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Female HT 1,832 grafts + ACell by Dr Cooley


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This female in her 70's had fairly typical female pattern hair loss. She had been on finasteride and 2%minoxidil for years with apparent stabilization of her hair loss. The donor area was fairly typical of the females who come to see us: decent density in the mid-occipital (~75 FUs/cm2-first closeup photo) but rapidly deteriorating in the parietal zone (~60 FUs/cm2-second closeup photo). A FUT procedure was performed consisting of 1,832 grafts (1-599; 2-1101; 3-219; 4-13) yielding a total of 3,510 hairs. This was transplanted over an area of approximately 80cm2, giving a transplant density of less than 25 grafts/cm2. The crown was not transplanted. ACell MatriStem was applied to the grafts. Followup photos are at 15 months. In my opinion, the results are better than would be expected than without the use of ACell. We are sometimes asked about doing split scalp studies. In my opinion, this method works well for some studies (e.g. incision type, transection studies, holding solutions) but may not work well for ACell, because of the likely "field effect" produced. The stimulation of angiogenesis and recruitment of progenitor cells likely effects a much larger zone of the scalp due to the interconnected microcirculation. Nevertheless, it would be interesting to see the results of such a study.

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  • Senior Member

The result does look good. I do wish that the same hair styles were the same in picture 2 and 5, this gives us all a better view of the work.

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  • Senior Member

Dr. Cooley,

 

Very interesting-from my quick observation, the results do look very good. And I must say, better than a typical hair transplant in terms of the area covered give the low planting density.

 

Furthermore, in the areas not transplanted, the overall quality of the hair seems to have significantly improved... A couple of questions for you,

 

1. How long did her FU's stay in place compared to a normal transplant?

2. How was the shockloss compared to typical transplant?

3. How did her scar come out and do you have any pictures?

4. Did you notice any new hair sprout above and beyonfd the transplanted hair per the use of ACELL?

 

In closing, although this model for helping people with hairloss is in the very early stages it seems to be a very good step forward...

 

Thanks,

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