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Right - that's what I said. They DON'T extract typical "single follicles" as with normal FUE. I had a very long discussion about this issue with Dr. Broekhuijse (the day before my 1st HST) concerning "how they get SINGLES if needed?".
He explained, that when they really need normal and real SINGLE hair grafts, in this case, and just in this case, they simply extract around 10-15 real single hair grafts, and these real single hair grafts are placed just in front of the hairline. Everything behind these around 10-15 real SINGLES (not more!) are multis. But these 10-15 real SINGLES, represent, in fact, normal FUE singles, because with the small HST needle, you CAN'T extract a normal SINGLE hair graft in such a way, so that you still leave enough follicular stem cells behind in the donor area. In this case, and just in this case, even the small HST needle is simply "too big" for 1 normal SINGLE hair follicle. that means, the diameter of the average single hair follicle as well as the inner-diameter of the HST needle, both have almost the same diameter - so there can't be enough follicle tissue left behind in the donor area. In this case, the normal single hair follicle is simply extracted completely INTACT like a normal FUE single hair graft.
And now the real good question:
How can you solve this problem, if you simply need enough SINGLE hair grafts for the patient (for the hairline etc) - WITHOUT compromising the donor regrowth part??
Simply using a needle with an even smaller inner-diameter is NOT the ideal solution, because you're almost "forced" to use a 2nd HAIR SHAFT as "guide" to get also parts of the follicle's DERMAL SHEATH. If you would simply extract a normal single hair follicle simply with an even smaller HST needle - there would be no DERMAL SHEATH (at least not enough or not at all!) attached to the graft. Such a "graft" would look like a normal PLUCKED HAIR (with some follicle tissue attached). Partially attached DERMAL SHEATHS to HST grafts is simply ESSENTIAL for the HST technique.Comment
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By the way, Kristel also wrote that she had to drill 75x to get these 51 grafts. She wrote in Dutch " ook de 24 ‘afgekeurde’ stukjes grafts hebben we op een apart stukje gezet" I'm not really sure how to translate because I don't really know what she meant here but best translation probably would be something like "and also the 24 'disapproved' pieces of grafts we placed in a seperate section". Not sure what she means here, probably that this time they didn't throw away the failed extractions but placed them in the petridish in a seperate section ? Anyway I'm sure the photo's will speak for themselves, dying to see them, this is all extremely interesting
Soon we will have all the answers we always wanted
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No - I think she means with "24 ‘afgekeurde’ stukjes grafts" the 23 "single follicle grafts" which look like all those grafts ...
...which you can see in JamesBold's dish in section "1".
In section "1" I can see lots of "afgekeurde stukjes grafts".
Furthermore, I think she meant with "op een apart stukje gezet", that they implanted these "section 1 grafts" NOT into the scar (the scar in the photo doesn't have 51 graft implantations!!); instead of, they placed these "special grafts" somewhere else - but not into the scar.Comment
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I count 76.Comment
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Hate to be a pain or state the obvious here, but 23 + 16 + 2 doesn't equal 51... It equals 41...Ok. Surgery took place wednesday as planned. 51 grafts were taken, 23 singles, 16 doubles and 2 triplets. This time microscopic photo's were made, there was also a camera crew present who made video's AND a professional photographer was present who shot photo's too. Obviously HASCI wanted to get it right time
Kristel asked me to come by on day 2 but it was difficult for me due a very busy time with travelling etc so I missed that, but they've shot photo's of day 2 as well.
Everything will be delivered to them on a DVD and once they have it I'll get the material too and post it here.
Do you mean 12 triplets? Or maybe 26 doubles?Comment
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Not sure if this is an attempt to be funny, but I used the numbers she gave me (without realizing they indeed only add up to 41 but you obviously didn't either)Comment
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She said she needed to drill 75x times to get the 51 grafts. She indeed talked about 24 disapproved grafts, so that makes sense. Most logical explanation is that she indeed mistyped 12 as 2. And it would also answer your question why there were so few triplets while this guy clearly has enough triplets AND seems to have quite normal hair (not extremely thick hair like James has). And Didi claimed HASCI can't do triplets, so that makes sense too (since Didi is almost always wrong about pretty much everything and therefore serves quite well as a contra-indicator, hehe)Comment
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Actually, it doesn't matter what SHE counted, because to VERIFY everything (including her counting), we need a CRYSTAL CLEAR BEFORE PHOTO anyhow ...
... from this test area.
But doing this with photos is also "tricky", because as a viewer, I simply can't distinguish between "unsuitable grafts" (failed extraction sites) and usable grafts extraction sites.
By the way ...
... in this photo I can see 4 black dots which create (in mind) a square - 4 black dots, similar as Dr. Gho made them for his HST study. So the question is - Are these 4 "black dots" I can see tattoos? I'm not 100% sure ...Comment
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Exactly. And she surely understood that and that's probably the reason they hired a professional photographer this time. She did mail me though that this photographer is going on a holiday this monday so she hoped he could deliver the photo's before monday, otherwise we'd have to wait. And I'm not good at that, dying to see the photo's
Maybe I'm missing something but is that important ? It's just about how many hairs were sacrificed in donor in order to get how many hairs in recipient, isn't it ? Maybe it's interesting to better understand the process but from a resource point of view (or regular client point of view), it doesn't matter. Most clients, including me, just want to know how many hairs will be lost in donor to get how many hairs in recipient.I simply can't distinguish between "unsuitable grafts" (failed extraction sites) and usable grafts extraction sites.
I'm pretty sure they are. She said before the test that they would place temp tattoo's and in her last mail she indeed said they 'marked' the area.So the question is - Are these 4 "black dots" I can see tattoos? I'm not 100% sure ...Comment
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Actually, as long as you can see completely the same situation in the donor area 2-3 weeks after extractions as in the BEFORE photo (exactly the same number of visible hairs within EVERY extraction hole etc) - everything what you can see growing in the recipient area(s) after 9-12 month would be THE GAIN/PROFIT!
That would be the simplest form of calculation.Comment
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