How does Dr. Wesley's Scarless Pilofocus work?

[youngin]

Do not become hopeful about this donor doubling idea. Nothing in the patent says the machine will have enough control to stop after the stem cell bulge at the bottom of the follicle and CUT the hair. Everything in the patent refers to punching and pulling out the whole hair.

[Joker]

IM, I think I understand what you're saying. That is something we really need an answer on ASAP. Dr. Wesley should read up on the Gho technique and its applicability to this new process.

[stayhopeful]

Ohhhhh, this just depends on WHAT EXACTLY they extract from below the skin.

According to the patent claims, they always try to extract follicles "INTACT" - that's the reason why I highlighted this part ("INTACT FOLLICLES") in my previous posts. Intact follicles simply means "intact follicles" - that means, everything is still attached to the HAIR SHAFTS like the complete follicle bulb (including the DP), the complete inner- and outer root sheaths, as well as the dermal sheaths (the glassy outermost layer which surrounds every single follicle). In simple words, ALL hair producing cells.

A really cool approach would be the following (patented by IronMan):

Instead of simply plucking out hair shafts (hair follicle stem cells are still attached to plucked hair shafts!!) from above the skin's surface - simply leave the dead and coarse hair shafts behind in the skin, and "pluck in" and remove all the remaining parts/hair follicle producing follicle tissue/cells from below the skin.

That means, you would see absolutely NOTHING at the skin's surface after the procedure (there is not even the need to shave the donor area!), because you only extract hair follicle producing tissue from BELOW the skin's surface, while the HAIR SHAFTS itself (including the still attached follicular stem cells) still stick in the skin.

In more simple words ...

... doing exactly what Dr. Gho is doing - but everything just from BELOW the skin. Doing this is -in theory- not unrealistic at all, because with SUCH an approach, you just "denude" somewhat the dead and coarse hair shafts below the skin (just to get enough follicle tissue from them), while the dead coarse hair shafts itself still stick in the skin. The still attached follicle tissue to the hair shafts, will completely regenerate the follicle (very fast!) in the donor area, and the extracted grafts/follicle tissue (these grafts do not contain the dead and coarse hair shafts as you can clearly see them in normal extracted FUE grafts!) will produce also hair (after implantation) in the recipient area.

Waiiit.. Are you saying this will expand donor supply?

[534623]

I also have no idea why Spencer thought this could possibly lead to donor regeneration.

Ohhhhh, this just depends on WHAT EXACTLY they extract from below the skin.

According to the patent claims, they always try to extract follicles "INTACT" - that's the reason why I highlighted this part ("INTACT FOLLICLES") in my previous posts. Intact follicles simply means "intact follicles" - that means, everything is still attached to the HAIR SHAFTS like the complete follicle bulb (including the DP), the complete inner- and outer root sheaths, as well as the dermal sheaths (the glassy outermost layer which surrounds every single follicle). In simple words, ALL hair producing cells.

A really cool approach would be the following (patented by IronMan):

Instead of simply plucking out hair shafts (hair follicle stem cells are still attached to plucked hair shafts!!) from above the skin's surface - simply leave the dead and coarse hair shafts behind in the skin, and "pluck in" and remove all the remaining parts/hair follicle producing follicle tissue/cells from below the skin.

That means, you would see absolutely NOTHING at the skin's surface after the procedure (there is not even the need to shave the donor area!), because you only extract hair follicle producing tissue from BELOW the skin's surface, while the HAIR SHAFTS itself (including the still attached follicular stem cells) still stick in the skin.

In more simple words ...

... doing exactly what Dr. Gho is doing - but everything just from BELOW the skin. Doing this is -in theory- not unrealistic at all, because with SUCH an approach, you just "denude" somewhat the dead and coarse hair shafts below the skin (just to get enough follicle tissue from them), while the dead coarse hair shafts itself still stick in the skin. The still attached follicle tissue to the hair shafts, will completely regenerate the follicle (very fast!) in the donor area, and the extracted grafts/follicle tissue (these grafts do not contain the dead and coarse hair shafts as you can clearly see them in normal extracted FUE grafts!) will produce also hair (after implantation) in the recipient area.

[PayDay]

This approach seems quite invasive and I'm not entirely sold on it. I also have no idea why Spencer thought this could possibly lead to donor regeneration. This procedure does not seem to comport with any of the theories advanced by Gho, Nigam or Cole. Seems silly that we have to wait for the big unveil now that the patent had been published. I wish Dr. Wesley could come address our concerns.

It doesn't seem any more invasive than say liposuction of the chin, but in the end if there is no visible scaring and all of the follicles can be removed without damage, it seems to be a superior form of FUE.

The only thing I can think of concerning regeneration is that it might be easier, since you can actually see the hair bulbs, to remove a small amount of tissue and cells and leave the rest to regenerate.

Hey, like Spencer said, it might not work the way it was presented at all, but it does seem very impressive at this point.

[Joker]

This approach seems quite invasive and I'm not entirely sold on it. I also have no idea why Spencer thought this could possibly lead to donor regeneration. This procedure does not seem to comport with any of the theories advanced by Gho, Nigam or Cole. Seems silly that we have to wait for the big unveil now that the patent had been published. I wish Dr. Wesley could come address our concerns.

[PayDay]

I didn't read all patent claims in detail (so I'm not 100% sure) - but THAT'S what I understand how this approach should (basically) work:

Contrary to the removal of the grafts/FU's from above the skin's surface (simply making incisions with a hollow punch/needle in the skin and pulling out the grafts thereafter) - they extract the grafts from BELOW the skin's surface.

Indeed, interesting approach, but I think the whole procedure (extraction of the grafts from BELOW the skin) may -eventually- cause more trauma and scar tissue below the skin, than removal of the grafts simply at the skin's surface.
If I understand it right, the "endoscope including the attached devices" (to make the follicle bulbs visible in the subcutaneous layer AND to extract the grafts via suction) must always "tunnel" under the skin - from one graft to the other and so on. To avoid this, they blow up the whole donor area like a balloon. That means, the whole scalp must be detached from the skull during the whole process and the healing process (as soon as "balloon-step" is over) is questionably. Furthermore, everybody knows that the follicle bulbs in the subcutaneous layer are all randomly splayed-apart in this layer. That means, the person who extracts the grafts from below the skin doesn't know which bulb belongs to which graft/FUE to keep the integrity of a certain and real "follicular unit".

These are just my first thoughts.

You actually have some good points and food for thought here, but I'm hoping that Dr. Wesley has a full understanding of the anatomy of the scalp and has looked at all possible roadblocks or potential complications when it comes to using this instrument.

It's going to be interesting to see how things unfold.

[ejj]

Pass before you even know how it works? lol. Then move on. It will be a superior method if it comes to fruition.

Highly doubt it. The material associated with the patent show how it works, enough to form an opinion, as I have.

ejj

[534623]

I wonder if this machine when burrowing under the scalp has the ability to move up and over, and around the tissue and vessels it will encounter in its path. Just because you may not be able to see tissue trauma [at the skin's surface] does not mean it has not occurred.

I didn't read all patent claims in detail (so I'm not 100% sure) - but THAT'S what I understand how this approach should (basically) work:

Contrary to the removal of the grafts/FU's from above the skin's surface (simply making incisions with a hollow punch/needle in the skin and pulling out the grafts thereafter) - they extract the grafts from BELOW the skin's surface.

Indeed, interesting approach, but I think the whole procedure (extraction of the grafts from BELOW the skin) may -eventually- cause more trauma and scar tissue below the skin, than removal of the grafts simply at the skin's surface.
If I understand it right, the "endoscope including the attached devices" (to make the follicle bulbs visible in the subcutaneous layer AND to extract the grafts via suction) must always "tunnel" under the skin - from one graft to the other and so on. To avoid this, they blow up the whole donor area like a balloon. That means, the whole scalp must be detached from the skull during the whole process and the healing process (as soon as "balloon-step" is over) is questionably. Furthermore, everybody knows that the follicle bulbs in the subcutaneous layer are all randomly splayed-apart in this layer. That means, the person who extracts the grafts from below the skin doesn't know which bulb belongs to which graft/FUE to keep the integrity of a certain and real "follicular unit".

These are just my first thoughts.

[youngin]

We should also learn if regeneration takes place and by what percentage

Hope this advancement compels other doctors to dump old fue

Very very doubtful. I'm almost 100% certain no regeneration would occur. All stem cell areas will be taken with the hair. In Gho's or Nigam's technique they can bisect it in vivo or in vitro and separate the stem cell areas to double the follicle.

[kaandereli]

We should also learn if regeneration takes place and by what percentage

Hope this advancement compels other doctors to dump old fue

[youngin]

I wonder if this machine when burrowing under the scalp has the ability to move up and over, and around the tissue and vessels it will encounter in its path. Just because you may not be able to see tissue trauma does not mean it has not occurred.

I think I will pass on this one.

Regards

ejj

Pass before you even know how it works? lol. Then move on. It will be a superior method if it comes to fruition.

[ejj]

I wonder if this machine when burrowing under the scalp has the ability to move up and over, and around the tissue and vessels it will encounter in its path. Just because you may not be able to see tissue trauma does not mean it has not occurred.

I think I will pass on this one.

Regards

ejj

[PayDay]

PayDay, you have successfully decoded Dr. Wesley's scareless technique. Good job Buddy. It makes now a lot of sense. Its indeed a breakthrough although it leaves scars but nealry imperceptible. I would like to see the opinion of top FUE surgeons like Dr. Bisanga, Dr. Koray Erdogan, Dr. Feriduni and Dr. Lorenzo about this one.

534623 makes a sense here, No war without "collateral damage"

From what I can understand from the patent there will be no scars where the grafts are removed. I'm assuming the scar being described would be a tiny scar probably a centimeter or so where the tool enters to go under the scalp. I'm sure most people can live with that knowing that the doctor has complete visibility of what they are doing and that they can still shave their heads in the future if they want to. Most people have a nick or two on their heads anyway. This is a huge advancement if it works well.

[youngin]

My question regarding the treatment is whether this version of FUE can be performed as fast as regular FUT - That would be brilliant. If it can also extract upwards of 4000 grafts in a treatment that would be even better.

It has the potential to be as fast as FUT. I think Spencer mentioned that Dr Wesley said he would be able to get the same amount of grafts as FUT. Seems like a great system. Have assisstants load the hairs into Choi implanter pens as you go and just knock that shit out in no time