ACell, a Current Review of Applications in Hair Transplant Surgery

[KeepHoping]

Strip Surgery

Is there any reason to opt against a strip surgery if it regrows the entire donor? Can anyone explain what exactly Hitzig is doing there. Is he taking out a strip then pulling the skin together and closing the wound with stitches with Acell and then when the stitches are removed the hair is growing back? If that's the case then does it actually mean it's growing back donor because there was still a chunk of skin taken out and your scalp would feel tighter right? I'm wondering if anyone can explain how that works, sorry I'm not too informed on how the strip transplant procedure works.

[rephairing]

That donor comparison looks good . Was standard suturing used or was this sutured loose like in the video presentation ? Also was this a trichophytic
closure ?

[Spanish Dude]

Dr. Hitzig, could you please post the photos "just after surgery", so that we can see the strip just after closure?
How long after the surgery are these photos?
why have you shaved the hair below the strip and not above? I think the proper thing to do, if you wanted to show the scar, would be to shave around the scar, (below and above) not just below the scar.
The Acell-treated side of the "scar" (left side) cannot be evaluated properly because the hair has been shaved below the "scar" only. Why did you do that?

[wolvie1985]

There you go again Spanish Dude. Only you could find reason to criticize these incredible photos. He has already said these were posted 12 months after surgery. I would assume the reason he shaved below the scar is to prep the area for another strip and match the old scar up with the new incision. Few patients would consent to shaving a strip of their head if they weren't about to undergo an HT procedure. In any event, we can all properly evaluate the scar based on these photos. The results are clear as day. Your tone as always suggests something underhanded going on. It is entirely unfair and toxic to continue to impugn the work and intentions of these doctors who are honestly trying to help us.

[CVAZBAR]

WOW!! Now we just need to see if this would be consistent with every person.

[KeepHoping]

Does this mean he is regrowing the same amount of hair bearing skin he extracted or does it mean that he sutured the opening together and regrew just that thin strip?

And does that mean if he is regrowing the skin with follicles then the scalp wouldn't get tight and FUT becomes the primary method of transplantation again?

[RichardDawkins]

@ SpanishDude : I dont know what to say because those pictures are clear when you look from far away to them and as a bonus we got a really close picture here and the left side looks pretty good (almost undetectable but iam not a strip friend) and the right side.......well looks like your normal FUT scar. Those results are like day and night.

@all: it is nice that we are all relatively happy right now but i would be more happy if Plucking would get better and better because to me a FUT is not an option because iam afraid.

I hope both doctors also develop this plucking technique. Cause i dont care if i had to pay a little bit more as long as my donos seems untouched.

Also i would like to see FUE-multiplication gets better and better for the same reasons as above.

But nevertheless those pictures will give a lot of people hopes for the future

[blueheel]

Donor Strip Healing

Im currently close to one month out from a strip procedure using ACELL with Dr. Cooley. I can report so far that I have high hopes for the outcome based on my progess so far. It seems to be healing COMPLETLY different from my prior surgeries. It is red as hell along the incision(as expected)However, its already flatter and smoother than it was before the surgery. He didnt use prp/acell injected into the suture line. He did place acell sheet into wound bed.

[blueheel]

Donor @ 3 weeks
Recipient 17 days

[Gubter_87]

Blueheel:

How many previous strip surgeries have you had done?
Hope everything will heal up well for you and please keep us posted on your progress.

[blueheel]

Healing well thanks. I had two small procedures in the 90s and and one in 04-ish. I considered this a scar repair and transplant. So far so good.

[KeepHoping]

Again...

I asked this earlier but wanted to bump it to see if anyone has any idea:


Is there any reason to opt against a strip surgery if it regrows the entire donor? Can anyone explain what exactly Hitzig is doing there. Is he taking out a strip then pulling the skin together and closing the wound with stitches with Acell and then when the stitches are removed the hair is growing back? If that's the case then does it actually mean it's growing back donor because there was still a chunk of skin taken out and your scalp would feel tighter right? I'm wondering if anyone can explain how that works, sorry I'm not too informed on how the strip transplant procedure works.

[UK_]

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.

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Sorry am I missing something with this picture - is the area that looks shaved the donor area? that large strip that is about an inch thick? THATS the donor area?? If that large area in the 2nd and 3rd pic is the donor area used with ACELL I will eat my hat. I am guessing that is a scar repair/cover-up from a previous transplant.

[Spanish Dude]

No, UK, thats is not the donor area.
It was a strip procedure. The donor area was removed, cut into FUs and planted on recipient. At 1 year after surgery, Dr. Hitzig shaved the area below the scar and then he took the photos.What you see is just the shaved area below the scar.
According to Dr. Hitzig, at surgery time, he injected prp+acell on the left side of the stitched wound, and voilà, the left side healed with a minimal or no scar at all, while the right side healed with the typical scar.

Interestingly, the "vanished scar" on the left can't be evaluated properly because, strangely, dr. Hitzig decided to shave only below the scar and not above, in such a way that the "vanished scar" gets confused with the fronteer between the shaved and not shaved hair.

If dr. Hitzig's intention (for this shaving) was to cut off a new strip, over the former one, he should anyways have shaved both below and above, at least a bit, to facilitate the cutting of the new strip so that it contains the old scar. Thus, it looks strange to me that dr. Hitzig decided to shave only the hair below, in such a confusing fashion. Even more strange considering that he was going to use this case as illustration of Acell's healing powers. With this decision, the scar on the left simply cannot be evaluated.

To clarify things, I have politely requested in this thread that Dr. Hitzig posts the photos "just after surgery" so that we can see the evolution of the scar in the Acell side of the wound (left side).

[Spanish Dude]

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.


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admin, where do you see a fine line on the left? have you considered that this could just be the optical illussion as result of parting the hair upwards? I have the impression that there is nothing at all at the left side.