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topccat29
29 year HT veteran
I wish I could be positive about this idea of the endoscope. But just looking at it not as a doctor but as patient who has been around the block a few times it looks like a seriously bad idea to try and harvest follicles from underneath the skin just fishing around even with the scope. Maybe it will be successful but I just don t see it happening as it doesn t make much sense to me. What makes even less sense to me is why someone that works in the industry and is not a doctor or patient would get so excited about it. I look at this and I think it s nuts and I m not trying to be negative. Logically it just doesn t make much sense. I m sure it s scarless but at what price that s the question.
I guess if a young guy were to get excited I could understand that as they might not know better. Everyone that I have spoken to was initially excited about the scalp reduction, hair lift, flap, tattoo, plucking etc, but not so much anymore as there was a price to pay which was unknown at the time but now of course they know that price and they will all tell you it was a bad idea.
I guess if a young guy were to get excited I could understand that as they might not know better. Everyone that I have spoken to was initially excited about the scalp reduction, hair lift, flap, tattoo, plucking etc, but not so much anymore as there was a price to pay which was unknown at the time but now of course they know that price and they will all tell you it was a bad idea.
billena
Media Mgr Dr. Carlos K. Wesley
Thanks for your comments. Certainly, we can understand a community's skepticism when a new approach is presented. Therefore, Dr. Wesley welcomes viewers to learn more details.
Dr. Wesley presented the background behind the concept of PiloFocus as well as his clinical findings thus far at the 21st Annual International Society of Hair Restoration Surgery (ISHRS) Conference in San Francisco, CA.
An in-depth video has been made available to inquiring patients highlighting this presentation. The clip is password protected. The password is "piloscopy".
The detailed summary is approximately 25 minutes in length. So, it's best to settle in comfortably with a cup of coffee. Enjoy!
Dr. Wesley presented the background behind the concept of PiloFocus as well as his clinical findings thus far at the 21st Annual International Society of Hair Restoration Surgery (ISHRS) Conference in San Francisco, CA.
An in-depth video has been made available to inquiring patients highlighting this presentation. The clip is password protected. The password is "piloscopy".
The detailed summary is approximately 25 minutes in length. So, it's best to settle in comfortably with a cup of coffee. Enjoy!
bullitnut
4 awesome repairs with SMG
Interesting Video, I enjoyed the presentation a lot and found it educational.
I must admit though i was very sceptical about the whole idea before seeing the video, it looks as though potentially this technique could have some big advantages and i found it fascinating.....Thanks for posting the link Bilena
I must admit though i was very sceptical about the whole idea before seeing the video, it looks as though potentially this technique could have some big advantages and i found it fascinating.....Thanks for posting the link Bilena
topccat29
29 year HT veteran
Interesting, and anything that is better for the patient is always good.
Those numbers you give for fue growth rates vs piloscopy do the numbers change when the skill of the doctor performing the fue with a hand punch is entered into the equation? Do you believe it matters?
Plenty of doctors out there in the past were getting less than 50% growth rates while others were way above 90%. The good doctors just kept getting better while the ones that were not just started to bad mouth the procedure believing that was the right answer. Now they are back on the bandwagon with the robot using the argument of the chubbier graft and the answer has changed.
Same argument chubbier grafts are better yet this does not explain the superior results of doctors who can use very small hand punches without the need for chubbier grafts.
Do these chubbier grafts you are extracting via piloscopy need to be trimmed? It has been my experience that chubbier grafts often result in both cobblestoning and ridging, what is your opinion?
If you do not shave the extraction area how do you establish an extraction pattern without visually seeing the outside surface of the scalp?
Very interesting work and anything that focuses on a better outcome for the patient as opposed to increased revenue for the clinic at the patient s expense of course is something that we all would like to see happen.
I have seen patients who have been damaged when testing with plucked hair and Acell resulted in donor strip scars becoming massive bald spots. I hope future testing is done with an ethical approach and the patients safety and welfare are always at the forefront.
This probably can t be answered but I would like to know if any offers have been made on the technology. Sometimes when a technology which is patented and is a threat to those trying to capture a huge portion of the market with inferior technology that is also patented the answer is often in just buying up that technology that is a threat as sometimes it benefits both parties. It would also make a huge statement about the potential.
I quote Beehner dated 2008 as that is who you seem to cite in the video plenty of other quotes available from over the years that are the same and in my opinion most of those doctors did not excel in the area of fue but they were all trimming fue grafts, perhaps the punch they were using was larger.
When we harvest FUE grafts, I find that there is a great deal of variability in them. Some do have more extra tissue around them that does need to be trimmed and probably 60% of them are just fine the way they are and can be placed in small recipient sites. Obviously, you would only use a 1-hair FUE FU on the edge of the front hairline. As I harvest them, one of the assistants give them all a "look over" under the microscope and only trims skin (epidermis) or tissue if it is too much. Occasionally an FUE 2-hair or 3-hair FU will have a split down the center from the bulb up, somewhat like a pair of pants. These are a little difficult to place, and, in those few instances, we have the assistant divide it into two separate grafts for the ease and safety of placement.Mike Beehner, M.D.
Those numbers you give for fue growth rates vs piloscopy do the numbers change when the skill of the doctor performing the fue with a hand punch is entered into the equation? Do you believe it matters?
Plenty of doctors out there in the past were getting less than 50% growth rates while others were way above 90%. The good doctors just kept getting better while the ones that were not just started to bad mouth the procedure believing that was the right answer. Now they are back on the bandwagon with the robot using the argument of the chubbier graft and the answer has changed.
Same argument chubbier grafts are better yet this does not explain the superior results of doctors who can use very small hand punches without the need for chubbier grafts.
Do these chubbier grafts you are extracting via piloscopy need to be trimmed? It has been my experience that chubbier grafts often result in both cobblestoning and ridging, what is your opinion?
If you do not shave the extraction area how do you establish an extraction pattern without visually seeing the outside surface of the scalp?
Very interesting work and anything that focuses on a better outcome for the patient as opposed to increased revenue for the clinic at the patient s expense of course is something that we all would like to see happen.
I have seen patients who have been damaged when testing with plucked hair and Acell resulted in donor strip scars becoming massive bald spots. I hope future testing is done with an ethical approach and the patients safety and welfare are always at the forefront.
This probably can t be answered but I would like to know if any offers have been made on the technology. Sometimes when a technology which is patented and is a threat to those trying to capture a huge portion of the market with inferior technology that is also patented the answer is often in just buying up that technology that is a threat as sometimes it benefits both parties. It would also make a huge statement about the potential.
I quote Beehner dated 2008 as that is who you seem to cite in the video plenty of other quotes available from over the years that are the same and in my opinion most of those doctors did not excel in the area of fue but they were all trimming fue grafts, perhaps the punch they were using was larger.
When we harvest FUE grafts, I find that there is a great deal of variability in them. Some do have more extra tissue around them that does need to be trimmed and probably 60% of them are just fine the way they are and can be placed in small recipient sites. Obviously, you would only use a 1-hair FUE FU on the edge of the front hairline. As I harvest them, one of the assistants give them all a "look over" under the microscope and only trims skin (epidermis) or tissue if it is too much. Occasionally an FUE 2-hair or 3-hair FU will have a split down the center from the bulb up, somewhat like a pair of pants. These are a little difficult to place, and, in those few instances, we have the assistant divide it into two separate grafts for the ease and safety of placement.Mike Beehner, M.D.
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topccat29
29 year HT veteran
I do appreciate the very few forums that allow the patients to actually ask logical questions and post logical statements as the truth usually has a logical answer. I think it s an important point to make in this thread.
When one presents themselves as an source of information where much of the content is generated by the users and than that information is manipulated by not allowing logical statements which might cause a reader to take pause when making a decision or possibly completely changing their decision then I think one is taking on a risk that is much greater that they might believe.
When one presents themselves as an source of information where much of the content is generated by the users and than that information is manipulated by not allowing logical statements which might cause a reader to take pause when making a decision or possibly completely changing their decision then I think one is taking on a risk that is much greater that they might believe.
