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Local Anesthesia with LITE IV Sedation for Hair Transplants

As a hair restoration specialist with years of practice and experience under his belt, Dr. Amiya Prasad sought to develop his own sedation method that would be both safe and beneficial for his patients. General anesthesia posed many risks with people being completely unconscious, and slowed recovery time for any surgery. Local anesthesia, on the other hand, allows faster recovery periods for the patient, but can prolong the actual surgery time because the patient is nervous and fully awake during surgery. 

These reasons have motivated Dr. Prasad to spearhead the use of local anesthesia LITE™ IV sedation, which stands for “local”, “intravenous”, “tumescent”, with “ease of recovery”. Using local anesthesia with LITE™ IV sedation is a method used during hair transplant procedures in order to help patients relax, as well as help regulate their blood pressure. Oftentimes, an effect known as “popping” has been known to occur during hair transplant procedures wherein only local anesthesia is used. Patients can be fidgety or nervous because of surgery, causing a rise in blood pressure and bleeding, which can cause transplanted grafts to pop out. This occurrence causes patients to lose grafts during surgery, which will then need to be transplanted again. Popping grafts compounds the problem because it extends the time of surgery, damages transplanted follicles, and extends the time that hair follicle grafts are outside the body, which all have a profound effect on the long-term survival and growth of transplanted hair.

Dr. Amiya Prasad performing hair regeneration
PATIENT IS RELAXED AND AWAKE DURING HAIR TRANSPLANT WHILE UNDER LOCAL ANESTHESIA WITH LITE™ IV SEDATION. HAIR GRAFTS TAKE THE FIRST TIME ON A RELAXED PATIENT WITH LOWER BLOOD PRESSURE.

In order to avoid losing valuable grafts, Dr. Prasad’s local anesthesia with LITE™ IV sedation effectively calms the patient while still being semi-conscious, so that they feel no pain from surgery. A calm patient has lowered blood pressure during the transplant, so bleeding is minimized and grafts can be easily transplanted into the scalp upon the first try. This is important because it means that the donor hairs are out of the body for a lesser amount of time, thus increasing the efficacy of the hair transplant results. 

This method of transplanting hair with the use of local anesthesia with LITE™ IV sedation results in higher hair density, because there are less complications, and is also less taxing on the patient as well. Keep in mind: the more properly transplanted hair grafts there are, the more successful the hair restoration becomes.

What are healing and side effects like after TrichoStem Hair Regeneration? Men and women who’ve undergone surgical hair transplants are familiar with the considerable healing time after surgery that often takes a full day to actually have that surgery performed these days many people are undergoing generic PRP or PRP+ACell treatments which require frequent visits and multiple often very painful injections so it’s no surprise that people who see the results we’ve had with our combination treatment of PRP and extracellular matrix by ACell which we call TrichoStem Hair Regeneration they want to know more about what they can expect after they have this treatment I’ll describe what the process of the procedure is like as well as what the healing process is like afterwards I’m Dr Amiya Prasad I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon I’ve been practicing in New York City and Long Island for over 25 years around 2011 I was using a material called extracellular matrix by the company ACell for advanced wound healing to help hair transplant surgery facial cosmetic surgery as well as tissue grafting procedures focusing specifically on hair transplant surgery for better graft survival and donor area healing i was delighted to observe that a year after surgery that the transplant results had improved and that native existing hair had increased in number and had thickened considerably this inspired me to develop a non-surgical treatment to help male and female pattern hair loss the success of my system has become a benchmark for non-surgical hair restoration with patients coming from around the world for the TrichoStem Hair Regeneration system after many years of medical colleagues being dismissive of my work it’s quite vindicating for me to see how in the past few years they’ve all changed their minds and are offering PRP or PRP+ACell treatments interestingly many of our TrichoStem Hair Regeneration patients come to us after undergoing PRP scalp injections performed elsewhere they come to us out of frustration after undergoing several treatment sessions without improvement another reason they come to us is that they could not take any more of the pain of PRP injections in their scalp which they had to endure every month to every two to three months many practices offering prp scalp injections or even other formulations of ACell+PRP choose not to use anesthetic as part of their treatment protocol some people who’ve undergone these painful injections have stated that their doctor told them that anesthetic would reduce the effectiveness of their treatment these generic protocols and beliefs do not in my opinion meet the unique needs of every individual patient essentially one size fits all doesn’t apply in any area of medicine including non-surgical hair treatment i developed TrichoStem Hair Regeneration and customized systems for patients based on gender age age of onset of hair loss rate of hair loss and extent of hair loss in addition I look at other medical factors as far as numbers of treatment sessions are concerned a TrichoStem Hair Regeneration patient will typically only need one maybe two treatment sessions to thicken thinning hair and stimulate growth from dormant hair follicles with the results lasting three to five years as far as pain is concerned we use both topical and local anesthetic so my patients are comfortable when I place the TrichoStem Hair Regeneration formulation I determined for them into their scalp our patients feel fine after their injections and have their scalps massaged immediately afterwards and some patients may feel some mild scalp soreness and tenderness for a few days afterwards in contrast to people in other practices where you have to go back for repeated monthly injection sessions a TrichoStem Hair Regeneration patient with more advanced hair loss may receive just a second treatment around 18 months after their first you can just think for a moment about how much more expensive and physically painful monthly generic treatments are in comparison to what we do we are committed to our patient success with our treatment and we monitor the results with office visits every three to six months for the duration of typically two years we follow up with patients who are unable to see us in person afterwards with video consultation people who also often ask if there are side effects associated with TrichoStem Hair Regeneration or even for that matter PRP injections short-term swelling tenderness bumps maybe some hair shedding are usually resolved in a few days to a few weeks I have not seen any consistent or significant long-term side effects of either PRP alone or TrichoStem Hair Regeneration as I mentioned earlier TrichoStem Hair Regeneration is a system where we look at other medical factors contributing to your hair loss this means that additional medical strategies can be employed to maximize the longevity of the benefits of our treatment such as the use of DHT blockers like finasteride so in summary recovery time after TrichoStem Hair Regeneration is basically minimal we regularly have patients coming from around the world who get back on a plane the same day as their treatment and go home uneventfully results typically last three to five years after a single treatment session and a patient with more advanced hair loss will often come back for a booster treatment after 18 months from their first treatment so I hope this information from my experience has helped you if you’re interested in recommendations for your individual situation you may contact us through our websites or call our offices to schedule a consultation thank you

In addition to using local anesthesia with LITE™ IV sedation, Dr. Prasad increases hair graft survival by using the Hair Regeneration treatment. While Hair Regeneration is a non-surgical treatment for thickening thinning hair and stopping further hair loss on its own, it can be used during or after a hair transplant to increase graft survival, heal the donor area, thicken native hair, and prevent the need for multiple hair transplants. Follow the link to learn more about Hair Regeneration non-surgical treatment.

improvement of hair transplant performed 1 month after surgery with hair regeneration results shown after 7 months
improvement of hair transplant performed 1 month after surgery with hair regeneration results shown after 7 months

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