3rd Procedure with Gho

[534623]

I think 'shockloss' is more to do with losing your existing hair near the transplanted grafts, rather than the grafts themselves, which you hear a lot of in regards to normal hair transplants. I haven't heard of anyone complain of shockloss with HST. That's how I understand it anyway.

A few years ago, a Dutch guy addressed this issue to Dr. Gho and posted Dr. Gho's answer ...

http://www.haarweb.nl/forum/showpost.php?p=108265&postcount=28

- Ook heb ik gehoord dat na een behandeling goeie haren door de behandeling beschadigd kunnen raken en hierdoor het oorspronkelijke haar (tijdelijk?) in een shock kan raken en uitvalt. Wat is hiervan waar? Kan je oorspronkelijke haar beschadigd raken? Wat zijn hiervan de gevolgen?

Dr. Gho: Hiermee wordt “Shock Fall Out bedoeld”. Men weet niet de precieze oorzaak van dit fenomeen. Echter, het komt vaak voor bij het gebruik van een laser om de gaatjes te maken. Door het gebruik van de laser wordt huid “verdampt”. Hierdoor zal echter in de nabijheid van het gaatje ook weefsel worden beschadigd. Als in het weefsel ook nog eens haarwortelzakjes zitten, dan kun je je wel voorstellen dat deze haarwortelzakjes af zullen sterven en de haren uit zullen vallen. Men spreekt dan van “shock fall-out”.

- Heeft u er bezwaar tegen als ik uw antwoorden op mijn bovengestelde vragen op een internetforum plaats?

Dr. Gho: Uiteraard ben je vrij om bovenstaande vragen en antwoorden op internet te plaatsen.

Ik hoop je hiermee voldoende geïnformeerd te hebben, maar mocht je nog vragen hebben, kunt ons altijd bellen of mailen.


Met vriendelijke groet,

Coen Gho, arts.

Anyway, Dr. Gho mentioned that the exact cause of the phenomenon
"shock fall out" isn't known - and not well described anywhere in the medical literature.
Here is my THEORY ...

Source: http://youtu.be/h_KYKp0EyoI

All hair follicles are connected among each other in a NETWORK-like pattern. As soon as this network is interrupted in big parts (due to cutting out of follicular units including skin parts via FUE - not via HST because Dr. Gho extracts just follicle tissue!!) - this can cause "shock-fall-out" of all the other hairs in this area.

By the way - also with HST, it can take up to 1 year until this NETWORK (see pic d.) is properly working again - in the donor area, as well as in the recipient area, where such a new network must form completely new (contrary to the donor site) and from scratch, so to speak, especially in former completely bald areas, as in gc's case.
This also explains, why hair transplants, in general, don't work as good in such scalps (no follicles for a very long time) as in still "virgin" balding areas.

[FearTheLoss]

Gc83uk....can you put up before and after pics of your recipient area so we can see where you were at baseline before Gho and where you are today? I haven't seen pics of anyone that has had more than one procedure with Gho...


thanks, much appreciated!

[534623]

Gc83uk....can you put up before and after pics of your recipient area so we can see where you were at baseline before Gho and where you are today?

His photos are currently scattered everywhere ...

[FearTheLoss]

Yes, but he's had another procedure since then..I just want him to upload one before all of the surgeries and one of him now..

[JJJJrS]

Yes, but he's had another procedure since then..I just want him to upload one before all of the surgeries and one of him now..

I've posted them here.

[FearTheLoss]

I've posted them here.

Thanks man much appreciated...also, correct me if I'm wrong, but he was told he could only get a maximum of 2000 grafts by many other doctors? and hes going back for more from Gho?

[JJJJrS]

Thanks man much appreciated...also, correct me if I'm wrong, but he was told he could only get a maximum of 2000 grafts by many other doctors? and hes going back for more from Gho?

Yeah, the HDC clinic told him he only had 2500 grafts available. IAHRS member Farjo recommended that he have a scalp reduction (!) first. He's already exceeded 3k grafts and seems to have plenty more left according to Gho. Because of the scarring from his scarring alopecia, he's also a difficult case to transplant.

As far as I'm aware, gc is prepared to go all the way with this and if he can get a full restoration than that should be the "showcase" result people have been asking Gho for. There's no way, imo, that traditional transplants could restore gc.

[FearTheLoss]

Yeah, the HDC clinic told him he only had 2500 grafts available. IAHRS member Farjo recommended that he have a scalp reduction (!) first. He's already exceeded 3k grafts and seems to have plenty more left according to Gho. Because of the scarring from his scarring alopecia, he's also a difficult case to transplant.

As far as I'm aware, gc is prepared to go all the way with this and if he can get a full restoration than that should be the "showcase" result people have been asking Gho for. There's no way, imo, that traditional transplants could restore gc.

I agree with that....any idea of when gc is going in for his next procedure?

[JJJJrS]

I agree with that....any idea of when gc is going in for his next procedure?

Not too sure. You'd have to ask gc about that but I think it will be in a year or so.

[FearTheLoss]

gc how many grafts did they say you would be able to get in your next procedure??

[didi]

Of course I'm not going to complain.

Look, why don't you take a close look at my donor area and randomly circle 50 grafts and see whether they are 1's, 2's or 3's. Come back with an answer and then do the same again in the recipient.

That would be very worthwhile!

Point is my donor has plenty of 1 hair grafts, but I'd still be interested to see your analysis. BTW I'm not taking the piss.

'Point is my donor has plenty of 1 hair grafts, but I'd still be interested to see your analysis'


Gc

I didnt circle any 2s and 3s as there was no need to,quick look at the pic of back of your head and you will see theres more multi-hair follicular units than there is 1s...when you look your recipient its different story...so your theory that there was shortage of multihair grafts in your donor is not valid.

IronMans theory is tht hasci technique is not suitable for single hair grafts and in your case most transplanted 2s/3s turned into 1s...


or perhaps some sort of splitting theory, partial regrowth in both areas took place.

[caddarik79]

I don't agree, I can see a fair amount of 2hairs in his recipient.

[didi]

That fair amount is 30-35% at best (btw which pic you looking at, 2nd pic is his donor area)

red flag, splitting follicles for sure , just like many HT doctors claimed, i'd bet million bucks on it

[caddarik79]

did you get a procedure?

I had a look at the first pic.

[UK Boy]

Hsi

I'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 left side and back, pretty lucky because that means the observed area we've been looking at over the last year or so hasn't been touched. So I'll take more photos tonight and try and upload them.

I've not asked Gho any questions that we didn't already know the answers too, plus I didn't really see much of him today tbh.

I've taken a pic of the vitro dish with the grafts in, not sure how it turned out yet, I was feeling faint as **** when I took it, only a couple of grafts in the star section.

The thing about the peddles that some ppl brought up, quite often she would press the first peddle in the same way you would rev an accelerator in a car, so all these extra touches of the left peddle IMO are not failed extractions. I also noticed she would drill twice in the same graft to extract it occasionally.

I'll also upload before and after of the recipient area.

Thanks for all the good luck msgs!

GC could you please explain the HSI technique to me a bit more, you call it the stick and place method, from that and the description from the HASCI website I thought I understood it but now that you mention the grafts in vitro I'm not sure I do. I thought they extracted a graft with a needle and then put it straight into the recipient, one at a time and that's why it takes so long. But now it sounds like they don't put them straight in if they leave them in vitro. Didi mentions it being better to get HST than HSI but HASCI themselves describe HSI as a leap forward from HST so I don't see why you'd want to, well sure you can get it done faster but HSI is better for recovery, graft survival and density isn't it?

When do you think HSI will be available to all? On the website it says the very near future, anyone asked Dr. Gho when this might be?

Really glad you've had such good results GC.