News Article
Megasessions - The "Dense Packing" of Micrografts Proves a Most Effective Technique
by Richard C. Shiell, M.D.
The effectiveness of this technique in expert hands was again demonstrated by the irrepressible Bill Rassman who, on this occasion, presented twenty-three patients in varying degrees of completion for inspection by the gathering.
Warnings were sounded by Mark Pomerantz, Manfred Lucas and Tom Rosanelli concerning the potential risks of "dense packing" of micrografts. On this occasion even Bill admitted that he had 1% of cases where growth was delayed for many months after dense packing and one case where he had yet to see any significant growth after 12 months. He felt these were exceptional cases and that all the textbooks admitted that even in traditional hair transplants "growth was much less than expected in about 1-2% of patients." He said that bad results were most likely to be a result of careless surgery than to any inherent fault in the technique. "If the grafts and their recipient slits are small there should be no problem experienced with up to 4000 grafts on a Type VI bald scalp," he said. (This included 1000 single hair grafts dense-packed at the frontal hairline region). He warned against attempting to perform these numbers with grafts larger than well trimmed pilosebaceous units of 1-3 hairs or using slits larger than those well trimmed made with an 18 NoKor.
For the "Quote of the Meeting" the prize must go to Bill Rassman for "Those who say it can't be done should not stand in the way of those who are doing it everyday."
Dr. Shiell is clearly one of the leading pioneers and educators in the field today. He has written extensively in books and articles and is a frequent speaker at medical hair restoration meetings. - Dr. Rassman
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