Quality Assurance Program for Hair Transplant & Hair Replacement

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SITE INDEX Final Draft of Year 2002 
Hair Multiplication Questions for Dr. Gho
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Deadline for final revisions is January 25, 2002 10pm EDT. 
Email HairSite@aol.com with any last minute revisions or comments. 
We had 80 questions in the 1st draft, reduced to 37 in the 2nd draft and further reduced to 33 questions in the final list. This is an overwhelming request and we do not anticipate that Dr. Gho would entertain all the questions in writing. I will propose to do a Q&A over the phone or to meet Dr. Gho in person again. 

Dr. Gho - Hair Multiplication Procedure

Read this if you are totally new to Hair Mutplication.
Transcripts from last April's interview with Dr. Gho
Transcripts of last April's post-interview Q&A

All questions are listed on this page by categories. Feel free to use the following bookmarks for navigation purposes or you can simply scroll down the page to read all the questions.

Availability Density deleted Patients
Candidates deleted Hair Transplant Technical 
Competition General ISO Certification  
Cost deleted Legal Issues  
Diffuse Alopecia Hair Cycle Last Interview Revisited  

Availability
<back to top>

1 Can you give us a more precise estimate as to when HM will become available in the Netherlands and the rest of the world ?  How much sooner will Hair Multiplication become available in the Netherlands than in other countries ? Will the clinic in the Netherlands be accepting foreign patients ? <Interested Observer>,<TAFP>,<Zed>

Candidates
<back to top>

13 How do you determine if a patient is a good candidate for HM ? Will there be a preliminary test to evaluate if a patient is responsive to the treatment ? Do you test HM on a small area on the patient to see if it works before you perform something more extensive ? <JeffT>
15 Can HM benefit men and women with diffuse androgenetic alopecia ? <Interested Observer>
15a Will HM work on scar tissue from past hair transplant procedures ? <anon>
15b Would your treatment work for people who have suffered from hairloss due to Accutane treatment or Vitamin A overdose? Or, in general, would it work for people who have suffered from drug induced hairloss (if drug treatment has
stopped)? <anon, last minute addition>
17 Will the process of extracting hairs and determining their fitness for HM have an problem with follicles currently active by Propecia or Minoxidil ? In order words, does someone taking any kind of hair growth agent make identifying DHT resistant hair follicles more difficult ? <JeffT>
22 How long does a patient have to wait between HM sessions ? <WBBSG>

Competition
<back to top>

25 Are you aware of the current "cell therapy" experiments being researched by physicians such as Dr. Walter Unger (University of Toronto)? What do you think of his research ? Is Dr. Unger doing essentially the same thing as you are ? Is there a fundamental difference between your "Hair Multiplication" and his "cell therapy" or are the differences just a matter of the variety of cells used ? <JTR>
25a There must be at least 10 - 12 parties actively working on HM and related technologies.  Have you had any contact with any of these parties and/or thoughts of collaboration with others in order to expedite this process?  Or are you confident that your clinic alone can solve the problems involved ahead of these other parties?

Do you have any comments on the work of any of these
other researchers?
<Fred, last minute addition>

Cost
<back to top>

26 You previously stated that you had no intention of taking
advantage of the situation and making everyone pay an
exorbitant price for the treatment. Exorbitant is a
relative word. Could you give an approximate ceiling to the cost? For a Norwood 7 to regain all his hair, would it cost
him less than $10,000, $20,000, $30,000, etc? <Interested Observer>

Diffuse Alopecia
<back to top>

27 Consider a man who is extensively bald with diffuse androgenic alopecia so that he even has very little DHT resistant hair on his sides and back. Can you give him a full head of hair at a reasonable cost and in a reasonable time. <Interested Observer>

Density
<back to top>

29 What kind of density can we achieve ? Can we have a density like what we used to have when we were teenagers assuming we can afford numerous HM procedures ? <Jay>

General
<back to top>

37 Do you expect the results of HM to be truly undetectable ? Can people detect that someone has HM done ? <NA>
40 How does a doctor go about licensing HM procedure from you ?  <Annes>
43 Have you been able to grow cosmetically acceptable hair on your test subjects ?  <Annes>

Hair Cycle
<back to top>

55 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 ?  <by Zed>

Hair Transplant
<back to top>

57 If I am considering getting conventional hair transplants from you today, would you recommend that I visit your clinic and inquire about hair transplants or should I just wait for your HM to become available ? Does your clinic still provide conventional hair transplants ? <JTR>
60 Were the results of your procedure cosmetically as good as a typical hair transplant in achieving an appearance of fullness of hair (overall appearance of density). <James Bond>

ISO Certification
<back to top>

63 Can you tell us the progress with ISO Certification ? <Jan>

Legal Issues
<back to top>

64 Do you intend to vigorously enforce your 1998 patent ? Are further patents planned reflecting your most recent work ? Are you aware of the 1996 law passed in the U.S which
prohibits patent infringement lawsuits against doctors who use medical procedures patented by others after the law became effective ? <JTR>

Last April's Questions Revisited
Dr. Gho's answers to the following questions last April were "more info will be forthcoming", so we will ask Dr. Gho the same questions again this time. 
<back to top>

66 What kind of density can be achieved, in hairs/cm2 ? Can a second HM procedure give a greater density ?
67 How long does it before the new hair follicles start to grow from the time when we first visit your clinic ?
68 What is the success rate of HM ? Does it work for everyone ? Who would be the best candidates ?

Patients
<back to top>

69 Can we see before and after pictures of test subjects from the clinic ? <JeffT>

Technical Questions
<back to top>

70 Have you experimented with germinative epidermal cells (term used by Dr. Jahoda), and if so, have you discontinued your interest in this direction?  <James Bond>
71 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 ? <Hairless>
72 How can you identify proper donor hair if someone just started losing his hair ? <Interested Observer>
73 The permanent hair at the sides and back are somewhat miniaturized in men who have extensive baldness. Are these miniaturized permanent hair suitable for culturing and if so, will the new hair inherit the characteristics of these miniaturized permanent hair and stay thin ? <Interested Observer>
74 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 ? <JeffT>
75 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 ? <JeffT>
76 If old follicles are being rejuvenated in the process, can we rejuvenate all old follicles regardless of how long they have remained inactive ? <JeffT>
77 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 ? <TAFP>
(Note from HairSite: This question overlaps # 74, # 75 & #76 but I decided to leave this in the list anyway since this issue has come up numerous times and some posters are concerned that the question may not be addressed properly if worded differently>
78 Since you are injecting via the sweat pores, is the functionality of the injected sweat pore retained after it is injected, or is it in some way changed or damaged ? <James Bond>
79 If new follicles are being formed, do their structures form and grow in the skin, or by using the existing balding follicle structure in some way, or form in and grow in the sweat pores?  <James Bond>
80 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. <James Bond>

===================

 

Information about this article

Article #  188
Title Final Draft of Year 2002 Questions for Dr. Gho
Date 01/24/02
Source HairSite
Forum Research
Archive Research
Contact hairsite@aol.com


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