ACell, a Current Review of Applications in Hair Transplant Surgery

[KeepHoping]

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Clearly we need Dr. Hitzig to jump in and explain things before we jump to conclusions.

[Bakez]

I am also sceptical, but then how was the gap on the right hand side created? That certainly does look like it must continued into the left side, do people do half the head for a strip surgery? I dont think so, so something has happened

hopefully it is real

[Spanish Dude]

I see what you mean sp but even if he shaved higher, doesn't it seem that hair is still present at the top? If the scar was like the right side, than we would see no hair right? Also, from the direction of the line, it seems that it would be higher than the right side. You don't think the left scar would be too high compared to the right? You have a point, just asking what you think about that.

No, you didn't get my idea.
Okay, I am going to be frank and clear.
I think that there is nothing at all at the left side. I mean, there is no scar at all on the left. There is just normal, virgin scalp.

Why? This is what I think: I think there was never a strip taken on the left side. Hitzig has shaved the hair below the "hypothetical scar line" to create a illussion of a very thin scar line on the left when the hair above is parted upwards.

But the reality, IMO, is that there is nothing there to show. If he had shaved the area properly, (below and above) we would have seen that there is nothing on the left. No thin scar, nothing. Just virgin scalp.

Also note the abrupt transition between left and right!! Think about it: if the "thin scar" on the left was a result of Acell+PRP injections, the transition would be gradual, not abrupt, because once injected, Acell+PRP would diffuse and invade the right side. But you see suddenly big scar on the right, and nothing on the left, with abrupt transition in between. It doesn't make sense.

[Spanish Dude]

We were just sharing the images and text provided by Dr. Hitzig, we have made no commentary on this ourselves.

ah, ok, thanks for the clarification.

[tbtadmin]

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.

We were just sharing the images and text provided by Dr. Hitzig, we have made no commentary on this ourselves.

[Bakez]

Yep, wish when pics are posted that they dont allow scope for misrepresentation, been burned too many times

[CVAZBAR]

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.

I see what you mean sp but even if he shaved higher, doesn't it seem that hair is still present at the top? If the scar was like the right side, than we would see no hair right? Also, from the direction of the line, it seems that it would be higher than the right side. You don't think the left scar would be too high compared to the right? You have a point, just asking what you think about that.

[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.

[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).

[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.

[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.

[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.

[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]

Donor @ 3 weeks
Recipient 17 days

[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.