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Hyderabad

Hair grafting surgery in Hyderabad

Grafting moves hair you already have to where you no longer have it. It does not create new hair, and it does not stop the loss continuing around it, which is why medical treatment comes first and surgery second.

45 years in dermatologyDermatologist & dermatosurgeonKarkhana, SecunderabadBooking on WhatsApp

At a glance

What it is
Redistribution of your own follicles
Assessed first
Cause of loss, donor density, stability
Not suitable for
Active alopecia areata, unstable loss
Anaesthesia
Local, day procedure
Visible result
Judged at 9–12 months
Continues after
Medical treatment does not stop
The honest framing

A fixed supply, redistributed.

Every hair placed in a graft comes from the back and sides of your own head. There is a finite number available, it does not regenerate, and spending it badly cannot be undone. That single fact is why assessment matters more than technique.

Pattern hair loss also continues after surgery. Grafted hairs are taken from an area genetically resistant to thinning and generally persist, but the native hair around them keeps receding, which is how someone ends up with an island of transplanted hair and a new bald zone behind it. Continuing medical treatment is not optional; it is what protects the result.

For those reasons a great many people who ask about grafting are advised to treat medically first and reassess in a year. Some never need surgery at all.

Before you decide

Who is treating you, and what his patients said.

Dr. (Lt Col) Khagendra Varada, dermatologist and dermatosurgeon

Dr. (Lt Col) Khagendra Varada

  • 45 years in dermatology and dermatosurgery
  • 25 of them in the Indian Army Medical Corps
  • MBBS, Osmania Medical College
  • Dip. Practical Dermatology, Cardiff · Dip. Dermatology, AAAM

Reg. No. 10461, Hyderabad State Medical Council

Full background →

“I have been going pillar to post to get my son cured of his white spot on his left side of lip and chin. It appeared 8 years back. I was told it’s special type of nerve vitiligo which has no cure. After reporting to him he told us that it is SEGMENTAL VITILIGO and unlikely and difficult to be cleared by medications alone. He suggested for surgical melanocyte transplant… I was amazed after around one month that he started rapidly getting pigmentation. I wholeheartedly suggest please do not waste time like I did.”

★★★★★Gunaganti Madaru · Google

“Dr. Varada is an incredibly patient, knowledgeable and wonderful doctor. He sorted out an issue that I had been dealing with for years in one appointment and there’s been no looking back since!”

★★★★★Apurv Vedantam Isaac · Google
Read all 70 stories →
Why coverage has a ceiling

A fixed supply, moved around.

Transplanting does not create hair. It relocates follicles from the band at the back and sides — which is genetically resistant to thinning — into the area that has lost them. That band is finite, and every graft taken from it is one that cannot be taken twice.

A simplified featureless head in profile. The back and lower sides of the scalp form a distinct deeper-shaded band densely packed with small clusters of hairs, and the band has a clear boundary beyond which there are none. The top and front are sparse, with only a few widely separated clusters. Several round gaps are visible in the dense band where clusters have been taken.
  1. 1Thinning area, few left
  2. 2Where they were taken
  3. 3The donor band, and its limit

This is the arithmetic behind an honest consultation. A large thinning area and a modest donor band cannot both be satisfied, and being told so plainly is more useful than being sold a second session later.

  1. Thinning area, few left
  2. Where they were taken
  3. The donor band, and its limit

Illustration, not a photograph.

The pathway

How a case is assessed

Establish the cause

Grafting is for pattern hair loss and for scarring or traction loss that has stabilised. It is wrong for telogen effluvium and dangerous in active alopecia areata.

Measure the donor area

Density at the back and sides sets the ceiling on what is possible. This is measured, not eyeballed.

Treat medically, then review

Often for six to twelve months. Stabilising the loss first protects both the result and the donor supply.

Plan conservatively

A hairline designed for a forty-year-old should still look right at sixty. Overly low, overly dense hairlines age badly.

Two ways to harvest

One line, or many small openings.

Both methods end with the same thing: small grafts of two or three follicles, placed one at a time. They differ only in how those grafts leave the donor area, and therefore in what the donor area looks like afterwards.

Two blocks of scalp side by side, each shown partly from above and partly in section. In the left block a long narrow horizontal strip has been removed from the donor area and the edges drawn together into a single fine closed line. In the right block a small cylindrical punch stands above the surface having removed one graft, and many tiny separate round openings are spread across the donor area. Below each block lies a row of identical small grafts of two or three follicles.
  1. 1
  2. 2
  3. 3
  4. 4
  1. 1One strip, edges closed
  2. 2Punched one at a time
  3. 3Small round openings
  4. 4Identical grafts

A strip leaves one fine line that longer hair covers completely; punch extraction leaves many tiny round marks and allows very short hair. Neither is better in the abstract — it depends on how you intend to wear your hair.

  1. One strip, edges closed
  2. Punched one at a time
  3. Small round openings
  4. Identical grafts

Illustration, not a photograph.

Techniques

FUE, FUT, and the smaller grafts

TechniqueWhat it involvesWhere it suits
FUE: follicular unit extractionFollicles taken individually from the donor areaNo linear scar; suits short hair and smaller sessions
FUT: follicular unit transplantationA donor strip removed, then dissected into unitsYields more grafts per session; leaves a line scar
Eyebrow graftingSingle hairs placed at very shallow anglesLoss from over-plucking, scarring or thyroid disease
Eyelash graftingA small number of hairs, meticulously angledSelected cases; the transplanted lashes need trimming
Beard and moustacheSame principle, different anglesScarring and patchy growth
Scar and traction lossGrafting into stabilised scar tissueOnly once the underlying cause has stopped

Neither FUE nor FUT is the better operation in the abstract: they trade donor scar against graft yield, and which trade suits you depends on your donor density, how much you need and how short you wear your hair. Any clinic that offers only one will recommend only one.

Expectations

What a good result looks like, and when.

Transplanted hairs shed within the first few weeks. This is normal and expected, and it is the point at which patients who were not warned panic. Regrowth begins around month three or four, and the result is judged at nine to twelve months.

A good result is one nobody identifies as surgery. That means a conservative hairline, natural irregularity at the front, and density placed where it reads best rather than spread thin across everything.

Start with the medical assessment

Shedding at week three

Expected. The follicle is retained; the shaft is shed before regrowth.

Judged at nine months

Not at three. Assessing the result early produces unnecessary disappointment.

Where to book

One clinic, in Secunderabad

Consulting rooms, phototherapy and the surgical list at one address in Secunderabad. The practice was formerly known as BNR Skin & Vitiligo Hospital.

Where

Plot No 13D/B, Wellington Rd, Vikrampuri Colony, Karkhana, Secunderabad, Telangana 500009.

  • Serves Trimulgherry, West Marredpally, Bowenpally, Alwal
  • Formerly BNR Skin & Vitiligo Hospital

How to book

On WhatsApp: one number, answered by the clinic team, who confirm a time and say what to bring.

  • Photographs welcome before you travel
  • Video consultation arranged the same way

Graft counts are not a measure of quality

A larger number of grafts is not automatically a better outcome, and harvesting aggressively to reach a headline figure permanently thins the donor area. What matters is the cause of your loss, your donor density, and where the hair is placed.

Questions patients actually ask

Hair grafting questions

Am I a candidate for hair grafting?

It depends on the cause of your loss, whether it has stabilised, and how much donor hair you have. Pattern hair loss with good donor density is the classic indication. Active alopecia areata and unstable loss are not.

Will I need to keep taking medication after surgery?

Generally yes. Grafted hair persists, but the native hair around it continues to thin if pattern loss is untreated. Medical treatment is what protects the surgical result over time.

When will I see the result?

Transplanted hairs shed within a few weeks. Expected and normal. Regrowth starts around month three or four, and the result is judged at nine to twelve months.

Does it hurt?

The procedure is done under local anaesthetic. There is discomfort afterwards for a few days, managed with simple analgesia.

Can hair grafting treat alopecia areata?

No. Not while it is active. The immune attack that caused the loss would affect transplanted follicles as well, and the trauma of surgery can provoke further loss.

Why might I be told to wait?

Because the loss has not stabilised, because medical treatment has not been given a fair trial, or because your donor supply would be better spent later. Donor hair is finite and spending it early cannot be undone.

References

The clinical statements on this page follow the guidance and evidence below. They are independent sources. None of them is connected to this clinic, and none of them sells the treatments described here.

  1. Androgenetic alopeciaStatPearls, US National Library of Medicine
  2. Male pattern hair lossDermNet (New Zealand Dermatological Society)
  3. Female pattern hair lossDermNet (New Zealand Dermatological Society)
  4. Hair loss: causes, diagnosis and treatmentAmerican Academy of Dermatology

The first appointment is a diagnosis.

Not a treatment plan sold on the spot. Message the clinic and bring your history.

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