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Dr. Jerry Cooley - 2,300 grafts + PRP


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This patient had an unusual balding pattern, with severe R>L asymmetry. Most patients have more recession on the right side but I have never seen it to this degree. He signed up for 2,000 grafts (as finances were an issue for the patient as well as a fear of damaging existing hair with too many grafts). To promote healing, Platelet Rich Plasma was incorporated into the procedure. 2,270 FUTs were transplanted (4,837 hairs). Followup photos were taken periodically, including the last photo at 14 months.

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Dr. Cooley,

 

Thank you for sharing this interesting case. The patient's asymmetrical balding pattern seems very unique, and I'm glad you were able to help this gentlemen. Having said that, the results look fantastic - especially considering the number of transplanted grafts.

 

I'm curious as to your opinion regarding the platelet rich plasma's (PRP) effect in this procedure? Many hair transplant physicians, such as Dr. Alan Feller in New York, utilize platelet rich plasma as a restorative option, but you stated that it was used, in this case, as a healing agent. Do you think the platelet rich plasma created better density, or did it simply help the patient heal more efficiently? Thank you, and well done!

"Doc" Blake Bloxham - formerly "Future_HT_Doc"

 

Forum Co-Moderator and Editorial Assistant for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum

 

All opinions are my own and my advice does not constitute as medical advice. All medical questions and concerns should be addressed by a personal physician.

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Future HTdoc: That's a question I'm asked alot. I do not at this time use PRP as a stand alone treatment for MPB because I want to see more studies first. I believe that PRP reliably effects the healing of HT surgery but in my hands the effect on final outcome is less predictable. My use of PRP got put on hold as I began researching Acell and ATP, which I will be reporting on later this year. As a medical student, you are welcome to attend our conferences. This year our annual ISHRS scientific meeting is in Boston Oct 20-24. Hope you can make it.

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