Hair Transplant Journey of Shivam Yadav | Dr. Jinkal Kunjadiya

Hair Transplant
1

IMG_2343
IMG_23431920×1280 105 KB

IMG_6659
IMG_66591920×1280 99.4 KB

IMG_9870
IMG_98701920×1280 125 KB

IMG_2439
IMG_24391920×1280 131 KB

Patient Profile

  • Name: Mr. Shivam Yadav

  • Age: 30 years

  • Location: Uttar Pradesh, India

Clinical Background

  • Hair Loss Duration: Hair thinning began 2–3 years earlier, with visible baldness in the past year.

  • Current Status: Complete frontal hairline recession with thinning in the anterior scalp.

  • Baldness Grade: Grade II alopecia.

  • Other Complaints: Occasional scalp itching and mild pimples. There was no evidence of active progressive shedding at the time of presentation.

Family and Medical History

  • Family History: Maternal history of androgenic alopecia, confirming hereditary predisposition.

  • Medical History: No chronic systemic diseases.

  • Surgical History: No past major surgical procedures.

  • Allergy History: No drug or food allergies.

  • Keloid Formation: Negative history of abnormal scar tissue.

Prior Treatments

  • Topical: Minoxidil

  • Oral: Multivitamins
    Initial mild benefit was noted, but no long-term improvement was achieved.

Consultation and Assessment

Mr. Yadav presented to Dr. Jinkal Kunjadiya at Hairfree Hairgrow Clinic, Surat. Following detailed trichoscopy, donor area examination, and overall scalp assessment, he was counseled about:

  • Expected outcomes and limitations of hair transplantation

  • Need for long-term maintenance therapy

  • Importance of post-procedure care

The patient consented to surgical restoration after counseling.

Treatment Protocol

  • Surgery Date: 14th May 2021

  • Technique: BIG-FUE (Follicular Unit Extraction)

  • Adjunct Therapy: Five PRP sessions scheduled every 2 months within the first year.

  • Maintenance: Minoxidil, DHT blockers, and nutritional supplements prescribed post-surgery.

Surgical Procedure

  1. Planning & Design:
    Hairline and temple points designed according to patient preference and anatomical balance.

  2. Preparation:

    • Donor area assessed via trichoscopy.

    • Patch test for local anesthesia was negative.

    • Full scalp shaving and sterilization performed with betadine and alcohol.

  3. Anesthesia:
    Local modified block anesthesia administered with a painless technique.

  4. Recipient Site Creation:

    • Slits created with precision:

      • 1.2 mm blade for the hairline

      • 1.4 mm blade for other frontal zones

    • Correct angle and direction ensured a natural outcome.

  5. Donor Graft Harvesting:

    • Conducted under magnification using a 0.8 mm titanium punch.

    • Extraction time: ~90 minutes.

    • Total Grafts: 2,620

      • 20% single follicular units

      • 80% multiple follicular units

    • Hair characterized as thick, dark, and dense.

    • Fine grafts used for frontal hairline and temple reconstruction.

    • Extracted grafts stored in chilled Ringer’s Lactate solution.

  6. Implantation:

    • Performed using the K.E.E.P. implanter.

    • Implantation duration: ~2 hours.

  7. Post-Surgical Care:

    • Dressing and medications provided.

    • Detailed aftercare instructions explained.

    • Patient given direct contact with the treating physician for support.

Post-Operative Progress

  1. Shedding Phase (0–3 months):

    • 60–80% of transplanted hair shed gradually, as expected.

    • Two PRP sessions administered.

    • Donor area healed fully by 1 month; density restored by 2–3 months.

  2. Baby Hair Phase (3–4 months):

    • Early visible growth of fine hair strands.

    • Third PRP session administered.

    • By month 5, trimmed native hair reached fuller density.

  3. Active Growth Phase (6–7 months):

    • About 80% of transplanted hair achieved visible growth.

    • Patient underwent a regular haircut comfortably.

    • Fourth PRP booster session completed at 9 months.

  4. Final Result (10 months):

    • Full restoration of frontal hairline and density achieved.

    • Patient resumed normal grooming, including 2–3 haircuts of both transplanted and donor areas.

    • Maintenance therapy with minoxidil continued; booster PRP was recommended as needed.

Outcome & Satisfaction

Mr. Yadav achieved a natural-looking, dense hairline and was highly satisfied with the outcome. His confidence improved significantly, and he expressed full contentment with both the surgical and follow-up care provided.

Conclusion

This case demonstrates the effectiveness of BIG-FUE hair transplantation with adjunct PRP therapy in a young male patient with Grade II androgenic alopecia and strong donor reserves. Systematic planning, precise surgical execution, and structured post-procedure care ensured a successful long-term outcome.