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This patient has type V hair loss. He has been on finasteride + minoxidil for over ten years. Because he often likes to wear his hair very short, he opted for FUE. We performed FUE consisting of 2,746 grafts: 1-490, 2-993, 3- 1246, 4-18; total hairs= 6,284. We also performed ACell/PRP to the entire scalp. He is shown one year post op.

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That is a quality result, Dr Cooley.

 

May I ask, does the Acell / PRP have any regenerative properties? I ask because his hair looks very thick and good for that number of grafts. However his donor looks a little bit depleted ( not much ), and I just wonder if Acell / PRP would help here.

 

thanks

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Excellent work! Thanks for sharing.


"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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I agree with all of the above. Great design and the density rocks! Well done.


David - Former Forum Co-Moderator and Editorial Assistant

 

I am not a medical professional. All opinions are my own and my advice should not constitute as medical advice.

 

View my Hair Loss Website

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That is a quality result, Dr Cooley.

 

May I ask, does the Acell / PRP have any regenerative properties? I ask because his hair looks very thick and good for that number of grafts. However his donor looks a little bit depleted ( not much ), and I just wonder if Acell / PRP would help here.

 

thanks

 

ACell/PRP does have regenerative properties, but only in the presence of transected follicles. We have known for many years that transected follicles can regenerate into intact, healthy follicles but this is not 100%. I believe that the presence of ACell makes this natural process more likely to happen, but it too is not 100%. We always have some degree of transection when we do FUE, and if ACell is used properly, the transected follicles that remain have a higher chance of growing back. If a graft is extracted with no transection, there is nothing left behind to serve as a starting point for regeneration and I don't believe that ACell can make hair grow from nothing. Likewise when we use ACell on the grafts, if there is any transection or damage during placement, regeneration is more likely.

 

In this case, we had very low transection as his grafts extracted very easily. I'm sure ACell helped whatever transects there were grow back, but there weren't many. ACell also helps the skin heal better with less scarring. This creates a softer feel but more importantly makes the skin healthier for future FUE sessions. I think my photo lights kind of make the donor look thinner than it really is; in real life it does not look depleted but I understand why you would think that.

 

Good question. Thanks for all the comments too.

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