Dr. Jerry Cooley Posted June 23, 2015 Share Posted June 23, 2015 This patient is in his early 60's and has been on finasteride for many years. He had a hair transplant about 10 years prior of about 2500 grafts. His donor was not that great. We performed FUT of 3,315 grafts (6,252 hairs) and PRP/ACell. He is shown 15 months later. His grafts grew in well and there was a nice thickening effect from the PRP/ACell. He may come back to fill in the fronto-temporal corners a little. As usual, we did not shave so the patient could return to work in 7-10 days. 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 haircut Posted June 23, 2015 Senior Member Share Posted June 23, 2015 Dr. Cooley, What a great transformation! I do have a question. Has PRP been used at times other than at the time of an HT to thicken the crown area? Is that even possible? Thanks Haircut Link to comment Share on other sites More sharing options...
Dr. Jerry Cooley Posted June 23, 2015 Author Share Posted June 23, 2015 Haircut Yes, we use PRP/ACell (without a transplant) to try and thicken hair. The degree of improvement will depend on whether the patient is on finasteride, how much miniaturizing hair there is, and individual variation. Attached are three patient examples of PRP/ACell in the crown without a transplant and without confounding effect of finasteride (ie first 18 months of treatment). 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 haircut Posted June 23, 2015 Senior Member Share Posted June 23, 2015 Dr. Cooley, Thanks you so much. The reason that I ask is I am basically out of donor area and wanted to try this to thicken the crown a little. I am currently using SMP but am always open to new ideas. Thanks again! Link to comment Share on other sites More sharing options...
Senior Member Spanker Posted June 23, 2015 Senior Member Share Posted June 23, 2015 What's the time frame on the photos before and after? Normal time before full benefit? Is there ever shock loss associated with this? Have you ever tried this on a diffuse thinner without transplant or fin? I am an online representative for Dr. Raymond Konior who is an elite member of the Coalition of Independent Hair Restoration Physicians. View Dr. Konior's Website View Spanker's Website I am not a medical professional and my opinions should not be taken as medical advice. Link to comment Share on other sites More sharing options...
Senior Member SADbutTRUE Posted June 24, 2015 Senior Member Share Posted June 24, 2015 very nice result doc, love the fact that the patient didn't have to shave down.makes down time easier to deal with before grafts begin to grow. Link to comment Share on other sites More sharing options...
Pete-from-Farjo Posted June 24, 2015 Share Posted June 24, 2015 Really nice outcome for this guy. And as SbT says above, not having to shave down can be of huge benefit. I am an online representative for Farjo Hair Institute Dr. Bessam Farjo is an esteemed member of the Coalition of Independent Hair Restoration Physicians I am not a medical professional and my words should not be taken as medical advice. All opinions shared are my own. Link to comment Share on other sites More sharing options...
Dr. Jerry Cooley Posted June 25, 2015 Author Share Posted June 25, 2015 What's the time frame on the photos before and after? Normal time before full benefit? Is there ever shock loss associated with this? Have you ever tried this on a diffuse thinner without transplant or fin? Spanker The result from PRP/ACell appears over the same time course as a transplant, ie 6-12 months. Some shedding may occur, but I take this to be a Rogaine like effect where telogen hairs are pushed into anagen. I have tried it on a couple patients with DUPA or diffuse thinning, not on finasteride, and the results were not good. I would not recommend it for this type of patient. 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 ontop Posted June 25, 2015 Senior Member Share Posted June 25, 2015 Dr C, What i like about you is that you keep coming up with consistanly good results & some more of a challenge than others such as this Pt. However you say his doner wasnt that great but looking at the Pics it dont really look that bad but pictures dont always tell the truth right? As always Great job Dr C, this Pt must be over the moon at his age. Link to comment Share on other sites More sharing options...
Dr. Jerry Cooley Posted June 25, 2015 Author Share Posted June 25, 2015 Ontop Thanks for the comments. I think his donor looks good from the photos because he colors his hair. That always makes it look better than it really is. 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 ontop Posted June 25, 2015 Senior Member Share Posted June 25, 2015 Hi Doc LOL yep tricks to the trade from many Pts you see huh? there is no fooling you once they sit in that chair & zoom that lens in there Noggin. LOL Link to comment Share on other sites More sharing options...
Senior Member ontop Posted June 25, 2015 Senior Member Share Posted June 25, 2015 Dr C , Sorry but need to ask you as i just thought of If this Pt had 2500 Grafts taken about 10 yrs ago what type of surgery would that of been? FUT, FUE or even them old style plugs they was still kicking around. Also how do rate his last surgery on a scale 1/10? could todays Methods & new tools would have given him any better? or do you think from the Methods & tools they had back then, they did as good as they could of done back then? i know this is how long is a piece of string sort of question but please try to answer best you can. Thanks Dr C Link to comment Share on other sites More sharing options...
Dr. Jerry Cooley Posted June 25, 2015 Author Share Posted June 25, 2015 Dr C , Sorry but need to ask you as i just thought of If this Pt had 2500 Grafts taken about 10 yrs ago what type of surgery would that of been? FUT, FUE or even them old style plugs they was still kicking around. Also how do rate his last surgery on a scale 1/10? could todays Methods & new tools would have given him any better? or do you think from the Methods & tools they had back then, they did as good as they could of done back then? i know this is how long is a piece of string sort of question but please try to answer best you can. Thanks Dr C OnTop It was strip harvesting but I don't know if it was strict microscopic dissection. At that time, a lot of clinics took out strips and then cut the grafts with magnifiers not microscopes. Strictly speaking, this is minigrafting, not "Follicular Unit Transplantation". It was not terrible, but it wasn't that good either; pretty typical for chain clinics of that time period. 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 ontop Posted June 25, 2015 Senior Member Share Posted June 25, 2015 Dr C, Very good Thank You Link to comment Share on other sites More sharing options...
Senior Member Sparky Posted June 25, 2015 Senior Member Share Posted June 25, 2015 Couldn't tell which were the before and after on the crown pictures, just looks like some are wet and some are dry. My Hairloss Website http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=2198 Link to comment Share on other sites More sharing options...
Senior Member Mick50 Posted June 25, 2015 Senior Member Share Posted June 25, 2015 you need to go to spec -savers obvious difference Link to comment Share on other sites More sharing options...
Senior Member Sparky Posted June 27, 2015 Senior Member Share Posted June 27, 2015 No there isn't, if anything the pre acell/prp pictures look thicker than after. I am not talking about the hair transplant pictures fyi. My Hairloss Website http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=2198 Link to comment Share on other sites More sharing options...
Senior Member Sparky Posted June 27, 2015 Senior Member Share Posted June 27, 2015 No there isn't, if anything the pre acell/prp pictures look thicker than after. I am not talking about the hair transplant pictures fyi. My Hairloss Website http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=2198 Link to comment Share on other sites More sharing options...
Dr. Jerry Cooley Posted June 29, 2015 Author Share Posted June 29, 2015 No there isn't, if anything the pre acell/prp pictures look thicker than after. I am not talking about the hair transplant pictures fyi. Sparky I think maybe it wasn't clear which were the before and afters in that string of photos. Let me try again. Three patients here, the before on the left, the after on the right. No effect of finasteride, minoxidil, etc. Do you still think the pre photos look thicker? 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...
Senior Member Sparky Posted June 30, 2015 Senior Member Share Posted June 30, 2015 To be honest I think it's hard to tell as some of the pre shots are damp and some are not brushed the same way. I personally haven't seen anything that would convince me to use Acell or prp, but have seen lots of before and after shots that used fin and minox that give the wow factor. This is just my opinion. My Hairloss Website http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=2198 Link to comment Share on other sites More sharing options...
Dr. Bernardino Arocha Posted July 4, 2015 Share Posted July 4, 2015 Dr Cooley, Congratulations to you and the patient on achieving such a natural and significant improvement over such a large area for the number of grafts available. I have definitely noticed significant benefit from PRP/Acell use in both male and female pattern hair loss patients as a sole therapy in my practice. Happy July 4th! Dr. Bernardino Arocha is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member Sparky Posted July 4, 2015 Senior Member Share Posted July 4, 2015 Would be good to see pictures if you have any wow results to share My Hairloss Website http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=2198 Link to comment Share on other sites More sharing options...
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