You are no doubt an interesting persona, Dr. Nigam. I hope that someone is able to bring Spencer's attention to your posts, and that you would be able to grab some air time on the show.
New Stemcell Treatment Photos... wow?
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Why are most people asking about 'doubling' when nigam claims to be multiplying and activating follicles? Strange.Comment
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hmmm, maybe it wasn't his intention to publish exactly the same, what other researchers already performed in their clinic and also presented and published their work many years before him.Comment
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ONE,
With a team of 4doctors and technicians) ,we can implant 2000+ hair follicle units per day with 10 hrs procedure.Which means 4000 follicle units after bisection into two.Unlike dr.gho we first extract the FU,bisect proximal 1/4th and distal 3/4th under magnification.implant both at recipient or one at recipient and the other at the donor area.
We also inject activated stemcells into both bisected FU,so that both the bisected parts get back the missing stemcells.
I believe as on today,a combination of HM and HAIR DOUBLING is the best option.
Dr nigam how many maximum grafts is possible to implant in two or three
days with doubling?[/QUOTE]Comment
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Dear Hariri, These are following differences between our techniques
1)Dr Gho offers donor doubling.We offer hairdoubling with activated stemcells.
2)We offer another separate procedurecaaled stemcell hair multiplication trough our FDA certified regenerative lab.This procedure is not offered by Dr.Gho.
LET ME FIRST EXPLAIN YOU ... the difference between Dr.Gho's Donor Doubling and Dr.Nigam's Hair Doubling.
A) In Dr.Gho's donor doubling, 0.6mm triple wave FUE punch is used to extract partial longitudinal follicular unit from 1 follicular unit of the donor scalp. I consider this as the blind technique because partial FUE is extracted without being visible by naked eye or microscope since the FU is in the dermis of the donor scalp. This partial follicular unit is then kept in the preservation medium for 2 hrs. with nutritional factors. This partial FUE is then implanted in the recipient area of the patient's scalp. Some of the FU are called unsuitable grafts which goes waste.
In Dr.Nigam's hair doubling, now we use 0.9mm FUE punch to extract the complete follicular unit including little sub-cutaneous fat and surrounding tissue under stereo microscopic magnification, we bisect these follicular unit traansversally into 2, the proximal one-third with the root and its stem-sells and distal three-fourth with mid-follicle bulk stem cells pilo-sebaceous unit outer route sheath and surrounding tissue. Since the bisection is done under magnification, hence no chance of wastage of grafts. These bisected follicular unit are kept in preservation medium with growth factors, antibiotics and nutritional factors. Few extra grafts are taken from the donor or the chest which is sent to our FDA certified regenerative lab for extraction and activation of stem cells. The bisected follicular units are either implanted in the recipient scalp or proximal one-fourth in the recipient scalp and the distal three-fourth bisected FU is implanted back into the donor from where it was extracted. After 4 hrs, we recieve, the isolated and activated hair stem-cells from our lab and injected where the 2 bisected FUs are implanted. This gives us an advantage wherein we are replinishing the stem cells in both the bisected FUs which have lost proximal and distal stem cells from the FU after bisection into distal and proximal part respectively.
Although Dr.Gho's donor doubling and Dr.Nigam's hair doubling will be replacing FUE and FUT worldwide because it gives an option of unlimited donor after 8-12 months.
B) Dr.Nigam's stem cell hair activation and hair multiplication (This is not offered by Dr.Gho) is a totally different procedure from Dr.Nigam's hair doubling.
In this technique, we extract 100 - 150 follicular units from the donor's scalp and/ or 150 follicles from the chest. We send these FUs to a lab for isolation and activation of stem cells and after 4 hrs. we inject 50% of the stem cells isolated into the bald and thinning scalp. After one and a half to 2 months, when the remaining 50% stem cells have multiplied and reached the count of 1 million, we use 75% of the stem cells for our 2nd HM injection. Remaining 25% stem cells are again multiplied to 1 million count in one and a half to 2 months and injected back. In some cases, we might have to repeat the process 2 more times one and half month apart. We can also use hair doubling and stem cell hair multiplication for FUT scar revision and scarring alopecia. From 1st Jan, we will also be using extra cellular matrix in all our hair transplant techniques.
So with our stem cell hair multiplication, we are creating new follicles and activating dormant telogen follicles.
In most of the patients, we first offer stem cell hair multiplication and if somebody is in a hurry, we combine it with hair doubling. This is a new protocol since Dec. 2012.
Regards,
Dr.Nigam
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Great Answer Dr. Nigam. I really started believing in you as you answer every question fully with confidence. I really wish that you call the Bald Truth Show on Tuesday or get an online interview with Spencer Kobren. If Spencer blesses your technique then you would be my first option to HT my crown and scar without depleting my precious donor. I actually was amazed when I know that you got double beard hair which will be great to cover my revised scar with less beard grafts to consume. As you know as a repair patient I'm paranoid with donor issues. How I wish I knew earlier about the bald truth talk. However based on your detailed answer, I can say that your technique is superior to Dr. Gho's :-)Comment
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In Dr.Nigam's hair doubling, now we use 0.9mm FUE punch to extract the complete follicular unit including little sub-cutaneous fat and surrounding tissue under stereo microscopic magnification, we bisect these follicular unit traansversally into 2, the proximal one-third with the root and its stem-sells and distal three-fourth with mid-follicle bulk stem cells pilo-sebaceous unit outer route sheath and surrounding tissue.
Since the bisection is done under magnification, hence no chance of wastage of grafts.
I mean, you say "FUE punch to extract the COMPLETE follicular unit" and in the same moment you say "under stereo microscopic magnification". So if I get it right, you extract COMPLETE follicular units with the help of a stereo microscopic magnification - right?
hmmm, I didn't know that microscopic MAGNIFICATION = doing radiography through the skin. I mean, just because you see something BIGGER at the skin's surface, it doesn't mean that you can see with a "stereo microscopic magnification" through the skin. In other words - you extract complete follicular units BLIND, as every other FUE doctor is doing this out there. And outside the body (as soon as you extracted complete follicular units) you cut them into 2 pieces under a stereo microscope.Comment
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if i had the chance i would certainly try that stem cell teraphy , rather than that doubling stuff.the former can be easily judged by looking to your temples everyday after post-op.but for the doubling , it is not possible to look your donor zone everyday and figure out if there is really a regeneration.Comment
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Implanted 934 hair doubling grafts on my sisters scalp today,will post pics with donor and recipient scalp on 1st jan.which means 934 FU on donor and 934 fu on recipient.you can follow these pics in detail with hair counts and see the growth both on donor and recipient.also gave her the first shot of stemcells on bisected grafts and rest of the scalp.Comment
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Implanted 934 hair doubling grafts on my sisters scalp today,will post pics with donor and recipient scalp on 1st jan.which means 934 FU on donor and 934 fu on recipient.you can follow these pics in detail with hair counts and see the growth both on donor and recipient.also gave her the first shot of stemcells on bisected grafts and rest of the scalp.
Also there are a number of more challenging questions being asked which you are not answering.Comment
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Dear 534623,we transversely bisect FU under magnification as against longitudnal vertical section blindly in vivo.
At present we extract the FU like other surgeons .
There is only one microscope which was suggested to me by laudstar team from berlin i.e MOVABLE PHOTON MICROSCOPE,with which i can see the grafts in dermis,not only that but as neversay the forum member suggested, i can also see stem cells and its effects on hair follicle.
I will buy the same in 2013,it costs 550000 US dollars.this microscope will dramatically improve my technique.there is only one company in berlin who manufacture this MOVABLE PHOTON MICROSCOPE which can be put on patients scalp to monitor the cellular activity.Laudster has photon microscope in his lab but not the movable photon microscope.this microscopev will be in the market in 2013.hmmm, bisection of the FU's inside the body (in vivo) or outside the body (ex vivo) under magnification?
I mean, you say "FUE punch to extract the COMPLETE follicular unit" and in the same moment you say "under stereo microscopic magnification". So if I get it right, you extract COMPLETE follicular units with the help of a stereo microscopic magnification - right?
hmmm, I didn't know that microscopic MAGNIFICATION = doing radiography through the skin. I mean, just because you see something BIGGER at the skin's surface, it doesn't mean that you can see with a "stereo microscopic magnification" through the skin. In other words - you extract complete follicular units BLIND, as every other FUE doctor is doing this out there. And outside the body (as soon as you extracted complete follicular units) you cut them into 2 pieces under a stereo microscope.Comment
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