Acells Matristem in in FIT :case report

[tshinos]

Acells Matristem  (powder +sheet) application in FIT

FIT (Follicular Isolation Technique ) is a procedure in Hair transplant surgery.
It consists of removing each follicle individually with a small punch .In donor area it creates multiple wound which heals faster .Collagen fibers( scar tissue) fill those empty spaces during the healing process.
Acells Matristem  technology is a naturally occurring bioscaffold derived from porcine tissue .When Matristem is placed onto a wound ,it is resorbed and replaced with new native tissue where scar tissue would normally be expected.
With this characteristics ,the A cells Matristem should fill our donor wound and regenerates terminal hairs ;rending our donor resource infinite.

We applied the Acell powder and cover it with the Acell sheet as described in our study protocol.
We would like to present the first observations  we made .

[tshinos]

POWDER AND SHEET APPLICATION IN RIGHT SIDE OF DONOR AREA

[tshinos]

WE THEN OBSERVED THE WOUND AT 2 DAYS ,4DAYS ,14 DAYS AND ONE MONTH AND HALF.

2 DAYS POST OP


You will observe that the wound in the Acell side (right of the picture) look fresher than in the control zone (left).

4 DAYS POST OP


Same observation.A delay in the healing process...

14 DAYS POST OP


The wound is healed .And we can observe still a delay in the right or Acell side wound .
Macroscopically we do not see any difference as illustrated in the picture below

[tshinos]

PLEASE CLICK ON THE PICTURE FOR A BIGGER VIEW.
The next step was the results at 1 month and a half.In the left side of the head or control zone ,we observed white dots ,expression of scar tissue filling the wound.



This white dots are not visible macroscopically at the naked eye.
 

BUT IN THE ACELL SIDE, WE OBSERVED DIFFERENT PHENOMENON.
WE DECIDED TO TAKE MULTIPLES PICTURES ALL AROUND THE ZONE

[tshinos]

MORE PICTURES OF THE ACELL ZONE BEFORE OUR DISCUSSION.






We observed new growing hairs with at their base redness ,witnessing an ongoing inflammatory process.
We didn't observe a lot of white dots like in the control zone  but some (see pic 6).
Is it new hairs or transected hairs that are growing back?
First of all ,we want to clarify our Trate ( or transection rate) in this patient was very low.We take a pride to minimize it ;it was around 1.5 % .And why did we observe more white dots in the other side?
We knew that something is going on and we need to keep a close eye on this case.

It encourages us to pursue our investigation.And we also adjust our protocole for accuracy in our observation.Because ,now we want to answer a new set of question:
1) Is it reproducible in others patients?
2) How to exclude the possibility of transected hairs growth?
    For that we need to proceed to a detailed hair count and follicle count and transection rate.This type of protocole will allow us to calculate the percenatge of regrowth under this product  and so forth .

[tshinos]

some complimentary pictures of the patient's results at 5 months post op (pictures provided by the patient ).We will see him next month to take  more pictures  of his donor zone.

TRANSECTION RATE WAS VERY LOW IN THIS CASE