HairSite 
HAIRmultiplication Update 2002

Maastricht Medical Centre, The Netherlands 

TECHNICAL
= HairSite    = Dr. Gho

Will the new hair grow only where there was once used to be hair or will they  grow wherever the cultured cells are injected regardless of whether there used to be hair or not on the scalp ?

I cannot give you a conclusive answer because we only tested the procedure on areas where there was once hair. 

If the cultured hair cells exhibit the same properties, will the new hair go through the hair cycle (anagen, catagen, telogen) all at the same time ? What are the possibilities that the new hair will fall off simultaneously if they go through telogen all at the same time ?

That is a good question. So far I have not witnessed anything of this nature in my test subjects.  

Are completely new follicles created or are old ones used with the addition of new HM cells ? The patent seems to suggest that new follicles are induced to grow, is this accurate ? If old follicles are induced to produce terminal hairs, what will prevent the cells in the matrix from still reacting to DHT  or whatever is ultimately responsible for the follicle miniaturization from continuing to occur, making a treatment only a temporary solution ?

I cannot give you a conclusive answer unless we do separate experiment as well as biopsies of the hair follicles. But based on the way the cultured suspension is injected into the scalp, I would tend to think that old or dormant follicles are being rejuvenated in the process. We are only several years into the clinical trials. It would take many more years before we can conclude if the HM induced regrowth will eventually be subject to whatever is responsible for follicle miniaturization. 

If old follicles are being rejuvenated in the process, can we rejuvenate all old follicles regardless of how long they have remained inactive ?

Based on my test subjects' results, it appears that how long a person has been bald is irrelevant to how well he or she will respond to HM. I have test subjects who have been bald for a much longer period than others and ironically they also generate better results others. 

In HM, are you removing cells from follicles in non-DHT-affected areas, culturing those cells, and then transplanting or injecting the resulting cell lines INTO dormant follicles in balding areas of the scalp to stimulate the cells in those dormant follicles? In other words, does HM cause follicular neogenesis, ie: does it create brand new hair follicles which previously did not exist, and is this the PRIMARY mechanism by which HM grows hair ?

Please refer to answer above. 

Since you are injecting via the pores, is the functionality of the injected pore retained after it is injected, or is it in some way changed or damaged ?

This is not an issue.  

Do the cells injected with a single injection disperse when injected in the scalp and form follicles in somewhat different areas, or does each injection lead to only a single new follicle site, even if it turns out to be a multi-lobed follicle or two follicles jammed together etc?

Each injection aims at delivering the cultured suspension to one hair follicle at a time. 

One of our posters has a very creative idea. I am going to quote what he said and perhaps you can give us your comments? 

"Why couldn't Dr. Gho simply remove the epidermis of the scalp with a laser as in cosmetic laser resurfacing and then bathe the treated area with the stem cell bath? In theory you should get decent diffusion through the treated surface tissue.  have seen a number of patients that have had that sort of resurfacing and their skin looks brand new. As the tissue heals the stem cells could possibly get "trapped" below the newly forming epidermis and find their way to the dormant follicles. Or maybe even regrow as new follicles. It would hurt like hell post op but you could do wide areas at one sitting and it would be like casting seeds on newly fertile soil. Should get pretty fair and even distribution and the density would be less a function of operator skill and more a function of the patients innate ability to grow new follicles".

When you only resurface the epidermis, it does not give you sufficient penetration into the skin and the recipient area will be too superficially treated to regenerate new hair follicle or induce new hairgrowth.  

What exactly is meant by the U.S protocol for HM? Does it refer to cell culture and tissue-handling standards promulgated by the U.S government (FDA)? We are not asking you to reveal proprietary information or trade secrets about your HM procedure. We are just asking why you use the term U.S protocol. Have you already contacted the FDA or other authority.

You are correct. To put it very simply without offering too much details, some materials we use for tissue engineering process are easily approved in one country and not the other. The protocol is part of the standardization process I am referring to all the time. I want to be able to use the exact same procedure throughout the world and not have to worry about altering the procedure on a region by region basis in order to meet a particular country's demands. You can see this is a very time consuming process. 

   

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