Canadian Society for Aesthetic Plastic Surgery 41st Annual Meeting, Toronto, Ontario

January 2014 in “ Plastic Surgery ”

Sandy Pritchard, Nicholas Carr

Follicular Unit Extraction FUE hair transplantation Neograft Artas robot male pattern baldness MPB strip harvesting donor hair grafts hair transplant Artas strip method donor area hair grafts

TLDR Follicular Unit Extraction (FUE) for hair transplants has limitations and may not be suitable for most patients.

At the Canadian Society for Aesthetic Plastic Surgery 41st Annual Meeting in 2014, WP Unger presented a lecture highlighting the limitations of Follicular Unit Extraction (FUE) for hair transplantation. Unger pointed out that most patients are not ideal candidates for FUE, including both manual and device-assisted methods like Neograft or the Artas robot. The primary concerns were that transplanted hairs have a limited survival time, mirroring their original lifespan, and the donor hair from the fringe area around male pattern baldness (MPB) becomes narrower and less dense over time. FUE's requirement to space grafts about 4 units apart to prevent a "moth-eaten" appearance could lead to harvesting from these unstable areas, potentially resulting in further hair loss. Unger proposed that traditional strip harvesting could be more beneficial for the majority of patients, as it allows for the collection of grafts from the most stable and dense part of the fringe area. Despite another speaker being scheduled to discuss FUE's benefits, Unger focused on its drawbacks, likening them to those of outdated hair transplant methods.

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Clinical studies by Dr. Barghouthi and Dr. Bloxham indicate that Verteporfin, when used with FUE and FUT hair transplantation methods, shows promise in hair follicle regeneration and minimal scarring due to its ability to inhibit Yes-associated protein (YAP). Microneedling at depths of 3-3.5mm, combined with Verteporfin, could potentially reactivate dormant follicles, although the optimal dosage and application method are still under investigation. Concerns remain about the DHT sensitivity of regenerated follicles, highlighting the need for further research to optimize trauma levels and Verteporfin concentrations to achieve effective and scar-free hair regeneration.

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community So we have 20k dollars human like machines available but no new effective treatment for hairloss since finasteride :)

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The conversation is about the progress of verteporfin in hair loss trials, with users expressing curiosity about its effectiveness and updates. Specific treatments mentioned include FUE (Follicular Unit Extraction) combined with verteporfin, with one reported case of donor area regrowth after a year, and three patients being monitored post-treatment by Dr. Bloxham with monthly updates on YouTube.

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