57yo man - ARTAS Robotic Hair Transplant, and PRP with ACell

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Norwood 5-6 Age: 57 Clinical History: He had been experiencing hair loss for years, and decided to take action in January of 2015. Patient told me that his hair loss made him look and feel old…older than he wanted to look and feel. He said that he watched a video of himself giving a presentation at a conference, and was surprised to see how little hair it appeared he had when on camera. He says he researched hair restoration surgeons for about 8 months online. We had a virtual consultation over the phone, along with an online slide show that we both went through as I explained to him some of the subtleties and nuances of a robotic hair restoration procedure. We spent an hour on the phone with patient in January of 2015, and he had his ARTAS® with PRP and ACell® procedure with us in June of 2015. Clinical Decision Making: Patient was realistic about his hair restoration goals. He wanted a bit more hair on top and in the front to improve his looks. He was aware that he did not have enough donor hair to restore his scalp to a full head of hair, and was not concerned about the crown area in the back. We spent time discussing preventive therapy, including Propecia®, Rogaine®, platelet-rich plasma with ACell® (PRP with ACell®) therapy, as well as low level laser therapy (LLLT). He stated he was not interested in doing any preventive therapy. Patient elected to proceed with an FUE procedure with me, using the ARTAS® Robotic Hair Transplant System. We reviewed the need to trim his hair for the procedure, as well what would be accomplished on the pre-operative day, as well as how his surgery day would go. He was given pre-operative instructions and all of his questions were answered in full. Surgical Intervention: Patient had one single ARTAS® Robotic Hair Transplant Procedure in June of 2015, performed by Dr. Ken Anderson, MD. We completed his hair restoration with 1,831 grafts placed in the following areas: central bridge, frontal forelock, frontal hairline, and bilateral temporal recessions. In addition to the ARTAS® procedure, just like every surgical patient at the Anderson Center for Hair, he also had a platelet-rich plasma (PRP) with ACell® treatment, as well as micro-needling to a depth of 1mm in the recipient area using some of his platelet-poor plasma (PPP) at the time of procedure. The remainder of his PPP was used on the implanted grafts following the procedure. I feel the benefits of a platelet-rich plasma (PRP) with ACell® treatment in conjunction with a hair restoration procedure are so positive for the wound healing that I don’t operate without using PRP unless a patient specifically declines. Results: These pictures were taken 11 months following his ARTAS® FUE procedure in May of 2016. 

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