HST needs improvements- suggestions?
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Speeding up the time required is the big one for me. If they could do that than theoretically you wouldn't even need Tsuji-Lab or Lauster.
Some people bring up the healing issues but I think that's a bit overstated. For example, here is an isolated area from gc83uk's donor after his 2nd procedure:
After 2 days:
After 9 months:
More than half of the follicular units in the area were extracted. The majority of extractions were right next to each other. gc only had a 700 graft procedure so there was more than enough space to extract elsewhere. Regardless, the area seemed to heal up just fine.
That doesn't mean that I don't think healing is an issue. I'm sure it is but I think there's definitely room to increase the size of the procedures. For example, I see no reason why 2.5k grafts can't be the "standard" procedure in the future rather than the 1.2-1.4k graft sessions that are most common now.Comment
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What does it take to get a 2.k graft session done? I mean, suppose you have the money ready and you say to Gho 'I want this much, take my money' why would he say no?Comment
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also young people heal faster, for example 25 yo will heal much faster than 55 yo but currently they are both have to wait 9 months which is crap, healing time can be adjusted depending on age, also non smoker heals faster than smoker
Right now Gho put 60 yo smoker in the same bag as 25 yo perfectly healthy non smoker
Point is theres absolutaly no need for younger patients to wait 9 months
and also he could increasy sessions according to patients age, i.e younger guys get more grfts since their healing is fasterComment
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also young people heal faster, for example 25 yo will heal much faster than 55 yo but currently they are both have to wait 9 months which is crap, healing time can be adjusted depending on age, also non smoker heals faster than smoker
Right now Gho put 60 yo smoker in the same bag as 25 yo perfectly healthy non smoker
Point is theres absolutaly no need for younger patients to wait 9 months
and also he could increasy sessions according to patients age, i.e younger guys get more grfts since their healing is faster
Bollocks, im 28 yrs old, I'd like a 5,000 graft session.Comment
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essentially this is the cure to hairloss, the technique just needs to be perfected...because this can turn a nw7 into a nw1 full head of hair.Comment
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are my numbers 48, 49, 50 and 51 …
These very close extractions are rather an extreme exception rather than the rule.
I think the main problem is NOT how close together extractions are made; it’s rather THE SUM in general of extractions in the donor area. 2500 or 3000 extractions cause simply MORE holes and darmage than just around 1500.
The human body isn’t like a mouse or rabbit body, which simply has a far better biology “integrated” concerning wound healing and self-regeneration (survival in the nature etc) – and that’s the problem, I think. Furthermore, some people have better healing characteristics than other people and so on.
For example, your extraction site #87 (aka #49) is also such an “immortal follicle”, which has been already extracted and regenerated multiple times. When you look at it just after 2 or 3 weeks, you might think you can already extract it once again. Indeed, but if you would do it, it would be the last time of the possibility to extract; without any doubts, this graft would NOT regenerate anymore.
In the first Gho/Kobren interview, Dr. Gho mentioned that they already tested this; for example extractions again just after 3 month, and he found out, that 3 month is simply too short. This would have the same effects as involved with Trichotillomania, namely a depletion of not completely and/or a fully expanded number (in vivo/in the skin) of follicular stem cells. That’s the problem.
And there is another problem:
Let’s assume you do it indeed just after 3 month – how about the recipient site??
It would be also rather risky to implant again into recipient areas, which are still in the process of formation of new hair producing follicles.
In my opinion, to overcome of all the mentioned problems and to fulfill patients’ desires (especially higher NWs), an even lesser damage to the donor area, but at the same time an increase of implantation sites would be required – and something like “HST 3.0” would accomplish that. But, as with many other things – easier said and described than done. But IF it works, you would indeed not need Tsuji-Lab or Lauster anymore.Comment
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3rd Procedure with Gho - Bald Truth Talk - Hair Loss, Hair Transplant and Hair Restoration CommunityI've just got back in the hotel after having 822 grafts done with the stick and place method HSI. I managed to take quite a few photos this morning at Ghos after having my head shaved BEFORE having any extractions! I'm going back tomorrow 7am for at least another 800, Ghos words. Today they only extracted from my leftComment
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Hard to say. I'm 28 years old and my hairline has obviously receded. It hasn’t gone so far back as to make it noticeable that I’m clearly balding since at my age and up most men WILL have their hairline recede by at least 1cm anyway, so its stronger than a mature hairline. However, my temples have gone bad and my scalp all over has thinned out drastically. I still have a lot of volume and can make the messy bed-head spiked look, but it starts to look pretty thin. I don’t have any bald spots so essentially, I’d need 2,000-3,000 grafts to give myself some fantastic volume. 900 grafts would be used on my hairline alone (27cm in length with a density of 30-35 grafts per cm2), with the remainder on my scalp and temples leaving 1,100-1,600 grafts. It’d do wonders. My case is a little less severe than Wesley Snejder’s.
Today there are at least the means to keep your existing hair, and more are coming in the pipeline.Plus, the hair transplantation techniques are today much better and affordable if we talk about small procedures.
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These very close extractions are rather an extreme exception rather than the rule.
I think the main problem is NOT how close together extractions are made; it’s rather THE SUM in general of extractions in the donor area. 2500 or 3000 extractions cause simply MORE holes and darmage than just around 1500.
The human body isn’t like a mouse or rabbit body, which simply has a far better biology “integrated” concerning wound healing and self-regeneration (survival in the nature etc) – and that’s the problem, I think. Furthermore, some people have better healing characteristics than other people and so on.
So I don't agree that it is the total number of extractions that are a problem. From everything HASCI has indicated, it's spacing that's an issue. The picture I showed though is a small area where more than half of the follicular units were extracted (!) that seemed to regenerate just fine.
I think they're probably afraid to push the procedure because it's still a new procedure which is developing and is only offered in one place. They know that if a couple of patients go online with scarring or no regeneration, it will cause a lot of harm to their reputation. So it's more of a precaution than anything else.
Even without "HST 3.0," I believe they can make 2.5k grafts a standard session in the future, possibly when the community is more accepting of the procedure.
When you look at it just after 2 or 3 weeks, you might think you can already extract it once again. Indeed, but if you would do it, it would be the last time of the possibility to extract; without any doubts, this graft would NOT regenerate anymore.
In the first Gho/Kobren interview, Dr. Gho mentioned that they already tested this; for example extractions again just after 3 month, and he found out, that 3 month is simply too short. This would have the same effects as involved with Trichotillomania, namely a depletion of not completely and/or a fully expanded number (in vivo/in the skin) of follicular stem cells. That’s the problem.
And there is another problem:
Let’s assume you do it indeed just after 3 month – how about the recipient site??
It would be also rather risky to implant again into recipient areas, which are still in the process of formation of new hair producing follicles.
In my opinion, to overcome of all the mentioned problems and to fulfill patients’ desires (especially higher NWs), an even lesser damage to the donor area, but at the same time an increase of implantation sites would be required – and something like “HST 3.0” would accomplish that. But, as with many other things – easier said and described than done. But IF it works, you would indeed not need Tsuji-Lab or Lauster anymore.Comment
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