Case Study: Hair Transplant Journey of Shilpa Kuwar | Female Hair Transplant in India

[Dr Kiran Chotaliya]

This case study presents the complete hair restoration journey of Mr. Shilpa Kuwar, including his initial assessment, treatment planning, surgical details, and final results after the hair transplant procedure.

Patient Profile​

• Name: Shilpa Kuwar
• Age: 33 years
• Gender: Male
• Residence: Gondal, Gujarat, India

History of Hair Loss​

Ms. Shilpa Kuwar experienced progressive hair thinning for approximately two to three years. Notable frontal baldness began around two years before his consultation. At the time of evaluation, he presented with Grade 2 baldness along with near-complete loss of the frontal hairline.

Medical Background​

• He reported no history of systemic illnesses such as diabetes, hypertension, asthma, or any chronic condition.
• He had not undergone any previous major surgical procedures.
• He had no known allergies to food or medications and no history of keloid formation.
• Prior treatments included minoxidil and multivitamin supplements, which provided limited and temporary improvement.

Consultation at Hairfree Hairgrow Clinic​

Ms. Shilpa Kuwar consulted Dr. Jinkal Kunjadia, a dermatologist at the Surat branch of Hairfree Hairgrow Clinic, the best hair transplant center in India. A detailed scalp examination and trichoscopic analysis were performed. After receiving a complete explanation of the procedure and realistic expectations, the patient agreed to proceed with an IFUE hair transplant.

Treatment Details​

• Date of Surgery: 14 August 2021
• Technique Used: FUE (Follicular Unit Extraction)
• Number of Grafts Implanted: 2539
• Post-Transplant Therapy: Five PRP sessions given at intervals of two months over the course of one year
• Medications: Postoperative supplements, DHT blockers, and topical minoxidil to support both existing and transplanted hair

Hair Transplant Procedure Steps​

1. Planning and Hairline Design

The procedure began with a detailed discussion of the patient’s preferences. A customized frontal hairline and temple design were prepared.

Trichoscopy was performed to evaluate donor hair density and the condition of the recipient area.

A skin sensitivity test for anesthesia was conducted, and no allergic reaction was observed. The patient’s scalp was shaved and disinfected with betadine and alcohol before entering the surgical area.

2. Local Anesthesia

A modified local block anesthesia technique was used to ensure maximum comfort throughout the procedure.

3. Slit Creation in the Recipient Site

Slits were created using precision metal blades. A 1.2 millimeter blade was used for the hairline region, while a 1.4 millimeter blade was used for the remaining areas.

The angulation and direction of slits were carefully planned to produce a natural and aesthetically pleasing result.

4. Graft Extraction

Graft harvesting was performed using a 0.8-millimeter sharp serrated titanium punch under magnification. The extraction process required approximately seventy minutes.

Graft characteristics were favorable and included thick black hair with a high proportion of double and triple follicular units. Approximately 20 percent were single grafts, and the remaining 80 percent contained multiple roots.

Fine hairs from the lower donor zone were selected for the hairline and temple reconstruction. Extracted grafts were preserved in a chilled Ringer's Lactate solution.

5. Graft Implantation

Implantation was carried out with the K E E P implanter to ensure accurate placement and direction.

The implantation process took approximately one and a half hours. A postoperative dressing was applied, and the patient was given comprehensive instructions for home care. Direct contact information for the doctor was provided for any concerns during recovery.

Post-Transplant Progress​

Shedding Phase: Month 0 to 3

During the initial three months, the patient entered the expected shedding phase, where 60 to 80 percent of transplanted hairs temporarily shed. This is considered a normal part of the recovery process.

Two PRP sessions were performed during this period. Existing hair in the mid scalp and crown responded well to medical therapy, and the patient reported a gradual reduction in hair fall.

The donor area healed completely by the end of 30 days, and the density appeared normal again within two to three months.

Early Growth Phase: Months 3 to 4

Newly transplanted hairs began emerging slowly during this stage. A third PRP session was administered to accelerate growth. By the fifth month, trimmed existing hairs also showed improved fullness.

Active Growth Phase: Month 6 to 7

Approximately 80 percent of the transplanted hairs became visible during this stage. Although hair lengths varied, the volume was sufficient for routine haircuts and styling. A booster PRP session was completed at the ninth month.

Final Results Month 10​

By the tenth month, Ms. Shilpa Kuwar achieved full visible results. The reconstructed hairline appeared natural, and both donor and transplanted regions showed healthy density. He underwent two to three haircuts without any issues.

At this point, only maintenance therapy with minoxidil and occasional PRP was advised to preserve existing hair. The patient expressed high satisfaction with the overall outcome.

Conclusion​

This case demonstrates how a well-planned and precisely executed FUE hair transplant, combined with appropriate supportive therapies, can effectively restore hair density and improve appearance.

Individuals experiencing similar patterns of hair loss can seek consultation for a personalized scalp assessment and treatment plan. The Hairfree Hairgrow Clinic team is available to assist patients with detailed evaluations and professional guidance.