Dermatology/Hair Transplant

Dr. SMRITI SHRESTHA

 smriti

MBBS, MD Dermatology
Lecturer, Department of Dermatology
Dhulikhel Hospital Kathmandu University Hospital
Nepal Medical Council Registration No. 8132
Member of SODVELON (Society of Dermatologists, Venereologists and Leprologists of Nepal)
Member of DASIL (Dermatologic and Aesthetic Surgery International League)
Won Award paper in Aesthetica Asia 2016 in Kolkata, India.
Hair Transplant Surgeon and Dermatosurgeon at Dhulikhel Hospital.
Trained in Aesthetic plastic Surgery, Nanjing Medical University. (Liposuction and Fat Graft)
Email id: This email address is being protected from spambots. You need JavaScript enabled to view it.

Academic qualifications:
MD (Masters Degree in Dermatology) College of Medical Sciences, Bharatpur, Chitwan. Kathmandu University, 2014
MBBS (Bachelor in Medicine and Bachelor in Surgery) Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel Kathmandu University, 2008
Work Experiences:

  • Worked as a Medical Officer at Dhulikhel hospital, Kathmandu university teaching hospital in Department of Emergency Feb 2009-Agust 2009
  • Worked as a Medical Officer at Man Mohan Memorial Community Hospital Sept 2009- Feb 2009.
  • Worked as a Teaching Assistant at Taishan Medical University, Taian, Shangdong, China March 2010-July2010
  • Worked as a Teaching Assistant at Qiqihar Medical University, Qiqihar, China Sept 2010-Jan 2011.
  • Worked as a part time Medical officer at Community Service Academy Nepal, Bharatpur between 2009-2011. Visited several rural remote areas of Syangja, Gorkha, Chitwan, Tanahun, Barabise, Paanchkhal to provide free health care services.
  • Working as a Lecturer in the Department of Dermatology since 8th Oct 2014 till date.

Dermatological Skills

  • General Dermatology, sexually transmitted diseases and leprosy.
  • Hair transplantation surgery
  • Laser surgery, Microdermabrasion, Botox, Cutaneous surgery.
  • Allergology and skin testing. Prick testing, Patch Testing, Nasal provocation Testing. Immunotherapy.
  • Liposuction and Fat grafting.
  • Aesthetic Dermatology

Research work:

  • Poster presentation (Progressive Nodular Histiocytosis – Case history) at Ninth National Conference of Society of Dermatologists,Venereologists and Leprologists of Nepal(SODVELONCON-2012) on 30-31 March 2012
  • Oral presentation (Original research on efficacy of high dose short course oral steroids in the management of Toxic epidermal necrolysis) at Xth National Conference of Society of Dermatologists, Venerologists and Leprologists of Nepal (SODVELONCON-2012) on 2nd April 2013
  • Poster presentation (Necrobiosis lipoidica in a non-diabetic patient) at Xth National Conference of Society of Dermatologists, Venerologists and Leprologists of Nepal (SODVELONCON-2012) on 2nd April 2013
  • Oral presentation (Hirsutism: an approach) at XIIIth National Conference of Society of Dermatologists, Venerologists and Leprologists of Nepal (SODVELONCON-2015) on 21st March 2015.
  • Thesis entitled: Lichen planus and its clinico-histopathological correlation.

Publications:

  • International publication as first author in Leprosy Review Journal - Shrestha S, Karn D, KC S, Mishra A. An unusual presentation of lepromatous leprosy as verrucous growth in the oral cavity. Lepr Rev (2017) 88, 285– 289.
  • KC S, Karn D, Shrestha S. Photo-onycholyisis Following Two Weeks Of Doxycycline. J Nepal Health Res Counc 2016 Jan - Apr;14(32):66-8.
  • Thesis entitled:  Lichen planus and its clinico-histopathological correlation.

Training and academic participation

  • Fellowship Training in Aesthetic Plastic Surgery for liposuction and lipotransfer (fat graft) in Nanjing Medical University, China, from 21st April 2017 to 20th May 2017.
  • Won an award paper on “Long pulsed Nd:YAG in the management of verrucae” on “AestheticaAsia2016” held in Kolkata in Sept, 2016.
  • Member of “Dermatologic and Aesthetic Surgery International League (DASIL).
  • Attended “Aesthetic Hands On Workshop” organized by SAARCAAD in Kathmandu, Nepal during 2nd International Conference of Dermatology (ICD) in Oct 2016.
  • Participated in “Hands On Workshops on Botox, fillers, Chemical peels and PRP” in Aesthetica Asia, Kolkata in 2016.
  • Attended “Botox Hands On Training” organized by Allergan in April and August 2016.
  • Organizing Secretary of the “First Hair Restoration Workshop in Nepal” on 21st  and 22nd April 2016.  It was the first such workshop in Nepal, with Live Demonstration and Hands-on training for 32 participants from Nepal, India and Bangladesh. We conducted the program with Prof Dr Alex Ginzburg from Israel, a pioneer Hair transplantation surgeon and Prof Dr M Kumarresan from South India.
  • Organizing Secretary of “Advanced CME on Hair Restoration and Trichoscopy Practice Management” on 21st April 2017. We collaborated with International Dermoscopy Society and Dermatosurgeons from India. We had 55 participants, who attended lectures and hands on workshops on hair transplant and trichoscopy.
  • In July 2015, received Scholarship at University of Washington, Seattle, USA to attend the  “23rd annual Principals of STI and HIV research training” from 20th July 2015 to 30th July 2015 at Department of Global Health, University of Washington, Seattle, USA. It was a prestigious course conducted by Dr King K Holmes and Dr Judy Wasserheit at Department of Global Health.
  • Training at Leprosy Mission Hospital, Anandaban from 5th Dec 2014 to 20th Dec 2014.
  • Participated at a workshop from 28th Nov 2015 to 30th Nov 2015 on “Challenges in the management of reactions in leprosy” in Leprosy Mission Hospital Anandaban.
  • Member of “Dermatology Society of Kathmandu University Forum”. Our key objective is to organize regular CME and interaction programs for Dermatology Residents under Kathmandu University. We also aim to bring uniform medical practice among Kathmandu University graduates via this forum.

Hair Transplant FAQs

Hair Transplant is a surgical procedure where hair follicles are transplanted from one part of the body to the scalp. Unlike kidney or liver transplant; taking graft from a near donor is not possible and ethical in hair transplant. The part of the body from which the follicles are taken is called the donor site and the part of the scalp or face where follicles are placed is called the recipient site. The transplanted hair then takes the natural characteristics of the donor site and grows naturally. It can later be cut, shaved or trimmed.

A day care procedure; where one can return back to work the next day

Restores self -confidence

Restore your younger looks at affordable cost

  • Permanent and natural results
  • Treatment done by experienced surgeon: Dr. Dharmendra Karn
  • 100% safe treatment with tolerable pain
  • No Side Effects after surgery; no stitches

 

The FUE procedure generally takes 6-8 hours for completion. During the procedure local anesthesia will make you completely pain-free. You can enjoy movie, internet or other means of entertainment during the procedure. You can eat and even take convenient breaks in between.

Recovery from hair transplantation procedure is fast and not complicated. Patients generally have no complaints when they come for 48 hours’ follow up. Recovery from an FUE type of hair transplantation surgery takes about 24-48 hours.

The transplanted follicles are taken from areas where hair loss will not occur. As the hairs taken from the back of the scalp are androgen resistant; the transplanted hair is of permanent nature. Patients may experience hair loss in other areas of their scalp or face but in not the recipient site. The transplanted hair will initially crust and break out from the transplanted area after the surgery, but will grow back within about six months. This happens because the hairs suffer a form of surgical stress. Surgeons usually prescribe medications to strengthen hair follicles to prevent the loss of non-transplanted hair after the surgery.

This is a very common question. However the number of hair grafts needed depends upon the area of hair to be transplanted. The following picture shows the classification of baldness that would occur in male baldness. The table below shows the number of grafts needed according to the grade of baldness.

1

 

2

Sl. No.

Grade of Baldness (Androgenetic Alopecia)

Average number of grafts required

1

Grade - 1

1800-2000 grafts

2

Grade - 2

2200-2500 grafts

3

Grade - 3

2500-3000 grafts

4

Grade - 4

3000-4000 grafts

5

Grade - 5

4000-4500 grafts

6

Grade - 6

4500-5000 grafts

7

Grade - 7

5000-6000 grafts

Dhulikhel Hospital Kathmandu University hospital is a community based, community centered, tertiary care, university hospital located around 30 kilometers from the capital city of Kathmandu. The ancient city of Dhulikhel is also famous for its breath holding natural sceneries, panoramic view of mountain range and historical and cultural monuments.

Dhulikhel hospital is a pioneer center for skin care services in Nepal including FUE and FUT hair transplant. Hair transplant has been started in the institute since 2014. Till 2018, the hospital has a record of transplanting more than 800 hair transplants. Quality care in affordable rate is the prime motto of the department. The department is headed by Professor Dr. Dharmendra Karn, Who is the pioneer of lasers, hair transplant and various dermatosurgical Procedures in Nepal.

With the support of Professor Dr. Alex Ginzburg from Israel, the hospital organized the first hair transplant conference among 40 dermatologists of Nepal. Continuing with the educational activities, the department hosted another international symposium of hair transplant in the year 2017.

The cost of hair transplant would depend upon the area to be transplanted and the number of grafts required. Rather than the cost per graft (which would be expensive for the client), the cost would depend upon the area to be transplanted. The cost starts from 50,000 NPR.

Apart from Hair transplant and Medical management of hair loss, the department provides services for Video-trichoscopy and Platelet rich plasma therapy as well. 

Video-trichoscopy is a novel tool that is just like an ultrasound of the hair and scalp. It gives ultra-microscopic details of the diseases of hair. This can also be used to assess for hair growth after hair transplant. Dhulikhel hospital is further a pioneer center for establishing trichoscopy in the country.

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PRP therapy is the injection of platelet rich plasma derived from or own blood. Platelets contain a lot of growth factors, and injection of which before or after hair transplant aids in hair growth.