How a Hair Transplant with ACell ECM can Give Better Hairline Lowering than a Reverse Forehead Lift

A 22-year-old female was born with a high hairline and an odd cowlick. She wants at least an entire inch of hairline advancement. She is confused between having a reverse forehead lift or hair grafting.

Dr. Amiya Prasad, a certified facial cosmetic and reconstructive surgeon who also specializes in hair restoration, is in a unique position to advise her as he can expertly perform either procedure. When he does forehead lifts or face lifts, he assess the skin elasticity to anticipate risks of relative scarring that can occur from a procedure like a reverse forehead lift and a hair transplantation procedure. In this case, he would recommend hair grafting for practical and cost reasons.

To create a lower hairline, Dr. Prasad explains that it is important to be mindful of how close the hairs are placed in order to make it look natural. A good strategy is to slowly lower the hairline from the point where it is most dense and transition it from there downward. This is based on the number of grafts that are available as well as the thickness and quality of the hair. In a cowlick, a procedure that might be helpful is to take hairs from the cowlick and transplant them in a different direction to get better coverage.

In traditional hair transplantation, there are hairs that don't make it because of the type of hair, the surgical technique employed and the amount of bleeding that occurred. In Dr. Prasad's practice, he uses a material called ACell extracellular matrix which aids in healing by the duplication of tissue. This results in the activation of adult stem cells. In addition, the adult stem cell known as progenitor cells which become less capable or become defective will make hair follicles susceptible to dihydrotestosterone (DHT) the hormone that causes hair loss . Extracellular matrix and platelet-rich plasma formulation of the Hair Regeneration injection stimulates production of progenitor cells, thereby protecting the hair from the hair loss effect of DHT. So extracellular matrix is a good intervention to reverse male or female pattern hairloss and would contribute to the thickening of the hair.

Видео How a Hair Transplant with ACell ECM can Give Better Hairline Lowering than a Reverse Forehead Lift канала Amiya Prasad, M.D.