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  1. #11
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    That's a great observation, Gillenator. Not many people recognize miniaturization as a precursor of future loss. The smart ones, such as you do. One thing I look for is an increase number of telogen hairs in the donor area. When i see this, I begin to consider the potential for future hair loss. One area i see them often is in the superior, non-permanent zones. Then i also see them in the non-permanent lower zones. When i see an increase in telogen hairs in these non-permanent zones, I anticipate future loss. What i really worry about is when i see them in the traditional safe donor area. We all know that the safe donor area is not safe. An increase in the telogen to anagen ratio is the true precursor to future hair loss. Unfortunately, you have to look under the hood to see them.

  2. #12
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    Quote Originally Posted by drcole View Post
    Also, recognize that Pilofocus is a long way off if ever technology at this point. The device harvests tiny plugs deep in the scalp. This will fill in with scar tissue so it's absurd to suggest that it is scarless. If anything there will be more scar. ... you will have a thin donor area with lots of gaps and tons of deep fibrous scar tissue.
    This might be technically true, but the only scars that people (myself included) really care about are the visible ones.

    So just as FUE leaves scars that are less obviously visible than FUT, Pilofocus (if everything works out) will leave scars that are *even* less visible than FUE. Internal damage notwithstanding.

    As regards regeneration: that's just a bonus. We don't have (practical, repeatable, predictable) regeneration today so saying that "Pilofocus won't have regeneration" is largely irrelevant.

  3. #13
    Senior Member gillenator's Avatar
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    Quote Originally Posted by drcole View Post
    That's a great observation, Gillenator. Not many people recognize miniaturization as a precursor of future loss. The smart ones, such as you do. One thing I look for is an increase number of telogen hairs in the donor area. When i see this, I begin to consider the potential for future hair loss. One area i see them often is in the superior, non-permanent zones. Then i also see them in the non-permanent lower zones. When i see an increase in telogen hairs in these non-permanent zones, I anticipate future loss. What i really worry about is when i see them in the traditional safe donor area. We all know that the safe donor area is not safe. An increase in the telogen to anagen ratio is the true precursor to future hair loss. Unfortunately, you have to look under the hood to see them.
    And this is why every patient with MPB should seek this type of evaluation both initially and then continuing intervals due to the progressive nature of MPB. And thanks for the clarification of the telogen to anagen ratio Dr. Cole.

    Only this type of evaluation can identify these variations and as you say, the traditional zone is not always as permanent as it appears, especially to the naked eye.
    "Gillenator"
    Independent Patient Advocate
    more.hair@verizon.net

    NOTE: I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice nor are they the opinions of the following endorsing physicians: Dr. Bob True & Dr. Bob Dorin

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