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PRP/Acell Transplant with Hitzig


#1

I feel like this is relevant enough for the Research category of the forum:

At this point and after talking with the doctor, I’m considering going to go ahead with a strip and acell/PRP. He is seeing that the donor is almost completely regenerated with Acell/PRP in where they make the incision and you really cannot see much evidence that any scar is there at all with the regeneration of hair and he is getting those results consistently. He seems like a very honest man and was straight forward to me and mentioned that he would be putting up more pictures so I’m getting close to starting my journey back to a full head of hair. He was totally honest about the Acell/PRP injections alone, he said at this point it is reversing hair loss but it’s not like the end all injection for hair loss yet. He did mention more pictures should be coming soon of regenerated donor and i figure getting a FUT is better off because you get better density in the recipient and if the donor indeed is regenerating as he is observing then I think it’s worth opting for that instead of a FUE.

What do you guys think? I feel like with the implementation of Acell/PRP it could be a worthwile procedure. If i get it done I will keep everyone informed of my progress and how well it comes out.

Thanks.


#2

» I feel like this is relevant enough for the Research category of the
» forum:
»
» At this point and after talking with the doctor, I’m considering going to
» go ahead with a strip and acell/PRP. He is seeing that the donor is almost
» completely regenerated with Acell/PRP in where they make the incision and
» you really cannot see much evidence that any scar is there at all with the
» regeneration of hair and he is getting those results consistently. He
» seems like a very honest man and was straight forward to me and mentioned
» that he would be putting up more pictures so I’m getting close to starting
» my journey back to a full head of hair. He was totally honest about the
» Acell/PRP injections alone, he said at this point it is reversing hair loss
» but it’s not like the end all injection for hair loss yet. He did mention
» more pictures should be coming soon of regenerated donor and i figure
» getting a FUT is better off because you get better density in the recipient
» and if the donor indeed is regenerating as he is observing then I think
» it’s worth opting for that instead of a FUE.
»
» What do you guys think? I feel like with the implementation of Acell/PRP
» it could be a worthwile procedure. If i get it done I will keep everyone
» informed of my progress and how well it comes out.
»
» Thanks.

i cant give you any advice but wish you luck. keep us updated and take lots of photos. good luck


#3

» » I feel like this is relevant enough for the Research category of the
» » forum:
» »
» » At this point and after talking with the doctor, I’m considering going
» to
» » go ahead with a strip and acell/PRP. He is seeing that the donor is
» almost
» » completely regenerated with Acell/PRP in where they make the incision
» and
» » you really cannot see much evidence that any scar is there at all with
» the
» » regeneration of hair and he is getting those results consistently. He
» » seems like a very honest man and was straight forward to me and
» mentioned
» » that he would be putting up more pictures so I’m getting close to
» starting
» » my journey back to a full head of hair. He was totally honest about the
» » Acell/PRP injections alone, he said at this point it is reversing hair
» loss
» » but it’s not like the end all injection for hair loss yet. He did
» mention
» » more pictures should be coming soon of regenerated donor and i figure
» » getting a FUT is better off because you get better density in the
» recipient
» » and if the donor indeed is regenerating as he is observing then I think
» » it’s worth opting for that instead of a FUE.
» »
» » What do you guys think? I feel like with the implementation of
» Acell/PRP
» » it could be a worthwile procedure. If i get it done I will keep
» everyone
» » informed of my progress and how well it comes out.
» »
» » Thanks.
»
» i cant give you any advice but wish you luck. keep us updated and take lots
» of photos. good luck

just keepin mind when he said the donor is regenerating, if it is regenerating hair at the donor it will be a lot less than the hair that is being extracted


#4

i’ve never had a transplant.

but I’ve found a disproportionate number of hair transplant disasters are related to strip transplants.

i can’t tell you the number of times i’ve heard a guy (especially young guy) who got suckered into getting a strip say he wish he had not done it as he now (at an older age) just wants to shave his head. but he cannot do that because of the football stitch strip scar running from ear to ear.

think carefully before you dive in and make your situation worse. talk to hair transplant disaster victims, talk to people with botched transplants and to people who have had a transplant for 5 to 7 years after the fact. are they satisfied with what they did. have they been able to hang onto their hair. MPB is progressive so it only goes down hill even with meds.

don’t just see pictures because pictures are misleading. you have to see at least a few people up close to see what transplants look like (preferably 5 years down the line after a transplant).

if you do have a transplant, my advice is make it an FUE and start only with a very SMALL procedure (200 hairs). In any military operation, you send out your scouts first to check out the terrain for hostile enemy forces, shelter, defensive positions, intelligence gathering. If they come back alive, you can proceed with your main force into the area. If they get chopped to pieces, you should change your plans. Getting 200 hairs only is like sending out your scouts ahead of your main force.


#5

» MPB is progressive so it only goes down hill even with meds.

I thought Propecia & Minox is so good and their study-graphs are proving that?


#6

» » MPB is progressive so it only goes down hill even with meds.
»
» I thought Propecia & Minox is so good and their study-graphs are proving
» that?

Obviously you don’t know how to read graphs or understand what the drug is supposed to do. i.e. slow down hair loss.

Propecia does not eliminate all DHT. Just the type II isoenzyme. Dutasteride does not eliminate all of type I isoenzyme in scalp even at 2.5 mg dosage levels either.

That being said testosterone can also bind to androgen receptors on the hair follicle though its affinity is 3X lower than that of DHT.

MPB is progressive even with meds, only at a slower rate.

Anyway a person will get more out of Propecia than he ever will out of Gho. That much is fact.


#7

DONT GO WITH FUT NO IN THIS TIME ITS ABSOLUTELY NO-GO

Do FUE or Plucking with Acell but not FUT


#8

» » MPB is progressive so it only goes down hill even with meds.
»
» I thought Propecia & Minox is so good and their study-graphs are proving
» that?

It’s funny …the hair’s war:-D
Check the begin of the last phrase of the abstract and where it come from.

http://www.mims.com/Page.aspx?menuid=pubmeddetail&pmid=medline10n0572\17917938.xml&h=minoxidil


#9

» DONT GO WITH FUT NO IN THIS TIME ITS ABSOLUTELY NO-GO
»
» Do FUE or Plucking with Acell but not FUT

I agree. there are just too many factors that go into FUT, laxity for one. To me it is an extreme gamble and one of the most unfortunate decisions I have ever made. I say, if they can regenerate hair using Acell (as you say) in the donor on an FUT, they should also be able to do it on an FUE albeit much more expensive but definitely worth avoiding the potential disfigurement.


#10

» » DONT GO WITH FUT NO IN THIS TIME ITS ABSOLUTELY NO-GO
» »
» » Do FUE or Plucking with Acell but not FUT
»
»
» I agree. there are just too many factors that go into FUT, laxity for one.
» To me it is an extreme gamble and one of the most unfortunate decisions I
» have ever made. I say, if they can regenerate hair using Acell (as you say)
» in the donor on an FUT, they should also be able to do it on an FUE albeit
» much more expensive but definitely worth avoiding the potential
» disfigurement.

Fully agree, Please GoGiant please, please please even if you didnt like me, but please listen to me here DONT DO A FUT, you will really bite your as* off for this at least two years or less from now.

You can absolutely do the Acell/PRP thing we are all fine with that but as additionally ONLY consider ACELL/FUE or ACELL Plucking

Believe me you are not helping yourself with this, you are helping everyone here who keeps reading the forums.

Now we have the power to really change something and therefore I DONT WANNA ENCOURAGE the surgeons to perform FUT anymore with the obvious benefits of Acell. FUT should finally be put to rest.

Just look at repair patients and this should seal the deal


#11

» » » MPB is progressive so it only goes down hill even with meds.
» » ----------------------------
» » I thought Propecia & Minox is so good and their study-graphs are proving
» » that?
» --------------------------
» It’s funny …the hair’s war:-D
» Check the begin of the last phrase of the abstract and where it come from.
»
» http://www.mims.com/Page.aspx?menuid=pubmeddetail&pmid=medline10n0572\17917938.xml&h=minoxidil

Good find!

Is topical minoxidil solution effective on androgenetic alopecia in routine daily practice?

J Dermatolog Treat 2007 ; 18(5):268-70

Mapar MA, Omidian M
Department of Dermatology, Imam Khomeini Hospital, Jundishapour Medical University, Ahvaz, Iran. mapar_m@yahoo.com

OBJECTIVES:
Minoxidil solution stimulates hair growth in androgenetic alopecia. In order to maintain any beneficial effect, applications must continue indefinitely. The purpose of this study was to evaluate the ratio of patients who were satisfied with the drug and continued to use it versus those who were displeased and did not continue their treatment, and the reasons for the discontinuation.

METHODS:
A total of 1495 men aged 20-40 years who suffered from androgenetic hair loss were selected among patients who were referred to two private dermatologists. They were subjected to treatment with 5% topical minoxidil solution. These patients were treated with no difference from the routine office patients. Factors such as the duration of treatment, adverse effects, the patient’s satisfaction and the causes of treatment cessation were also closely studied.

RESULTS:
Almost all the patients gradually avoided continuing the treatment. Only in a few patients was the cessation of medication due to adverse effects. The causes of discontinuation in the majority of patients were the low effect of medication and an aversion to this topical treatment method.

CONCLUSIONS:
The insignificant cosmetic effect of minoxidil solution caused discontinuity of treatment among almost all patients.

Anyway, we shouldn’t destroy GoGiants1’s thread with too much off topic posts. He is still awaiting some advise, even he got already some good advise. For now - here is mine: READ GoGiants1, because nothing has changed basically:


#12

» DONT GO WITH FUT NO IN THIS TIME ITS ABSOLUTELY NO-GO
»
» Do FUE or Plucking with Acell but not FUT

Its very interesting that everyone is so anti FUT. I will take some time before making any decision and I appreciate the input. The reason I was thinking FUT is because the doctor said very adamantly that you cannot achieve the same density with an FUE and that after the closing is treated with Acell/PRP it is virtually undetectable to the public and even close up, so not only are you getting high density in the recipient but the majority of the donor hairs supposedly regenerate and it looks like nobody a fresh donor. We’ll see how the pictures turn out and maybe if it’s a FUT it will be a small procedure like 500-1000 grafts along with the needling, not too big of a strip. I’ll do some more research though before committing to a procedure.


#13

No this is wrong, the density only depends on the artisitic skill of the surgeon, there is no general rule of thumb which FUE or FUT can bring more density.

And yes iam absolutely against FUT at this point of time. I think FUT is only used right now because its more comfortable for the surgeon.

If you wanna transplant around 3000 grafts, just ask Dr Hitzig if he would be willing to transplant them by FUE over 2 or 3 days or so.

But dont go for FUT, you will thank me for that in some years


#14

» and that after the closing is treated
» with Acell/PRP it is virtually undetectable to the public and even close
» up,

before you jump into this, how about asking the good doctor to make this incision on your arm, stitching it up and using acell. see then if a scar emerges.

once you commit to this, there is no turning back. you would have ruined your head for life.

i suggest go with a small FUE procedure + acell first. you may find that FUE is what you need and not a strip.


#15

» » and that after the closing is treated
» » with Acell/PRP it is virtually undetectable to the public and even close
» » up,
»
» before you jump into this, how about asking the good doctor to make this
» incision on your arm, stitching it up and using acell. see then if a scar
» emerges.
»
» once you commit to this, there is no turning back. you would have ruined
» your head for life.
»
» i suggest go with a small FUE procedure + acell first. you may find that
» FUE is what you need and not a strip.

Even if Freddie and me usually not agree, this time iam standing behind his words 100% please dont do FUT i really beg you…


#16

» » » and that after the closing is treated
» » » with Acell/PRP it is virtually undetectable to the public and even
» close
» » » up,
» »
» » before you jump into this, how about asking the good doctor to make this
» » incision on your arm, stitching it up and using acell. see then if a
» scar
» » emerges.
» »
» » once you commit to this, there is no turning back. you would have
» ruined
» » your head for life.
» »
» » i suggest go with a small FUE procedure + acell first. you may find
» that
» » FUE is what you need and not a strip.
»
» Even if Freddie and me usually not agree, this time iam standing behind his
» words 100% please dont do FUT i really beg you…

I think any experienced member on this board will advise AGAINST FUT.


#17

I’d get something straight right off.

If the doctor cuts out a strip from your donor–for arguments sake, let’s say a strip measuring 2 square inches of hair-bearing scalp, then . . .

Will the Acell regrow a new 2 square inches of hair-bearing scalp in the donor wound?

Or will the doctor pull the resulting wound back together, treat it with Acell, and maybe grow just a few hairs in what was the suture line?

If the latter, than the doctor is not regrowing all the donor hair he removed–just a tiny portion of it.

And so Acell would not provide unlimited donor using such a technique.

No disrespect to the doctor, just were I you I’d want to get that straight.

» I feel like this is relevant enough for the Research category of the
» forum:
»
» At this point and after talking with the doctor, I’m considering going to
» go ahead with a strip and acell/PRP. He is seeing that the donor is almost
» completely regenerated with Acell/PRP in where they make the incision and
» you really cannot see much evidence that any scar is there at all with the
» regeneration of hair and he is getting those results consistently. He
» seems like a very honest man and was straight forward to me and mentioned
» that he would be putting up more pictures so I’m getting close to starting
» my journey back to a full head of hair. He was totally honest about the
» Acell/PRP injections alone, he said at this point it is reversing hair loss
» but it’s not like the end all injection for hair loss yet. He did mention
» more pictures should be coming soon of regenerated donor and i figure
» getting a FUT is better off because you get better density in the recipient
» and if the donor indeed is regenerating as he is observing then I think
» it’s worth opting for that instead of a FUE.
»
» What do you guys think? I feel like with the implementation of Acell/PRP
» it could be a worthwile procedure. If i get it done I will keep everyone
» informed of my progress and how well it comes out.
»
» Thanks.


#18

» I’d get something straight right off.
»
» If the doctor cuts out a strip from your donor–for arguments sake, let’s
» say a strip measuring 2 square inches of hair-bearing scalp, then . . .
»
» Will the Acell regrow a new 2 square inches of hair-bearing scalp?
»
» Or will the doctor pull the resulting wound back together, treat it with
» Acell, and maybe grow just a few hairs in what was the suture line?
»
» If the latter, than the doctor is not regrowing the donor hair he
» removed–just a tiny portion of it.
»
» And so Acell would not provide unlimited donor using such a technique.
»
» No disrespect to the doctor, just were I you I’d want to get that
» straight.
»

it’s the latter, that s why i wasn’t very excited when i saw some of dr hitzig’s photos , you can’t really tell how much regrowth is in the donor is a result of Acell.


#19

» it’s the latter, that s why i wasn’t very excited when i saw some of dr
» hitzig’s photos , you can’t really tell how much regrowth is in the donor
» is a result of Acell.

@GoGiants

I wouldn’t do a hair transplant w/Acell at this time. There is no proof that Acell has any impact and the pics that we’ve seen are lousy.
Don’t do anything before you have seen a randomized, double blind, placebo controlled study with serious photos! Don’t be the guinea pig for the butchers. Don’t buy a pig in a poke! That is my suggestion

It sounds good, when a doctor talks about his good results, but without a proof i wouldn’t agree a surgery. And the only proof is a randomized, duble blind, placebo controlled study, documented with serious photos.

take care


#20

» » it’s the latter, that s why i wasn’t very excited when i saw some of dr
» » hitzig’s photos , you can’t really tell how much regrowth is in the
» donor
» » is a result of Acell.
»
»
» @GoGiants
»
» I wouldn’t do a hair transplant w/Acell at this time. There is no proof
» that Acell has any impact and the pics that we’ve seen are lousy.
» Don’t do anything before you have seen a randomized, double blind, placebo
» controlled study with serious photos! Don’t be the guinea pig for
» the butchers. Don’t buy a pig in a poke! That is my suggestion
»
» It sounds good, when a doctor talks about his good results, but without a
» proof i wouldn’t agree a surgery. And the only proof is a randomized, duble
» blind, placebo controlled study, documented with serious photos.
»
» take care

Actually, if I’m not mistaken, I think the donor site from the fut is cut out with follicle transection (on purpose), and Acell (mesh) is layered in the site. Then a loose stitching is used to keep the would open until it is completely healed. Hairs are then supposedly grow in on the would area and the scar tissue feels soft. I believe there is a case done by Hiztig, perhaps Iron Man may have posted a picture of this.