How Hair Transplants can Damage Existing Hair Follicles, and a Transplant Alternative Treatment

How Hair Transplants can Damage Existing Hair Follicles, and a Transplant Alternative Treatment


Thank you for your question. You submitted your question without a photo
and you’re asking, is it possible to kill a dormant follicle by using a 0.7 millimeter
punch when placing a graft. Well, I think it’s fair to conclude that you’re considering
hair transplant surgery and you are concerned about the viability of dormant follicles when
you have your surgery. Well, I can certainly help you understand
some of the science and the rationale behind a treatment strategy that I recommend for
patients every day in my practice. A little bit of background, I’m a Board-certified
cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon. I have
been in practice in Manhattan and Long Island for over 20 years. I am also the founder of
TrichoStem™ Hair Regeneration Centers, a system that we developed using extracellular
matrix and platelet-rich plasma (PRP) to help hair transplant heal better going back now
about 7 or 8 years. And we’ve developed a treatment that non-surgically helps people
with hair loss for men and women suffering mostly from genetic pattern hair loss. So
certainly, I am no stranger to the challenges of dealing with the consequences of hair transplant
surgery. This as I said was the rationale behind our Hair Regeneration treatment. When you place a hair graft, you are dealing
with a scalp depending on the advanced nature of the hair loss with a certain percentage
of existing hair that you can see and a certain percentage of hair that you cannot see. When
you think about the science of hair loss that is androgenetic alopecia, there is a continuous
decrease in the growth cycle or the active growing phase while there is a prolongation
of the resting phase known as the telogen phase. What that means is that a certain significant
percentage of hairs are actively not growing at any given time. Now what you are certainly aware of clearly
by the way you asked your question is that there is also a certain percentage of collateral
damage during a hair transplant depending on the relevant density of existing hairs.
It was always a rationalization by every hair transplant surgeon that when you are placing
grafts that hairs that were thinned were going to go away anyway. Well, when we were doing hair transplant and
using extracellular matrix and platelet-rich plasma (PRP), we found that thinning hair
actually became thicker. From this, we were able to develop painstakingly over several
years a process we call TrichoStem™ Hair Regeneration. What I learned over time is
a way to reactivate hair that was not growing, thicken thinning hair and prolong the lifespan
of existing hair. With further time of treating a wide range
of patients from young males with aggressive pattern of hair loss to older males with minimal
to moderate progressive hair loss to women of all ages of the same age range that we
developed a classification system and that classification system factors in gender, age,
age of onset of hair loss, rate of progression, degree of progression and other variables
that we have customized so that the dosing and the strategy is optimized. But when I
came down to comparing in certain patients the question of transplant versus injection,
it was clear that a significant percentage of patients actually had results with our
injection exceeded not just one but two hair transplants. The reason for this was that
the reactivation of dormant hairs, hairs that you are concerned about being potentially
traumatized or damaged permanently by a placement of a stab incision in the scalp or the placement
of a hair during a transplant. So when I look at our results, I look at thickening
of the thinning hair then I realize that it was an optimal strategy even for patients
who are still going to get a hair transplant. So it wasn’t necessarily a question of either/or
but what I basically explain to my patients every day is that every hair that is present,
thick and is providing scalp coverage is a hair that doesn’t have to be transplanted
which means that in my practice, when patients come to me let’s with frontal progressive
hair loss and they still want to get a frontal hairline developed, well part of the strategy
is to first do Hair Regeneration treatment and also in some patients, the addition of
a DHT blocker depending on our algorithm in which some patients or some males of higher
DHT sensitivity or would still benefit from a DHT blocker more than others, then we can
see after the course of a year to 18 months or so how much scalp coverage there is with
this strategy. Like I said, every hair that becomes thick and covers the scalp is a hair
that doesn’t have to be transplanted. And it’s a reminder that there is a limit of
the number of grafts that can be harvested and placed. So it actually works very well
in synergy. And it’s important to understand that hair
transplant is one treatment strategy but pharmaceutical and stem cell or Hair Regeneration technology
are all part of an overall treatment strategy. There is no cure for hair loss but there is
a way to optimize coverage maximally for every individual based on the variables that we
look at. So to answer again the question of whether
or not you can get a dormant follicle traumatized by a punch, the answer is yes. Yes, you have
to go straight through the skin and if there is a hair follicle underneath that and the
stab goes through, you are either going to damage the hair follicle directly or just
vascular compromise. The trauma of surgery and inflammation can also comprise the survivability
of the grafts as well as existing hairs. We’ve had patients who have come who had
mega session surgery where 90% of the grafts did not survive. So we have people coming
from around the world who have had transplants and have been very challenged in getting the
outcome they were hoping for. It doesn’t mean you shouldn’t do a transplant but I would
suggest just thinking about what is the potential to maximize coverage before you do the transplant. So I hope that was helpful, I wish you the
best of luck and thank you for your question.

6 Replies to “How Hair Transplants can Damage Existing Hair Follicles, and a Transplant Alternative Treatment”

  1. Sir I have hair all over my head. And my head is visible when my head is wet. Sir what should I do?
    Should I go for hair transplant or can try prp. Can ht can be done by not damaging existing hair. Or prp can gave me the hair which I had before….Please reply

  2. Hai. Sir. I have lot of hair. But my hairline is receded in an improper manner. I think its due to my previous hairstyles. Can i go for a hair transplant to correct my hairline.does it affect the existing hair?

  3. Sir I am using derma roller after using derma roller I had seen some small hair are coming back but they are very thin my age is 20 and i have thing and some hair loss problem so what should i have to do????

  4. Hello sir..
    My hair is receding from my crown area.. and i have tried every possible solution. Like dermaroller, hair serums, pills, proper diet, prps since last 3 years… So all these things couldn't help me. And the patch is visible now.. so now i want a permanent solution.. so is it possible to transplant hairs over existing hairs… So afterwards it won't fall again and again

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