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Paul Green

Trichologist, Researcher, Founder Evolved Hair Restoration, Australia

Presentation Title:

Potential for donor hair regrowth after FUE hair transplantation

Abstract

The possibility of donor hair regrowth after Follicular Unit Extraction (FUE) surgery represents a significant advancement in hair restoration. Traditional FUE methods involve the complete removal of hair follicles from the donor area, often reducing hair density. The Partial Transection Technique offers a promising alternative:

Method: Partially extracts hair follicles, leaving a portion of the dermal papilla and stem cells in the donor area.
Goal: Stimulate regeneration of hair follicles through the remaining stem cells.
Benefit: Aims to preserve donor area density, even after multiple procedures.

Adjunctive Therapies: Platelet-Rich Plasma (PRP) and Platelet-Rich Fibrin (PRF): Concentrated sources of growth factors derived from the patient's blood, applied to promote healing and stimulate hair growth in donor and recipient areas.
Microneedling: Creates micro-injuries in the scalp to enhance absorption of PRP/PRF, scar remodeling and stimulate collagen production, supporting regeneration.

Emerging Potential of Exosomes:
Exosomes: Tiny vesicles released by stem cells that facilitate cell-to-cell communication and tissue regeneration.
Enhancing Results: Exosomes, particularly those derived from mesenchymal stem cells, contain a high concentration of growth factors and signaling molecules that may further enhance hair follicle regeneration beyond what is achieved with PRP/PRF.

Research Outlook: Ongoing studies suggest that integrating exosome therapy could amplify the regenerative processes, leading to improved donor area recovery and hair density preservation.

Clinical Observations: Patients undergoing the partial transection technique with adjunctive PRP/PRF therapies have reported encouraging results, including maintained donor area density and noticeable hair regrowth. Incorporating exosomes may further enhance these outcomes, offering a novel approach to maximizing donor area regeneration.

Discussion Topic: The efficacy of the partial transection technique combined with therapies like PRP, PRF, microneedling, and the potential enhancement offered by exosome therapy in promoting donor hair regrowth after FUE surgery. Exploring how these advancements could impact patient outcomes, donor area preservation, and shape the future of hair transplantation practices.

Biography

Paul Green is a seasoned trichologist with over 30 years of experience in hair and scalp health. He began his career in 1994 in New Zealand under Rory J. Plumridge, IAT. Specializing in hair restoration, particularly Follicular Unit Extraction (FUE), he moved to Australia and joined DHI Australia. 2019 he was appointed as Director of DHI Internationals Training Academy, he trained international teams until the onset of COVID-19. Returning to Australia, he founded Evolved Hair Restoration, focusing on regenerative and innovative hair restoration solutions. Paul has published on a new Partial Transection technique and is writing a thesis on the Autonomic Nervous System's impact on autoimmune disorders.