One Day post-op with photo

The first patient on the left has 1505 grafts and the patient on the right had 700 grafts. Note that both patients don’t look like that had a surgery and there are no crusts (scabs) present as each were washed off the day of and the day after the surgery. These photos were taken less than 24 hours after their hair transplants.


2019-04-06 10:05:37One Day post-op with photo

One Step Closer To Stem Cells and Generating New Hair

Dr. Rassman, you probably already saw this, but I thought it was pretty interesting:
haircell
“In a new study, Sanford-Burnham researchers have used human pluripotent stem cells to generate new hair. The study represents the first step toward the development of a cell-based treatment for people with hair loss. – See more HERE”

It seems like a great step forward in generating new hair from stem cells.

This is terrific research showing the hair can be grown from stem cells. This has been done before and when it was transplanted as shown in the photograph, the hair grew in all direction and eventually killed the mice from infected ingrown hairs. It is no small challenge to get all of the hair lined up at the top of the dermis so that they break through the epidermis just as a new hair grows in when it comes out of telogen (sleep phase) and into anagen (growth phase). The challenge in front of this breakthrough is no small chore, but from the economics shown in the article, the reward for any company solving the mystery might make that company very rich!

Let’s hope the research can branch further into a clinical model in humans. If you’re wondering how long this may be… I don’t know.

The research paper is HERE


2015-01-30 11:21:40One Step Closer To Stem Cells and Generating New Hair

Class 7, low density, fine hair, what can be done?

What can be accomplished for someone with that low of a donor density and finer hair though? Especially if they’re like a NW7. Have you ever had such a patient with satisfactory results? I’ve seen your results on some NW7 patients and they are brilliant. But don’t those guys have a higher than average donor density?

Take a look at the second man in this post. He had super fine hair and had a Class 7 pattern. What we couldn’t get with hair, we got with SMP. Of course, in this situation, I would want to examine you in advance and make sure that you understood the risks and balanced your expectations with reality. I have found that men with fine hair generally understand that their hair is not great, so that they expect less but still can get good results as shown in man #s here: https://baldingblog.com/two-class-7-patients-treated-with-hair-transplants-and-smp/


2020-10-08 06:53:55Class 7, low density, fine hair, what can be done?

Operation Restore through the ISHRS – Physician donating their time to help people in need

Hanna was born 15 weeks premature and given only a five percent chance to live. The difficult birth resulted in severe bruising on her head and lead to lifelong scarring that destroyed the hair follicles on her scalp.

Hanna knew from a young age that her hair loss made her different. From being called a “monster” by classmates, to getting dollars from complete strangers in restaurants who assumed she was battling cancer, Hanna’s hair loss drew unwanted attention wherever she went. On the first day of kindergarten, Hanna told her classmates “Don’t look at my head, look at my heart. I will be good to you, you be good to me.”

Despite being turned down by their insurance company twice, Hanna’s family was determined to find a way to correct her appearance. They learned of the International Society of Hair Restoration Surgery’s Operation Restore program. Operation Restore is a pro bono program designed to match prospective hair restoration patients suffering from hair loss, as a result of an accident, trauma or disease, with a physician willing to help those who lack the resources to obtain treatment on their own.

Hanna was matched with Dr. Bill Parsley. He performed three surgeries over three years at no cost. These procedures restored Hanna’s hair, which in turn, restored her self-esteem.

 

restore1 oprestore2


2017-05-31 07:25:22Operation Restore through the ISHRS – Physician donating their time to help people in need

Other Uses for ACell in Hair Transplant Surgery?

There have obviously been lots of inquiries on the forum about ACell’s ability to multiply hair, but I’m curious about a different use. I had a consultation with a doctor that advocated using ACell in the donor region to aid wound healing (which you’ve discussed), but also injecting into the graft areas-not for hair multiplication, but to thicken miniaturizing hairs in the grafted areas and promote growth of the grafted follicles; sort of a nourishing property, if you will.

This is a completely different use from the “plucking” application yes? Any thoughts about this use?

ACell does not multiply hair. Some doctors, including myself, were involved in a year long study and the multiplication/plucking claims by the original doctors involved were false and unable to be replicated (see here and here). Otherwise, the entire hair transplant industry would have been changed by now (almost 2 years later).

Some doctors use ACell in the donor area to promote faster wound healing. It does not grow new hair there nor does it make the scar smaller. It just promotes healing faster. We have been using ACell at NHI for a couple years for this purpose and based upon our experience, I can say that there is no evidence presented anywhere that miniaturized hairs can be reversed with ACell.

Combining Hairs transplant and hair system

This man built a frontal hairline with 2300 grafts and 1600 grafts on his temple peaks. He has since added another 2300 grafts to double up the density of his frontal area. The goal here is to use a hair system behind the hair transplant to cover his Class 7 pattern of hair loss. Hair systems can often be detected, but with a transplanted hairline in front of the hair system, it will not be easily seen. He, unfortunately, has fine hair. That is why it will take a lot of grafts to create a thick frontal hairline. If his hair was medium or, even better, coarse in character, he might have achieved his goals with far less grafting and with thicker-looking results. Fine hair has limitations, especially compared to a hair system. The photo on the right shows a hair system behind his leading-edge transplant with his hair pulled back. I have been involved in many such attempts; however, most of the men who started the process didn’t like the lower density of the transplant when compared to the hair system. That can be overcome with more transplanted hair in the frontal 1 inch.

Over-harvested FUE donor area (photo)

This man had too many grafts removed from his donor area leaving him with a see-through donor area that clearly stands out with this hair length. He will have to either grow his hair long, or fill it in with Scalp Micropigmentation. This could have been avoided with careful planning, understanding the original donor density and limiting the number of FUE grafts harvested. Trading a bald frontal area for a balding donor area is not a good deal


2021-01-06 13:02:22Over-harvested FUE donor area (photo)