On the basis of Results obtained and of those confirmed in the International Conferences, it is the opinion of many Expert Physicians Members of Primaries International Hair Restoration Societies that the best solution for Alopecia ( baldness ) is often based on a combination of multiple therapies.
The hair transplant and the Biocompatible Artificial Hair Implant are often used in combination to achieve a natural aesthetic result and a high density of hair also in case of poor donor area.
As a confirmation of the aforesaid statement, we provide the following Authoritative Opinions about integration between hair transplant and Biofibre Hair Implant :
Palmieri B., Griselli G., D’ugo A., Palmieri G., Salti G.: Evaluation of polyamide synthetic hair. A long-term clinical study, Panminerva Med. 2000 March; 42(1):49-53 “Male and female baldness is a very puzzling topic in medicine and surgery for psychological and social reasons, many different treatments having been proposed and published in the last 50 years, either in the preventive or in the therapeutic area. From the surgical point of view, different methods are used: scalp reduction, expanders, rotation flaps, autotransplantation, and artificial hair implant”.
Gerard Seery, Hair Transplant Forum International – January/February 2002“It should also be admitted that, of itself, FUHT is not up the task of providing comprehensive hair restoration. Something else is necessary. The newer versions of scalp reduction have been shown to be effective and safe, but are either underutilized or not utilized at all. Punch micrografts still have a place. Adjunctive modalities of treatment, e.g., micro-pigmentation, artificial fibres, are promising.”
William M. Parsley, Hair Transplant Forum International September/October 2002 “A 20-year-old never, ever has stable loss, medicines have the potential to bolster existing and grafted hair and provide much greater patient satisfaction. If you decide surgery is advisable, do you want to treat with transplants, scalp reduction, or even flaps?
Or artificial fibres? All these methods mentioned above have been successful in the proper hands, with the proper skill, and will proper patient selection.”
Richard Shiell, Hair Transplant Forum International September/October 2003: “It was pleasing to see “Case Study on Biofiber Hair Replacement – Patient Testimony on synthetic hair implants. Some of us have been performing this technique on carefully selected patients for some years past and I firmly believe that it has a place – particularly for those with inadequate remaining donor hair.
Gerard Seery, Hair Transplant Forum International, January/February 2003: “In view of this patient’s multiple failed surgeries … it is unlikely that further surgery would confer benefit. Micropigmentation would help, Artificial fibre implantation would also be relevant, but unfortunately this treatment is still subject to an FDA ban in the United States. Should this come to pass, patients with exhausted donor areas, caught in the limbo of half-baked results, could benefit from technological improvements that have occurred since the ban came into effect 20 years ago.”
Colin Westwood, Hair Transplant Forum International, January/February 2003: “Dr. Gerry Brady presented a 55-year-old patient who had undergone 8 scalp reductions and 4 hair transplants. There was no remaining donor hair and the only answer was artificial hair.”
Mariangela Santiago, ISHRS 11th Annual Meeting, New York, USA October 2003:
“One of the biggest challenges in hair restoration is the treatment of female diffuse hair loss, which is generalized on the entire scalp area. This makes it different from male hair loss, where hair in the temporal-occipital region is usually preserved. For this reason it is difficult to obtain successful results with female transplants, while fiber hair restoration has proven to be very effective.”
In conclusion, keeping into consideration the guarantees of safety and results that baldness procedures can ensure today, if correctly performed, the Experts say that the choice of one or more combined hair restoration techniques depends on the type of alopecia (baldness) and to the Patient needs.