Latest / Health Wealth / Hair Fall vs Hair Thinning: What You Need To Know | Doctor vs Internet

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Hair Fall vs Hair Thinning: What You Need To Know | Doctor vs Internet · Health Wealth

0:00
Speaker 1: This is India Today Podcasts. Hair loss is perhaps one
0:06
of the major reasons why people are stressed today. It
0:10
is perhaps one of the reasons why people are also
0:12
anxious and depressed in certain cases.
0:14
Speaker 2: Hair loss means hair fall and hair thinning. In most cases,
0:20
hair fall is completely recoverable. That hair thinning part, after
0:26
some time, if you don't get it treated, then it
0:29
results into a permanent hair loss. You must have seen
0:35
boys' hair go from the front to a U-shaped pattern.
0:40
Speaker 1: Male pattern balding.
0:42
Speaker 2: Exactly. There are girls whose central parting gets widened up
0:47
or thinning of the ponytail. That is the more worrying sign.
0:51
Speaker 1: There is some telltale sign. I should meet a doctor.
0:54
So when you.
0:55
Speaker 2: Bathe, comb, or brush with oil, you will see hair
0:57
in your hand.
1:04
Speaker 1: Somebody comes to you with male pattern balding. What is
1:07
your recommendation to them?
1:09
Speaker 2: Two USFD approved drugs for pattern baldness. It's the most
1:14
essential treatment.
1:17
Speaker 1: But there are some side effects also. The thing with
1:20
monoxidil that I know is that as long as you're
1:22
applying it, your hair will go through this hair fall phase,
1:25
but then they will come back really nicely. But the
1:27
minute you stop....
1:30
Speaker 2: It's very interesting that in 1970s when we discovered minoxidil,
1:34
it was actually used for blood pressure. Doctors started noticing
1:37
that the hair is increasing.
1:39
Speaker 1: Now the internet is divided over whether oiling is good
1:42
for you or whether oiling is bad for you.
1:44
Speaker 2: So in our science, oil has no role. So you
1:48
get oil yourself. If you don't take it for 3-4 days,
1:49
how does it happen? It becomes oily.
1:51
Speaker 1: Yeah, yeah. Mix fenugreek, rosemary, and hibiscus. You should add
1:56
all these things. You talked about rosemary oil.
1:59
Speaker 2: There is one study that supports rosemary oil. The whole
2:05
industry of rosemary oil started behind it. Those who come
2:10
to us have already tried all this.
2:13
Speaker 1: This is Bhumit who says that shampooing your hair frequently
2:18
causes hair fall. If you are recommending a shampoo to someone...
2:22
What do you look for in the ingredient list?
2:24
Speaker 2: People make a lot of mistake in that. People just
2:26
see the sulfate-free ad and they will buy the sulfate-free
2:29
shampoo and then they will come to me for dandruff.
2:31
And that is why my dandruff practice is increasing day
2:33
by day because everybody is selling sulfate-free shampoos.
2:36
Speaker 1: Everybody I know these days has a hair color on.
2:39
What is a thing that should not be in your
2:41
hair color?
2:42
Speaker 2: Definitely, this is a very important question, I would say,
2:45
especially in Indian context because we like our hair black.
2:49
We can't live with white hair. Abhi jo regulations hai,
2:54
that is banned ammonia completely. But there's another molecule in
2:58
the colours, that is.
3:04
Speaker 1: Hello and welcome to Doctor vs Internet. I'm Sonal Mehrotra
3:07
Gapoor and welcome to our new studio. And yes, we
3:10
listened to all your comments and all your feedback. And
3:12
you guys said, what is this red background? To humne
3:15
wo change kar diya. Hum aapke liye ek naya studio
3:17
lekar aaye hain. Aur ek bahut hi behtereen guest ke saath.
3:21
And on our topic... which is again on popular demand.
3:25
Everything to do with your crowning glory. I'm talking about hair.
3:29
Say hello to Dr. Ankur Sareen. How are you?
3:31
Speaker 2: I'm good. How are you?
3:32
Speaker 1: Very well. So when it comes to hair, I have
3:36
a lot of questions. So this is going to be
3:38
a very long podcast. But let me start by asking
3:43
you this. Hair loss is perhaps one of the major
3:48
reasons why people are stressed today. It is perhaps one
3:51
of the reasons why people are also anxious and depressed
3:53
in certain cases. It is a very serious problem. It
3:56
has repercussions all over. And hair loss can happen because
4:01
of various reasons. But I want you to address permanent
4:04
hair loss as one. We understand that if you lose
4:07
too much weight dramatically, if you're on GLP-1, postpartum, season change,
4:11
in everything, You have seasonal hair fall, but all that
4:15
hair actually comes back. But permanent hair fall is happening
4:19
to you. First, how will I know that I will
4:22
have to go and meet a dermatologist or a trichologist?
4:25
How to tell?
4:26
Speaker 2: You used a very good term, hair loss. It's actually
4:31
not hair fall because some people call it hair fall.
4:34
So hair loss means there can be hair fall and
4:37
hair thinning as well. Most cases, the hair fall, which
4:42
we scientifically call telogen effluvium, is completely recoverable. The other
4:48
one is the hair thinning part. That hair thinning part,
4:53
after some time, if you don't get it treated, then
4:56
it results into a permanent hair loss. And then there
5:01
are some other medical conditions, which are not that common.
5:06
But they can also cause hair loss. Permanent hair loss.
5:10
We call them scarring alopecia. Meaning scarring hair loss. So
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the most common is hair thinning. And the hair loss
5:20
due to the hair thinning. Which we also call androgenetic alopecia.
5:23
You must have seen boys' hair. it becomes a U-shaped
5:29
pattern from the front.
5:30
Speaker 1: Male pattern baldness.
5:31
Speaker 2: Male pattern baldness, exactly. Or there are girls whose central
5:35
parting gets widened up and girls will say a little
5:39
bit reduction of hair from this part or thinning of
5:44
the ponytail. That is the more worrying sign. If hair
5:49
is falling, it is not that worrying because that is
5:51
easily recoverable. But when the thinning starts, then you know
5:56
that you're moving towards a permanent hair loss.
5:59
Speaker 1: Okay, but how will you understand the difference in this?
6:02
And in both cases, is the hair going from the
6:04
roots or is it a case of hair damage also,
6:07
which is why thinning is happening?
6:09
Speaker 2: So hair thinning is mostly due to a hormone in you.
6:13
And that hormone is called DHT, dihydrotestosterone, which is more
6:19
in men because it is made from testosterone, which is
6:22
in your blood and when it reaches the hair follicle,
6:26
there it meets an enzyme called 5-alpha reductase that converts
6:30
it into dihydrotestosterone and this dihydrotestosterone is responsible for To
6:36
shorten the growth phase of the hair. Which is called
6:39
the anagen phase. In science, it's called anagen phase. When
6:42
our growth phase gets smaller, our hair gets thinner. So,
6:46
when you sleep or wake up, your hair follicle also
6:49
sleeps or wakes up. So, when it's time to wake up,
6:51
it's called anagen phase. Anagen means growth phase. It means
6:54
it's active. It's growing. It's getting metabolically thick. That is
7:00
what we want. We want all our hair to be
7:02
in the anagen phase. But, If it's a natural thing,
7:06
then the natural thing needs rest. It will get tired. So,
7:09
the hair follicle needs rest. When it gets dark, it's
7:13
called telogen phase. So, telogen phase is the resting phase.
7:17
And there's a phase in between which is called cataract phase.
7:19
It's not that important. It's very small. Telogen phase is
7:22
the resting phase. And what happens in this is that
7:24
the hair is resting on your scalp. If you pull
7:28
it easily, it will come out. At a given point
7:32
of time, 90% of the hair are in the Growth phase.
7:36
And 10% are in the resting phase. When this ratio changes, 60-40, 50-50,
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so when the resting phase hair grows, when you bathe, comb,
7:48
brush with oil, you will see hair in your hand.
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So then we say that the patient is having terogen effluvium,
7:55
you have to say hair is falling. Now this is
7:58
easier to recover. But the other one that I said,
8:01
where there's thinning of the hair shaft, in which the
8:04
size of your hair follicle is shrinking, so you're moving
8:08
towards a permanent hair loss.
8:11
Speaker 1: Is there any telltale sign that you're in the phase
8:16
of hair thinning and you should meet a doctor?
8:19
Speaker 2: For girls, a lot of them notice widening of the partition.
8:25
Before that, you can find out by seeing how your
8:27
parents are. Because genetics is from there. So, if your parents,
8:33
father has frontal balding, crown area balding, your mother has
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central parting widened hair. So, you know that you are
8:41
at a higher risk than the general population for this
8:45
kind of hair thinning. So, you can preemptively take some steps.
8:49
You don't have to worry. People get very nervous. Already,
8:53
people are very sensitive about hair.
8:54
Speaker 1: Yeah, yeah.
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Speaker 2: But this is one way that you can judge. The
8:58
second is, like I said, ponytail thinning. Patients will come
9:02
and say, doc, ponytail is not that long anymore. Hair's
9:05
length is not growing as much as it was before.
9:08
Because of the shortening of the growth phase of the hair,
9:10
which is called anagen phase. Which can be from 2
9:14
years to 6 years. Now your hair is till here.
9:17
Now someone's, maybe your growth phase is 4 years. If
9:20
someone's hair is 6 years, which is the maximum usually,
9:24
maybe their hair will come till the knees. Okay. And
9:27
the one who will have 2 years, his hair will
9:29
come further than this.
9:30
Speaker 1: So what will define my hair?
9:32
Speaker 2: This is genetics. Genetics, nutrition. But see, genetics has the
9:37
major role. You cannot change genetics by changing your nutrition
9:41
and lifestyle, right? But good genetics and bad lifestyle can
9:46
be still bad hair.
9:48
Speaker 1: Yeah.
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Speaker 2: So it's like that.
9:50
Speaker 1: So when people say they are blessed with good hair,
9:52
they actually mean that, right?
9:53
Speaker 2: Definitely.
9:54
Speaker 1: So all these viral videos on Instagram that I applied
9:57
this concoction every day, oil and my hair has become
10:04
6-12 inches. All of that is not true. They probably
10:06
already had good genes and they've just done the right
10:10
thing by supporting that.
10:12
Speaker 2: Right. So there is genetics and there is epigenetics, right?
10:15
So how the environment is playing a role In supporting
10:20
or not supporting that genetics, definitely that is important. And
10:23
you talked about rosemary oil, so there is one study
10:27
which supports rosemary oil for the hair growth. And behind that,
10:32
the whole industry of rosemary oil or rosemary water has started.
10:38
Speaker 1: Okay, so we have established that largely how your hair is,
10:42
when it will fall, in which pattern it will fall,
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these define your genes. A lot of it is not
10:47
in your hand. A good lifestyle, good protein intake, good
10:52
stress levels can really amplify it or not. But that
10:56
range will remain the same. So if I understand that
10:59
my hair thinning has started, And I went to the doctor.
11:02
What will you be able to do first? Will you
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prescribe me tests? Will you tell me treatments? Will you
11:07
tell me to correct my diet? What will you do?
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Speaker 2: So, first thing is the history. So, when you come
11:13
to me, I have to ask you some questions. How
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you feel about it? Since when it is happening? That
11:18
gives us a good idea. Then the second thing is
11:21
our examination. So, we have to examine the patient. Physical examination.
11:25
That how the hair is. We commonly do a hair
11:28
pull test. I like to do it a lot. In
11:30
which we take around 60 hair strands and give it
11:33
traction from the base to the top. And see how
11:38
much hair is in our hands. So a lot of
11:41
people get to know that hair is falling because if
11:44
more than 5 hairs come in your hands. So then
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you know that. Now it's painful. No, it's not that painful.
11:52
But you can say maybe... 3 or 4 out of 10, yeah.
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A little bit.
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Speaker 1: So, you pulled 60. If 4 or 5 are coming,
12:00
then that's normal.
12:01
Speaker 2: Yes, yes. If 2 or 3 are coming, then it's normal.
12:05
But if more than 2 or 3 are coming, which
12:07
are very common, then it is not normal. And also,
12:10
we go by what the patient is saying. If the
12:12
patient is saying that the hair fall is significantly increased
12:17
than what it was before, then we like to proceed
12:21
even if the hair pull test is negative, right? After that,
12:26
we can narrow down the diagnosis once we have taken
12:29
the history and physical examination. The next step is to
12:32
recommend some tests. Some normal blood tests that can be done.
12:37
And we can check the nutrition profile. These days, I've
12:41
also started to tell patients that put your diet on
12:44
these calculators that are available on the internet. Because that
12:48
gives them an idea of how much protein they're having.
12:51
Speaker 1: Protein! Protein is like everything now. Even for your hair.
12:56
Speaker 2: Right, absolutely. Or one gram per kg. is a lot
13:00
of India is vegetarian and a lot of them are
13:02
not having that much amount of protein, right? So that
13:06
is very important. So we get an idea from this,
13:09
like what is going on.
13:10
Speaker 1: Can you tell us some tests? Males and females, blood
13:13
tests that they should get done if they want to
13:15
understand the.
13:15
Speaker 2: Source of their hair loss. So if you want to
13:17
go to a dermatologist, so if you want to get
13:18
a test beforehand done, you can do a CBC. you
13:21
can do a vitamin D. CBC will tell you the
13:24
hemoglobin levels and it will give you a picture of...
13:27
Iron deficiency will also... Iron deficiency will be caught there.
13:29
It will give you the size of the red blood cells.
13:32
So if the PCV is down, you know that there
13:33
is iron deficiency. If the nucleus of the red blood
13:36
cells is bigger, then the doctor will know it is
13:38
vitamin B12 deficiency. So a good idea one can make
13:41
out from the CBC. Then we have the vitamin D,
13:45
which is again very low in a lot of patients.
13:47
So we need to supplement that. Then vitamin B12.
13:51
Then there's TSH, thyroid. If you feel weakness, you get
13:54
tired quickly, then you should definitely get a thyroid test done.
13:59
And ferritin levels, that is the iron stores in your body.
14:03
Those are also very important. And sometimes we want to
14:06
keep it on the upper end for a better performance. CBC,
14:11
vitamin D, B12, ferritin and T-acid. These are the five
14:14
tests that are commonly done. Apart from this, if the
14:18
hair fall still doesn't stop, then we go into the
14:20
deeper testing with trace elements like zinc, selenium, manganese, chromium,
14:25
which our body needs in trace amounts. And sometimes these
14:28
also become deficient. Magnesium is deficient in many people. Zinc
14:32
is deficient in many people. So we supplement them too
14:37
and that improves the patient. Then there are some advanced
14:42
tests like scalp biopsy. If we doubt as a doctor,
14:45
we are not able to diagnose with just these steps,
14:49
then we can send a small piece of the skin
14:53
of the scalp to a dermatopathologist, the one who looks
14:57
under the microscope and tells us that this could be ABC.
15:01
And then we proceed accordingly. These are the most common
15:04
tests that are done. Apart from that, for research purposes,
15:09
we can check the diameter of the hair. If the
15:12
diameter of the hair is decreasing, we take 10 hairs,
15:14
we see them under the microscope. If we feel that
15:16
there is variation in the diameter of the hair, that
15:20
is a sign of the hair thinning because the diameter
15:23
of the hair is different. So these are the tests
15:25
that we can do. Yeah.
15:27
Speaker 1: So for me, the takeaway from this is that if
15:29
you're iron deficient, if you're B12 deficient, if you're vitamin
15:33
D deficient, or if you're not taking the right amount
15:36
of protein, you will have hair fall.
15:38
Speaker 2: Definitely.
15:39
Speaker 1: And a lot of the fix actually lies.
15:41
Speaker 2: In what you're eating. Yes.
15:42
Speaker 1: Okay. And what the fuel you're giving to your body.
15:44
And that's one.
15:45
Speaker 2: Exactly.
15:46
Speaker 1: A lot of this hair fall that has now happened,
15:48
if it is, say, genetically inclined, it will not regrow, right?
15:52
So in order to grow that hair again, what are
15:55
the kind of therapies which are out there in the market?
15:57
Some very popular ones we see on Instagram as well.
16:00
And there's a lot of misinformation. But I'm sure not
16:05
like a right therapy needs the right patient. So how
16:07
do you make that match? So say somebody comes to
16:10
you with male pattern balding, what is your recommendation to them?
16:14
Speaker 2: So if somebody has male pattern balding, first thing first
16:18
is they have to do something at their home every
16:22
day to fight the effect of that DHT. Okay. So
16:26
for them, DHT blockers is the most essential treatment. Okay.
16:31
So DHT blockers are two types. One is fenasteride and dutasteride.
16:36
Then there are some injectable options available like bicalutamide, which
16:40
we can put in the scalp. That is mostly done
16:43
for females. So fenasteride and dutasteride patients can take at home.
16:47
They will block their DHT and they have good effect.
16:50
They are also USFD approved for.
16:52
Speaker 1: DHT is basically a kind of.
16:55
Speaker 2: It's a hormone.
16:56
Speaker 1: Yeah.
16:56
Speaker 2: It's a hormone. It's a more potent form of testosterone
16:59
that is responsible for shortening of the growth phase of
17:03
the hair.
17:03
Speaker 1: But there are some side effects also.
17:05
Speaker 2: So, finasteride and dutasteride because they reduce the DHT. So, theoretically,
17:10
in your body, the effect of female hormones can increase
17:13
more for a male. So, you can get breast enlargement. Okay.
17:19
You can get loss of libido that is reduced desire
17:21
to have sex.
17:23
Speaker 1: Okay. Okay.
17:24
Speaker 2: Now, the breast enlargement is very rare, super rare. Like
17:27
in five years of my practice, I've had one that
17:31
is of my clinic practice. One patient of breast enlargement.
17:38
Loss of libido that is due to have sex, that
17:40
is much more common. Also, I think it gets into
17:44
patient's head. But the biggest meta-analysis, that is, if there
17:47
are 50 studies, if we do a meta-analysis of all
17:49
of them, what data came out after combining all the studies,
17:51
in that it was found that 4% of people but
18:01
still because people read it and you know it is
18:03
such a psychological thing yeah having the sexual drive or
18:07
maybe if they're having something else they might blame it
18:09
on the drug so the overall percentage i would say
18:13
in my practice would go up to 10 15 patients
18:17
might say that doc i don't want to take it
18:18
because i'm having uh sexual side effects oh i see
18:22
and about women So for women, the sexual side effects
18:27
could be there that they also might feel a reduced
18:31
desire to have sex. But other side effects are not
18:35
very concerning for women. If you have a history of
18:39
breast cancer, a strong breast cancer in the family, like
18:41
your first degree relative, then we avoid giving DHT blockers
18:46
or we can give it and you know, we can
18:47
ask the patient to be a bit you know, get
18:50
her breast examined yearly.
18:52
Speaker 1: Get your scans more regularly done. So this doesn't sound
18:56
like a good option.
18:58
Speaker 2: See, all medications have some side effects. Is there like
19:03
no natural way to block DHT then? I'm the wrong
19:07
person to ask for natural treatments. But yeah, no. See,
19:11
there is like pumpkin seeds, saw tomato, which have shown
19:16
in studies that they reduce DHT. But the thing is,
19:20
when the patient is.
19:21
Speaker 1: But I'm sure, I mean, I'm hoping this is not
19:23
that kind of a study where they say, one kilo
19:24
of food will be fine, but no one will be
19:26
able to eat that.
19:27
Speaker 2: Right.
19:27
Speaker 1: Like, that's just proportion.
19:28
Speaker 2: People don't... Right. I'm not sure of exact how, what
19:32
is the amount. But there are some supplements available. And
19:35
when patients are not going, when patients say, I don't
19:38
want to take all this, then we do put them
19:41
on that. But I, as a doctor, I'm not very sure.
19:44
And I tell this to the patient. okay i'm not
19:46
giving it to you but i'm not sure if it
19:48
will work or not yeah so yeah and most of
19:51
the patients who come to me are at a stage
19:53
where um they need a proper treatment like an fda
19:57
clear treatment right yeah yeah so that is what we believe.
20:00
Speaker 1: In yeah yeah yeah so are there other options because
20:03
this is i'm like taking it off this is like
20:05
too much of a risk What is the next treatment available?
20:10
I mean, we are in 2026. I'm sure there is
20:13
machinery available. I'm sure there are medicines available.
20:17
Speaker 2: That can, you know. Now coming back to, we'll go
20:20
to minoxidil, but because we're talking about DHT blockers. So
20:24
DHT blockers are now available in the injectable form as well. So,
20:29
and they're also available with microneedling. So you do microneedling
20:33
and you put the solution on the scalp and it
20:36
penetrates more. When you do that, you're just giving the
20:40
DHT blocker in a limited space on the scalp. So
20:44
it does not go that much into the systemic circulation.
20:48
When you take a pill, it goes into your gut.
20:49
It goes into your legs as much as it goes
20:51
into your head. So it's all equal. But when you
20:55
are giving a local shot, local injection, so most of
20:58
the effect of the drug will be limited to that area.
21:03
Speaker 1: Yeah. So you will numb the head and you will
21:05
inject it?
21:06
Speaker 2: Yes, we'll put a numbing cream and we give shots
21:11
of DHT blocker. They're called Dutasteride and Biclutamide in female cases.
21:16
Speaker 1: Okay. Pretty popular?
21:20
Speaker 2: It's not actually that popular. It's with only specialized dermatologists
21:25
and specialized clinics that you'll get these services. It's not
21:28
very popular. It's not still out there so much on
21:30
the social media. Now it's out there.
21:34
Speaker 1: No, that is good to know. Also, can I just
21:37
use this time to say that if you go to
21:38
any salon and they are promising anything to you, please don't.
21:42
If you get any home treatment which is promising to
21:44
do a laser for you or bring your hair back,
21:47
please don't. Please always, always go to a certified doctor
21:51
and let them only operate from you. We've had enough
21:54
horror stories coming out from different parts of the country.
21:57
Where a doctor has done something or a dermat has
22:00
gone in to operate and, you know, all sort of
22:02
stuff has happened. So, we've got to be very, very careful.
22:04
Speaker 2: And these are Schedule X drugs, not even H, which
22:08
is the minor form of prescription. X is like strongly regulated.
22:12
You don't get these drugs outside India. Doctors also think
22:18
five times before writing. Because they have so much documentation
22:21
they have to do. Yes.
22:23
Speaker 1: Yes. But if you are taking it, applying it locally
22:26
on your head, like injecting it there, in how much
22:29
time do you see hair reversal?
22:31
Speaker 2: Around 4 months onwards, you start to see. Because the
22:34
telogen phase, I told you, that is of 8 weeks. So,
22:37
these medicines don't work on the telogen phase. It has
22:39
left its growth phase. So, it has to shed. So,
22:43
it is very interesting that after 8 weeks, the result
22:47
will start coming to you. Even though the medication will
22:49
come on the first day. So, that is why we
22:51
tell patients that whenever you are taking treatment for hair fall,
22:53
you have to wait for 2 months. After that, you
22:56
have to judge whether the treatment is working or not.
22:59
Speaker 1: Right, right. I think, and this is the phase in
23:02
which a lot of people actually fall off track.
23:04
Speaker 2: Yes.
23:04
Speaker 1: And because, you know, we all know about this one product,
23:09
which is on everybody's mind, monoxidil, right?
23:12
Speaker 2: Yes.
23:12
Speaker 1: Let's talk about monoxidil.
23:14
Speaker 2: Yes, yes.
23:14
Speaker 1: There is so much information, or should I say there
23:18
is so much misinformation about monoxidil. Because... The thing with
23:22
monoxidil that I know is that as long as you're
23:24
applying it, your hair will go through this hair fall phase,
23:28
but then they will come back really nicely. But the
23:30
minute you stop.
23:32
Speaker 2: Yes, it goes back.
23:33
Speaker 1: Yeah. So is that true? Is that how it goes?
23:36
And does that mean that people who are on monoxidil
23:38
have to keep taking it all their life?
23:40
Speaker 2: Okay. So let me tell you a little bit about monoxidil, yeah?
23:43
So it's very interesting that in 1970s, when we discovered monoxidil,
23:46
it was actually used for blood pressure, right? So doctor
23:50
used to give the medication to reduce the blood pressure.
23:53
It is a potassium channel agonist. So it dilates the
23:57
blood vessel by working on that potassium channel. So this
24:02
is what we were using as an anti-hypertensive. Doctors started
24:07
noticing that the hair is increasing. okay and later on
24:10
we discovered better drugs for hypertension which we can use
24:13
at a lower dose and with the lesser side effects
24:16
so we stopped using minoxidil and now minoxidil surfaced resurfaced
24:23
in the last few years and a lot of different
24:25
oral minoxidil brands have come up in.
24:27
Speaker 1: The market right does that mean that people who are
24:30
hypertensive should be careful about taking this drug No.
24:33
Speaker 2: Actually this will reduce the blood pressure. Yeah, they have
24:36
to let their doctor know. Yeah, so that they can
24:38
reduce the dosage of the other drug if they're taking.
24:42
But this is only mostly for the oral minoxidil. Yeah, okay.
24:45
So mostly what we are using or most 80-90% of
24:49
the people are using the topical minoxidil, application minoxidil. So
24:54
minoxidil works by dilating the blood vessel. It increases the
24:57
blood flow to the hair follicle because of which the
25:00
anagen phase, the growth phase of the hair starts to
25:04
increase and that leads to thicker hair. So it is
25:07
also used to improve your hair texture and quality because
25:12
it generates thicker hair even if you don't have the
25:14
signs of hair androgenetic alopecia. Actually, a lot of dermatologists
25:20
also use it just for, you know, better hair. Okay.
25:22
Because they understand the science behind it.
25:23
Speaker 1: Because they have to have great skin and good hair. Otherwise,
25:26
no patients.
25:27
Speaker 2: Otherwise, you're judged. Otherwise, you're judged online specially these days.
25:31
Speaker 1: Yeah.
25:31
Speaker 2: Yeah.
25:32
Speaker 1: Okay. So, you use it?
25:35
Speaker 2: I am using LED treatment these days. I'm off minoxidil. Yeah,
25:39
but I've used it in the past.
25:41
Speaker 1: Okay.
25:41
Speaker 2: Yeah.
25:41
Speaker 1: Okay.
25:42
Speaker 2: Yeah.
25:42
Speaker 1: I'm going to get to your routine also in a bit.
25:45
I will want to understand what is it that you
25:48
are doing.
25:48
Speaker 2: Yes.
25:48
Speaker 1: So that is minoxidil or there is more to the
25:51
story because there are side effects to minoxidil as well, right?
25:55
Speaker 2: Yes. So minoxidil side effects are actually very mild. Okay.
25:59
So if somebody is not willing to take DHT blockers,
26:03
so that's what I tell them that you go for
26:05
minoxidil for now and we'll talk about DHT blockers later.
26:08
Some people see very good result with minoxidil. So there
26:12
is an enzyme in us that has to activate minoxidil
26:16
once we put it. So if that enzyme is in
26:18
higher concentration, so you will see better results with minoxidil.
26:23
So two people using same percent of minoxidil can have
26:27
different results. So for everybody, the treatment has to be
26:31
very individualized. And minoxidil side effects are just, you know,
26:36
facial hair growth, Maybe a little bit dizziness if you
26:39
start because it is dilating the blood vessels. So your
26:44
blood pressure will go down. So your heart may take
26:47
a little bit more time to adjust to that pressure changes.
26:50
Especially it's more common in girls and who start on
26:53
a higher percentage straight away. This can easily be managed
26:57
by starting at a lower percentage with a lesser amount
27:00
and then your body get used to it. So then
27:03
you will not have those side effects. But the side
27:05
effects are minor for minoxidil. And I think there is
27:09
a negative campaign against it on the internet by so
27:14
many companies that are making non-minoxidil type stuff.
27:20
Speaker 1: But you would still say that minoxidil is the holy grail?
27:23
Speaker 2: There are only two US FDA approved drugs for patent baldness.
27:27
One is minoxidil and other is the DHT blockers. So definitely,
27:31
these are the two go-to drugs. I don't say that
27:34
the others don't work. But when you're in trouble, you
27:38
go to the most trusted solution. Yes.
27:41
Speaker 1: Yes. These days I'm seeing a lot of reels online
27:44
on better absorption of minoxidil or any topical cream for
27:47
that matter. They do this needling, right?
27:50
Speaker 2: Derma roller.
27:50
Speaker 1: Derma roller.
27:51
Speaker 2: And tretin cream they use around with it.
27:52
Speaker 1: Yeah, so they're using it so that better absorption happens.
27:55
I've seen some horror stories as well. People sort of
27:59
hurting themselves, injuring themselves and it can lead to infection.
28:03
It can go really, really wrong. Do you prescribe these rollers?
28:08
Speaker 2: So, I don't prescribe the rollers in my regular OPD.
28:11
But patients do ask these days that, doc, can I
28:14
do a derma roller at home?
28:16
Speaker 1: Yeah, because it's available on Blinkit.
28:17
Speaker 2: Yes, yes, it is available.
28:18
Speaker 1: In 10 minutes, you can have it and you've seen
28:20
one reel, you want to try it out and you
28:22
end up doing like more damage than good, right?
28:24
Speaker 2: So, I say if you want to, it's not necessary
28:27
at all. And you can go to a dermatologist. But see,
28:30
not everybody can afford dermatological treatments, right? So for them,
28:35
I say that you can do 0.25 mm, which is safer.
28:38
So 0.25 mm and I teach them how to do it.
28:40
So you have to do it without the pressure and
28:44
just mild redness is the end point. Make sure that
28:49
it does not bleed. So that is if it is bleeding,
28:52
then it has to be done in the dermatologic office
28:54
if you want to do it at that level. So
28:57
at different levels, you are actually doing different things. So
29:01
proper collagen stimulation will come at around 1 mm. More
29:04
than 0.5, definitely. But at home, you can do 0.25,
29:07
create a little bit of inflammation that gaps in the epidermis,
29:12
that is the skin, so that the product gets better absorption.
29:18
Speaker 1: You sound scary, but okay. I'm sure you have a
29:21
lot of patients who come to you with... Dermaroller injuries
29:25
or something or you have tried all this.
29:27
Speaker 2: Yeah, definitely. Dermaroller injuries. I have had patients who have
29:30
had scarring dermaroller injuries as well. Then there is a
29:33
common problem called tram track appearance. You start seeing dots
29:38
on the dermaroller. Yeah, yeah. a lot here to increase
29:42
the hairline. So here on their forehead, dots are visible. So, yeah,
29:49
it's something that you need to have a lot of knowledge.
29:52
Speaker 1: Are there any other tools that can be used, say,
29:55
for regular usage at home, which you think are safe
29:58
and can help people also?
30:00
Speaker 2: LED caps recently got FDA clearance. So they are one
30:04
step below the evidence level of this one, DHT blockers
30:09
and minoxidil. So because it got FDA clearance, doctors have
30:14
also like now started prescribing it a lot. There are
30:18
LED treatments that you can take in the clinic, which
30:21
is a red light LED, which is around the wavelength
30:23
of 630 nanometer. This works by improving the extracellular matrix,
30:29
which is the collagen around your hair follicle. It improves that.
30:34
It forms new blood vessels in it, reduces inflammation, increases
30:38
growth factors, which improves the overall hair follicle's quality, its thickness. So,
30:47
LED capsules just... And the best part, there's no side effect.
30:50
Absolutely zero. So, 10 minutes, you can wear it, click it,
30:55
and 10 minutes, you're done. You can watch it, watch TV,
30:58
and while watching TV, you can do it.
31:00
Speaker 1: Right, but you said 630 nanometers should be the wavelength, right?
31:06
Speaker 2: And red light. Yeah. And these should be medical diodes.
31:11
Medical diodes? Yes, medical diodes. The lights are diodes, so
31:15
they should be medical diodes. And once you turn on
31:18
its light, you will know the quality.
31:20
Speaker 1: Okay, because again, there are a lot of things selling online,
31:23
but they don't really work.
31:24
Speaker 2: Yeah, so you have to get one which is a
31:26
medical device. That will show the real benefit.
31:30
Speaker 1: So how do I know that what is being sold
31:32
online is medical grade or not?
31:35
Speaker 2: So I think the best person to help you here
31:37
will be your dermatologist. You can go to them and
31:40
they can recommend you a good LED cap which is
31:44
medical because they will be knowing that. I have just
31:47
got one here for you just to show what is
31:50
the difference in the quality. So this is the one
31:52
that I am using right now. This is not sponsored
31:55
by the company. I am just showing this to you
31:57
organically for your information. So this is what we wear
32:01
for 10 minutes. So I just wear it. I switch
32:03
it on and see the power of the LEDs. Yeah. Right.
32:06
So this is how the cap should be. And it
32:08
should be 630 to 650 nanometer. And we wear this
32:12
for 10 minutes. And after 10 minutes, it has an
32:16
automatic cut off. Yeah. So this is what I am
32:19
using currently. And I use it every day.
32:21
Speaker 1: Okay.
32:22
Speaker 2: Yes.
32:22
Speaker 1: Put it on and show me how it looks.
32:28
Speaker 2: I'll spoil my hair for the podcast so maybe some
32:31
other day the thing with all skincare and hair care
32:33
is consistency is very important it's not something that you
32:36
can you know build in a month's time it takes
32:40
uh if a patient of hair damage comes to us
32:42
it will take me around six months to one year
32:45
to uh give them that kind of improvement and i
32:48
tell them that now our journey has started and you'll
32:51
be my patient for.
32:52
Speaker 1: At least a year but you have Essentially saying that
32:55
if you want to look like as fabulous as people
32:59
on screen.
33:00
Speaker 2: Yes. On the big screen really.
33:01
Speaker 1: It takes work.
33:02
Speaker 2: They work a lot. That's what you're saying. They work
33:04
a lot. It takes a lot of work. Starting from
33:07
their diet to sleep to tracking their parameters. They're obsessed
33:12
with it. But I'm not sure if everybody wants to
33:14
do that much because not everybody is in front of
33:16
the camera. Yeah. But it's good in a way that
33:21
you're taking good care of yourself. Now, these days, the
33:24
Gen Zs, they're not even drinking. Like, so many young
33:27
people come to us and I'm really inspired by them.
33:30
Speaker 1: Yeah.
33:31
Speaker 2: We used to drink more in our college and now
33:34
they're coming and they're saying, dog, I don't drink. No,
33:37
you know, late nights.
33:38
Speaker 1: Listen, they're doing other stuff, but.
33:42
Speaker 2: But now things are changing. Now they want to do
33:46
longevity and they want to live longer. They want to
33:49
do high rocks and all those things, right? Yeah. So
33:52
you need a very good level of fitness to do
33:54
things like that.
33:55
Speaker 1: Yeah. But what I know about LED light therapy or
33:59
any light therapy for that matter is that you have
34:01
to do it regularly. It's not like one day.
34:04
Speaker 2: Every day.
34:05
Speaker 1: It has to be done on a regular basis. That's
34:06
the only way it reacts, right? Have you seen those
34:10
videos online of people, their morning routine? It starts with
34:14
them sitting in front of the red light and doing
34:16
their meditation. They're on a vibration chair. And that's how
34:19
it works.
34:19
Speaker 2: People who have already made it in life probably. Yeah, yeah.
34:22
And they have so much time. They have so much time.
34:25
Cryo chambers and LED. So it's the next big thing.
34:27
I think that's where the aesthetic market is also heading.
34:31
And you can already see a few aesthetics clinics who
34:36
have started to incorporate that. And I think it's going
34:39
to only grow because people are really now investing into longevity.
34:46
So there are definitely studies that are supporting these treatments.
34:51
That is why they're coming up. There's really good evidence
34:55
for LED and HBOT, that is hyperbaric oxygen therapy. For cryotherapy,
35:01
the evidence is still not that high. But hyperbaric oxygen,
35:05
we even use in our government colleges from our PG
35:09
days for the healing of the wound. We used to
35:12
make that environment there as well. This is what is
35:16
called edge bots. Edge bot. Hyperbaric oxygen therapy.
35:21
Speaker 1: So your face is basically attached to a machine that
35:23
gives you.
35:23
Speaker 2: Yeah, so the very fancy ones have come now. So
35:26
even like one, probably half of the size of this room,
35:30
where two people can think. can, sorry, sit and watch
35:34
TV and, you know, enjoy the hyperbaric oxygen therapy.
35:37
Speaker 1: Yeah, but what is it? It's just concentrated oxygen, right?
35:40
Speaker 2: Oxygen, yes, yes, yes.
35:41
Speaker 1: Ah, okay. Maybe people in Delhi need it.
35:44
Speaker 2: Yeah, in India, we'd probably need it, yeah.
35:47
Speaker 1: We need that. Okay, let me talk about the other
35:49
basic that people have. And then again, another internet myth
35:53
that I want you to really bust. On these concoctions
35:56
that are there, everybody has, like, this oil... you know,
36:00
kind of ritual that they like to do. Now, the
36:04
internet is divided over whether oiling is good for you
36:07
or whether oiling is.
36:08
Speaker 2: Bad for you.
36:09
Speaker 1: My mind was blown when a couple of years ago,
36:12
I met a trichologist and he said, please stop oiling
36:14
your hair. The best thing you can do is to
36:17
stop making it oily because as Indians, there's scalps and
36:20
then she analyzed my scalp as well. And she said, listen,
36:22
especially in this time of the, when monsoon is here
36:25
and you're already very sweaty or whatever, do not, you know,
36:28
apply oil. Then I met another trichologist who said, no, no,
36:31
it doesn't matter if it's a little bit of oiling.
36:33
Speaker 2: So what is the truth?
36:33
Speaker 1: Do you have to do oil or not? How much
36:36
do you have to do? At what frequency?
36:38
Speaker 2: So in our science, oil has no role. It is
36:42
only a conditioner. So oil should be applied to the
36:47
lower one third of the hair as a conditioner. And
36:51
when it has done its work, you can wash it off.
36:55
For some... One second. Yes.
36:57
Speaker 1: Oil only on hair ends.
36:59
Speaker 2: Yes.
37:00
Speaker 1: And not on scalp.
37:01
Speaker 2: Not on scalp, yes.
37:02
Speaker 1: You're saying no champi.
37:03
Speaker 2: No champi.
37:04
Speaker 1: This one hour champi kia is not going to work.
37:07
Speaker 2: No.
37:09
Speaker 1: Okay, I'll sit with that.
37:12
Speaker 2: So this is what happens in our OPD also. So
37:15
we do not want to break that myth because it's
37:21
so ingrained in people and it's so difficult to... so
37:25
we we try to give this information in a more
37:29
subtle way we say that put it in the lower
37:32
one third don't do it here if you have dandruff
37:35
then please don't do uh oiling because if you do
37:38
oiling dandruff is mostly due to excess oil so your
37:43
there's a fungus called malassezia that breaks the oil in
37:46
your scalp into free fatty acids and when that free
37:50
fatty acid concentration is not correct and uh that is
37:54
the time that the fungus starts to grow. So that
37:57
is why we say that don't put oil on the
38:00
scalp if you have dandruff.
38:02
Speaker 1: Yeah, people think if you have dandruff, if you have
38:04
dry skin, then you should put more oil and they
38:05
are spoiling it.
38:06
Speaker 2: Right.
38:07
Speaker 1: So oil should only be applied on.
38:09
Speaker 2: The hair ends? Yes, because there you need the most conditioning.
38:11
If you have natural oil, then scalp and face is
38:14
one of the richest areas for oil glands, right? So
38:17
you get oil yourself. If you don't wash your hair
38:19
for 3-4 days, how does it happen? Hair? It becomes oily.
38:22
Because that oil is coming, it's covering your upper hair.
38:24
Because it's coming with hair strands. But below, the length,
38:29
it's not reaching there. So that's why we do deeper conditioning.
38:32
We have to apply more mask here. Split ends are down.
38:37
Freeziness is down.
38:40
Speaker 1: Because this is the part of the hair which is
38:41
actually not alive, right?
38:43
Speaker 2: Yeah, this is the part that has been produced... Earlier.
38:47
Speaker 1: Earlier. Older hair.
38:48
Speaker 2: Older hair.
38:49
Speaker 1: Yeah.
38:49
Speaker 2: So take care of it like that. Take care of
38:51
old people.
38:51
Speaker 1: Yeah. Take care of old hair. Like you take care
38:54
of old people. That's a good one. So if you
38:57
are doing oil, you have to apply it only on
38:59
the bottom. Should you add all these things like fenugreek, rosemary,
39:05
hibiscus in oil?
39:06
Speaker 2: Or all of this is just a mix? If you
39:08
like fragrance, then you should add it. But I don't
39:10
think there is any evidence above that. And in our science,
39:15
it doesn't have any role.
39:17
Speaker 1: People also mix oil. One-third coconut oil, one-third mustard.
39:23
Speaker 2: Some drops of rosemary.
39:24
Speaker 1: They're also adding vitamin E. What's happening?
39:30
Speaker 2: Home remedies. These are very popular in India. But scientifically,
39:35
there is no evidence of this. So, we don't promote
39:39
this at all. Anyway, those who come to us, they
39:40
have already tried all this.
39:42
Speaker 1: Oh.
39:44
Speaker 2: Yes.
39:44
Speaker 1: Okay, instead of details, we have a fun game.
39:47
Speaker 2: Okay.
39:49
Speaker 1: It's a take it or trash it on hair treatments DIY.
39:52
Speaker 2: Right.
39:52
Speaker 1: Okay, so how this game works is that.
39:54
Speaker 2: It's going to be trashy.
39:58
Speaker 1: So I'm going to give you some hair treatments DIY
40:02
that people very popularly use in India. You have to
40:04
tell me whether it works or does not work. So
40:06
should you take it or should you trash it? Okay.
40:09
So take it or trash it hair treatment edition. Let's start.
40:15
Coconut oil keeping it overnight.
40:18
Speaker 2: Trash it.
40:21
Speaker 1: Onion juice?
40:22
Speaker 2: Trash it.
40:23
Speaker 1: Rice water rinse?
40:27
Speaker 2: You can do it.
40:28
Speaker 1: Can do it?
40:29
Speaker 2: Yeah.
40:29
Speaker 1: Conditioning?
40:30
Speaker 2: It's not harmful. So, if it conditions your hair a
40:34
little bit, you can do it. But it's not useful.
40:36
Speaker 1: Okay.
40:38
Speaker 2: Yeah.
40:39
Speaker 1: Egg mask?
40:40
Speaker 2: Egg mask, trash.
40:42
Speaker 1: Fenugreek paste? Methi ke daano ka paste?
40:45
Speaker 2: Trash.
40:47
Speaker 1: Hibiscus?
40:48
Speaker 2: Trash it.
40:49
Speaker 1: Apple cider vinegar rinse.
40:51
Speaker 2: Definitely trash it.
40:52
Speaker 1: Okay. Beer mix.
40:55
Speaker 2: It just acts like a conditioner, so you can do that.
40:58
Speaker 1: You can?
40:59
Speaker 2: Yeah.
40:59
Speaker 1: Okay. Rosemary oil.
41:02
Speaker 2: You can do it because there's some studies that are
41:04
favoring it. Okay.
41:06
Speaker 1: Castor oil.
41:08
Speaker 2: Trash it.
41:09
Speaker 1: Amla.
41:10
Speaker 2: Trash it.
41:10
Speaker 1: Curd mask on hair.
41:12
Speaker 2: You can do. Okay.
41:14
Speaker 1: Help me with one thing. Somebody watching this podcast right now,
41:17
they don't aspire to have skin like a celebrity or
41:21
they want to, they can't afford perhaps that much amount
41:25
of time and effort into looking that good. Somebody just
41:29
has about like five minutes, 10 minutes in the morning
41:31
before they hit work or about five, 10 minutes before
41:34
they hit the bed. What would you recommend they do
41:36
to ensure that their hair is in good shape? So
41:39
give me like a hair care morning routine and a
41:41
hair care evening routine.
41:42
Speaker 2: So in the morning, definitely start with washing your hair.
41:44
For girls, maybe three times in a week. And for boys,
41:49
every day. For most boys, because we sweat, right? Then
41:54
nothing else to be done. You can apply your general
41:57
wax or whatever you would like to apply to set
41:59
your hair. There's no problem in that. Then in the night,
42:03
you can use the, if doctor has given you some treatment,
42:08
like some peptide serum you can use to improve your
42:10
hair quality. You can take your supplements. If you have
42:14
pattern baldness, you can apply minoxidil. That's about it.
42:18
Speaker 1: Nothing, not that hair density peptides that are very popular
42:22
these days.
42:22
Speaker 2: Like I said, peptides. So peptides you can apply to
42:25
maintain the quality of hair.
42:27
Speaker 1: Are there some easy combinations that are out there?
42:30
Speaker 2: Yes, yes, of course. There are decapeptides, octopeptides, and there's Redensil,
42:34
there's Anagain, there's Seroxil, there's Menexil. Right. So these are
42:42
the ones that you can use.
42:42
Speaker 1: Basically, ask the doctor. We won't understand all this. No,
42:44
these are available in.
42:46
Speaker 2: A lot of serums nowadays.
42:48
Speaker 1: There are... More brands that we know that are doing
42:51
shampoos these days.
42:52
Speaker 2: Yeah.
42:53
Speaker 1: There are more brands that we know who are doing
42:55
dry shampoo and then conditioners and masks and God knows
42:59
serums and God knows what all. If you are recommending
43:04
a shampoo to someone, what do you look for in
43:07
the ingredient list? And is there something that you definitely
43:10
don't want there?
43:12
Speaker 2: So first is we need to choose the shampoo according
43:14
to our scalp type. And our hair type, right? People
43:17
make a lot of mistake in that. People just see
43:19
the sulfate-free ad and they will buy the sulfate-free shampoo
43:22
and then they will come to me for dandruff. And
43:24
that is why my dandruff practice is increasing day by
43:26
day because everybody is selling sulfate-free shampoos.
43:29
Speaker 1: Okay.
43:29
Speaker 2: So one has to see if the scalp is very oily,
43:34
go for a shampoo that makes froth. a lot of froth,
43:38
and that would be something with the sulfate. In the
43:40
sulfate category, instead of sodium lauryl sulfate, which was in
43:45
most of the older brands, conventional brands, sodium laureth sulfate,
43:51
they are a bit more milder. So, they don't cause
43:53
that much dryness. Okay. Then, if you feel that your
43:57
scalp is very sensitive, and you easily get allergies, you
44:00
start getting water from your eyes, some people are allergic usually,
44:05
those people should stay away from paraben, paraben-based products.
44:08
Speaker 1: Not everyone.
44:09
Speaker 2: Other people can use it. Perfume can also be used
44:11
by everyone. Especially, the category of patients, not that. If
44:18
your hair is dyed or if you feel that your
44:22
hair frizzes easily, then use a sulfate-free shampoo. Because it
44:27
has less cleansing power. So your hair dye will stay longer.
44:31
Your hair won't be too dry. So only in that case,
44:36
you go for the sulfate-free shampoo.
44:38
Speaker 1: Okay. Otherwise, for scalp, what do you recommend?
44:40
Speaker 2: For the scalp, like I said, If you have an
44:42
oily scalp, go with a sulfate-based shampoo. Go for sodium
44:46
laureth sulfate. Okay. For somebody who is having not so
44:51
oily scalp, they can go with a sulfate-free shampoo.
44:55
Speaker 1: So, you're largely saying that the shampoo is for your scalp.
44:59
Speaker 2: Right.
44:59
Speaker 1: And the conditioner is for your hair ends.
45:01
Speaker 2: Of course.
45:02
Speaker 1: That's what you need to know.
45:03
Speaker 2: Because shampoo is to clean. Cleanse. You don't want to
45:06
clean your hair. You'll lose the... There's a beautiful layer
45:09
of fat around your hair that gives it shine. So
45:13
if you wash that away, so your hair will be
45:16
not having luster. Right.
45:18
Speaker 1: There are a lot of treatments nowadays available, especially like Olaplex, etc. Again,
45:22
not to take a brand name, but they have these
45:24
treatments which say that apply it for 10 minutes and
45:26
then your bonds will get like rejoined. Does that happen?
45:30
Does that work?
45:31
Speaker 2: Only temporarily they can be rejoined. Temporary bonds can form,
45:35
which will show improvement. Like you do hair spa, how
45:39
your hair gets better for some type. So these are
45:41
new hydrogen bonds that form. But the main bonds are
45:44
the sulfur bonds in your hair. They cannot be formed.
45:48
They can be broken by a treatment called chemical rebonding.
45:50
That's why doctors say don't get chemical rebonding done. Because
45:53
they are permanently broken. That breaks your hair structure. And
45:56
these things will temporarily fix your hair structure. These treatments
46:00
do fix your hair structure. But it's temporary. Once the
46:03
product wasts off, the effect will go away. Oh.
46:08
Speaker 1: So it doesn't really stay.
46:09
Speaker 2: It doesn't really stay.
46:10
Speaker 1: Unlike what the marketing says.
46:11
Speaker 2: No. For things that stay is what you eat, your genetics.
46:16
Speaker 1: Yeah.
46:16
Speaker 2: And rest is all from the outside. It's cosmetic.
46:20
Speaker 1: Yeah. But listen, we have to look at the realities
46:23
of the times that we live in, right? People like
46:25
me have to get their hair blow-dried every day. But
46:27
even on a regular basis, now I see more and
46:29
more people using hair dryer and using ironing machines, etc.
46:34
That leads to damage, yes. But living without them is like,
46:38
Like nobody can be fling stones anymore, right? Right, right, right.
46:40
Speaker 2: No, of course, you should use them. You can use them.
46:42
70 degree Celsius, heat more than 70 degree Celsius will
46:47
start to denature your hair.
46:49
Speaker 1: But you won't be able to get iron in less
46:52
than 70 degree.
46:53
Speaker 2: You won't be able to get iron, but.
46:54
Speaker 1: It will blow dry.
46:56
Speaker 2: Yes, it can blow dry. If you do iron regularly,
46:59
then keep its temperature a little low. Because as I said,
47:02
if you keep increasing the temperature, your sulfur bonds will
47:05
start breaking. And your sulfur bonds will break. And the
47:08
cuticle of your hair, the covering of your hair will break.
47:12
That will expose your hair. So when you go out,
47:15
environmental challenges will come to your hair. You will go
47:18
to a humid area. You will go to Goa for holiday.
47:21
So moisture can enter your hair. Then the texture of
47:26
your hair will be completely gone. Okay.
47:30
Speaker 1: So, these heat protection sprays, do they work? Yes, they work.
47:35
Speaker 2: Again, that is also a temporary solution. If you wash it,
47:38
it will come off. But it has silicone. Or it
47:41
has polymers. So, they make a layer of your hair follicle,
47:45
hair strand outside. So, they protect you from heat.
47:50
Speaker 1: So, they can apply it.
47:51
Speaker 2: This is like a sunscreen, you can say.
47:54
Speaker 1: Ah.
47:54
Speaker 2: Yeah. Okay.
47:55
Speaker 1: But it also has side effects.
47:56
Speaker 2: No, it doesn't have any side effects. It gets washed, right?
48:00
Speaker 1: Okay, okay. So before we move forward, and I've got
48:03
lots of questions that people have sent for you on
48:05
our channel, I want to spend some time in discussing
48:11
hair coloring. Everybody I know these days has a hair
48:14
color on. Barely anybody has raw virgin hair left in
48:20
this world. And the thing about hair coloring is that
48:23
once you start it, you just can't stop, right? Tell me,
48:28
What is a thing that should not be in your
48:30
hair color? I know so many people who've got allergies,
48:35
really bad ones across their body because they've used a
48:38
bad hair color. I know so many people who've started
48:41
balding from here because you're constantly getting a root touch
48:45
up or something done. Is there a good way of
48:48
getting a hair color done or something that you should
48:50
watch out for?
48:51
Speaker 2: Definitely. This is a very important question, I would say,
48:54
especially in Indian context. Because we like our hair black.
48:58
We can't live with white hair. Now, the regulations, that
49:03
has banned ammonia completely. But there's another molecule in the colors,
49:09
that is paraffinylenediamine. It's called PPD. PPD is a very
49:15
common form of allergy. It's the most common form of allergy,
49:18
at least I see in my practice. And there's a
49:22
condition called LPP, lichen planus pigmentosis, also called Reel's melanosis,
49:27
which is triggered by the PPD. So, these are the
49:33
things that people don't even know about, but these things
49:35
are happening in India. Yes. Patients are coming to doctors
49:41
but no one is highlighting this to our government. That
49:45
so many people are getting LPP in which black pigmentation
49:48
comes in this area. And especially girls because they use
49:52
it so they get it. Boys also get it. So
49:55
it has a trigger. PPD.
49:58
Speaker 1: LPP.
49:59
Speaker 2: And LPP is such a problem which is It doesn't
50:02
get cured easily. And it's even more difficult than laser.
50:06
LPP has 100% results. It's like permanent damage. It's like
50:09
permanent skin pigmentation. More common if you have higher melanin content.
50:15
Speaker 1: So if you're darker in your skin tone.
50:17
Speaker 2: If you're darker, it's more popular. And we should only
50:23
use PPD-free dyes. And PPD-free dyes, somehow brands are still
50:27
very less. There are brands, Indian brands, foreign brands too.
50:31
And of course, people choose the PPD one or the
50:35
saloon one because they don't know this. They think the
50:39
long standing one is better. But it's actually not better
50:44
for you. PPD free dyes are better for you. If
50:47
I ever want to start dyeing, I will always use
50:50
PPD free dye.
50:52
Speaker 1: Got it. So it's just mentioned in the ingredients. This
50:56
is what you should ask.
50:57
Speaker 2: The companies that make PPD free dyes highlight this. This
50:59
is PPD free.
51:02
Speaker 1: Okay, okay. What about mehendi then? A lot of people
51:05
use heena.
51:06
Speaker 2: Yeah. So, naturally, there's no problem with that. But the
51:09
brands that are available in the market, they also have PPD,
51:12
long-staining gloves. They put it in. So, even they're saying
51:15
that we're applying mehendi, but they don't know. They say,
51:18
bring it, pack it, whatever you're using. So, sometimes we
51:21
get PPD from that. I see.
51:24
Speaker 1: So you have to use a good brand there and
51:25
you have to check the ingredient list.
51:26
Speaker 2: Good brand ka toh nahi, you have to check the ingredients.
51:29
Speaker 1: I see.
51:30
Speaker 2: I see.
51:30
Speaker 1: Indigo color is getting very popular these days.
51:33
Speaker 2: Indigo color is without PBT.
51:35
Speaker 1: Yeah. But that also washes off very quickly, which is why.
51:38
Speaker 2: But whatever you're buying, just read the label.
51:41
Speaker 1: Okay. Okay. On that note, let me take some questions
51:45
that our viewers have sent. Okay. This is Bhumit. Who says,
51:53
does shampooing your hair frequently cause hair fall? No. This
51:57
is Saurabh. He says, is scalp psoriasis caused by autoimmune
52:01
disease and is it incurable?
52:03
Speaker 2: Yes, psoriasis is caused by autoimmune disease. It is treatable.
52:07
But we cannot say that we have cured you because
52:10
it might come back at some point of her time.
52:13
Speaker 1: There's another one which says, can you please ask if
52:15
there's a natural way to block DHT to avoid male
52:18
pattern baldness? We've already answered that question. So go back
52:21
to the chapter and see it. There is one. Oil
52:26
is a trend online. There is something called a Adivasi oil.
52:31
Speaker 2: Yes. You never heard about it? No. It's so popular.
52:35
Speaker 1: And?
52:35
Speaker 2: So this is a brand which is from somewhere in
52:38
the south. And it's from a village where everybody has...
52:43
Luscious big hair. And I think that's mostly genetics. Probably
52:50
that area people have thicker hair. Or they just get
52:55
models who have thicker hair. But yeah, they've made a
52:59
strong brand recall with that. There is no evidence to
53:04
suggest any sort of hair oil is helping in growing
53:10
thicker hair. And we should think if this would have happened,
53:14
then would this secret be limited to India only? Don't
53:17
people outside take this secret where there is a problem
53:20
with hair fall and where there is a billion dollar industry?
53:23
There is another ad in which an old man sells
53:27
his oil. So if that old man's oil is so good,
53:34
So why not take him to a multinational and sell
53:39
him all over the world. These are all marketing gimmicks.
53:42
These are all marketing gimmicks. There is a little sense,
53:45
common sense.
53:46
Speaker 1: Okay, there's another one. So there are a lot of
53:50
questions on DHT but I'm very glad we've answered that
53:52
in detail. Let's move to the next question. This is
53:56
Praveen who says how to improve the quality of hair
53:59
precisely the thickness of hair.
54:02
Speaker 2: Yes.
54:02
Speaker 1: Can it be improved?
54:03
Speaker 2: Yes, thickness can be improved by increasing the anagen phase,
54:06
I told you. Because if anagen gets thinner, it gets thinner. So,
54:12
peptide serums can help you with that. Redensil can help
54:17
you with that. Then there is minoxidil that can help you.
54:21
There are clinic treatments that can help you, which include
54:24
exosomes and PRP. And mesotherapy can help you. So these
54:31
are the things.
54:31
Speaker 1: Mesotherapy.
54:33
Speaker 2: Yeah.
54:33
Speaker 1: Tell us a little about that.
54:35
Speaker 2: So mesotherapy comes from the word mesoderm. When we are
54:38
being made in our body, there is a layer called mesoderm.
54:41
Due to which a lot of our organs are made.
54:46
So if we are doing the treatment of the organ
54:48
made from that mesoderm, then we know it as mesotherapy.
54:51
So the hair treatment that comes is usually mesotherapy. So,
54:55
in mesotherapy, as we are saying in daily usage, it
55:01
means giving your hair peptides, growth factors, vitamins, antioxidants, nutrition
55:10
directly into the hair follicle by a form of injection
55:14
or by the form of microneedling and then spreading it
55:18
through the channels that you... Yes, yes, it works.
55:21
Speaker 1: Hmm, hmm. Okay, this is interesting. This is Siddharth. He
55:24
says my nutrition is very good. My protein intake is
55:28
very close to 110. My weight is also very good.
55:32
I still have hair loss. I don't use any such
55:35
oil or shampoo. So how to stop the hair fall
55:39
and decreasing hairline?
55:42
Speaker 2: So if the hairline is receding, so definitely he needs
55:46
to start on the proper treatment with his dermatologist that
55:50
is minoxidil DHT blockers and whatever the doctor suggests because
55:53
that is going to be lifelong.
55:54
Speaker 1: It's probably a case of genetics now.
55:57
Speaker 2: If he's having also hair fall along with it and
55:59
he's fixed all his diet and everything and still it's
56:03
been two months and he's still having that then he
56:05
should definitely add a peptide serum to his hair care
56:09
routine and he should get his blood investigations done and
56:12
then meet a dermatologist so that deeper things can be
56:16
looked at. You can also think about the cyclical hair
56:19
therapy because some things that might be missed in the
56:22
blood test because if you start doing all the tests
56:24
like this, you'll have to pay a lot because the
56:26
trace elements tests are very expensive. I think zinc test
56:29
is around 3500 or 4000 rupees, right? So you don't
56:32
want to get all things done. You can take the
56:34
supplement instead.
56:35
Speaker 1: All right, let's move to the next segment now. I
56:38
want to talk about one thing which is now as
56:43
popular and in fact should be an industry of its own.
56:47
It is hair care supplements.
56:49
Speaker 2: Right.
56:49
Speaker 1: People are popping biotin and collagen like it's dal roti sabzi.
56:53
Speaker 2: Right. Right.
56:55
Speaker 1: Does it work? Does it not work? Because every time
56:57
I look at research, I feel like the research is
57:00
so weak. There is like marginal difference that it really makes.
57:05
Speaker 2: Of course.
57:06
Speaker 1: What is your analysis? Is the research not catching up
57:09
with what you're seeing in your clinic? Or is there some...
57:13
Is there... We should just like cancel all of this altogether.
57:16
Speaker 2: Definitely, I think research is not catching up with the
57:19
kind of variety there is in the market. And not
57:22
everything is very high on research. And a lot of
57:25
it is now PR also. Yeah. Biotin is coming to
57:30
the main thing, you know, which is promoted for hair loss.
57:33
The main supplement is biotin. Biotin is very essential. It
57:37
is there to make keratin. It's involved in the pathway
57:40
to make keratin. That is the hair protein. But, The
57:44
deficiency of biotin is rare. So I do not ask
57:47
patients to take biotin unless they're on hair growth treatments.
57:53
If they're on hair growth treatments, I'll probably give it
57:55
for three months and then just stop it because I
57:58
don't want to overdo it. Biotin is known to cause
58:01
abnormality in the lab reports. So if you have some
58:05
other problem when you're getting a lab test done, so
58:08
this is actually a warning by the FDA as well,
58:11
that biotin can interfere with the results. So you can
58:14
get a wrong result.
58:16
Speaker 1: So if you're getting any test done and if you
58:18
are on biotin, please let your doctor know that's number one.
58:20
Because you can sort of amplify this. So overuse of
58:24
biotin is a problem. And only those who do not
58:29
have sufficient levels should take them.
58:30
Speaker 2: That's what I'm saying. Yes, yes. Or you can just
58:32
take it for a few months when you start your
58:35
hair treatment. And after discussing with the doctor, then you
58:38
can stop it. You don't have to keep taking it
58:42
for your entire journey. There is something called a cyclical
58:46
hair therapy that I really believe in and it has
58:49
shown good results to my patients. So these are a
58:54
box of nutritional supplements. So every day there's a different
58:58
nutritional supplement. So you're not overdosing. At the same time,
59:01
you are getting the recommended daily allowance. So there is iron,
59:07
there is vitamin D, there is even trace element like
59:10
zinc chromium but according to the recommended daily allowance so
59:12
you do not exceed that and the supplements are rotated
59:16
so that is something that you can do and we've
59:18
seen a lot of benefit to patients who have hair
59:21
fall how does one get that It's available with all dermatologists.
59:25
You can take a prescription. You can then order it online.
59:28
You can take from a doctor's clinic or pharmacy.
59:30
Speaker 1: What's it called again?
59:32
Speaker 2: It's called cyclical hair nutrition.
59:35
Speaker 1: Okay. Tell me also about the other supplement which is
59:39
very popular. Let's talk about collagen.
59:41
Speaker 2: Yes.
59:42
Speaker 1: There is marine. There is one that comes from pigs.
59:45
One that comes from cows. There is plant-based also now.
59:48
Does it really help?
59:49
Speaker 2: Yeah, so collagen is basically a three amino acid clubbed
59:53
together that forms the collagen. There are a few types
59:56
of collagen that are present in all parts of our body.
59:59
So collagen is basically a protein supplement. In studies, it
1:00:04
has shown to improve the moisturization or the moisture retention
1:00:08
in the face. And that's how it indirectly helps in wrinkles.
1:00:12
So that is sort of true. For the hair, I
1:00:15
don't recommend collagen products. Regularly I do it for the face.
1:00:20
For the hair, I always concentrate more on protein intake
1:00:23
so that your body gets enough protein so that it
1:00:25
can make keratin of its own.
1:00:27
Speaker 1: Of its own.
1:00:28
Speaker 2: Yeah.
1:00:28
Speaker 1: So these collagen, gummies, pops.
1:00:33
Speaker 2: I'm totally against gummies. I get a lot of, you know,
1:00:38
they contact me also, a lot of companies who have
1:00:40
gummies to talk about their product. But I never do
1:00:44
that because hair gummies is like full of sugar and
1:00:47
all those things. And you... It's better to take just
1:00:51
a tablet which is, you know, free of these artificial things,
1:00:54
artificial flavors.
1:00:56
Speaker 1: Got it. So, no biotin unless you're deficient.
1:01:01
Speaker 2: Yes.
1:01:02
Speaker 1: No collagen, it'll have no impact on your hair.
1:01:04
Speaker 2: Not hair so much.
1:01:05
Speaker 1: Gummies don't work either. Right. The only thing that you're
1:01:08
saying in terms of supplements that works is the cyclical
1:01:11
hair nutrition that your dermat can only prescribe.
1:01:15
Speaker 2: Or you can take a supplement according to your blood report.
1:01:18
Like if your vitamin D is less and everything else
1:01:21
is fine.
1:01:21
Speaker 1: Supplement what you are deficient of.
1:01:23
Speaker 2: You don't need to take the full cyclical therapy. You
1:01:26
can take just vitamin D. Right.
1:01:28
Speaker 1: But I'm hearing a lot of people talking about these
1:01:31
collagen shots.
1:01:32
Speaker 2: Yes. Collagen shots. Yeah.
1:01:35
Speaker 1: They're like in concentrated forms and they say you have
1:01:37
to like drink it like that.
1:01:38
Speaker 2: Probably they have made some way to make the collagen
1:01:41
in the liquid form as well. And they're taking that.
1:01:43
I think it should work the same.
1:01:44
Speaker 1: Yeah with the same amount like marginal difference.
1:01:47
Speaker 2: So the recommended collagen per day is 10 grams that
1:01:52
is when one sachet we give 10 grams so if
1:01:55
you're going for a collagen brand check that it is
1:01:58
it should be preferably marine cod and tilapia fish are
1:02:02
a good source of collagen then it should be at
1:02:05
least 5 can be up to 10 grams per day
1:02:09
and it should be a hydrolyzed collagen type 1 so
1:02:13
look For all these things, if you're buying a collagen brand,
1:02:17
take something which is also tested for heavy metals. Yeah.
1:02:20
See their website if it says that.
1:02:22
Speaker 1: Right.
1:02:23
Speaker 2: Right.
1:02:24
Speaker 1: So that is a good point for us to sort
1:02:26
of jump into. So the therapies that are now available.
1:02:29
Speaker 2: Right.
1:02:29
Speaker 1: There is... I mean, I don't even know these names.
1:02:32
There's PRP, there is PRF, there is exosome, there is
1:02:36
mesotherapy that you spoke about, there is GFC, microneedling, QR678.
1:02:41
There are so many therapies.
1:02:45
Speaker 2: So I've got some of them which I use in
1:02:47
my clinic here so that people understand it better. So
1:02:51
we can take them one by one. Yeah, let's see. Okay,
1:02:54
so we will just start with this. This is advanced
1:02:57
skin complex from Exocobio. Again, this is not a sponsored session.
1:03:02
This is a Korean exosome. What are exosomes? Exosomes are
1:03:09
vesicles that are produced by living cells. Okay, so these
1:03:14
have a lipid membrane. And inside this, growth factors, peptides, cytokines...
1:03:23
There are many types of molecules which can help hair growth.
1:03:27
These can be plant-derived, animal-derived, synthetic-derived. So these are the exosomes.
1:03:34
These are not supposed to be injected. They are mostly
1:03:37
done with microneedling and then they are massaged into the
1:03:39
scalp so that they penetrate.
1:03:41
Speaker 1: What are they doing?
1:03:42
Speaker 2: So they are directing the hair follicle to produce thicker
1:03:47
hair because it has growth factors, cytokines. These are signaling molecules.
1:03:54
But is this for everyone? Anybody can get this done.
1:04:01
This is a cosmetic, cosmeceutical treatment. Medical and cosmetic treatment.
1:04:07
So anybody can get it done for thicker hair and
1:04:10
for more volume of the hair.
1:04:11
Speaker 1: How much does it cost and how long do you
1:04:13
have to do it?
1:04:14
Speaker 2: So the exosomes are also of different qualities. This is
1:04:18
the most expensive brand, the one that I've got here.
1:04:21
This will cost you around 25,000-30,000 per session.
1:04:25
Speaker 1: Per session. And how many do you need?
1:04:28
Speaker 2: Four.
1:04:29
Speaker 1: Four.
1:04:29
Speaker 2: Yeah.
1:04:30
Speaker 1: It's not like one of those that you take and
1:04:32
it's over. I mean, you have to then maintain it.
1:04:34
Speaker 2: Right, right. Okay.
1:04:36
Speaker 1: You have others.
1:04:38
Speaker 2: Yes. So this is a PRP kit. Okay. This is
1:04:40
the one that is, I think, most popular. This is
1:04:42
also a lot more affordable. You can overcome its cost
1:04:47
if you're not using a PRP specific tube. But I
1:04:52
say that you use this one because you have to
1:04:55
put it and then you have to take it back
1:04:57
from the vial and inject it into the scalp. So
1:05:00
you should use a good vial. So this is more affordable.
1:05:04
PRP treatment is what?
1:05:05
Speaker 1: You're basically extracting.
1:05:07
Speaker 2: You're taking the blood, you're separating the platelets out of
1:05:10
it and then that platelets have growth factors in them
1:05:13
and that growth factor concentrate you're putting in the scalp.
1:05:17
Speaker 1: Okay, but PRP sessions, you need a lot of them.
1:05:19
Speaker 2: Yeah, you need six sessions.
1:05:21
Speaker 1: Six sessions at least.
1:05:22
Speaker 2: Four to six sessions, yeah.
1:05:23
Speaker 1: But are there people who don't respond to PRP also?
1:05:29
I've heard a lot of stories that we've done so
1:05:30
many sessions and nothing has happened to our hair.
1:05:32
Speaker 2: See, the right expectation has to be given. If you
1:05:34
are doing PRP for androgenetic alopecia male pattern baldness, first
1:05:38
you have to tell him that this is an additional treatment. Okay?
1:05:44
This is an FD approved treatment. This is an additional treatment.
1:05:47
That is the proper disclosure the doctor should give. That's
1:05:49
the doctor's responsibility. Then, PRP... Now what people do is
1:05:53
they sell PRP after doing main therapy. That is misleading.
1:05:57
Speaker 1: Okay?
1:05:59
Speaker 2: To earn money, PRP... But don't apply minoxidil at home.
1:06:03
You have to tell the patient that minoxidil is main.
1:06:06
DHT blockers are main. PRP is additional. If you want
1:06:10
to go higher than that. Or if you don't find
1:06:11
its result sufficient. Then you do this. That would be
1:06:14
more ethical disclosure I think. Yeah. So you can get
1:06:18
PRP done. And you should do it 4 to 6 times.
1:06:22
And post that. If you have patent baldness. Because most
1:06:25
of the people have patent baldness. So they have to
1:06:27
maintain the results. If they are thinking that PRP is
1:06:29
done and leave is for always. It is not like that.
1:06:34
If a patient comes to me, I tell them that
1:06:35
I am not their doctor. You are going to the
1:06:38
wrong place. Because I know that later he will come
1:06:39
to me and say that he is not a doctor.
1:06:42
And all the results are not there.
1:06:43
Speaker 1: So there is no magical treatment. PRP is not that.
1:06:46
But both you said, exosome and PRP, both have growth
1:06:51
factors coming out of different sources and induced by which
1:06:54
your hair becomes thicker.
1:06:55
Speaker 2: Yes. Then this is something very new. This is a
1:06:59
hair filler. This has peptides. So, these are eight kinds
1:07:03
of peptides in this particular brand. And again, peptides nourish
1:07:08
the hair follicle. Peptides are proteins. So, they nourish the
1:07:10
hair follicle, make it better, thicker. So, this can be used.
1:07:13
Speaker 1: How do you use it?
1:07:14
Speaker 2: You just inject it. They are already pre-filled syringes. You
1:07:17
just inject them.
1:07:18
Speaker 1: Again, which kind of person or what kind of hair loss?
1:07:22
Speaker 2: This can be done for hair loss. This can be
1:07:24
done to improve the hair texture also. Over the course
1:07:27
of time, it will improve the hair texture also.
1:07:29
Speaker 1: Side effects?
1:07:30
Speaker 2: Just the pain during the injection, that's probably the only
1:07:33
side effect. So, peptides are proteins. You will not have
1:07:36
any side effects with them. Side effects for all three
1:07:39
of them are nothing major. Okay. Yeah. This is also
1:07:42
a very, very commonly used thing, a growth factor. This
1:07:47
is imported from the USA. This also has peptides and
1:07:50
a lot of other things. like good molecules you can
1:07:54
say vitamins and minerals that you can directly inject into
1:07:57
the scalp this is quite popular and a lot of
1:08:01
people get this you know I have.
1:08:02
Speaker 1: A worry you are showing all these things my worry
1:08:05
is that people will procure it separately and go to
1:08:09
their salons and say put this on my head you
1:08:12
will do it yourself why is it so dangerous to.
1:08:16
Speaker 2: Do that it is so dangerous because they don't have
1:08:18
proper knowledge of what they are doing hmm They can
1:08:21
put something wrong. Your product can be put in your vessels.
1:08:26
Hair filler can be put in your vessels. Which can
1:08:28
cause problems. You need to know the proper depth. You
1:08:32
need to know the proper gapping between the treatments. These
1:08:39
are all medical treatments. Ideally, they should not be available.
1:08:41
Because these are regulated. But in our country, everything is available.
1:08:44
In our country, everything is available.
1:08:46
Speaker 1: Cost for everything.
1:08:46
Speaker 2: That's true.
1:08:47
Speaker 1: Okay. There's also something called PRF.
1:08:50
Speaker 2: PRF is same as PRP. It's just that it is
1:08:52
done in a vial which doesn't have anticoagulant. So it
1:08:55
is thicker than the PRP. But the benefits and the
1:08:59
profile is almost the same. Cost? Cost is low only
1:09:02
because that's the cheapest kind of a therapy because it
1:09:05
is made of your own blood. And you just need
1:09:09
normal vials for it. Okay.
1:09:11
Speaker 1: There are so many treatments. There is some laser therapy
1:09:14
and laser cups. Is there one therapy that you think
1:09:18
really works? If you have a genetic issue, that means
1:09:21
you have a male pattern baldness or you have a
1:09:23
female pattern baldness, what is the one therapy you would
1:09:26
say is just upcoming and really showing good results?
1:09:30
Speaker 2: So apart from the minoxidil and the DHT blockers, the
1:09:34
injectable DHT blockers are very good because the side effects
1:09:38
are less. They work on the same mechanism as your
1:09:41
oral DHT blockers. So I would rate them really high
1:09:43
and I've seen great results with it. But there are
1:09:46
certain contraindications like we don't want to do a DHT
1:09:49
blocker for a young married female. So for those patients,
1:09:53
we can go to the other like these kind of
1:09:55
treatment which are the hair growth treatment that don't work
1:09:58
on the DHT part of it.
1:10:00
Speaker 1: Why young married women? Because they could be conceiving and
1:10:02
it's not used on pregnant women.
1:10:04
Speaker 2: Yes, yes.
1:10:04
Speaker 1: Okay, okay. Okay, which brings me to the one thing
1:10:08
that anybody who has even typed hair loss or hair
1:10:12
fall once, na, aapke algo mein ho aajayega.
1:10:14
Speaker 2: Wo main ho.
1:10:17
Speaker 1: Apart from you. Apart from you. Agar aapne kabhi bhi
1:10:20
kisi reel ko like kar liya hai or share kar
1:10:22
diya hai on hair loss or hair transplant, wo seedhe
1:10:25
aapko lehkar jaate hain Turkey. Okay, everybody has watched on
1:10:29
how you go to Turkey, you take one trip and
1:10:32
you come back. You're a new person. You have new confidence.
1:10:36
You have new hair. Okay, what is happening in Turkey?
1:10:40
What are they doing in these spas?
1:10:43
Speaker 2: There's nothing happening there. See, you have to go back
1:10:46
a little bit in the history, how it started. Europe is,
1:10:50
of course, more expensive. They have more money. For them
1:10:54
to fly to Turkey and get a hair transplant done,
1:10:56
which is a labor-intensive treatment, was cheaper. And that's how
1:11:00
Turkey started to get a lot of patients from Europe
1:11:04
and there must be some really good surgeons there who
1:11:06
were doing a good job and slowly they've been able
1:11:09
to build that kind of a brand for themselves and
1:11:11
congratulations to them that they have really captured that market
1:11:16
I would say. But for an Indian to go to
1:11:21
Turkey doesn't make any sense whatsoever. There are wonderful hair
1:11:25
transplant surgeons here in India and hair transplant is one
1:11:30
thing where we are doing one of the best work.
1:11:33
I would say we are doing it like in comparison
1:11:36
to the top, you know, the countries, even maybe better
1:11:42
than them because we have so many patients who want
1:11:45
to get a hair transplant done. But again, in India,
1:11:48
the problem is regulation. This problem is that you can
1:11:52
end up into wrong hands. And that same problem is
1:11:55
also in Turkey. I've seen patients with not so good transplants,
1:11:59
especially the patients who come from Dubai to me. They
1:12:02
get their transplant sometime done in Turkey, right? So they
1:12:05
come to me and then I see their hairline and all.
1:12:07
They're very artificial. So there's a lot of quackery in
1:12:10
Turkey and there are a lot of unregulated hair transplants
1:12:13
being done in India. So please check your doctor's reputation.
1:12:18
Prefer a dermatologist or a plastic surgeon. for hair transplant
1:12:26
and yeah I think if that's if you read the
1:12:29
degree and go you should be.
1:12:30
Speaker 1: Okay so you're saying that the kind of machinery or
1:12:37
the kind of treatment that is being used in Turkey
1:12:39
is the same that's available in India they're.
1:12:41
Speaker 2: Not probably doing better now oh I see yeah I see.
1:12:45
Speaker 1: But the entire transplant thing works in a way that
1:12:47
you take out your own hair follicles and From different
1:12:51
other parts of your body and you just insert that in, right?
1:12:53
Like that's essentially.
1:12:55
Speaker 2: You can say that's the summary. Yeah. Okay.
1:13:00
Speaker 1: Can it go wrong also in certain cases?
1:13:04
Speaker 2: See, if you're transplanting 4,000 follicles, you cannot mess up
1:13:08
with 4,000 follicles. Maybe you're a very bad surgeon. You've
1:13:11
damaged 1,000. 3,000 should grow. It shouldn't happen that 4,000
1:13:13
out of 4,000 don't grow. But the bigger problem is
1:13:17
the hairline design, the direction of the hair follicles, the
1:13:22
safety of the anesthesia. Because long surgery, 8-hour surgery, so
1:13:26
you need to have the right calculation of anesthesia that
1:13:31
you're giving. That is where most of the deaths in
1:13:34
air transplant have happened. Because of the wrong calculation of
1:13:39
the amount of anesthesia that is given to the patient.
1:13:42
There must be a monitoring system installed. if you're getting
1:13:45
it done because mostly it's being done in the clinic
1:13:47
not in a hospital right so they must have a
1:13:50
monitoring system um with all vital monitors should be there
1:13:55
and they must have a tie-up with a nearby hospital
1:13:57
that something if happens then they can emergency they can
1:14:01
go up to them so these things must be there
1:14:04
should be a quality center don't take it lightly you're
1:14:07
just going to get it done once or twice in
1:14:09
it in your.
1:14:10
Speaker 1: Lifetime twice why it doesn't work.
1:14:12
Speaker 2: Once No, if you have more hair loss with time,
1:14:14
then you might need it twice, right? So you should
1:14:17
get it done right.
1:14:19
Speaker 1: Okay, so who is the hair transplant really for? Who's
1:14:24
a good candidate for it?
1:14:25
Speaker 2: For anybody who has lost a patch of hair, where
1:14:30
the skin is showing and there's no hair there, they
1:14:32
can get a transplant done. But a lot of people
1:14:34
get it done for increasing hair density also as we
1:14:37
grow older.
1:14:38
Speaker 1: Okay, and that works?
1:14:40
Speaker 2: That works. It works really well, actually. It's one of
1:14:43
the most satisfying treatments for us because it's a complete
1:14:47
360 makeover and patients are very happy. And that gives
1:14:50
us happiness.
1:14:52
Speaker 1: Is this what celebrities are getting done?
1:14:54
Speaker 2: I think most of the celebrities have gotten transplant done.
1:14:57
It's not necessary that they're getting it done for baldness.
1:15:00
Some get it done if they reach 45-50 years. They
1:15:03
just want to add more density in their hairline. It
1:15:06
can also be done for that. Okay.
1:15:08
Speaker 1: But does it work for women?
1:15:09
Speaker 2: Yes, transplant can be done for the women as well.
1:15:12
Hair follicle is the same for men and women. And
1:15:15
it grows in the next one year or so.
1:15:19
Speaker 1: That's a very long period.
1:15:20
Speaker 2: Right. No, but you start to see results from three
1:15:23
months onward. But full thickness will come around one, one
1:15:25
and a half years. Okay.
1:15:27
Speaker 1: This sounds very messy, tiring, expensive and labor-intensive. There is
1:15:35
no cream like this. We're all staying in 2026. I'm
1:15:41
sure science has caught up.
1:15:43
Speaker 2: Right. There's a treatment coming up called Clascoterone, which is
1:15:46
an androgen receptor blocker. It blocks that receptor. That's why
1:15:50
DHT can't work. It's already approved for acne and is
1:15:52
in the market. And for this, in phase 3 trials,
1:16:06
I think, for hair loss. So when that comes, we
1:16:08
will have another treatment in our weaponry to fight against
1:16:13
androgenetic alopecia. So really looking forward to that as well.
1:16:17
Speaker 1: You will not prescribe it till the time it's got
1:16:18
FDA approval, of course.
1:16:19
Speaker 2: It's not available right now commercially. It's in phase 3
1:16:22
right now. So once it is available commercially, then only
1:16:25
I can prescribe.
1:16:26
Speaker 1: Yeah, but that has not stopped people from using a
1:16:28
lot of stuff.
1:16:29
Speaker 2: Yeah.
1:16:30
Speaker 1: Let me... throw at you some popular treatments that happen
1:16:36
both in the salon and inside a dermat clinic and
1:16:38
I want you to rate it on a scale of
1:16:40
1 to 10 10 being the highest and the best
1:16:43
okay let's start with the easy one topical minoxidil 10
1:16:49
minoxidil foam versus solution both are good okay topical finasteride
1:16:58
topical finasteride is just 6 okay PRP.
1:17:03
Speaker 2: Six.
1:17:04
Speaker 1: PRF?
1:17:05
Speaker 2: Four.
1:17:07
Speaker 1: Exosome therapy?
1:17:10
Speaker 2: Seven.
1:17:11
Speaker 1: Mesotherapy?
1:17:13
Speaker 2: Eight.
1:17:15
Speaker 1: Low-level laser therapy?
1:17:17
Speaker 2: Nine.
1:17:18
Speaker 1: Okay. Red light therapy?
1:17:21
Speaker 2: That same nine.
1:17:23
Speaker 1: Micro-needling or derma rollers?
1:17:27
Speaker 2: Seven.
1:17:28
Speaker 1: Seven. Why the hesitation?
1:17:30
Speaker 2: Can be risky at home, you mean? Yeah.
1:17:33
Speaker 1: Okay, I get your point. What about hair transplant? Scale
1:17:36
of 1 to 10?
1:17:37
Speaker 2: 10.
1:17:38
Speaker 1: Okay, then. Smoothening or rebonding?
1:17:42
Speaker 2: Both are bad. Zero. Zero.
1:17:45
Speaker 1: Bleaching your hair?
1:17:47
Speaker 2: Zero. Yeah, yeah.
1:17:49
Speaker 1: Ammonia-free hair color?
1:17:50
Speaker 2: Ammonia-free, 5. Ammonia and PPD-free, 10.
1:17:54
Speaker 1: Okay. Perming your hair? 6. Okay. Sallow hair spa with steam.
1:18:03
Speaker 2: Three.
1:18:04
Speaker 1: Three. Steam is not good for hair.
1:18:06
Speaker 2: Steam is not good for hair, no.
1:18:07
Speaker 1: At all.
1:18:08
Speaker 2: No, because it's too much moisture outside. So the molecules
1:18:12
will try to get inside your hair shaft. Just hair
1:18:17
spa is good. You can do that.
1:18:19
Speaker 1: And the last one. One hour chumpy.
1:18:22
Speaker 2: Four. Just for good feeling.
1:18:25
Speaker 1: Good feeling. Does nothing to the hair.
1:18:27
Speaker 2: Okay.
1:18:28
Speaker 1: On that note, thank you so much, Dr. Sareen, for
1:18:30
being here and solving all our hair troubles.
1:18:33
Speaker 2: Thank you. Thank you for inviting me.
1:18:34
Speaker 1: By the way, what are you doing for your hair?
1:18:37
Before I let you go.
1:18:39
Speaker 2: I do the LED treatment like I told you. These days,
1:18:44
I'm doing that. And apart from that, I apply a
1:18:47
peptide called Allopil.
1:18:49
Speaker 1: Hmm.
1:18:50
Speaker 2: Daily? Daily I apply that. That's about it. And good
1:18:53
night and good nutrition and exercise. Okay.
1:18:56
Speaker 1: Your hair is very in place. You've used some product.
1:18:59
Speaker 2: Oh, product. I've used a hair wax. And I've used
1:19:03
a little bit of spray, hairspray.
1:19:07
Speaker 1: Okay good to know brands we will discuss off camera
1:19:11
okay thanks so much Dr.
1:19:13
Speaker 2: Sreen for being here thank you