grafts per cm2

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  • 05-20-2012 06:24 PM
    rev3
    grafts per cm2
    re: density

    was told two conflicting views on density

    1) anything higher than 40grafts/cm2 would compromise blood supply and graft survival

    2) 65grafts/cm2 is the cut-off point for compromising graft survival

    any thoughts
  • 05-20-2012 07:20 PM
    Jotronic
    Neither is true. It depends on the instrumentation used, how finely the grafts are trimmed, the integrity of the recipient scalp, physician experience, etc., etc. There is no blanket limit.
  • 05-20-2012 11:39 PM
    rev3
    so then both doctors lied

    oh well

    thanks
  • 05-21-2012 08:04 PM
    northeastguy
    Can't really say they lied...........they may have just given you the limits of thier skill based on their ability pertaining to the info Jotronic has profided. skill, equipment, graft trimming, ect....

    Doc 1 may not have the better equipment, skill, and techs properly preparing the grafts as well as Doc 2. hence the differant outcomes.

    keep doing your homework......your on the right track.
  • 05-22-2012 05:59 AM
    mattj
    40 grafts per cm is low. In most situations grafts can easily be planted higher without risk.

    65 grafts per cm might be a typical density for a hairline procedure where donor permits, but like Joe said, it isn't necessarily an absolute cut-off figure.
  • 05-22-2012 01:22 PM
    rev3
    Quote:

    Originally Posted by northeastguy View Post
    Can't really say they lied...........they may have just given you the limits of thier skill based on their ability pertaining to the info Jotronic has profided. skill, equipment, graft trimming, ect....

    Doc 1 may not have the better equipment, skill, and techs properly preparing the grafts as well as Doc 2. hence the differant outcomes.

    totally agree

    IN GENERAL, 65 grafts/cm2 seems to be the limit without comprising graft survival
  • 05-22-2012 01:27 PM
    rev3
    Quote:

    Originally Posted by mattj View Post
    40 grafts per cm is low. In most situations grafts can easily be planted higher without risk.

    65 grafts per cm might be a typical density for a hairline procedure where donor permits,

    Quote:

    Originally Posted by mattj View Post
    but like Joe said, it isn't necessarily an absolute cut-off figure.

    thanks but i haven't read one story in which a doctor feels comfortable in placing more than 65grafts per cm2 per session

    so in general there seems to be a limit per session
  • 05-22-2012 02:39 PM
    Jotronic
    Well, few doctors know how to do it to begin with so you won't read about a lot of doctors doing this. Dr. Hasson started the dense pack advances when he showed the first 70 per cm2 case ten years ago. At the time the highest densities were in the 35 per cm2 range and that was pushing it.

    Since then he's broken 80, 90 and even hit 100 per cm2 with successful growth. So, when I tell you that there are many factors to consider I'm saying so from a position of experience. Not everyone can do it and when the ability is there the physiology of the patient might not be. Again, there is blanket limit of 65 per cm2 but above this number one must ask the reasoning as few cases require densities that are much higher.
  • 05-22-2012 03:12 PM
    rev3
    Quote:

    Originally Posted by Jotronic View Post
    Well, few doctors know how to do it to begin with so you won't read about a lot of doctors doing this. Dr. Hasson started the dense pack advances when he showed the first 70 per cm2 case ten years ago. At the time the highest densities were in the 35 per cm2 range and that was pushing it.

    Since then he's broken 80, 90 and even hit 100 per cm2 with successful growth. So, when I tell you that there are many factors to consider I'm saying so from a position of experience. Not everyone can do it and when the ability is there the physiology of the patient might not be. Again, there is blanket limit of 65 per cm2 but above this number one must ask the reasoning as few cases require densities that are much higher.

    oh i see
    i guess my original post was misunderstood

    i was speaking in terms of the doctor's general view on implanting grafts per cm2

    interesting to hear that some agree to transplant over 65graft/cm2 if the patient's physiology permits

    thanks

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