ACell, a Current Review of Applications in Hair Transplant Surgery

[RichardDawkins]

No i have to thank you.

I really hope you do some experiments with this "FUE Multiplication" also.

Even if this plucking right now is tedious, it is worth to be examined further because the result and the working scale is actually proved. But the way to get a good yield is the key.

Its not satisfying if you pluck 1000 hairs and only 700 are usable because this will slow down the progress.

But Dr Hitzig i hope you wont abandon plucking as a useful hairtransplant technique, this would be sad. Cause it could also be the case that you and your collegues will get better and better due to training.

[wolvie1985]

Dr. Cooley or Dr. Hitzig

Drs., is it a good idea to do autocloned plucking for the hairline since there's a chance that, with Acell, multiple follicular units can result from a single hair, which would make the hairline look unnatural?

Thanks for your response.

[Gary Hitzig MD]

Plucking in Hairline

You're absolutely right. Plucked beard hairs also may grow coarse and unruly and are best hidden behind the hairline.
The temple plucked hair, however, is another story. It is soft and works fine in most cases.
To answer your question directly, I do not put ACell/PRP in the hairline region for just that reason. We can always get a small sample of natural hairs (a few FUE or FUT to start the soft look of the hairline.
I am posting some beard plucking transplant picture follow-ups in the next few days-you will see I stay behind the hairline but have great multiplication and recycling of hairs (1 Year F/U)
Best
GH

[RichardDawkins]

Wow it seems Acell is working "Too Good" at least in the hairline.

Dr Hitzig, do you think that a combination of FUE for a full frontal restauration of the hairline with autocloned hairs behind it would be a good idea.

To me it seems like this because it doesnt matter if on a big area like the vertex some 4 hair follicles are spreading.

And another question : It seems that those beard hairs could esily been used as kickstart. You dont even have to pluck scalp hair. This is also promising.

Anyway good job so far Dr Hitzig

[wolvie1985]

Hi Dr. Hitzig, just to clarify, have you seen multi-folicular units sprout from single hair plucking or have you just seen multiple single hairs sprout?

And re: acell/prp: have you seen multi-units grow? If acell/prp just reawakens the progenitor cells, and those cells along the hairline are for single units, why would there be a risk of a multi-unit growing?

[bellerofonte]

PRP vs APRP

@Dr Hitzig:

Dear Dr Hitzig, I just have one question, probabily you already answered about this but I still didn't have time enought to read all the topic.

What's the difference between simple PRP ( obtained from venous blood) and APRP ( obtained from arterial blood) ?
I read that you use arterial blood from the surgical donor area: should you explain the procedure in detail?

Thanks a lot.

[Gary Hitzig MD]

It seems that we are getting multiple hair growth from single transplanted hairs and need to adjust how far forward we inject the ACell. The good news is that in person one does not see the closeness that magnification shows. The patients look very natural, but the hair is thicker than one would expect from any single session.
In areas where there are still viable (alive) original but weakening hairs, we are seeing new multiple hairs sprout, but not yet in completely previously bald areas. I still believe that there is a point of no return for hair regrowth in vellus hairs and that's why the hairline needs single folliclar units with no ACell.
I don't type well enough to explain all the differences between Venous and Arterial PRP and you are welcome to call me to discuss but suffice it to say Arterial Blood delivers the necessary nutrients etc. to tissues- the venous blood is the waste collector; it removes the tissue waste for disposal---so which blood source would you think is better?

[RichardDawkins]

Ok seems Acell works to well, thats of course very good to hear but sad that you cant inject it in the frontal area.

Good job so far iam really looking forward to 2013

[Bakez]

Ok seems Acell works to well, thats of course very good to hear but sad that you cant inject it in the frontal area.

Good job so far iam really looking forward to 2013

dont get your hopes up

[RichardDawkins]

Well but i do because there is obvious progress so thats my opinion, to be more optimistic

[Bakez]

Well but i do because there is obvious progress so thats my opinion, to be more optimistic

There is no obvious progress, nobody has posted evidence of anything for ages.

[UK_]

There is no obvious progress, nobody has posted evidence of anything for ages.

I agree, I am highly doubtful of Acell simply because I cannot see any black and white 90% success rate etc results in any patients, an ad hoc one-off transplant that regrew a few fine hairs in donor isnt a result.

[UK_]

Well but i do because there is obvious progress so thats my opinion, to be more optimistic

What progress? Where?

[RichardDawkins]

I dont think that i have to justify my personal impressions here to you guys. Lets stick with it here. You guys are more pessimistic and iam more optimistic but i dont wanna convince you to become optimistic because its your opinion.

@UK: Your statement ".....an ad hoc one-off transplant that regrew a few fine hairs in donor isnt a result....." is pure effin comedy gold.

This technique is in its beginnings and provided some "fine regrown hairs in the donor are" so those results can obviousy be made more efficient.

But dont discuss this its fruitless because you guys have your opinion and i have mine, lets agree that we dont agree

[UK_]

I dont think that i have to justify my personal impressions here to you guys. Lets stick with it here. You guys are more pessimistic and iam more optimistic but i dont wanna convince you to become optimistic because its your opinion.

@UK: Your statement ".....an ad hoc one-off transplant that regrew a few fine hairs in donor isnt a result....." is pure effin comedy gold.

This technique is in its beginnings and provided some "fine regrown hairs in the donor are" so those results can obviousy be made more efficient.

But dont discuss this its fruitless because you guys have your opinion and i have mine, lets agree that we dont agree

Yes, that's all we are doing, bolstering our "opinons" and until I can see what I asked for (solid regrowth of new terminal hairs in donor in c90%+ of patients) I continue to ask the question: where is the progress? Acell has clearly not lived up to its initial hype, it has not produced the results to date. Regarding your comment about "improving efficiency over time" (by the way we are looking at efficacy not efficiency) what type of method, process or component in this procedure do you believe will bring us from a stage of barely any progress/no results to a stage that can better the results of the likes of Histogen/Aderans or even Propecia?

Any ideas? I really doubt twisting pulling or yanking hairs out in any which way possible will do it, the compound does not work, it has failed. Move on.