a case study of DONOR REGENERATION with the FUE-L Technique by Dr B. MOUSSEIGNE

[sausage]

How close are we to knowing this is a success and therefore be available to the mainstream. Surely this technique would be used by all hair surgeons in the future.

As a very bald guy with limited donor this is the kind of advancement for Hair Transplants that I am after.

[Joker]

No doubt - re-extraction would be quite preferable. It's just nice to know that even an imperfect version of this procedure could get potentially paradigm-shifting results. Let's just hope the basics (extraction, regrowth, full recipient growth) continue to work as expected and we get more info/pics soon.

[gc83uk]

Not necessarily. You could divide all of your treatments into quadrants. First transplant you extract 60% of follicles from the far left, next transplant you extract 60% of follicles from the mid left, etc. 4-5 transplants later you've achieved the same result as one massive transplant. Matthieu suggested that each session is limited to 1500, but I think they could get around that with innovation. Doesn't make sense to use a treatment like this in small increments if you're significantly bald and it works as expected.

True or even better to do consecutive days.

Regardless of how you do it, being able to re-extract a follicle would be comforting. Especially when today you may only need e.g 3000 grafts, but as your hairloss advances you may need another 3000-5000.

[Joker]

Not necessarily. You could divide all of your treatments into quadrants. First transplant you extract 60% of follicles from the far left, next transplant you extract 60% of follicles from the mid left, etc. 4-5 transplants later you've achieved the same result as one massive transplant. Matthieu suggested that each session is limited to 1500, but I think they could get around that with innovation. Doesn't make sense to use a treatment like this in small increments if you're significantly bald and it works as expected.

[gc83uk]

I don't know how to feel. Mathieu's statements are exciting, but as he's stated - they haven't been fully documented/proven yet. I just hope Dr. Mousseigne/Mathieu can continue to work fast so that we can get more information on the details of the procedure (i.e. why does this method work when so many other methods don't?), more test subjects and commercialization.

I also hope his earlier prediction of months, not years, before this information will be made available holds true, and progress doesn't slow down/disappear like usual.

One interesting thing about this technique (as we understand it so far) is that repeated extractions of the same follicle - while ideal - probably wouldn't even be necessary to transform a NW6 to a NW2. We've seen 60% of a donor area harvested successfully. If 60% of an ENTIRE donor area was harvested successfully, that would easily be enough to cover the top of a NW6 at original density - and the total donor area would only deplete by 15% (60% harvested x 25% of hairs that don't grow back).

As always, fingers crossed...

That's true, but you would have to do the whole procedure in one sitting, because if you come back for a second transplant then you won't know what was extracted last time. I might be wrong, but you don't hear often about people having more than say e.g 5000 fue in a day.

[Joker]

I don't know how to feel. Mathieu's statements are exciting, but as he's stated - they haven't been fully documented/proven yet. I just hope Dr. Mousseigne/Mathieu can continue to work fast so that we can get more information on the details of the procedure (i.e. why does this method work when so many other methods don't?), more test subjects and commercialization.

I also hope his earlier prediction of months, not years, before this information will be made available holds true, and progress doesn't slow down/disappear like usual.

One interesting thing about this technique (as we understand it so far) is that repeated extractions of the same follicle - while ideal - probably wouldn't even be necessary to transform a NW6 to a NW2. We've seen 60% of a donor area harvested successfully. If 60% of an ENTIRE donor area was harvested successfully, that would easily be enough to cover the top of a NW6 at original density - and the total donor area would only deplete by 15% (60% harvested x 25% of hairs that don't grow back).

As always, fingers crossed...

[gc83uk]

I've got a really good feeling about Dr Mousseigne.

Can you tell me if this is Invivo or Invitro method?

Do you have any data as yet to conclude whether re-harvesting previously harvested grafts is possible?

All the best.

Oh and your documentation is probably the best I have ever seen, as others have said, Dr Nigam should present his cases exactly like so.

[Joker]

Thanks for clarifying Mathieu - I totally understand the desire to be cautious, and I respect it. I really hope your procedure continues to work as you state, it would be a huge breakthrough for all of us. Please continue to work on the showcases, as your method of identifying the regrowth of individual hairs is what separates this procedure from others (that may or may not just split follicles without actually creating more coverage). Good luck with your recent surgery! If FUEL grafts grow in scar tissue, that would be a huge testament to the viability and durability of the whole process. Looking forward to more details, more showcases and hopefully commercialization in the (hopefully) near future.

[caddarik79]

agree

[clandestine]

Dr. Nigam should take note, this is exactly how you document donor regeneration.

[caddarik79]

is it going to beat Gho 80-85% (even if discussed) ?

A combo or an HST 3.0 with more hairs from one would be nice.

[Mathieu]

When can we expect to see these 3 different showcases?

I'm very anxious to take a look at these.

Hi FTL,

I read elsewhere that you'll have a procedure with Dr Gho... I wish you all the best!

I should focus again on the showcases' analysis. I didn't manage to do it properly these past 10 days, my bad. I do have all the pictures though!
The thing is: donor regeneration can be attested even by naked eye, i.e. gapless donor after approx. 10 days ; although exact numbers shall be analyzed, hair groupings look just as they did before being entirely harvested with the new technique. Which is not happening after a FUE procedure involving an equivalent amount of graft harvested from an equivalent donor surface.

[Mathieu]

I hope it is a limiting factor. I wouldnt trust somebody to operate on me if they hadnt...

Thanks for the reply, Mathieu.

I definitely understand your interest in locating an American doctor who performs manual FUE surgeries, but I hope you will not necessarily make that preference a limiting factor.

Many doctors use automated systems to lower the costs of their procedures, but might be willing to return to manual systems if donor regeneration can be proved (which your initial study has done). For example, Dr. Cole has done a lot of work with ECM materials and donor regeneration, and would almost undoubtedly be willing (and able) to implement a manual technique if it advanced the goals of his patients.

Please let us know if there is any way American forum members can help you move things forward. Again, good luck!

I think Cole would be a great doctor here in America..he's open minded to advancing techniques.

Mathieu, where are you brother?

Guys,

I'm sure you will understand if some things are meant to be discussed and planned out of the forum. Commercial strategies and so on have no reason to be displayed publicly here. But don't you worry: North-Americans won't be left apart, and local solutions will be offered to them.

[Mathieu]

Good luck! and remember to take lots of photos

Thanks Kiwi.

So far, the main problem we have faced in our effort at documenting the whole protocol has been... taking good shots of the recipient area. It hasn't been about the quality of the shots per se, but about the type of test patients we've had. Everyone of them suffers from diffused thinning, and therefore we had no strictly bare perimeters to work on. You can talk about a bad casting...
Given the time and involvement it takes on both sides (doc/patient), we can't have too many test patients. Ideally, a Norwood grade with slick bald spots, agreeing to be grafted on this particular area, should undergo the test and do the follow-ups. It sounds easy to achieve, but in reality, it is not. For instance, I'll have the test done tomorrow in scar tissue, but these are not regular/optimal conditions for evaluation, because the final yield in the recipient will depend on the same variables as the ones already observed when classic FUE grafts are implanted into fibrosis.

[Mathieu]

Me too, hope it doesnt induce permanent limp dick.

Rest assured: no such side effect will be induced!

In fact, the only downside I can see for now is that one will need to prevent further hairloss if he doesn't want to undergo repeated FUEL procedures. The problematic remains the same as with former hair transplantation techniques, BUT with a regenerated donor. An adjuvant treatment which could block MPB progression would make a great combo; some guys will rely on finasteride and minoxidil; for the others, I wish Histogen and the likes to be released asap.