4,339 grafts Female with use of ACell

**Dr. Jerry Cooley** · March 3, 2012

This case was posted a year ago, seven months after the first procedure. She is a woman in her 70's and is fairly typical of older females with hairloss. There is diffuse alopecia throughout her scalp except for a band of slightly denser hair in the lower border of her back and sides. Normally she would not be considered a good candidate for a hair transplant because of her weak donor (approx 50 FU/cm2). Her donor hair is shown with comparison to a male with excellent quality donor hair. The first procedure yielded 2391 grafts with 4304 hairs, and the second surgery yielded 1,948 FUs (3,446 hairs) for a total of 4,339 FUs (7,750 hairs) to the entire thinning scalp (<25 grafts per cm2). She is shown 8 months after the second procedure.

ACell MatriStem was used on the grafts. This is better than I normally expect and I attribute this to the use of the ACell. There is no way to prove this just as there is no proof for any of the techniques we use as hair restoration surgeons, other than accumulated clinical experience. I believe that the benefits of ACell are most apparent on those patients with below average hair characteristics and low density grafting.