ACell, a Current Review of Applications in Hair Transplant Surgery

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Originally Posted by Don'tDoIt

With all this talk about Acell, I am surprised that no one on this forum, including Spencer, has brought up the news this week about stem cell research.

I am referring to the report that stem cells have been used, for the very first time, to create a living hair follicle. This report comes from Ronald Lauster at Berlin Technical University. The news has been reported in the popular media during the past few days. Spencer, what do you think about this news?

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hopefully he discusses it during his radio show tonight

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Originally Posted by Don'tDoIt

With all this talk about Acell, I am surprised that no one on this forum, including Spencer, has brought up the news this week about stem cell research.

I am referring to the report that stem cells have been used, for the very first time, to create a living hair follicle. This report comes from Ronald Lauster at Berlin Technical University. The news has been reported in the popular media during the past few days. Spencer, what do you think about this news?

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Correction: The guy's name is Professor Roland Lauster.

hello all -- last spring Dr. Cole performed micro-needling with PRP /Acell on my crown. I was generally pleased with the amount of regrowth. I'm hoping to undergo another treatment with Dr. Cole to achieve higher density in the crown as well as gain some in the front were I have a number of grafts from CIT. I will also add that i had some grafts in the front last spring and Dr. Cole use PRP / Acell on the grafts. The result was a higher yield of follicles. Once a graft began to grow - 3-4 new hairs grew in around the transplanted hair. this was great news and very welcomed.

It's great to see independent substantiation of what Jerry Cooley and I are showing. If used properly, these result reports will multiply. ACell indeed results in what you have experienced. I am now working with a Surgical company that has successfully isolated the Adult Stem Cells and several important growth factors from the PRP to mix with the ACell and inject into the recipent as well as donor areas. PRP as a whole can be redundant in what it offers. ACell contains all of these and more. The key is to isolate the Adult Stem Cells and specific Growth Factors (ie: VRGF). ACell will also uniquely construct the scaffold necessary for tissue remodeling rather than healing by scar formation.
Good luck with your next procedure-you are following the right track

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Originally Posted by MG63

hello all -- last spring Dr. Cole performed micro-needling with PRP /Acell on my crown. I was generally pleased with the amount of regrowth. I'm hoping to undergo another treatment with Dr. Cole to achieve higher density in the crown as well as gain some in the front were I have a number of grafts from CIT. I will also add that i had some grafts in the front last spring and Dr. Cole use PRP / Acell on the grafts. The result was a higher yield of follicles. Once a graft began to grow - 3-4 new hairs grew in around the transplanted hair. this was great news and very welcomed.

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I thought that Dr. Cole was very Skeptical of Acell and its advantages?

To clarify, he's skeptical of the 'plucking' concept and ACell as it relates to that but he's very optimistic that ACell has other beneficial applications for the hair transplant industry. He's been using ACell in conjunction with CIT procedures since early 2010 and seen numerous benefits, particularly related to healing (detailed in his original post).

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Originally Posted by MG63

hello all -- last spring Dr. Cole performed micro-needling with PRP /Acell on my crown. I was generally pleased with the amount of regrowth. I'm hoping to undergo another treatment with Dr. Cole to achieve higher density in the crown as well as gain some in the front were I have a number of grafts from CIT. I will also add that i had some grafts in the front last spring and Dr. Cole use PRP / Acell on the grafts. The result was a higher yield of follicles. Once a graft began to grow - 3-4 new hairs grew in around the transplanted hair. this was great news and very welcomed.

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So the above poster is saying that he had re-growth with just micro-needling and the combination of Acell and PRP on his crown. If I am reading it correctly, He did not have any grafts placed there?

One of the pictures shown on your website shows a man who received 500 grafts over a large balding area of the scalp and the growth seems to be impossible for such a small number of FU's. Do you think Acell/PRP (Or your special version of PRP with the isolated growth factors that you're using now) is the answer for those with diffuse thinning in a MPB pattern. I'm 23 years old and have diffusely thinned on top but still have the back and sides, with those kind of results, it would seem I could only use like 500-1000 grafts and use PRP/Acell and get amazing results with excellent coverage for the time being.

I read a while back that you're going to post more results of your procedure done with Acell/PRP and show the amazing growth you've seen, I'm excited to see the results. Thank you for your research and for all the work you're putting into the hair loss community, it is greatly appreciated.

If I am thinking of the right patient you refer to, he was indeed a Class 7+ that I would have been reluctant to transplant prior to ACell. We transplanted the frontal third area of his scalp only. The afters are 6 months post procedure and are indeed "robust". There is no question in my mind that the ACell Mixture that we injected was responsible for the quick intense result. I believe the key is pre-mixing the Matristem with one's own concentrated Adult Stem Cells using the correct size particles and the correct formula and then injecting this "pre-activated" progenitor suspension into the wound sites we create.

The Holidays are both gladly and sadly over- so now back to work and yes further examples are forthcoming.

As you said before though, you are seeing a 3x or more than the amount of hair transplanted... Does that mean this is actually waking up dormant follicles and making them terminal hairs again? If that's the case then shouldn't just injecting Acell along with PRP without transplantation be a solution for diffuse thinners to strengthen their follicles that have miniturized and wake up the dormant follicles that are lying in the scalp?

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Originally Posted by KeepHoping

As you said before though, you are seeing a 3x or more than the amount of hair transplanted... Does that mean this is actually waking up dormant follicles and making them terminal hairs again? If that's the case then shouldn't just injecting Acell along with PRP without transplantation be a solution for diffuse thinners to strengthen their follicles that have miniturized and wake up the dormant follicles that are lying in the scalp?

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I think you refer to the NEW study by Dr. Cotsarelis & team?

http://www.jci.org/articles/view/44478

Related article:
http://www.eurekalert.org/pub_releas...-mpb010311.php

btw - GREAT work, Dr. Hitzig!

I saw that news earlier today on a different forum, it seems we all, including those who have MPB, have the same amount of stem cells remaining in the scalp as those who do not so I was wondering if a mixture of Acell and PRP could in fact assist in the activation of stem cells converting to progenitor cells and reawakening the dormant/miniturized follicles throughout the balding scalp?

Disclaimer: I'm totally curious about this and do not have much background in cellular biology, this is nothing more than hypothesis but the fact that there are reports that people are getting 3x the amount of hair than that was transplanted when the FU's are moved into a recipient area that was treated with PRP/Acell would mean it is either creating brand new follicles or reactivating dormant ones to become terminal again...

Any thoughts?

No, the multiplication far exceeds the number of catogen or telogen (dormant) hairs that could normally be accounted for. We believe these are new "cloned" hairs. We also believe that without proof that the ACell + PRP acts as an androgen receptor competitive inhibitor, that perhaps it acts by resetting the time clock by which the follicles react to the DHT. Time and further work will tell. I hope what we are doing inspires others to help prove the answer. In the meantime, the progress and excitement continues. In my 35 + years in this field, this has been the the most exciting time I have been fortunate to be a force in.
GH

This is a great Article (Journal of Clinical Investigation) and may offer additional insight into the reason why the addition of ACell is so significant with PRP in injections as well as in the Surgical Transplant Process.

Thank You

Thanks for responding Doc, I'm looking forward to the new pictures and the results. My last question is do you think with this technology doctors can and or should start transplanting more aggressively, lower hairlines, better coverage with less FU's?

I believe Doctors can try small areas of more aggressive transplanting and compare results to surrounding areas. We have certainly been more aggressive; however it took a long time and careful evaluations for this to occur. Doctors need to learn how to use Matristem first-you can't just read the label like a microwave dinner and expect it to work.
As far as hairlines go, you can always lower a hairline but it is near impossible to raise it once transplanted ,so safety in choosing the hairline level is always paramount.

Once again Happy New Year

GH

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Originally Posted by drcole

Body hair has taught me to be careful with any predictions with regard to new treatment modalities. My single criticism of Dr Woods is that he practiced body hair transplantation for many years, but did not reveal that the results were not consistent. Such a revelation would have been important information to both physicians and patients. His failure to report this was negligent in my opinion. If he has a method, which I can not imagine, that results in consistent yields from body hair, then he has an obligation to present such a method. My first body hair transplants were a great success, but some follow up transplants resulted I poor yields and a poor coverage.

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Just for the record (from another hair loss board) …
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» Dear x_man,
» I am glad that you have found solution for your hair regrowth problem.
» It is not really my place to debate Dr. Gho's methods because I am not
» privy to the details of his work.
»
» However, I would look forward to see results for any claims from anyone,
» Dr. Gho included, in any method of hair regrowth.
» Regards and best wishes,
» Dr. A

Dear Dr. Arvind,

There’re always a plenty of people out there who are interested in body hair transplants (BHT), but simultaneously they are always concerned about BHT.

Recently, Dr. Cole mentioned the following concerning BHT:

Dr. Cole: “Body hair has taught me to be careful with any predictions with regard to new treatment modalities. My single criticism of Dr Woods is that he practiced body hair transplantation for many years, but did not reveal that the results were not consistent. Such a revelation would have been important information to both physicians and patients.
His failure to report this was negligent in my opinion. If he has a method, which I cannot imagine, that results in consistent yields from body hair, then he has an obligation to present such a method. My first body hair transplants were a great success, but some follow up transplants resulted I poor yields and a poor coverage.”

Anyway, there’re also a plenty of people who claim that you’re a skilled body hair transplant doctor as well – and actually, I have no doubts about that. But I think the same here: Where are your revelations concerning BHT?


Concerning HST …
http://www.hasci.com/uploads/downloa...%20Neumann.pdf

HST is a scientifically proven HT technique and has found its place in the medical literature:

http://www.ncbi.nlm.nih.gov/pubmed/20388024

But besides that, and what’s actually more important, Dr. Gho’s clinics work along ISO 9001:2000 guidelines, and since 2005, they always work under the supervision of the inspection of the health organization in their country; and neither they, nor Gho’s patients, reported ever any complaints. Zero.

And now, please let me ask you one simply question:

I’m pretty sure, that you have no problems to obtain such 0.5 and/or 0.6 hollow-needles, as described in Dr. Gho’s study. So do you really think, that HS readers or an average skilled person is thinking, that an experienced and skilled physician like you is unable to check FOR HIMSELF, as well as within a few minutes + 1-2 weeks, whether or not something is growing back (including the same hair characteristics) or not, IF someone like you is removing FU’s in such a (simple) way, as described in Dr. Gho’s study?

Have a nice weekend, Dr Arvind.
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Again - Just for the record ...

?--Is there a question---?

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Originally Posted by Gary Hitzig MD

?--Is there a question---?

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Hello Dr. Hitzig, thank you so much for your contributions to finding a cure for hair loss.

From what ive heard about PRP alone is that it works best in the crown, okay in the mid scalp, and not so good in the hair line.

My question is would Acell + Arterial Blood/PRP work just as well on the hairline as it does on the mid scalp and crown?

Thanks again.

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Originally Posted by Gary Hitzig MD

I believe Doctors can try small areas of more aggressive transplanting and compare results to surrounding areas. We have certainly been more aggressive; however it took a long time and careful evaluations for this to occur. Doctors need to learn how to use Matristem first-you can't just read the label like a microwave dinner and expect it to work.
As far as hairlines go, you can always lower a hairline but it is near impossible to raise it once transplanted ,so safety in choosing the hairline level is always paramount.

Once again Happy New Year

GH

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Dr Hitzig, first can I say thank you for the work you are doing in this area.

Have one point for clarification, what do you mean when you say you have certainly been more aggressive ? Are you suggesting because you are starting to become confident that donor supply is becoming less of an issue that you can commence being a little more aggressive in your transplants ?

Cheers

With experience over the past 2+ years comes more confidence. We have slowly increased the size of the Transplant sessions gaining further security as the results have come in. One should crawl before they walk, we have done both

We have seen results in all areas of the scalp. Very recent research indicates that MPB begins with DEFECTIVE STEM CELLS in the affected areas of the scalp. I believe that the combo works because we are injecting activated Adult Stem Cells into microwounds that we create with the injection needles thereby initiating a repair process that uses healthy uninjured stem cells to re-model the hair follicles. Time will tell but the early results are promising.

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Originally Posted by Gary Hitzig MD

We have seen results in all areas of the scalp. Very recent research indicates that MPB begins with DEFECTIVE STEM CELLS in the affected areas of the scalp. I believe that the combo works because we are injecting activated Adult Stem Cells into microwounds that we create with the injection needles thereby initiating a repair process that uses healthy uninjured stem cells to re-model the hair follicles. Time will tell but the early results are promising.

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Thank you for your response, I was just wondering will you be posting your 9 month Acell+Arterial Blood/PRP results photos soon.

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Originally Posted by Gary Hitzig MD

We have seen results in all areas of the scalp. Very recent research indicates that MPB begins with DEFECTIVE STEM CELLS in the affected areas of the scalp. I believe that the combo works because we are injecting activated Adult Stem Cells into microwounds that we create with the injection needles thereby initiating a repair process that uses healthy uninjured stem cells to re-model the hair follicles. Time will tell but the early results are promising.

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Dear Dr. Hitzig,

Which type of grafts do you use for the normal HT procedure part?

I mean, when you dissect/prepare hair follicles/grafts under the microscope, which type of FU’s do you finally use for implantation? Do you use/prefer “skinny” (‘skeletonized’) grafts, rather than “chubby” grafts?

If the latter (chubby), I would be surprised that the ACell/PRP suspension you inject is able to 1) “use healthy uninjured stem cells” from the transplanted grafts (through migration/signaling), what 2) finally would explain the additional (healthy) hair follicles in the recipient side.

imho, the type of grafts as well as storage time and storage medium (e.g. ACell/PRP combo) surely plays an important role too for any ‘cloning’ (additional hairs) in the recipient side. The type of injection (HOW you inject the suspension) might play a role too. I think only some small comparison procedures (i.e. any ‘imaginary boxes’ in the crown etc) in the recipient side brings more light into this issue.

All in all, I believe that just a ACell/PRP or ACell/arterial blood combo for injection alone (without HT grafts from the back of the head) is NOT able to grow a damn healthy thing in bald areas. That's the other point.

Yes, I will be posting pictures soon. There was a constructional accident to my office building around Thanksgiving forcing an emergency evacuation (the building is on stantions and was in danger of collapse). We are getting back in today and this has significantly delayed our work).

As far as grafts, I was talking only about injections, not transplants. Mixing one's own isolated adult stem cells with ACell results in a pre-activated progenitor cell suspension which forms a temporary scaffold and structure for remodelling the hair follicles. The injections also serve to damage the follicles to initiate the repair process. This can only work in areas where alive miniaturizing hairs exist, and please forgive me if I gave the wrong impression in a prior post. You can't revive the dead, either human or hair follicle.

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Originally Posted by Gary Hitzig MD

... and please forgive me if I gave the wrong impression in a prior post. You can't revive the dead, either human or hair follicle.

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Oops, sorry Dr. Hitzig, I’ve just noticed that it's not your fault but mine, because I thought you’re talking about a combination procedure (traditional HT procedure + in addition ACell/PRP injections between the transplanted grafts).
So this type of approach concerning reactivating (“re-model”) miniaturized follicles – that's REALLY INTERESTING, I have to say.

Anyway, THANKS for your response!

p.s. "You can't revive the dead, either human or hair follicle."
And what represents -per definition- a "miniaturized follicle" vs. a "dead follicle"? :rolleyes:
Is a dead follicle like a dead mouse in a trap and is a miniaturized follicle like a mouse with a broken neck in a trap, but the mouse is still alive?

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Originally Posted by Gary Hitzig MD

You can't revive the dead, either human or hair follicle.

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But is it true that the follicles are really dead, or are they still alive but non-productive? As one of the many recent articles about the research from the University of Pennsylvania said:

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Men with male-pattern baldness still have hair - it's just very tiny and delicate. Their follicles are much smaller and they produce "vellus" hair shafts that are correspondingly smaller and gossamer-thin.

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Originally Posted by HairRobinHood

p.s. "You can't revive the dead, either human or hair follicle."
And what represents -per definition- a "miniaturized follicle" vs. a "dead follicle"? :rolleyes:
Is a dead follicle like a dead mouse in a trap and is a miniaturized follicle like a mouse with a broken neck in a trap, but the mouse is still alive?

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By the way ...

Hair follicle stem cells repair nerves & spinal cord - Part 1
https://www.youtube.com/watch?v=h_KYKp0EyoI

Hair follicle stem cells repair nerves & spinal cord - Part 2
https://www.youtube.com/watch?v=enSPW3cMdNU

The question is, what happens if you apply just "ACell" to the mouse's nerve or spinal cord? I guess in this case, ACell could have the ability to repair the nerve and/or spinal cord - maybe. BUT concerning hair follicles (you can't compare this mini-organ with nerves or a spinal cord) you simply need HEALTHY hair-follicle-stem-cells nearby a "weak" follicle, or simply replace them through healthy hair-follicle-cells. Actually, there is no need to test that, because this has already been tested several times by different research groups - of course successfully. E.g. Dr. Jerry Cooley demonstrated that (more or less "by accident" during his punch harvesting test with the usage of ACell and "freed" hair follicle cells in the wounded environment).

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Originally Posted by HairRobinHood

Actually, there is no need to test that, because this has already been tested several times by different research groups - of course successfully. E.g. Dr. Jerry Cooley demonstrated that (more or less "by accident" during his punch harvesting test with the usage of ACell and "freed" hair follicle cells in the wounded environment).

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Dr. Hitzig, YOU yourself demonstrated that with your "special" wound closure technique. Because this part of your work alone demonstrates the GENIUS inside you! :)

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Originally Posted by Gary Hitzig MD

No, the multiplication far exceeds the number of catogen or telogen (dormant) hairs that could normally be accounted for. We believe these are new "cloned" hairs. We also believe that without proof that the ACell + PRP acts as an androgen receptor competitive inhibitor, that perhaps it acts by resetting the time clock by which the follicles react to the DHT. Time and further work will tell. I hope what we are doing inspires others to help prove the answer. In the meantime, the progress and excitement continues. In my 35 + years in this field, this has been the the most exciting time I have been fortunate to be a force in.
GH

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Dr Hitzig

Perhaps plucking and reimplanting a miniturizing(ed) hair (assuming it can provide the cells required) could help prove if this is the case IF the new hair grows terminal. It might not be conclusive as you would need to observe the hair over many years, however if it regrows miniturized then you might be able to rule it out. Maybe you have already tried this with results ? or perhaps miniturized plucked hairs did not regrow ?

Cheers

Not sure where we cross the line but I think vellus hairs are essentially like dead plants-they are noticable but if you water them they are still gone.
Miniaturizing are more like plants that are alive but noticiably in need of some form of resuscitation. Hopefully ACell combined with PRP will be their EMS. I am starting to work with a company that can specifically isolate the adult stem cells from the PRP mixture. Their deeds will confirm their words.

Dr Hitzig
On a related matter, but slightly different direction. Are you happy with the number of clinics that have commenced trials to either prove/disprove the plucking technique with the potential of developing it into a viable product. I mean, there is a real threat from the hair multiplication world (Aderans, Histogen, Follica) that HM could come to the market in around 2014-15. What will this do to the business of the traditional hair transplant clinics if they suddenly loose 50% of their customers to say e.g. Bosley because they have a product (hybrid transplant+Aderans) that is far superior (unlimited donor, potentially scarless, high density, etc) than traditional transplants. I know myself, if I was in the business and wanted to remain competitive I would be looking to develop a product that was at least equal or at worst a niche product to be used as an adjunct to superior hair multiplication products. Autocloning with Acell I believe (my own belief that is) is the only hope that exists for many clinics if they want to remain in the game unless they can get in on the hair multiplication action. Yet my feeling from what I read is that it is experimental and we will wait and see in a few years. Are these guys actually doing any form of trials ? Are they sharing detailed information on these trials ? From the accounts on the internet is seems like perhaps 6 or so clinics unless of course others are doing it in secret. Time is ticking for this industry before a major HM shake-up , traditional hair transplant clinics need a new product, and they need it very soon. Consumers are not silly, they will vote with their feet and buy the best product on the market and the contest between limited vs unlimited donor is a no brainer. Either the owners of the traditional HT clinics are completely aware of the treat to their business or have become complacent. If they choose not to collaborate and develop a better product then perhaps it will be a lesson for them to collaborate when it comes time to update their curriculum vitae for their next jobs.
Anyway, just food for thought.

Only a handful of Physicians have reached out to me--and those are the ones who want to learn how to use ACell in specific instances, such as in keloid improvement after a botched laser tatoo removal attempt. Physicians such as Dr. Mcgrath, Dr. Niebloski, and Dr. DeYarmin have reached out multiple times to help them understand the product and its correct application as well as how to keep out of trouble and obtain the best possible results. The ones conducting their "Clinical Studies" have not!

In my practice, we have been working with ACell and its various applications in hair regrowth and duplication, wound healing, scar improvement, beard and scalp hair plucking, combination with PRP/Arterial Blood serum etc. since it was approved by the FDA in wound healing in September, 2008. Jerry Cooley and I have kept the whole idea quiet for over 2 years while we slowly learned the correct way to use the product. We didn't become experts overnight!

As you are sure to see, the ones who "fail" in their so called Clinical Trials will be quick to blame the product, not the practitioner---Sad But True.

We are constantly moving on. For example,we are now starting to work with an established Company that can isolate and concentrate one's own Adult Stem Cells from the PRP/Arterial Serum. We will be starting this month combining this with Specific particle size Matristem (Yes not all Acell is the same--most don't know this) prior to scalp injections--Exciting Stuff especially in light of the recent research released last week. This Bolus of Adult Stem Cells should help improve the speed of recovery and perhaps the results---Keep Tuned

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Originally Posted by Gary Hitzig MD

Only a handful of Physicians have reached out to me--and those are the ones who want to learn how to use ACell in specific instances, such as in keloid improvement after a botched laser tatoo removal attempt. Physicians such as Dr. Mcgrath, Dr. Niebloski, and Dr. DeYarmin have reached out multiple times to help them understand the product and its correct application as well as how to keep out of trouble and obtain the best possible results. The ones conducting their "Clinical Studies" have not!

In my practice, we have been working with ACell and its various applications in hair regrowth and duplication, wound healing, scar improvement, beard and scalp hair plucking, combination with PRP/Arterial Blood serum etc. since it was approved by the FDA in wound healing in September, 2008. Jerry Cooley and I have kept the whole idea quiet for over 2 years while we slowly learned the correct way to use the product. We didn't become experts overnight!

As you are sure to see, the ones who "fail" in their so called Clinical Trials will be quick to blame the product, not the practitioner---Sad But True.

We are constantly moving on. For example,we are now starting to work with an established Company that can isolate and concentrate one's own Adult Stem Cells from the PRP/Arterial Serum. We will be starting this month combining this with Specific particle size Matristem (Yes not all Acell is the same--most don't know this) prior to scalp injections--Exciting Stuff especially in light of the recent research released last week. This Bolus of Adult Stem Cells should help improve the speed of recovery and perhaps the results---Keep Tuned

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Can you give us a ballpark estimate of how much Acell+Arterial Blood/PRP injections would cost.

I know that for PRP alone is about $1000

Dr. Rassman who is conducting his big trail with Acell has not contacted you or Dr. Cooley to ask about how to go about the plucking procedure!? This would be a disappointment, I don't understand why he wouldn't contact at least one of you to understand how to do the procedure. I'm wondering how he could possibly know how to conduct the trail efficiently without prior knowledge of the product he's utilizing.

I believe the injection procedure costs between $2-3000 when utilizing a large amount of ACell and of course depending on the size of the area to be treated. Each case is individualized.

Dr. Rassman passed me in Boston at the meetings after my presentation several times, looked at me but never stopped to talk. Dr. Limmer made a point of sitting with me and discussing it along with several other well known practitioners. Dr. Rassman has never contacted me then or since. I believe he had a very brief general phone conversation with Dr. Cooley. I guess he doesn't need any further guidance for his "Clinical Study"

With the amount of cloning that goes on with the implementation of the Acell/PRP/Needling could you estimate that 500 grafts looks more like a transplant of 1000 grafts or more? There are claims that it's 3 hairs to every 1 implanted, is this empirical data or documented hair counts? I feel like if you are really getting so much more hair than is actually transplanted it's time for me to take the plunge, I'm going to wait to see the pictures and the results that come over the next few months but I'm hoping this new type of procedure comes to fruition sooner than anticipated. Thanks for working so hard and responding to these posts. I want to tell you hair loss is extremely difficult to deal with as I'm sure you know and I myself and I assume many others are immensely grateful for your work.

I met Dr Rassman about ten years ago. At the time he was very enthusiastic about larger transplant sessions , he showed me a patient in surgery who was having a session of about 3000 grafts .Not many Drs could do this back then , however Dr Rassman` embraced` the technology / procedure and offered it to his patients to limit the amount of procedures they may need .

I would find it strange being the type of Dr that he is , that he would dismiss any new technology that could be of benefit to his patients .

Perhaps he feels that the long term results of (acell /plucking remain`unknown ` and is taking a cautious approach .
Regards

Ejj

Lets be honest, at the moment we have no proof from Dr Hitzig.

If anyone has learnt anything about hairloss, it is that you should treat pretty much everything as utter BS until you see it with your own eyes.

Dont believe it until your see it.

Thank you Dr Hitzig for taking the time to respond.

It confirms what I can see as an outsider looking in. The HT industry as it currently stands is very fragmented, disorganised and because of this will be too slow to adapt come the change in business conditions in the hair multiplication era possibly 2014-15. Im sure the industry and hair loss sufferers appreciates the work that yourself and Dr Cooley have done regarding the auto cloning concept as well as what Dr Rassman and Dr Bernstien are doing to prove the concept actually works, however I would be suprised if you guys alone without large R&D budgets would be able to develop it as a stong alternative product in the short time that remains. You need a coordinated approach with the collective assistance from many clinics to chip in some time and effort to help build a successful product. Lets face it, keloid scar repairs is not going to be a clinics "killer" product that keeps the business in the black.

Does every clinic need to reinvent the wheel ?
If the concept is proved, who will be working towards making the extraction process of plucked hair cost and time efficent, less labour intensive, high yields, high density, etc and finally developing the standards that allow every clinic to replicate the process 100% of the time. If clinics are doing this indepedently possibly someone might have a product ready for marekt in 2020 which should have been ready by 2013.

Clinics are already well aware that HM developers already have a strategy to distribute their HM devices outside the tradition hair restortion channels, that alone should be an industry warning sign. As they say in politics, "Disunity is Death".

Cheers