2500 Grafts
We placed 2500 grafts to the frontal and top areas of this patient in 5 and ½ hours.
The patient also had early thinning throughout the top of the scalp. We treated the entire scalp with PRP and Acell.
Prior to surgery we evaluated his cross sectional trichometry in 4 locations including the front, top, Crown, and donor area. Prior to surgery he had 76% loss at 14 cm above the glabella, 65% loss 18 cm above the glabella, and 45% loss 24 cm above the glabella.
5 months after his hair transplant and Acell/PRP treatment -
His hair loss at the 8 cm above the glabella was 52% (prior to surgery there was so little hair at 8 cm that we could not measure his the hair loss percentage). The loss at 14 cm above the glabella was 35%, the hair loss at 18cm was 47%, the hair loss at 24 cm was 0%. The area at 24 cm was treated almost exclusively with PRP and ACell. This shows that Acell and PRP can have a profound affect in some individuals and may influence area with less hair loss initially to a greater degree.
Following surgery we treated the donor area with Acell. At the 5 month mark we counted the number of extraction sites. We found that 61% of all extraction sites regenerated hair follicles. The Acell reduced the diameter of hypopigmentation and the degree of hypopigmentation, but Acell, did not eliminate hypopigmentation. It is unclear why some extraction sites did not regenerate hair. Furthermore, Acell does not seem to work this well in all patients. We feel that the minimal depth approach we use improves the potential for follicle regeneration.
Other methods of FUE use a much deeper full thickness extraction method, which removes all the stem cells. Acell cannot induce follicle regeneration when a full thickness extraction method is used. Similarly, a strip is a full thickness excision and this removes all the stem cells too. This is why Acell does not result in any follicle regeneration following strip surgery.
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