After having gone through 2 full strip harvest sessions at another North American clinic, this 46-year-old vowed to never have another hair transplant due to his hair's unnatural appearance. A friend of his convinced him to meet Dr. Carlos Wesley in NYC. After a series of discussions and a 2184-graft follicular unit extraction (FUE) session in which both scalp and beard hair were harvested, this patient was both relieved and thrilled to have a new, more natural-appearing hair distribution one year later.
A combination of 0.8 and 0.9mm FUE punches were used to harvest scalp and beard hair. In addition, the grafts were stored in a mixture of platelet-rich plasma (PRP) and ACell.
This 37-year-old man wanted to thicken his frontal scalp and re-establish the hairline that he had only a few years ago. His emphasis was that the results look natural above all else. He underwent a follicular unit extraction (FUE) session with Dr. Carlos K. Wesley in NYC. His graft breakdown can also be viewed below.
He can be seen before and one year after his procedure in which platelet-rich plasma (PRP) was one of the components used as a holding solution. Our FUE results on patients with different hair characteristics can also be viewed on our Results Gallery.
After either a follicular unit extraction (FUE) or follicular unit transplantation (FUT) session, the time period until the full benefit of the procedure can be appreciated requires patience. The term "Early Growth" is often used to describe the initial phases of this transformation. But what does that mean?
After being transplanted from the donor area to the recipient region, hair follicles lie in a "resting phase" or "dormant phase" for a few months. This does not necessarily mean that they are all hidden beneath the scalp surface. Some follicles persist in the "stubble" phase as shorter shafts as they lie dormant. Platelet rich plasma (PRP) can help reduce this resting phase.
Patients sometimes grow concerned that persistent "stubble" means dead graft after a few months. However, that shaft still has yet to be activated into the growth (anagen) phase. To illustrate, I've included a patient as seen eight (8) months after a procedure and his "early growth" as seen with global images as well magnified. As evidence that the "stubble" is not dead (but rather resting) a hair shaft from within the same follicle has taken off in the anagen phase. In time, the stubble will elongate into a lengthy hair and the "early growth" phase will become "full growth".
What Does Early Growth Actually Mean?
We are opening up two dates in the near future (June 6th & 8th) for patients interested in taking part in the piloscopy clinical trial. Please reach out to Barbara at firstname.lastname@example.org or 844-PILOFOCUS (844-745-6362) to learn more.
Numerous patients have safely participated in the trial and we've asked a few of them to candidly let everyone know about their experience. As a benefit to taking part in the trial, patients receive at least 300+ grafts (either FUT or FUE, based on the patient's preference) and there is no charge.
Patients thus far have found the experience comfortable, safe, and worthwhile. Here is a video clip from a case last week in which the monitor shows a hair follicle being harvested via a beneath the surface approach without traumatizing the overlying scalp surface.
Highlighting the benefits of two popular hair restoration techniques, Dr. Wesley delivered a lecture to fellow physicians specializing in dermatology, otolaryngology and plastic surgery. The 2016 Mount Sinai Spring Symposium, entitled "Advances in Facial Reconstruction and Cosmetic Surgery", included a weekend series of specialized cosmetic surgical lectures as well as hands-on training for physicians on cadaveric models.
Dr. Wesley discussed the benefits and shortcomings of follicular unit extraction (FUE) to his fellow physicians as well as his current findings with platelet-rich plasma (PRP) treatments for hair loss. Citing general peer-reviewed journal article studies coupled with empiric observations from hundreds of patients in his own practice, Dr. Wesley described in detail the ways in which both procedures can benefit specific patients.
For the curious folks, here is an interesting article that describes the mechanism by which caffeine can help slow hair loss. It's inhibition of the enzyme that converts testosterone to dihydrotestosterone (DHT, or the enemy of scalp hair) is caffeine's primary benefit.
Now, this doesn't mean that drinking copious amounts of espresso will stimulate hair growth. Rather it is caffeine in its topical form that can have this beneficial effect.
Much is still being discovered regarding the effect of platelet-rich plasma (PRP) on human hair follicles. In our practice, we have observed that, when used as a holding solution, PRP can help increase the survival rate and caliber of transplanted grafts. We've also seen trends towards earlier transplanted hair growth when PRP is used as a graft holding solution.
An additional finding that has also been observed by other practices throughout the world is that PRP can help return some of the original hair color to follicles. PRP appears to stimulate melanocytes in hair follicles which, in turn, may help bring back some of the color to hairs that have become almost transparent over time.
Below, an example of a patient who underwent PRP mesotherapy in our office and a few of the hairs in this image are colorless prior to his treatments and then have more of their original brown coloration about 6 months later.
This 32-year-old male had been on Propecia (finasteride 1mg) therapy for over a year and hadn't seen the improvement of crown coverage that he desired. He then underwent a 2228-micrograft FUT procedure with Dr. Carlos Wesley in NYC.
The patient can be seen both before and one year following his hair restoration surgery to his crown. During the procedure the patient's grafts were stored in a mixture of platelet-rich plasma (PRP) and ACell.