Not another treatment name. Dr. Prithvi Raj and Dr. Nivedita Sajeev walk you through Reason, Options, Operate, and Track, the exact four-step process we use before recommending anything, so you know exactly where you stand before you spend a rupee.
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Four steps, in this order, every single time, before we ever recommend surgery.
We find out why you're actually losing hair, before anything else.
We check if it can be managed without surgery at all.
If surgery is needed, you'll always know exactly who's performing it.
We stay involved after the surgery too, not just before it.
This training walks through each step of the ROOT Method, in order, below.
Hi, I'm Dr. Prithvi Raj, founder of Aroha Skin & Hair Clinic here in Bangalore, where we specialize in hair transplants and complete hair and scalp care. Here, we take the time to properly understand your hair fall first, before we ever talk about surgery.
Hi, I'm Dr. Nivedita Sajeev, maxillofacial surgeon at Aroha Skin & Hair Clinic, where we specialize in hair transplants and complete hair and scalp care. Here, we take the time to properly understand your hair fall first, before we ever talk about surgery.
The first mistake most patients make is asking "which treatment?" before anyone's actually diagnosed them.
The biggest mistake I see is patients assuming all hair fall is the same, and jumping straight to a treatment name. GFC, PRP, minoxidil, transplant, whatever they've read about.
Hair fall can come from many different things. Genetics, hormones, nutritional deficiencies, stress, scalp conditions like dandruff or inflammation, sometimes even certain medications. So the first question is never which treatment. It's why is this actually happening to you.
Even when a patient is clearly headed toward a surgical option, we don't skip this step. I need to know the same things Dr. Raj needs to know before I plan anything surgical, because donor area, hair calibre, scalp health, all of that comes from a proper diagnosis first.
A rushed diagnosis leads to a rushed surgical plan. That's how patients end up with results that don't actually suit them.
For a lot of patients, the honest answer is yes. Here's how we tell the difference.
If we catch it early enough, and the cause is something manageable, hair fall can genuinely be stopped and maintained without any surgery at all. Correcting a nutritional deficiency, treating an underlying scalp condition, or medical management with tablets, topical treatment, sometimes GFC or PRP, depending on what your scalp actually needs.
Medical management doesn't always give overnight results, it requires patience. But for a lot of patients, this alone is enough. If that's you, I'll tell you that directly.
From the surgical side, I actually prefer when patients come to us early, before it reaches a stage where a transplant is the only option. It gives Dr. Raj more room to work with medical management, and it means we're not rushing into a decision that's permanent.
If surgery genuinely isn't needed yet, we'd rather tell you that now than plan a procedure you don't need.
Surgery becomes relevant when follicles in an area are no longer functional, no cream or tablet brings those back.
Even then, it's not just surgery and you're done. Your existing native hair often still needs ongoing management alongside the transplant. A transplant restores hair to one area, it doesn't fix the underlying reason you started losing hair in the first place. So if we do get to that point together, here's what actually matters.
Every clinic has a name to sell you. Here's which ones are actually backed by evidence — in Dr. Raj's own words.
Patients often ask me which technique is better — DHI, Sapphire, FUT, FUE — or which treatment is better, PRP, GFC, or exosomes. But the technique or treatment name alone doesn't determine your outcome.
Take exosomes as an example. Patients come to us saying "I was told exosomes are better." Newer doesn't automatically mean better — exosomes are still an emerging area, and the evidence to prove how consistent and long-lasting the results are is still being built. GFC and PRP are different: years of use, real data behind them. We use Sapphire technique too, where it's the right fit for a patient's case — but we choose it because it suits that patient, not because it's the word that sounds most advanced on a brochure.
So the question isn't "what's the latest treatment." It's "what does this patient actually need." Only one of those is actually about you.
From the surgical side, I'll say this. The technique name on its own tells you very little. What actually matters is whether it's the right fit for that patient's donor area, hair calibre, and the result they're hoping for. I don't pick a technique because it's trending, I pick it because it suits the case in front of me.
Not a machine, not a technique — six decisions, made by a person. At Aroha, that person is a doctor, every time.
Determines whether the follicle survives.
Storage and timing affect graft viability.
Protects your donor area for the future.
Shaped to your age, face, and future loss.
Placed to match how your hair actually grows.
Fine grafts up front, larger grafts behind.
At many high-volume clinics, a counsellor runs the consultation and technicians make these six decisions, with a doctor supervising at a distance.
At Aroha: 2 Doctors, 0 TechniciansThe surgery isn't the finish line. In Dr. Raj's own words, why aftercare matters as much as the procedure.
"Even a technically perfect surgery can be undone by poor aftercare. And a transplant doesn't end the underlying condition that caused your hair loss in the first place — your existing native hair can keep thinning if that condition isn't managed alongside the transplant. That's why we don't hand you a discharge sheet and disappear.
This is also why having both a dermatologist and a surgeon matters after the transplant, not just during it — one of us is focused on your surgical result, the other on making sure your existing hair doesn't keep thinning underneath it."
From where I sit, the surgery itself is only half the outcome. How the grafts are handled in those first ten days, whether the patient actually follows the protocol, that's what decides whether the result we planned in surgery actually shows up months later. I check in on this personally, it's not handed off once the procedure is done.
Grafts are placed, but not yet fixed in place — they need time to properly take hold.
Medication schedule, washing protocol, avoiding disturbance to grafts, managing sweat and exercise — every step here affects whether grafts survive.
Your existing native hair still needs its own plan. A transplant treats one area — it doesn't stop the underlying condition.
Results from Aroha patients, performed personally by Dr. Prithvi Raj and Dr. Nivedita Sajeev.
Both in the room during your consultation. Both in the theatre during your surgery.
One of Bangalore's leading dermatologists and hair transplant surgeons, with over a decade of experience in clinical dermatology, cosmetic procedures, and hair restoration. Known for a compassionate, interactive approach — addressing every concern clearly before recommending any treatment.
A maxillofacial surgeon with thousands of procedures performed with precision, minimal scarring, and excellent outcomes. Combines surgical expertise with aesthetic sensibility for results that enhance both function and appearance.
A dermatology + maxillofacial surgical team that operates on you personally.
A large number of the patients we see don't actually need a transplant, at least not yet. If medical management is the honest answer for you, that's what we'll recommend. Surgery is only ever the honest answer here, not the default one.
Dr. Raj (dermatology) and Dr. Nivedita (maxillofacial surgery) personally handle your diagnosis, hairline design, extraction, and implantation together.
GFC and PRP — treatments with years of proven results — recommended over newer, less-tested options, purely because a treatment is marketed as "advanced."
The critical 7–10 day window and long-term native-hair management are part of your plan from day one — not an afterthought.
Grafts planned to protect your donor area for the next 20 years — not maximised for one sitting.
Hair fall has many different causes. The right answer depends on your diagnosis, not the treatment name you've heard about.
Caught early, hair fall can often be stopped and maintained through medical management alone, no transplant required.
Two specialists, not a technician, make the key decisions during your surgery.
Aftercare and ongoing management of your native hair are part of the plan too.
Book a free, no-obligation consultation with Dr. Prithvi Raj and Dr. Nivedita Sajeev at Aroha Clinic, Kanakapura Road. If surgery isn't the right step for you yet, we'll tell you that too.
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No. A large number of the patients we see don't actually need one, at least not yet. If medical management is the right answer for you, that's what we'll recommend. Surgery is only ever the honest answer, not the default one.
Hair restoration has a medical side and a surgical side. Dr. Raj, a dermatologist, manages the diagnosis and your ongoing hair health; Dr. Nivedita, a maxillofacial surgeon, brings surgical precision to extraction, hairline design, and implantation. Most clinics give you one or the other. At Aroha, both assess your case together before any procedure is recommended.
Exosomes are a newer treatment, and the evidence to support how well they work long-term is still developing. GFC and PRP have years of proven results behind them. We'll always tell you honestly what's backed by evidence versus what's still being studied.
The doctor who assesses you is the doctor who operates on you. Extraction, hairline design, and implantation are performed personally by Dr. Prithvi Raj or Dr. Nivedita Sajeev — not handed off to technicians.
No — the initial consultation is completely free, with zero obligation to proceed.
Yes. The first 7–10 days are critical for graft survival, and we guide you through medication, washing, and activity restrictions during that window. Ongoing management of your existing native hair is part of your plan too.
That's useful information for your diagnosis — many patients who've tried other treatments first are actually better suited for a transplant once those options are ruled out.
Book your free consultation with Dr. Prithvi Raj and Dr. Nivedita Sajeev — Kanakapura Road, Bangalore
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