ACell, a Current Review of Applications in Hair Transplant Surgery

[RichardDawkins]

I can also say many thanks and i have some questions also, may seem a little bit to early but it would be interesting to hear.

Dr Cooley/Hitzig lets assume for one second that the plucking technique would work exactly like a normal hairtransplant.

What would be the price tag we should calculate then, i ask this question because some people throw around numbers like 10 dollar per single hair, which i think is a little bit over the top.

Second question, because we hear this argument a lot (almost in every discussion) is there a plan that you use lets say one patient as a patient zero and do a plucking transformation from NW5 to NW1? Of course with fotos documented.

I know that you guys must be really exhausted by now and those hard questions the people have, but in the long run i think its all worth it.

And i would really like to see a patent zero case where a NW5 has been transformed to a NW1 just by plucking, it would also make discussions at message boards way easier and it should nod people to rethink the idea about hairtransplants

[Jerry Cooley, MD]

Many thanks for the update Dr. Cooley!

If your theory of the presence of mesenchymal cells is correct, what does this imply when autocloning to completely bald or otherwise hairless (but non-scarred) tissue? That is, will surrounding follicles have any impact on the concentration of mesenchymal stem cells in the area?

Also, to follow up on the pictures. When you have follicles forming around the plucked hair like that, do you still feel like you can control the direction that they grow in, or do they come off somewhat 'unruly' so to speak, since (I guess) they aren't growing from the basic follicular structure that was provided by the plucked hair?

Excellent questions. We know that mesenchymal stem cells (MSCs) can come from blood (marrow source), adipocytes (fat), or from surrounding follicles (dermal sheath). The new dermal sheath regenerated after plucked grafting arose from MSCs but from which source? We don't know. But I'm starting to think that local MSCs are important, which would be contributed by surrounding follicles. One of the many things to be sorted out.

I don't think hair direction is a problem. You have to keep in mind these are ultra-closeup photos created with a lens attachment that has a glass surface that you have to mash down on the skin to take the photo, so you don't get an accurate look at the way the hair lays down.

In answer to previous questions, we can create multihair grafts but I don't whether this as successful (I think so). Sometimes we'll see more than one hair sprouting from a single implanted hair. In this photo, you see two reddish brown beard whiskers implanted and two normal looking scalp hairs emerging from the implantation site. This suggests that local MSCs controlled the new hair characteristics. This would look very different if it was beard FUE.

Regarding our fees, see my previous post. NW7 to NW1? That's way down the road. One step at a time.

[wolvie1985]

Hmm, if your hypothesis is correct, Dr. Cooley, and MSCs are grown from the local area as opposed to from the plucked hair itself, I suppose that means the plucked hair is more likely to be androgen sensitive.. Time will tell...

[bhoys]

Dr Cooley what is the max amount of plucked hairs do you think it is possible to use in one procedure?

[KeepHoping]

Acell/PRP Injections along with transplantation

How many doctors are utilizing this on the entire scalp when performing transplants? Are those who are seeing thickening of native hair and faster growth when using Acell. I know Cooley and Hitzig have talked about robust growth and fast growth in the recipient but is this consistent with everyone?

Also, Dr. Cole, on your forum you had mentioned that looking through one of your recent CIT or FUE patients when you look through his donor you cannot even tell a transplant was done. Does this mean in that patient you saw regrowth in his donor or because it had prevented the hypopigmentation that sometimes comes along with a CIT/FUE procedure?

[KeepHoping]

Dr. Hitzig

Any news on when new pictures will be coming up on your website?

[SilverSurfer]

Dr Cooley

Assuming one would go to add density to a zone with the autoplucking, would there be any negative side effect to the already transplanted hairs growing there?
Also, what is the density you have been working with? What is the maximum beard or head hairs you have been able to pack as closely as possible per cm2?

Thanks

[Spanish Dude]

Regarding the plucking technique, Dr. Cooley says that its just normal plucking.("I have no special, secret, magical plucking technique").

But:
-I have myself plucked a few scalp hairs, and they got absolutely no cells attached.
-In Dr. Cooley's presentation, Part 4, Minute 6:00, Cooley says there is a bit of "pinpoint bleeding, and redness" in the donor area where hairs were plucked from.
I wonder how there can be pinpoint bleeding by just plucking hairs.

http://www.iahrs.org/news/dr-jerry-cooley-acell-matristem-slide-presentation-part-3-4/

-Dr. Cole states that normal plucking cannot produce a hair graft like the ones presented by Cooley (the Bart Simpson-like hair grafts).
-Dr. Hitzig says plucking is very "tedious" and he prefers to do strip+Acell.

[RichardDawkins]

And your questions are what?

[Spanish Dude]

And your questions are what?

Is this a normal, simple plucking? Why does it bleed?

[RichardDawkins]

pinpoint bleeding is what girls have after epilate their legs its tiny red dots. its not bleeding like in niagara falls of blood its only a little reddish spot where sometimes a little bit of blood (little means insignificant) can pour out

Here this womens book to epilation covers this issue http://books.google.de/books?id=mbzT...page&q&f=false

And to answer your following question, even after epilation the hair at girls legs grow back as normal and so does the scalp hair in the donor area.

Next time just look up what words actually mean please, only because the word bleeding is included it doenst necessarily mean bleeding like blood flow.

Its the same with heart burn :-) youre heart is not burning

As i said before in my observations, i also havent had always tissue at my plucked hairs, thats btw one of the downsides right now, you have to pluck more hair then you get hair with tissue material.

What he means by getting better is the yield when you pluck hair that has tissue is around it.

Plucking hair is of course tedious, you have to pluck hair, then you have to get a good rate of hairs with tissue around it and then you have to transplant them lets sa in groups to simulate a normal graft.

But maybe iam telling bullshit because iam absolutely wrong, lets see what the doc has to say. But i hope he gets better and better because then i will absolutely go for a plucking transplant.

[KeepHoping]

Dr. Cole

I'd like to undergo a CIT/Acell/PRP procedure with you within the next couple months and would be willing to get tattoos in the donor to check for regrowth for the sake of moving this research forward. I have already submitted my virtual consultation a while ago and I am still waiting on a response but I think it would be to everyones benefit here, I am from San Francisco and would fly to Atlanta for the surgery and fly back for you to recheck for regrowth in the donor, hopefully that would help streamline the research a bit for other people struggling with hairloss. Thanks doc.

[Spanish Dude]

RichardDawkins, please, pluck some hairs from your scalp and tell me if there is any pinpoint bleeding or redness.
Also, tell me why dr. Cole is not able to pluck hairs like the ones obtained by dr. Cooley.

[RichardDawkins]

Ok i plucked some hairs from different areas. Results :

1) One single hair at a time less reddish points and less pain / average to high percentage of tissue arround

2) a whole bunch of hair (hurts effin more and more reddish) a little less tissue yield but increased with grabbing the hair and then curl them a little like spaghetti and then pluck em

I dont know WHY Dr Cole cant pluck em like Dr Cooley but the essence is the TISSUE and only the tissue is needed.

Unfortunately i dont have acell around at my place, but if i had i would just test it

[tbtadmin]

ACell Result Photos Courtesy of Dr. Gary Hitzig

Patient had transplant approximately 1 year ago. The right half of the donor was sutured normally, the left half was sutured normally and injected with ACell suspension (Spun down Arterial Blood)

NOTE THE EXTREMELY FINE LINE ON THE LEFT WITH HAIR GROWING THROUGH IT.