Dr. Jerry Cooley Posted September 1, 2011 Share Posted September 1, 2011 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. Dr. Cooley is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member aaron1234 Posted September 2, 2011 Senior Member Share Posted September 2, 2011 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 Link to comment Share on other sites More sharing options...
Senior Member orlhair1 Posted September 2, 2011 Senior Member Share Posted September 2, 2011 Great result! I am sure he is really happy. Surgery - Dr. Ron Shapiro FUT 6/14/11 - 3048 grafts Surgery - Dr. Ron Shapiro FUE 1/28/13 & 1/29/13 - 1513 grafts http://www.hairrestorationnetwork.com/orlhair1 Link to comment Share on other sites More sharing options...
jessie1 Posted September 2, 2011 Share Posted September 2, 2011 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 Link to comment Share on other sites More sharing options...
Dr. Jerry Cooley Posted September 2, 2011 Author Share Posted September 2, 2011 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 Dr. Cooley is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Mick from Farjo Posted September 7, 2011 Share Posted September 7, 2011 Dr Cooley, This has definitely boosted things and it is no doubt pleasing to the patient. Jessie, this Doctor has been at the top of his game for a very long time. Mick Patient coordinator for Dr. Bessam Farjo who is an esteemed member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now