
04-02-2008, 08:21 PM
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Senior Member
Celestial Follicle Club Member
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Join Date: Jan 2002
Location: Seattle, Wa USA
Posts: 2,240
Last Online: Yesterday 10:34 PM
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Dr. Carman,
I appreciate your follow-up post. I am familiar with the studies you mention and if I recollect properly these individuals of which you speak are exactly the same types that do not perform dense packing sessions, or megasessions or both, on a regular basis. The vast majority of those in the ISHRS do not and cannot dense pack as you mentioned and have for many years looked upon the mere prospect of doing so with disdain. To be able to perform these sessions one needs to work slowly and carefully. This takes several years and cannot nor should not be attempted for any reason other than the desire to do so properly.
I can certainly appreciate the indication of such studies but they cannot simply be thought of, executed, then have the data be considered valid if the proper experience to perform the studies to begin with is absent. This is not a slam on any one clinic or doctor. I am trying to simply get the point across to the readers that not every clinic in the ISHRS is the same, far from it as I'm sure you'd agree, and that different clinics have different ways of doing things. Most clinics are still performing sessions that max out at 2500 or 3000 grafts but other clinics are consistently cranking out 4000 to 5000 graft sessions on a weekly and even daily basis (where called for). And for dense packing, the same applies.
ThininHouston,
"Certainty they dont get 5000 graphs/units out do they?"
I cannot speak for other clinics but since we do these sessions on a regular basis I can say that the grafts are intact follicular units. There are occasions where some singles are made from larger grafts but this is in order to insure that enough singles are used for the appropriate area. One would think that a large 4500 graft session would yield enough singles naturally, which is usually the case, but there are cases where extra singles are necessary for increased naturalness in specific areas but this is not to artificially inflate numbers. It is for true "ultra-refined" follicular unit grafting for the most natural result for the patient and all of the better clinics utilize this method.
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