Dr Nigam, my own experience

[534623]

Do you guys have any idea how to improve the hair count per graft ? When I get my previous Fue i get tons of 3hairs per graft and few of 4. I read for exemple that HASCI can only get about 1,5 (acording to arashi the specialist), why a low number like that compare to normal fue ?

Sure, and with the tons of 3-hair and 4-hair grafts - you got the "amazing result" with Dr. Bisanga in Brussels I could read so much about it.

[gc83uk]

Sorry I haven't had time to read this entire thread yet, but why is only 2% of the total extractions 3 hair grafts? I would have expected more than 31.

Perhaps I've misread, best of luck and thanks for documenting.

[StinkySmurf]

HM will be very cost effective,less painful, specially for an nw7,who will need bigger number of hair,hm can avoid multiple visits for nw7...
i do not know..but i meet patients who are scared of ht...

I'm still in the scared of HT boat so I'm glad your still going after HM Dr Nigam, but these are great pics of Tom's recipient area so thanks for sharing Tom!

[didi]

Originally Posted by tom vercetti View Post

Do you guys have any idea how to improve the hair count per graft ? When I get my previous Fue i get tons of 3hairs per graft and few of 4. I read for exemple that HASCI can only get about 1,5 (acording to arashi the specialist), why a low number like that compare to normal fue ?

hasci uses 0.6mm needle, too small to extract anything above 2 hair graft(every fue doc will tell you this)

If dr nigam get this right he will be the King of HT

[gc83uk]

wtf has Hasci got to do with it, we're talking about Nigam.

[drnigams]

Good to see u back GC,
we extracted less of 3follicles graft,as we wanted singles more for hairline..otherwise triple/quadruplet i can extract like normal fue extraction...for hairline..i would than need to divide them into singles.

Remember GC..you wanted a patch test for scarless procedure..we can follow TOM,for scarless procedure.

We are lucky to have ,a combo of dp cell,stemcell,ecm.. and hence, can avoid scar even if i use wider punches(newer techniques in wound healing and scar management ,i keep learning from researchers in burn management)..you can google and find the role of dp cell,stemcell and ecm in wound healing..

Sorry I haven't had time to read this entire thread yet, but why is only 2% of the total extractions 3 hair grafts? I would have expected more than 31.

Perhaps I've misread, best of luck and thanks for documenting.

[tom vercetti]

Sure, and with the tons of 3-hair and 4-hair grafts - you got the "amazing result" with Dr. Bisanga in Brussels I could read so much about it.

my donor is good. For Bisanga I just did a 1000 graft to lower my hairline, but finally he chose to renforce my excisting hairline.. And didnt found any really change. If Dr Nigam can get me a such low hairline as dense as my previous density, believe me I would be happy. But I think we should place maybe more graft of 3 or 4 hairs just behind the line of 1 hair at the front to keep it natural.

[One]

Sorry Nigam and Tom,

but why were not put all grafts (2000-3000) at one time?

That is, I believe that 99% of people can not come and go from India to put 1000 grafts at a time.

[TO YOUNG TO RETIRE]

i think that all were put, or at least can be put at once procedure lasting days(couple maybe)

Sorry Nigam and Tom,

but why were not put all grafts (2000-3000) at one time?

That is, I believe that 99% of people can not come and go from India to put 1000 grafts at a time.

[veca]

Tom, can you tell me a little more about how you see the issue of "safety", especially when we talk about the growth factor? And another thing, what kind of results do you expect?

thanks man

[Arashi]

1. Total drills in the 4 shaved buns 1475
2. Singles 762 Doubles 326 Triples 31 Total successful Extraction 1119
3. 175 grafts sent for isolating and sourcing progenitor stem cells and multiplied stem cell to be injected (These cells used for stem cell cannot be used for donor and recipient regeneration count as intact send to the lab for epidermal and mesenchymal stem cells)
4. 75 grafts sent for 2D DP culture which will be injected in 6 weeks from day 0 which cannot be used for donor and recipient re generation .
5. 106 grafts used for DP cell isolation and re implanted back at the donor from where they were extracted.
6. Recipient shows 1044 implantation mostly singles few doubles
7. Most of the lower half of the grafts part hair bulb was implanted as the donor except approx 200 lower half injected most of the upper half of the follicle implanted approx 75 grafts were drilled but grafts not extracted from these 75 drills at donor.

I don't understand the numbers. How should we see them ? Total extracted grafts was 1119. 175 sent out for isolation, were these whole grafts (so before split ?). Same question for the 75 grafts for DP culture. Then the 106 grafts for DP isolation, were they split ?

You say 1044 halves were planted into recipient. How many went into donor ? And I don't understand this sentence "Most of the lower half of the grafts part hair bulb was implanted as the donor except approx 200 lower half injected most of the upper half of the follicle implanted approx 75 grafts were drilled but grafts not extracted from these 75 drills at donor"

Thanks

[Arashi]

Also, Dr Nigams, you were talking earlier about a max of 5000 grafts/session. But if approx 1000 grafts already take 3 days, does that mean that 5000 grafts equals 15 office days = 3 weeks ?!?!

[One]

Also, Dr Nigams, you were talking earlier about a max of 5000 grafts/session. But if approx 1000 grafts already take 3 days, does that mean that 5000 grafts equals 15 office days = 3 weeks ?!?!

That's right, Dr Nigam I do not know if updates on the forum writes her or his secretary but often do not understand what it means.

Read a bunch of names (cells dp-prp, re-growth factors), numbers, bulbs cut, put some in the culture, other implanted confuses us a lot.


Moreover, often does not respond in a direct manner to the questions.

Mine is the following: Why do not you have innestat all grafts at once? Are you able to engage with a density of 40-50-60 cm2 grafts in a session?

[Arashi]

I guess my point is: if you extracted 1119 grafts, sent 175 grafts for isolating and sourcing progenitor stem cells (which you state couldnt be used therefore in donor/recipient) and the 75 for DP culture can't be used either ... that means you had only 869 grafts for donor/recipient, yet you implanted 1044 into recipient ... does that mean you implanted way less in donor !?! It's a bit confusing.

[drnigams]

Dear,one i explained earlier...

Documentation took a lot of time,convincing tom not to lower hairline so much laterally took alot of time,ultimately had to agree with tom,it's is after his hairstyle which he loves..he is a fan of cristiano's hairline...

Another reason why tom's procedure was done slowly as he had not stopped is natural supplements ,niether i was told about it,when we did bt/ct ..his clotting time was outside normal range..which means thinned blood and clots late,still we managed without any complication or bleed or swelling.

If i do not extract 200 grafts and implant sequentially for high quality ...time can be saved,not even fue doc 's do this.
FUE and doubling is different, as i explained in the earlier post,invitro doubling is even tedious for us than invivo,FUE requires2/3 people to doinvitro requires ateam of 9/10 people .
kindly read my earlier post in response to gingko,
Still i can do 1500 grafts to 2000 grafts invitro doubling per day..if the other parametres are normal.
His hairline to be covered was approx 40sqcms,he will need 3000 grafts for a density of 70,which i will give him ...on his next visit..
For 300 grafts for hairline with density i need 3 days at mumbai..one session..hairline some docs do only 600 grafts on one day..for quality...non hairline ..is easy and fast.

Sorry Nigam and Tom,

but why were not put all grafts (2000-3000) at one time?

That is, I believe that 99% of people can not come and go from India to put 1000 grafts at a time.