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2.970 grafts Dr Cooley


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This patient had one previous small transplant. He was not on therapeutic doses of finasteride so there was ongoing loss. We performed 2,970 grafts (1-966, 2-1278, 3-693, 4-33; 5,733 hairs). We used ACell on the grafts and throughout the recipient area. He experienced thinning after the 3 month time point, suggesting a 'telogen effluvium', which is different than the typical shock loss which can occur after the procedure. We have seen this in other patients where we have used ACell on, and is followed by vigorous regrowth and excellent results. The after photos are taken at 15 months, and there was still some shorter hairs growing in and had not reached full length, so we anticipate continued thickening over the next few months. The growth was considered excellent, considering the above, and that the patient is not on therapeutic doses of finasteride. This patient has a blog at Hair Restoration Site for kiwicut.

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Wow, great work again Dr. Cooley. You're delivering the goods today! The patient is fortunate to have retained that much hair despite not being on fin.

Dr. G: 1,000 grafts (FUT) 2008

Dr. Paul Shapiro: 2,348 grafts (FUT) 2009 ~ 1,999 grafts (FUT) 2011 ~ 300 grafts (Scar Reduction) 2013

Dr. Konior: 771 grafts (FUT) 2015 ~ 558 grafts (FUT) 2017 ~ 1,124 grafts (FUE) 2020

My Hair Transplant Journey with Shapiro Medical Group

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Dr Cooley,

 

Excellent result. I was just saying on a previous thread that I haven't seen much of your work. I must look harder in future!!! Excellent.

 

Would I be right in thinking that you grafted into/ around existing native hair?

This will be a requirement for my next procedure and I am interested in any such cases (ie. shockloss /damage to existing hair etc).

 

Regards,

 

Jessie

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Dr Cooley,

 

Excellent result. I was just saying on a previous thread that I haven't seen much of your work. I must look harder in future!!! Excellent.

 

Would I be right in thinking that you grafted into/ around existing native hair?

This will be a requirement for my next procedure and I am interested in any such cases (ie. shockloss /damage to existing hair etc).

 

Regards,

 

Jessie

 

Jessie

 

We graft areas with existing hair all the time. Shaving is a nice technique, but fewer than 5% of our patients are willing to do this. People are willing to take a week off to recover but expect to be almost undetectable at that point so they can go back to work. Grafting into existing hair requires special techniques including 1) taking time to make incisions using high magnification 2) tumescent anesthesia 3) control over size and depth of incisions. We still see some post procedure thinning from time to time but it is usually very mild in most cases. Using the ACell may trigger anagen growth in existing hair, so we actually see a little more shedding 3-4 months after the procedure but this is well worth it considering the robust regrowth and thickening of existing hair.

 

Regards

 

Dr Cooley

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