Dr Cooley 4,317 FUT front and crown

[Dr. Jerry Cooley]

This patient is in his 50's and wanted to address his crown, midscalp, and receding hairline. We performed FUT 4,317 grafts (9,688 hairs) as well as PRP/ACell. He is shown one year later. He did not take finasteride. As hair loss progresses in the future, he will do more PRP and/or transplants as needed; he preferred that approach to taking medication (despite my recommendation).

[Spanker]

That persistent fore lock. They really do make a difference.

[TakingThePlunge]

Great plan and excellent result!

[Pete-from-Farjo]

That's a big area to cover and looks like an excellent result.

 

Congrats.

[1978matt]

Impressive. I'm sure the patient is over the moon.

[thatoldchestnut]

Pity he wasn't up for fin as he potentially could have been one and done. Unquestionably great result either way!

[hadenough2014]

I agree Fin would be good for him. He really wants to keep that frontal hair that he has. Dr. Cooley does a really nice job. This patient got some great crown coverage. That was a very large area and of course the crown is known to devour grafts. The PRP/Acell must really make a difference in getting crown emergence.

[ontop]

Nice result Dr Cooley.

Shame he didn't want to go down the Fin route as I feel that PRP/ Acell can be effective at the same time of surgery but having doing PRP every 12 mths seems to be more of a hastle not to mention the cost.

Never the less good result for this chap.

[RG71]

Can anyone explain why PRP is so costly? I've heard this can cost near a thousand dollars. Admittedly, i don't know much about the procedure, but, it seems spinning blood down and administering some injections to the scalp is not exactly high tech, nor too labor intensive. So, where is the cost coming from? Thanks in advance

[ontop]

you find it hard to get PRP less than $1500 in the US.

 

From my understanding Dr Cooley charge $2500 but if you have HT surgery he will cut you a break & charge $1500.

 

Maybe Dr Cooley can verify this & the question you posted.

[Dr. Jerry Cooley]

I appreciate all the comments.

 

I would certainly like for him to have started finasteride as well. However, I never try to talk anyone into taking it. We know there is a significant placebo effect when it comes to finasteride side effects. The chance of side effects is therefore much higher for someone who starts out with a negative attitude about the drug and is worried about it.

 

Given that he is in his 50's and has been on a slow downward slide, he will likely not need to have PRP/ACell yearly. For someone in their 20's, that may certainly be the case. I believe the ACell makes the PRP effect last longer than PRP alone. I have found that for myself, PRP/ACell lasts about two years before it starts to wear off.

 

Regarding the expense, it all depends on exactly what the clinic is doing. If the clinic is using a cheap centrifuge that wasn't designed for PRP, it should not be expensive. But it will not produce good platelet concentrates and the results will not be that good. We use a system that produces >5X platelet concentrates and the cost of each disposable kit is significant. Furthermore, there is almost $500 worth of ACell in each of our treatments. I've developed a rough sense for who will benefit and who will not, so I try to be careful about who we perform it on to make sure the expense is justified.

[JohnCasper]

Nice work by Dr. Cooley. Well done. Looks like the gentleman may have had good donor area with a nice hair caliper.