Hair Transplants & Gho's Follicular Multiplication

Article by HairlossTalk.com

How does Dr. Gho's Follicular Multiplication differ from traditional hair transplants, which use Strip Excision? How does it differ from the newly practiced "Follicular Unit Extraction" technique (FUE)? This second of a two part article covers the main differences, benefits, and challenges... The Difference in the Progression of Hair Growth Compared to Follicular
Unit Extraction and STRIP Surgery.

We would like to explain the difference in the progression of hair growth in
comparison to the other techniques:

There are three different ways hair growth may occur after implantation:

• The first way is when they continue to grow directly
  after implantation. This happens to the majority of implanted hairs.
  
  
• The second way is when the hairs fall out quickly
  after implantation, after which they grow back. Since we are not implanting
  the whole hair follicle, the re-growth can sometimes take more than four months.
  
  
• The last but not least way is that some parts of
  the hair will remain in the hair follicle and do not fall out. These hairs
  are visible and are 2 to 3 mm. in length. The hair follicle parts of these
  hairs have to develop a new hair follicle again and then push out the remaining
  hair.

The re-growth of these hairs can sometimes take more than six months. When
these remaining hairs are (accidentally) pulled out, there is a chance that
the small, growing regenerated hairs are also pulled out. Therefore we advise
our patients to be careful to avoid pulling out these remaining hairs.

Remaining hairs in the recipient area (blue arrows). Newly growing hairs green arrows).

There are rarely cases in which spots are visible due to having a lower hair
density than the surrounding areas. The overall density increases after four
months of growth.

As you probably already know, a follicular unit consists of two to three hairs.
Since we are not implanting the whole hair follicle, you can image that there
are sometimes hair-follicles in the transplanted follicular unit which contain
insufficient tissue to allow re-growth, although the parts which remain in the
donor area will always regenerate. However, the hair parts which remain in the
hair follicle will not harm the remaining hair follicles in the follicular unit
and eventually they will fall out.

Dr. Jennifer Martinick, MBBS, of Perth, Australia has conducted scientific
research to study the long-term growth characteristics of hair follicles with
horizontal sectioning. She revealed that these partial hair follicles can even
regenerate after more than 12 months and she came to the conclusion that it
is necessary to conduct hair count studies for 18 months instead of the traditional
six months done in the past. She received the Platinum Follicle Award for this
study during the ISHRS meeting in New York in October of 2003.

The Difference in the Direction of Hair Growth Compared to Follicular
Unit Extraction and the STRIP surgery.

Since we are not implanting the whole hair follicle, you can imagine that the
transplanted hair follicles need more time to grow into the right direction.

(Continued on next page...)

- For more information on hair transplants, visit our Hair Transplants section.
- Discuss Hair Transplant Surgeons with others in our Hair Transplant Forums

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