Hair Transplant in Sofia Bulgaria
Hair loss is caused by a combination of ageing, hormonal changes and a genetic history of baldness. The earlier hair loss begins, the more severe the baldness. It can also be caused by trauma, or burns, whereas this surgery is considered reconstructive.
Procedure Types
Hair Transplantation - The procedure consists of resurfacing bald areas of scalp with hair. Plugs of bald scalp are removed and then filled with plugs of scalp containing several hair roots taken from hair-bearing areas. Those grafts root themselves into their new locations and hair follicles start to grow eventually.
Depending on the degree of baldness, the number of grafts needed and the length of treatment sessions vary. Several operations may be necessary. The technique may leave many small scars on the site used (donor sites) but are usually not noticeable.
Scalp Flap Transfer – This is done when the sides of the scalp (above the ears) and the back of the scalp is hair-bearing. A long thin "flap" of scalp that is hair-bearing is removed and placed across a bald section to create a band of normal hair growth. As part of the treatment, parts of the bald scalp may be removed. The donor site is closed by stretching the opposite side of the scalp.
This procedure replaces hair across a large area of bald scalp. The hair growth looks normal, and the narrow scars are hidden between the hair follicles.
Scalp Reduction (Serial Excision) – This is the removal of as much of the bald section as possible and done in the first operation. The adjacent hair bearing areas of scalp are pulled in close to the bald section, with the understanding that some bald areas will remain. This technique is repeated one or more times at a later date to eventually reconstruct the bald area.
Tissue Expansion – A device called a tissue expander is placed under a hair growth area situated adjacent to a bald area. After several weeks, the tissue expander causes skin to grow new skin cells. Then another operation is necessary to place the newly expanded skin over the ajoining bald area.
Ideal candidates for hair replacement must have a healthy growth of hair at the back and sides of the head. The hair on the back and sides of the head will be the donor sites where the flaps and grafts will be surgically removed.
The procedure location options may include the surgeon's office-based surgical facility, outpatient surgery center, hospital outpatient, or hospital in patient.
The anesthetic options are either general, or local (combined with a sedative)which allows the patient to remain awake but relaxed.
To achieve desired fullness, several surgical sessions are needed. There is a healing period of several months recommended between each session. The final result with a full transplant series may take up to 2 years.
A month or 2 after surgery, the grafted hair falls out (which is normal and temporary). It takes another month or more before hair growth starts. To create more natural-looking results, a surgical touch-up procedure may be necessary. This may consist of using a combination of mini grafts or slit grafts to fill and blend in the hairline.
More Sofia info...
Sofia Sleep
Art Hostel [11] provides cheap accommodation and a friendly atmosphere where tourists and locals mingle in the small basement bar. 9 euro (18 leva) a night, "The Guardian" says: "Probably the best youth-hostel in Europe"
Holiday Village Diplomat [12] is near Vitosha mountain and 20 min away from the city centre. Spacious rooms, large park area and friendly staff.
Hotel Renaissance is situated in downtown Sofia, very close to the administrative and commercial center of the city.
Hostel Mostel [13] -
Sofia Stay Safe
Crime rate in Sofia is rather high; even considered higher than the other Bulgarian major cities. If you travel by car make sure that you park in a toll parking. This is the best solution against auto theft. Parking in the center of Sofia could be troubling. Despite it is hard to find a free parking place, Bulgarian police tends to behave harsh since the license plate is not Bulgarian. You might see a long row under the non-parking sign, despite that it is for your own good not to park such areas.
Pedestrians should be careful since there are a lot of so called angry drivers and mobsters around.
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Objective To assess the clinical responsiveness of the CLASI (Cutaneous Lupus Erythematosus [CLE] Disease Area and Severity Index).
Design Validation cohort.
Setting Tertiary referral center.
Patients Eight patients with CLE.
Intervention Assessment of patients with CLE from baseline until day 56 after starting a new standard of care therapy.
Main Outcome Measures Correlation of the baseline to day-56 change in 2 CLASI scales (disease activity and damage), with baseline to day-56 change in the physicians' and patients' assessments of patient's global skin health scores, and the patients' assessments of pain and itch.
Results The change in CLASI activity score highly correlated with the changes in 3 clinical validation measures: physicians' assessment of skin health (r = 0.97; P = .003; n = 7), patients' global skin health score (r = 0.85; P = .007; n = 8), and pain (r = 0.98; P = .004; n = 5). Using the Wilcoxon signed-rank test, paired baseline to day-56 changes in CLASI activity and damage scores were analyzed for the 2 subgroups (meaningful change vs nonmeaningful change) composing each validation variable. Change in CLASI activity was significantly different for patients who had a meaningful change in their global skin self-ratings (Z = 1.07; P = .03) and approached statistical significance for patients who had a meaningful change in their level of itching (Z = 1.83; P = .06) and their physicians' global skin rating (Z = 1.84; P = .06). The CLASI activity score decreases after successful therapeutic intervention, whereas the damage score may increase in scarring forms of CLE.
Conclusion The activity score of the CLASI correlates with the improvement of global skin health, pain, and itch and is thus a useful tool to measure clinical response.