Quality Assurance Program for Hair Transplant & Hair Replacement

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SITE INDEX Copy Of Letter Sent To Dr. Gho
Jan 29th, 2002
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Dr. Gho - Hair Multiplication Procedure
Background / History

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
First draft of year 2002 questions for Dr. Gho
Second draft of year 2002 questions for Dr. Gho
Final draft of year 2002 questions for Dr. Gho

The following was sent to Dr. Gho 
Jan 29, 2002

Dear Dr. Gho
 
Hope you are well.
 
It was almost a year ago since our last meeting and HairSite's visitors are becoming anxious again as to the progress of your research.
 
We have taken the liberty to compile in HairSite another list of questions about HM during the past three months. While we have no intention to impose on you to answer each and every single question, any new developments that you can share with us would be greatly appreciated. In particular, BioAmide has generated a lot of excitement in our forums lately and many would definitely like to know your views about this company as well.
 
I understand that the attached list of questions is an overwhelming request by any means. If you prefer, I would be pleased to meet with you again at your convenience for a quick update about your research. 

Thank you again for your time and I look forward to hearing from you soon.
   
Regards,
<edited>

Availability

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 ? 

Candidates

2 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 ? 
3 Can HM benefit men and women with diffuse androgenetic alopecia ? 
4 Will HM work on scar tissue from past hair transplant procedures ? 
5 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)? 
6 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 ? 
7 How long does a patient have to wait between HM sessions ? 

Competition

8 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 ? 

Cost

9 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? 

Diffuse Alopecia

10 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. 

Density

11 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 ? 

General

12 Do you expect the results of HM to be truly undetectable ? Can people detect that someone has HM done ? 
13 How does a doctor go about licensing HM procedure from you ?  
14 Have you been able to grow cosmetically acceptable hair on your test subjects ? 

Hair Cycle

15 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 ?  

Hair Transplant

16 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 ? 
17 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). 

ISO Certification

18 Can you tell us the progress with ISO Certification ? 

Legal Issues

19 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 ? 

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. 

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

Patients

23 Can we see before and after pictures of test subjects from the clinic ? 

Technical Questions

24 Have you experimented with germinative epidermal cells (term used by Dr. Jahoda), and if so, have you discontinued your interest in this direction?  
25 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 ? 
26 How can you identify proper donor hair if someone just started losing his hair ? 
27 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 ?
28 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 ? 
29 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 ? 
30 If old follicles are being rejuvenated in the process, can we rejuvenate all old follicles regardless of how long they have remained inactive ? 
31 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 ? 
32 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 ? 
33 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?  
34 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. 

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

 

Information about this article

Article #  189
Title Copy Of Letter Faxed To Dr. Gho, Jan 29, 2002
Date 01/29/02
Source HairSite
Forum Research
Archive Research
Contact hairsite@aol.com


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