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Dr. Paul Rose

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    Patient surgery results for Paul T. Rose, MD

    in Results Posted by Leading Hair Restoration Clinics

    Posted

    Thank you for the question. I had suggested about 2000+ grafts for the frontal area

    This patient had a density of about 65 or so FU per sq cm. The strip was about 26 cm in length and about 1 cm in width. His scalp laxity was such that I felt that that the width allowed me to close with minimal tension on the wound.The combination of limited scalp laxity and low normal density accounted for the 1866 number.

    His results are 67 month results and he can expect more growth.

    Thank you

    Paul Rose

    Patient results by Paul Rose, M.D., J.D.

    in Results Posted by Leading Hair Restoration Clinics

    Posted

    Female patient had a Strip procedure and below you will see photos before surgery and only 6 months after, which are not even the final results of surgery. Also, we have attached a photo of the scar which was also taken at her 6 month visit after surgery. The results already look great! Patient cannot wait to see her final results on her one year anniversary.

     

    Total follicular unit grafts: 1239

     

    209 - 1's

    590 - 2's

    340 - 3's

    100 - DFU's

    5b32ed74d7790_12-18-2015BEFORESURGERY40361002.thumb.jpg.3a0fed4454e412c16c8a121733753012.jpg

    5b32ed750f51f_06-15-20166MONTHSAFTERSURGERY001.thumb.jpg.84e72dfccba4b9bb627908b54f758b01.jpg

    5b32ed752f7e3_12-18-2015BEFORESURGERY40361004.thumb.jpg.042915c016cd3a0907f4c91442596bf5.jpg

    5b32ed75ab89c_06-15-20166MONTHSAFTERSURGERY005.thumb.jpg.0ad0216ee68e9e86292775c460d97782.jpg

    5b32ed75cb1d9_06-15-20166MONTHSAFTERSURGERY006.thumb.jpg.4592cf1e9c3174daa56419f210336be8.jpg

    PRP worth it?

    in Hair Restoration Questions and Answers

    Posted

    Recently there was a question posted about Neograft. As noted in the HT forum Neograft is a device not a surgical technique.

    I have used the machine and think that it is a good device. The drill works well. I have seen problems with the vacuum aspect of the device. I also think that the cost is high for a drill but as an owner of an Artas many would note that it is even more expensive.

    I do take issue with some aspects of the Neograft business model that has until recently allowed travelling techs to go into doctors offices or business owners who do not know anything about hair loss and hair loss treatment, to set up hair transplant centers. In some States in the US such activity would be considered illegal. In many instances patients are not told that a "tech" is doing the surgery. These travelling techs do not have medical licensure, it is likely that they do not carry malpractice insurance. Who does the patient call if there is a problem? What recourse does the patient have? What medical board oversees these people? Has the physician even notified his or her malpractice carrier that he or she is doing hair transplants and allowing a tech to do it? In some instances the physician may invalidate coverage if the insurance company has not been notified of the change in the doctors practice.

    In Florida we have sought to stop such practices and sought legislative control of the unlicensed practice of medicine. Neograft lobbied against our efforts and was able to avoid passage of the bill even though it did get through the appropriate committees. It is my understanding that Neograft is moving to a PA/ Nurse Practitioner model which would be legal.

     

    On the subject of PRP. Unfortunately many people are using the term PRP but not aware of what they are injecting. The patient is usually unaware. The patient hears PRP and thinks all PRP is the same; it is not.

    We have tried various PRP systems and kits and determined that what manufacturers indicate as the probable concentration of platelets is not always the case. Some systems we tested gave PRP concentrations that were not significantly elevated. Without adequate platelet levels the positive effects are unlikely to be seen.

    We use the Angel/Harvest / or Emcyte systems.

    We measure platelet counts on every patient; whole blood and prp to see what we actually obtained. If you do not know these parameters you have no idea what you are injecting. There are other parameters to consider but that is a separate discussion

    The medical literature is clear about the positive effects on wound healing. For that reason I think it is very helpful. We do use it in HTs as a "fertilizer " for the grafts.

    We seem to get earlier growth but this is an anecdotal observation

    As for growing hair I think we are still determining efficacy. We need better controlled studies.

    I hope this helps.

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