Dr Deepam Shah is rated among the Best Cosmetologist in Girgaon and Colaba according to ClinicSpots in 2020

Author: Rahul


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The Platelet Rich Plasma (PRP) therapy treats hair loss conditions among patients in an advanced manner that is non-surgical and therapeutic.

The basic approach to treat hair loss through this process is a three-step procedure. The first step involves drawing the blood from the patient, typically from the arms. The second step is putting the blood into a centrifuge and the final step is injecting the blood into the scalp of the patient.

Along with these three steps, one more important step is performed before the final step. The aim of performing this step is to prepare the scalp to receive PRP. This is done by applying topical anesthesia into that portion of the scalp where the PRP is to be injected.

The theory of this therapy is very simple. When the blood is put into a centrifuge, the centrifuge spins rapidly and separates the blood into three layers namely platelet-poor plasma, platelet-rich plasma, and red blood cells. The platelet-rich plasma contains approximately three to five times the number of proteins found in normal circulating blood. By injecting the platelet-rich plasma into the scalp, it stimulates hair growth by promoting the development of new hair follicles because the platelet-rich plasma contains platelet-derived growth factor, transforming growth factor, vascular endothelial growth factors,s, and other bioactive proteins.

The overall result of the treatment can visually be seen in about six to twelve months where the improvement can be measured in terms of an increase in Hair Mass Index with the thickened hair shaft. The need to repeat the procedure to see the optimum results and maintain the improvement varies from person to person on the basis of the area of the scalp to be treated. But on average, the treatment is repeated once every three months. The total cost of the treatment also varies from person to person as it depends on the number of cycles performed and the area of the scalp treated

Of all other benefits that are concerned with treating hair loss with PRP, the major benefit is that it uses the cells of the own body, concentrates the good cells, and injects them only into the area where it is required. By this, it eliminates the risks of allergies, hypersensitivity, and foreign body reactions. For the very same reason, it is safe and neutral. There are absolutely no chances of graft rejection and blood infections. No sedation is given during the procedure. Another benefit is the duration of the treatment that is only about 60-90 minutes. The results of this therapy look completely natural.

The reason for which this treatment has attracted medical attention is that the current methods through which PRP is prepared to have reported 700% enrichment and the concentration is consequently increasing to more than 1,000,000 platelets per liter.

Are you concerned with your hair loss and have a number of options like medication and transplant surgery and you have not been diagnosed with cancer, chronic diseases, metabolic disorders, platelet dysfunction syndrome, sepsis, or thyroid disease? Then never fear to add PRP-the safe and effective way to grow hair, as an option in your list.

Premature Graying of Hair

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In this time of COVID-19, which itself is so stressful in every aspect, something which bothers everyone is early graying of hair. In this world of showbiz which is crazily driven by celebrities, fashionistas, lifestyle influencers, perfect chiseled face, great body and black hair has gained a top priority.
Premature graying of hair is a bothersome and disfiguring condition causing significant interference with social adjustment and acceptance.
Although I don’t find it something very worrisome, because if you can handle it you can look great like Milin Soman (Still looks the best). To top it there is a recent trend of the salt pepper look, consisting of combo of black and white hair (I too tried that on me, looked decent).
Hair is said to gray prematurely only if graying occurs before the age of 20 years in Whites, before 25 years in Asians, and before 30 years in Africans. So when a person of 40 comes to me and says doc my hair is turning grey, I am like dude you are 40 till when will it remain black…!!! A good thumb rule is that by 50 years of age, 50% of people have 50% gray hair. When a person grows older, the pigment cells begin to die and the melanin production reduces, making the strand transparent – grey, silver or white

Graying first appears usually at the temples, and spreads to the vertex and then the remainder of the scalp, affecting the occiput last. Beard and body hair is usually affected later. Graying often follows a wave that spreads slowly from the crown to the occiput. In women, graying is first noticed at the boundaries of the scalp.

Hair graying is a consequence of a reduced activity of hair bulb melanocytes, sounds a little Greek and Latin. So basically, hair has a color producing factory called melanin, which gets altered with lifestyle changes, stress, pollution, chemical damages, vitamin deficiency , aging, etc. Because of these reasons we are starting to see early onset graying of hair in adolescents. It also runs in the family , to the point almost 60-70% have either their mother or father having early graying.
Oxidative stress caused by pollution, UV light, psycho-emotional or inflammatory stress overpower the hair melanocyte antioxidant capacity resulting in enhanced damage of the hair follicle. This is the reason why smoking leads to early graying.
There are multiple diseases and syndromes giving rise to white hair but they run in family and is impossible to treat them. But we can treat graying of hair before 25 years by a holistic approach. Because presence of premature hair graying in chronic smokers indicates higher than normal risk for CORONARY ARTERY DISEASE SO ITS NOT JUST A COSMETIC PROBLEM . Also study found that people who grayed before their 20s has lower bone mineral density compared to those who grayed later.

So as we discussed about the causes and how the lifestyle , stress, nutritional deficiency, pollution plays a role in premature graying, let’s throw some light on treatment.

Despite the extensive molecular research being carried out to understand the cause of canities, treatment options still remain far from satisfactory and no effective therapy is available. Few oral therapies have been tried with rather inconsistent results. Shampoos have no role to play in early graying, a common myth busted.

As of now the best treatment is a multimodal approach like:

1. Quit smoking
2. Lifestyle modification
3. Reduce stress levels
4. Protect your hair from pollution, excess sun exposure by wearing a cap, hat, bandana
5. Regular exercise
6. Adequate sleep
7. Diet and vitamin supplements

So lets talk about vitamins and graying:

1. Vitamin B12-
2. P-aminobenzoic acid (PABA)
3. Vitamin d3
4. Calcium panthotenate
5. Copper
6. Zinc
7. Biotin
8. Iron
9. Selenium
10. Vitamin C and vitamin E
11. Vitamin b6- pyridoxine

You can start with Multi-Vitamin containing these supplements out of which most important is calcium pantothenate.

Antioxidant-rich foods include which fight against the oxidative damage

• Fresh fruits – grapes and berries.
• Vegetables- eggplant, onion, garlic
• Green tea
• Olive oil
• Fish
• Dry fruits- almonds, pistachio , walnuts
• Pumpkin, mangoes, apricots, carrots, spinach and parsley.

Certain natural remedies have been tried but the evidence is lacking on it.
Combining curry leaves with oil
Amla powder mixed with coconut oil
Daily consumption of black tea
The juice of the bhringaraj leaves is boiled in coconut oil or sesame oil and massaged into the hair.

Paucity of systemic or topical therapies in this condition has rendered camouflage techniques using hair colorants as the mainstay of therapy. The use of hair color in a patient depends on various factors such as age of onset and psychosocial impact. Plucking out of hair alone may be a reasonable choice if less than 10% of hair are affected, yes it can be done, as there is a common myth that plucking gives rise to more white hair near it.
Alternatively, an individual may choose to color only the gray hair, especially in the beginning when graying is confined to the temples in men or the perimeter in women.

So that is it a complete scientific and evidence based analysis of premature graying of hair.
Hope this helps you to identify the problem, what you should do and what you shouldn’t do if you start graying early…!!!