Dermatology/Hair Transplant

Hair Transplantation in Nepal

Hair Transplantation (Hair Restoration Surgery) at Dhulikhel Hospital, Nepal


I.    Introduction
Like good health and youth, hair is a very imperative part of one’s life. Hair style and length are distinctive features of an individual’s identity. The burden of hair fall is huge and so is its psychological impact. No one, given the choice, would want to lose their hair. Baldness is the most common cause of progressive hair loss globally. Interestingly baldness can affect both men and women and both young and old. It affects roughly 50% of men and the prevalence progressively increases with age. Similarly, 13-20% of ladies suffer from this problem and the incidence increases rapidly after menopause.
Common questions and feelings that people with increased hair fall express are as follows:

  1. Is this the end of my youth and am I getting old?
  2. I cannot style my hair anymore.
  3. My hair is making my body image, personality and appearance look dull.
  4. I am having less confidence, shame and self-esteem
  5. That person in very good looking than me (Feeling of envy and jealousy)
  6. I suffer social teasing and humiliation everywhere
  7. I feel depressed and introvert
  8. My partner is not be happy from me
  9. I wish to wear caps or hats every time
  10. I do not wish to take photographs or videos
  11. I have decreased social life; people hate me. So, I don’t wish to meet friends or relatives.
  12. I wish my hair grows back every day when I wake up

Discovery of hair loss is a stressful condition for both genders. However, our scalp hair may be shed according to the various stages of hair cycle. Daily 50 - 100 hair loss is considered to be normal for human. It can decrease self-respect, self-confidence, personal-image and limit the ability to enjoy life to the fullest. Lack of hair growth despite trying multiple hair growth treatments or shampoos is further frustrating for the patient.
Although stressful, balding isn’t the end of the world! Bald people are considered to be more intelligent. They are considered to have a more attractive masculine body shape and are found to be good at sports. Modern anti-androgenic medications and Permanent Hair transplant is a boon for patients with baldness.

II.    Why do people get bald?

  • The medical term for baldness (तालुपना, गन्जापना) is “Androgenetic Alopecia”.  The term is composed of two terms: Andro: meaning androgens, a hormone namely testosterone and dihydrotestosterone; and genetic (बंग्शानुगत) meaning familial tendency. Hence, baldness is a process caused by genetics and hormonal changes that result in hair loss.
  • We humans have a hormone called testosterone secreted from the testes in males and minimally by ovaries in ladies. The hormone is changed to a potent hormone called dihydrotestosterone (DHT) by an enzyme called “5-alpha reductase”. This enzyme 5-alpha reductase, is expressed more in the frontal hair of human (the area where people get bald). And under genetic influence people gradually get thinning of hairs and finally go bald.

III.    Treatment of Baldness
The treatment options can be divided as medical and surgical management. Regarding medical management, the Food and Drug Administration (FDA) of the US. has till date recommended only two medications for androgenetic alopecia. The first one is an oral medication called Finesteride. This drug in very lower dose inhibits the action of the enzyme 5-alpha reductase and helps regrowth of hair. The second drug is topical Minoxidil, helps stopping hair fall and stimulates new hair growth. But there are disdvantages of the medical therapy and are as follows:

  1. Medical management of only helps in the early phase of the disease.
  2. Medical management does not stimulate hair growth in areas that are already bald.
  3. The duration of treatment is not fixed. Guidelines recommend the use of drugs for life long.
  4. Once you discontinue the medical therapy, hair starts falling again.

Hence because of these disadvantages, the surgical option, Hair transplantation (कपाल प्रत्यारोपण) has become a boon for patients with baldness.
Hair transplant can help bring back what looks like a fuller head of hair. Hair transplantation (कपाल प्रत्यारोपण) is a type of minor surgery that moves hair we already have in our body to fill an area with thin or no hair. For example, generally we transplant normal hairs from the back of the scalp (the donor area) of a client to the front bald area (Recipient area). In this minimally invasive procedure, grafts containing hair follicles that are genetically resistant to balding, (like the back of the head) are transplanted to the bald scalp. Because of this reason, the transplanted hairs and natural, grows normally and do not fall for lifetime.
IV.    Types of hair transplant
There are basically two types of hair transplantation techniques:
1.    Follicular Unit Extraction (FUE):
This is a very new technique of hair transplant where individual hair follicular units are extracted from the back of scalp. These follicular units are then preserved in an optimal situation for 4-6 hours and then transplanted over the bald area.
2.    Follicular Unit Transfer / Transplantation (FUT)
Here the donor area is stripped off to extract a linear piece of skin, and individual follicles are then extracted under high magnification. Sutures are needed to close the skin defect from which grafts were extracted.
The following table enlists the differences between the two procedures (FUT versus FUE)

 Follicular Unit Transfer / Transplantation (FUT)  Follicular Unit Extraction (FUE)
Old technique / पुरानोबिधि New Technique / नयाँबिधि
Requires stitches/ टाका लगाउनुपर्ने Does not require stitches / टाकालगाउनु नपर्ने
May cause linear scar / सिधा दागदेखिने Does not cause scar / दाग नदेखिने
May cause pain for 1-2 weeks / १-२ हपतादुखने May pain for 1-2 days / १-२दिन दुखने
May cause bleeding / रगत धेरै बग्न सक्ने Minimal or No Bleeding / रगत नबग्ने
काममा फर्किन समय लाग्ने  काममा छिट्टै फर्किन सकिने



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.




Sl. No.

Grade of Baldness (Androgenetic Alopecia)

Average number of grafts required


Grade - 1

1800-2000 grafts


Grade - 2

2200-2500 grafts


Grade - 3

2500-3000 grafts


Grade - 4

3000-4000 grafts


Grade - 5

4000-4500 grafts


Grade - 6

4500-5000 grafts


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.