doing this from an egoistic perspective at all. But uh again this is what the makeup artist has told me when she was examining my hairline. She's like you have a natural decent hairline at the top. So if you actually observe the hairline it's not straight. Yeah that's that's how a male hairline would be and that's that's that's natural random follicle placements. Single hair follicle placements microring needs to be done in the front and

that is how the thickness goes. Uh, one of the the reason I'm bringing this up is because the key sign of a bad quality hair transplant, which on the surface might look like, huh, it's all right. Uh, but actually it's not great, is when all the hair uh at the front is in one line and it's very obvious that it's very obvious and if you're using so basically a hair follicle unit, it may contain one hair, two hair, three hair, four hair when you're extracting from the donor area or up to six also. So you

have to be very cautious. You can use only single micro grafting from the lower side of the neck in the front two lines which will give you the natural look. The angle of the hair should be proper and there shouldn't be space in between the follicles. So that the density you will not see a normal person like consider you have good quality hair. You'll not see hair space in between the hair follicles. So that is also very important. So all these things micro things are very important in transplant. Um do guys come to you for

filling up this space as well? uh I will not do that. Yeah, people come with a different different uh perspective altogether to change the hairline, change the direction of the hair or have a different so how we design a hairline is medically defined. We divide the face into three parts and then it matches something with the jawline what you have you'll always see a M shaped V-shaped hairline on a male and a U shape in a female patient. So that's a common anatomical features which we need to be aware of before designing and planning. Patients

do say I want this I want that but we explain them in detail that once we do it it's very difficult to re undo it so be sure let them grow you'll be happy and if not we can always modify it okay this question is coming out of a place of random curiosity um say a hair transplant has gone well okay from all the aesthetics perspective you spoke about can the transplanted follicles grow into long hair yes fully people have started people have tied buns and uh long hair and they can do it will it's

a natural process. It's your natural hair. You can you cut it, shave it, color it, style it the way you want it. Okay. One more C question for you. Okay. Can I do a hair transplant and actually grow out a beard? Yes. Yes. I've had a lot of beard transplants. What? Yeah. Yeah. That's a thing. Yeah, that's a thing. People who don't have unfortunately the follicles are not there. We do transplants. Beard, eyebrows. Eyebrows. Yeah. Why eyebrows? People who don't have eyebrows can get a eyebrow transplant also. Okay. Like if it's gotten damaged, there's a

surgical scar or something. Oh, there there's very fine. In fact, my eyebrows are very fine. So, yeah, people can do it if they want it. Love biology. Everything is possible. Love 2024. Uh to have a funny side on there, people use hair from every part of your body to get it grow on your head. Like pubic hair, pubic hair, axillary hair, that can be done. We don't we don't prefer it. Uh that's not the quality that will match just camouflaging the area. But that is a science where we can use everything. Damn. But what's the

need to use pubic hair when donor is restricted and we have a huge area to cover as we cannot use someone else hair. We have to use your own body hair. So we use hair from beer. Beard is still good. But chest hair, back hair, pubic hair, axillary hair, everything can be used. So the best case scenario for a hair transplant is actually using the sides and back of the scalp. The safe zone of the which is known in a medical terms as a safe zone. What is option two? If you add beard beard lower

border beard below the jawline randomly uniformly taking it so that nothing is visible but then nothing will grow no scar the follicles what are taken will not grow back but it is camouflaged and merged and taken in a way that appearance why it's normal and there's no scarring damn third option body hair from chest chest that that's a maximum what I do yeah chest and back but there are people who take armpits and all there is there are studies and People do that. I know studies. Yeah, people do. And as long as it's being researched.

Yeah, being researched and people have done that and people have successfully done that. But the quality of hair on your body will never match with the scalp. Beard is still fine. In fact, better because it's thicker. So, it can add some volume to your scalp hair. But, uh body hair, it's always curly, different texture and it doesn't match with it. Just camouflaging the area or riffilling the area in a bit. Never even thought that beard transplants could be a thing. It is. It is. People want to get beard transplants from what perspective to get their

manly look back maybe for the comments or not having proper so beard transplants if you see we don't our Asians we don't have a completely fair or a plain skin we have partial growth somewhere so that that is what people want to groom themselves more and accordingly they do a beard transplant to have a very uniform growth all over is it painful not at all in fact it is as comfortable as your scalp hair transplant. In fact, more because the skin of your face is very lax, very soft, so you don't even realize anything. Damn,

dude. I'm considering a beard transplant. Required not required. I I've not seen you with a beard, but maybe you have partial growth and I mean, I also have a good boy image. Yeah, but uh chocolate boy. Maybe someday you actually get into a conversation for an arms deal. So, yeah, you'll need that. I mean, see, the thing is what people don't understand. In my heart, I'm still that same science student, okay? 11, 12, doing C, going to engineering college, EO. And as I went into media, I realized how much looks are broken down, gauged, and

every year I learned something new. There's so many people who told me grow out a beard. Now, I don't know how I can tell them that try something. It's just it's not See, the thing is my family is blessed with great scalp uh hair jeans and really face hair jeans. Like no one has a beard. So that that's what I that's an androgen androgen receptiveness. You have good hair on your scalp, less on your body, but my testosterone levels are great, right? Like I'm a physically stronger. So it's nothing to do with my man, right?

No, there's no testosterone. Okay, just checking. But guys like me come to you for beard transplant. Yeah. Yeah. A lot. And you say yes or no based on what? We almost beard transplant if it's required then we do it. There's no restriction as such. Is this mainly actors? Not really. Not really. Every every common individual is now very much concerned about the looks. This is a very North India thing though you know like where um I have a lot of bros from North India who ask me dude you don't feel bad at all that you

don't have a beard? And I'm like not really dude like it's fine. A lot of lot of people get influenced with the celebrities. So there will be a trend suddenly coming people seeing Shetty Ranir Kapoor having good beards. So they would want to copy that. That's it. Okay. I also I mean I might be wrong but there used to be a massive beard trend in the 2010s. Yeah. Yeah. I remember company Beardo was launched in 1516. Yeah. I in my eyes it's a bit of a trend and the way to gauge that is this trend

wasn't in the 2000s or the '9s or the yeah that's what it depends completely on the actors you there might be some movies which must be coming al aist actor carrying some beard look and that sets into the practice my thing with beards is at least the way I look at it is either you should be like fully clean shaven or you should have a good beard good beard yeah partial that's that's what the patients the gap what you said those patients come for a transplant like they are not confident in the clean shaven look.

Yes, that's what it is. But the thing is this clean shaving thing works for some guys. Yeah, it works. In fact, they might not be only not confident but they would want to have the other side also. So they want to have the other option because yeah, when you do a beard transplant, you can have both the things. You can carry the clean shaven look also and you can have a beard. This is what's appealing to me like that. Um again I would be your prime uh TG in some ways that I don't have the

option to grow a beard. Yeah. So we can do a trans and you can have both the things. You can always shave it off. It will grow back when you want it and that's normal. But when you've shaved it it looks normal like normal exactly what it is right now. Any downsides? Nothing done properly. Nothing done properly nothing. Have you seen little up beards? Yeah. Like what? Imagine follicers growing this way. [Music] And patchy that's that's amazing thing patchy different angle giving a shape or something naturally the way you explained uh the scalp hair transplant

same thing same thing this also needs angle direction density depth all those things similar where do you pull out the follicles from majorly single rooted follicles from the nape of neck to match with the thing because nape of neck will have single rooted follicles other units as I mentioned two and three so we try to find out maximum single follicles and implant only single follicles on beyond majorly you'll see single follicles nape is this part yeah lower part of the neck because it's extremely thick it's not extremely thick it is fine and more single roots

are there over there it's easier for you to extract it no easier it's okay but it's just uh the follicles are single in unit so as I mentioned there are follicles which may have two and three so you don't see beard having two and three follicles coming from a single thing I'd not even heard of beard transplants before this conversation and not even planned it for this I thought share some pictures with you. I thought it's only like balding bros watching this but now it's Chikna bros also like grip on what it does. I'm seriously

considering this man for sure and I'll give you a detailed consultation to I'm I'm scared of the pain though honestly pain is not there trust me mild swelling for a day or two that to the anesthesia liquid which is given as a tum you missing nothing more can I be able to go back to everything normal appearance for a beard transplant appearance would be a concern for 7 to 8 days that's it that's it black dots would be visible where you implant because there are small blood clots available seen on the face for 7 to

8 days that's it and what is the care and all just avoid friction on the areas of transplant be it hair or beard nothing else friction in the sense nothing should get rubbed against it because follicles are still n you don't need to rub and disturb them the angles and the maybe come out okay can you work out and everything heavy weight avoid for 7 days cardio activities can be done sweating sweating is okay you can just dab the area not rub it that's it and these are the same precautions for the head hair same

same biologically what's happening like why are these precautions even there precautions are precautions are not there in fact I just said key the precautions only you shouldn't be rubbed against the implanted area because you may just pull out the follicle again that's the only thing otherwise if done properly again no no slit technique we are implanting the follicles one by one so there's no open wound so there are no chances of any kind of infection in fact scalp and face is a very most vascular part of your body so the chances of infection reduces on

its own to a lot it heals faster heals faster what if someone slaps you hard with a beard transplant after beer I don't think so anyone will dare to because that looks more gruesome it looks gruesome Because it's like if you have all blood clots on your face, no one would even dare to do that. They'll in fact pity you for that. Damn. But you're not truly in much pain. Not at all. Okay. On a scale of 10, I'll say not even two or three. This is the first time in my life of 31 years

that I've heard of beard transplants. Just saying. Like I think you're actually going to get a lot of inquiries about this also rather than just the head hair. Um moving on because actually the conversation is about your scalp doc. So the patients who you meet and you think that okay you don't need much of a transplant you need a slightly lighter treatment that that is a possibility. Yes different different multiple options are available. So again um you'll see a lot of uh products being marketed lot of gummies lot of anti-hairful shampoos oils and different products

uh market in different way. So I'll I'll tell you everything um like advancement of technologies we have PRP is platelet rich plasma where we take your own blood separate some growth factors reinjected there are misotherapies miso solutions then there are laser helmets available all these therapies are available to take care of your hair fall in early stages to control to delay the process there are medicines available as I discussed then uh all uh these gummies have lot of vitamins minerals which will improve your hair health but it will not help you in restoring. So yeah

to improve your hair health you have good hair you just started facing something you can try multiple options after getting evaluated by a doctor but uh using excessive anti- hairful shampoos or oil may end up accelating the process of hair loss. So getting a proper advice is more important rather than just reading on internet starting on your own. Let's break down this chapter a little bit starting with the biology of it. Taking that tree and roots angle that we so in a case that requires an actual hair transplant, the tree has probably almost become like

completely weak and the roots are also weak. But here you're saying that the tree has not become fully weak and the roots have also not become fully weak. So adding some factors to that tree and the roots, you'll be able to thicken out hair once again. I'll be able to thicken out more than that. I'll be able to control and delay the process of further deterioration. So my intention is like there are medicines as we discussed about finestide which will block conversion and formation of DHT itself the major culprit which is causing but at what

risk so I not only finest but other medicines like other safer options like PRPs, misotherapies they are not at least damaging anything they your own body your own growth factors you can always try have certain studies which may help in sustaining your hair for a longer period. At the same time, vitamins, minerals in the form of gummies, tablets are available. Get yourself evaluated. There can be very commonly seen as low vitamin B12 deficiencies, vitamin D deficiencies which is very common nowadays which I've seen very frequently. Maybe thyroid or hormone changes. So all these things can

be evaluated and corrected so that the accelerated process is at least in control and not to use cosmetics, hair sprays, gels, styling, coloring, blow drying all these add to the damages what is happening. So we can control that having a proper guidance is more important. Okay. Um I do believe styling products are now very much part of at least urban culture. I have to use them also for shoots. Uh is my hair not so here's how I look at styling. I take a lot of precare and postare of it. At the same time, I know

genetics are on my side. Yes. Um, personally, hair, a particular hair oil I use called Mahabbring works like magic for me and it's been like that for years. Uh, but again, that's just my subjective case. What about the guys who are prone to hair loss through genetics as well as are not taking great care of their so hair oils as you mentioned see oil doesn't as per our medical science it will not benefit you in any ways it is just if you don't wash it regularly and if you use your hair oil and keep it

for a longer period you may attract more dust and everything and more eventually damage more in fact the head massages what we have may externally damage the follicles so if someone is used to it as a moisturizing you can use an hair oil couple of hours wash it off that's completely fine but not be dependent that some hair oil will help you in saving your hair or getting you new growth. So the bottom line about hair oil is it works well for some people and may not work well for everyone. No it it will not

work in sense of getting your hair back or saving your hair. It is just working as a moisturizing and additional thing what you want but that's it. There's no necessity for any individual to have hair oil because your every follicle has a gland to secrete the sebum and get you the natural oil what is required. Okay, because we're talking about men who are not genetically prone to hair loss in this case. Uh when we was speaking about at the start of the podcast, we mentioned lifestyle factors basically like stress or and or drinking and or

smoking and or diet. Um if you fix this diet factor, if you stop smoking, if you reduce alcohol intake, it will make a difference to your hair health. 100% 100%. Yeah. Yeah. See, all these are uh cumulative factors which finally end up and damaging your body. Be it alcohol, be it smoking, end of the day you are damaging your body and uh skin and hair is reflection of your internal body only. So if you have internally very healthy body, it will surely the diet, this discontinuing, drinking, smoking will benefit your hair, the quality for sure.

Always wondered how Shah Rukhan has that beautiful hair despite smoking genetics, right? Afghan genetics. Pashon yes like those guys. Another great pashon uh look is Nasim Sha the Pakistani bowler. Have you ever played a cricket video game? Uh yeah. So you know we used to create players on that. My creative player would look like Nasim Sha. Such a good-looking guy. This bashon genetics are some next level. Uh you know in there's a there's a stereotype on social media. Uh I don't completely agree with it but I like I would like to agree with it because

I'm Punjabi. They say that Punjabis look great and all. That's the traditional 100% they do. Uh I actually think pashons are even better. They're more everyone has a different perspective. Yeah. All all all individuals look good in their skin and confidence. Beauty lies in the eyes of the beholder. But unfortunately be or be in our country. I mean there are some standard gauges of beauty. But again Shah Ruk Khan's head of hair coming back to the topic that's probably the most beautiful hair I've seen in my life on any man. And at that age to

have that quality of hair I don't know what's happening there. A lot of people you see this a lot smoking regularly may not even be sleeping well and all but for some reason hair is random random very rare but yeah they are there but I I'll strongly say if you can if you're smoking and if you can quit so smoking just because of your hair do it immediately. Yeah. I mean, I've spoken to enough doctors now to know how detrimental smoking can be for every every single part of your body, every single cell of your

body, every single cell. Still people do it. And you know the thing is I've been in engineering college where everyone has smoked at one point. Okay? I've had a puff of a cigarette. And the thing is when you first smoke a cigarette, you become very numb the first time that you ever take cigarette smoke. And the second time you do it, maybe that'll happen. The third time it reduces and then it just becomes a time passing and you catch whenever you have yeah free time you go out and smoke that's that's a habit for me

that first time was enough. I was like dude I don't want to do this because fortunately all these narratives about smoking being bad affected me so I didn't pick up the habit of smoking. It's lucky enough because it's very difficult to discontinue people who already smoke requires a high level of motivation. You know, I honestly get the need for people to drink alcohol. I get the need for people even to smoke pot, okay? Because it creates an intoxication with smoking for that 10-second numbing which eventually even goes away through the habit of smoking. Are you

willing to risk your skin, your hair, all these other things more important every organ of your body? I I've never Sometimes it's a style statement carried away by some people and sometime it's a habit which is difficult to withdraw. Sometimes it's a nicotine kick. Also vapes now that's the new Gen Z thing like it's not as much. No, it's it's luckily it's not uh legal in India I believe. Who gives a So it's not that easily available otherwise. Yeah, that's I mean now like I I I there's still studies I don't know how bad it

is compared to smoke but yeah equally must be something. I mean, I think what's worse about vapes is u you don't even know what's in it and the accessibility. You can vape anywhere, anytime. Yeah. Because it actually smells nice for everyone around you, but for your lungs, it's like your lungs are dying and crying. And I think even people who use vapes a lot know this on some level that this is it's a habit. It's nicotine, right? Basically, nicotine. Yeah. Technically, biologically speaking, what does nicotine do to your body? Nicotine. Nicotin can damage a lot

of things but at the same time nicotin creates a habit where you're used to it. You oblige to it you want to do it frequently. That's the reason people are very people who want to quit smoking or vape they have those nicotin patches or nicotin tablets just to as use as a substitute. Yeah. with your patients who come up to you with uh again male pattern balding and all over your experience of being a dermat. You've seen that smoking has a direct relation with so see smoking is something people who come to me must be

of not just recently started they must be doing it for many years or so and just stopping it for that duration during a transplant is not going to make much of a difference though people say and they say that beforeh going for a transplant you have to quit smoking and you don't have to continue for 14 days if that helps me in qu helps them in quitting the smoke I will also give the same knowledge But practically it is not that related for a short term because smoking is damaging your cells and eventually it will

damage a lot of things. Is smoking directly linked to hair loss? It is it will aggravate right because basically it's the death of your cells. Yeah. Yeah. So it will it will in many ways it will damage your hair. Okay. What other lifestyle factors do you think as a MD dermatologist are linked to a reduction in hair quality? uh everything majorly stress because that will damage and change the entire hormonal balance, inadequate sleep, improper lifestyles like uh unhealthy dietary habits, sleeping habits, uh not exercising, your hormonal, your lifestyle changes, then the water pollution, the environmental

conditions, every single thing plays a role. So yeah, it's it's a multiffactorial thing which accumulates and causes this thinning and fall. kind of brutal input and brutal question but when you're saying environmental factors the air quality the worst case is urban metros in India right yes a lot of pollution is there which everyone of us can feel plus then there are certain cities and regions where the water quality with high mineral content high chlorine content I'll not say a major cause scientifically proven but yeah this will add to the damages I think this is that

whole hard water soft water thing right like people so this is what happens sometimes when you travel to a smaller In India, uh if you're trying to shampoo your hair, you notice that the shampoo doesn't wash off properly. Uh that's a sign of hard water majorly. Yes. High mineral content or high chlorine content water. They say that hard water can damage hair quality. It can accelerate the damages happening may not directly but yeah can accelerate it can add to the disadvantages. What about people who live there? They have to just live with it. Softener can

be used. There are hair softeners as you can attach to the shower cap or something. This may reduce it as it's not the primary cause. It is just aggravating it. So yeah. Okay. And as a doctor when someone comes to you and you don't have to give them a hair transplant, you spoke about all those different treatments. Um all those treatments are from the perspective of helping hair nourishment and making that tree grow back, right? Do you think it's important to talk about that right now? all those treatments or it's very subjective per it's completely

subjective we we need to understand what stage they are what benefits they can get and we have to give a very transparent opinion just not for the sake of a patient has come supposedly you come to me that I need something I'll say don't take care don't do anything don't make yourself adapt to this environment where you need start taking additional care and then you become dependent on that so a proper evaluation or doctor consultation is very important before you start anything. That's what I'll say. Doc, we've almost reached the end of the episode. Uh,

I've figured that whenever one is doing medical podcasts, one should also always talk about the going on in the world adjacent to medicine. Like I think because we're talking about a human insecurity in this whole conversation, people can get fooled a lot. See, all this happens, right? Let's talk about some of those u so-called scams or uh stuff that's going wrong in the market like what mistakes is the average consumer doing in order to just save the hair. Um so there are a lot of uh marketing gimmicks a lot of people uh take celebrities as

their uh brand endorsements for their brand endorsements get products where they tell you to use a product for a year or two and get your hair back. They'll show you some images and people get attracted to that because it's a cheap option. No one would think twice spending a couple of thousand or maybe five to six grands behind these products. Maybe try for a year, get disheartened and discontinue. Those agencies or those companies who are making such products, they are just targeting this. India is a huge population, 1.4 billion population. They just want it to

reach once to these patients and they'll make enough money and go out. Like even if they capture a small segment of that population they make money and because of social media the reach is there everyone would want to try not trying something for 25,000 maybe for a year what god knows if it comes back that is what the entire mentality is and then it's promoted and by a good amount of celebrities also so people trust them so that is something which shouldn't be happening uh but yeah it's very common I don't know it'll win okay

uh and finally I think it's important to also talk about medical tourism in India we spoke about Turkey briefly. You said that the Turkish industry is actually way ahead of the Indian industry in terms of medical tourism in hair transplant for sure because of the government aid and support and accessibility and affordability and all those things. But if you ask me I consider u in fact my vision would be to contribute India to establish as an epicenter for cosmetic aesthetic and hair transplant procedures. uh trust me Indian doctors are trusted across the globe for their

passion for their trustworthiness for their experience and skills where no one can experience that. Uh in fact I'll tell you a small story I had a recent patient from the USA who traveled for a transplant who's himself is a practicing cardiac surgeon for more than 20 years. So I happened to ask him so what made you travel all the way where you must be having a lot of colleagues doing transplant in the USA you still so he's like I was c crystal clear in my mind whenever I I want to do a procedure I would

prefer an Indian doctor because of their dedication passion experience and everything so this testimony itself gave me that confidence that Indian go Indian doctors are looked with very high caliber globally and we are here to set high standards for health care for hair restor restoration and ethical practice that is what we want to in fact medical tourism not internationally only in fact in India also in my early days of my setup a lot of patients used to travel to the clinic uh from two to three tire cities searching for good transplant procedures that made us

establish across in many centers and I intend to have centers across each and every corner to give the best transplant procedure with ethical practice that's the intention uh in fact uh I want are sure to be known as a synonym of hair and puradesh bleach. All the best with the mission doctor. This was very enlightening from multiple perspectives. Uh any signing off notes that you have for patients because bros have watched this with a lot of insecurity and even a few of those women who are dealing with those balding issues. Everyone's seen this from a

tension perspective. Would you like to say anything about that tension? So uh first only thing I'll say is always whatever you want to do consult a doctor. In fact uh we have a different approach. In fact I have a different approach is whenever there's a patient entering ashure they always see the positive vibes the purity what they feel and I believe this is purely a reflection of Dr. Priyanka my wife where she believes that every patient needs to be put ahead of everyone. We have to raise our standards to a level where everyone we can

do better every day in each thing what we are doing and give the highest standard procedures what we want to do. So that is what the intention is. Trust the doctors. I would have a message for the doctors also. Invest your time in the procedure. Do lesser number of procedures. Charge more. That's not a problem. People are ready to pay. But do the procedures yourself. You'll see the difference and the patient satisfaction. Okay. That's all for today doc. You had fun. Thanks much. Perfectly. Okay. The message is out there for people who are dealing with

this uh trouble. Yeah. Yeah. Okay. Awesome. It was great having you on the show, dog. Thank you. Thank you so much. Uh, great being educated and I'm sure this podcast is going to help lots of people out there. 100%. Thank you, bro. So, ladies and gentlemen, that was the episode for today when I create episodes like this, which are a bit of a throwback to the beer biceps fashion and grooming days. My intention first and foremost is to help younger and older men handle their own insecurities better. As I have said repeatedly over the course

of this episode, this is a very solvable problem. So please, gents and ladies, relax if you're dealing with hair fall. Relax if you're dealing with a receding hairline, but learn to educate yourself enough about this particular topic. Dr. Bishek Palani will return on the show if you wish. So please tell me what you thought of this particular episode in the comment section below. Tell me if you have any other doubts related to hair transplants. Drop them in the comments below. And the only signing off note I will leave you with is if you're dealing with

any kind of medical or genetic issue first and foremost turn to the MBBS qualified and MD qualified professionals turn to doctors for help and don't try cutting costs. Don't try saving money when it comes to any kind of body modification. Please have a safety angle with whatever you're doing first and foremost. And secondly, please remember to relax. Life is short. Enjoy life. It's 2024 and science has all the answers. Lots of love to all of you. TRS will be back with many more epic episodes just like this very soon. [Music]