1) Punch Grafts…posted by Dastardly
Jotronic has been kind enough to enter the debate on the use of ACELL with HT. Having the rep from possibly the world’s premiere clinic discuss this exciting development is much appreciated.
He mentioned using the strip IN the wound to try and create no-scar (and possibly a little hair).
This is exciting, and the alternative (leaving the strip open and applying the matrix to the open wound in the hope of regrowing the donor area with hair) just seems so invasive I can’t imagine any Doctor wanting to test it (or a patient wanting to risk it).
I have a feeling that it won’t be much use with FUE - obviously I have no evidence - it’s just a gut feeling - but I suspect FUE wounds are too small for it to do any good. I suspect it may prevent scarring, but I doubt you’d grow a single follicle in the hole, in which case you’d still get the gap.
So how about using an old technology to test it - namely the old “plug punch.” The plug can be broken down into follicular units so the patient still gets a normal result in the recipient.
However, the punch hole could be left open and ACELL applied. The hole may be big enough to test what happens with open wounds in the donor area. Yet if it doesn’t work and the patient is left with bare skin or somesuch, such wounds can easily be sutured shut at a later date or, alternatively, removed as part of a later strip. It’s a low risk way of testing the dust.
There is also no ethical issues with this either, as leaving plug wounds open to heal was standard procedure in the bad old days. If they did it then, they could do it now - albeit with the ACELL material over the top.
Besides, I’m only talking 2 or 3 holes - even in a worst case scenario, such minor scars could easily be repaired or taken out at a later date.