Wednesday, 26 April 2006 22:53

The Donor Area Study

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This chapter on the PDF bellow was co-written by John Cole and Walter Unger. Both authors will refer to themselves as third persons throughout the chapter because their views and practices are not always the same. References to "Unger" and "Cole" should be understood to represent the views of only that co-author unless otherwise indicated. In addition, both authors contacted many practitioners, privately, and their opinions are presented as "private communications" after obtaining their approval.

Perhaps the most important factor in predicting successful hair restoration surgery is appropriate patient selection by the physician and physician selection by the patient.

There are four elements to this selection process: understanding the patient’s goals, the physician’s ability to meet the patient’s goals, conveying those abilities to the patient, and the patient’s physical examination. Three of these elements involve communication skills and a psychological or personal assessment, but are meaningless without the physical exam of both the recipient and potential donor areas, which is in fact the basis of a scientific approach to hair restoration surgery. This chapter deals with the examination and management of the latter.

Every donor region has specific characteristics that allow the informed hair restoration surgeon to customize an approach to the individual patient. Failure to recognize these individual characteristics does not always doom the hair restoration process, but it does limit the physician’s ability to precisely control it.

At one time, few truly objective findings were included in the assessment of the donor area. This is no longer the case. Alt, Unger, Rassman, and Bernstein might be considered the "fathers" of modern donor area assessment. Alt and Unger researched the limits of the safe donor area. Unger championed the concept of multiple donor sites for a variation in hair caliber and color. .1 Rassman introduced the need for an accurate measurement of the donor hair density and attempted to accurately quantify the available donor area. Bernstein introduced the important concept of hair volume.

Collectively, their work has laid the foundation for the scientific assessment of the donor area and more accurate predictions of anticipated coverage. Unfortunately, despite their efforts, few physicians seem to recognize the importance of accurate donor area measurements.<.p>

Donor area management may be broken into the following individual components:
delineating the "safe" donor area, the physical examination of the "safe" donor area and recipient area, the method of harvest and closure, subsequent procedures, efficiency of technique, and complications. Present knowledge as it relates to each component is presented in this chapter but it is worthwhile emphasizing that each requires further study.

This is a detailed discussion of the donor region, its science, and how we approach it from a diagnostic, as well as, surgical point of view. This is very detailed for the discriminating consumer, which is who we cater to.
By John P. Cole, MD

 

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John P. Cole, MD is one of the pioneering surgeons in the world who uses a Follicular Unit Extraction technique – CIT ® (Cole Isolation Technique) to perform hair transplant surgeries. In fact, he has invented a number of surgical instruments for this particular technique that help leave no visible scars behind. The STRIP harvesting procedure is also performed by him. He has also had tremendous success with body hair transplantations.

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Biography

Areas of Expertise 

John Peter Cole, MD specializes in Follicular Unit Extraction (FUE), Follicular Unit Transplant (FUT), Body Hair Transplant, Plug Redistribution, Plug Removal, Scar Revision, Facial Hair and Eyebrow Restoration and Body Hair Farming.

Introduction

John P. Cole, MD is one of the pioneering surgeons in the world who uses a Follicular Unit Extraction technique – CIT ® (Cole Isolation Technique) to perform hair transplant surgeries. In fact, he has invented a number of surgical instruments for this particular technique that help leave no visible scars behind.
The STRIP harvesting procedure is also performed by him. He is currently doing research on the hair multiplication, which looks promising. He has also had tremendous success with body hair transplantations.

With a license in the states of Florida and Georgia, USA, Dr. John P. Cole performs surgeries only in Atlanta. The reason why setting up shop elsewhere has not been easy is because moving all the needed surgical instruments is difficult and finding physicians who are skilled so that we can get good results is difficult.

Dr. John P. Cole attended the Mercer University on an academic scholarship from the United States Army and graduated Summa Cum Laude with degrees in Chemistry and Biology back in 1981. He received his medical degree in 1985 from the Medical College of Georgia. His postgraduate degree in internal medicine came from the University of Missouri. Since 1990, his loyalties and dedication lie in the field of hair transplant surgery. Since then he has had a private practice in hair restoration. He is a member of the American Society of Hair Restoration Surgery, American Academy of Cosmetic Surgery and International Society of hair Restoration Surgery.

Dr. Cole holds the honor of being one of the first physicians to become a Diplomat of the American Board of Hair Restoration Surgery, currently he is on the Board of Directors and examination committee for the Society. He shares his knowledge to bring improvements in the realm of hair transplantation through a host of papers that he has presented at educational seminars and transplantation societies.

His interest in the development of instruments that help refine hair transplantations procedures, his creative research in the field of follicular anatomy and his development of formulas that help accurately measure performance of a person in hair restoration surgeries, indeed sets him apart from a crowd.

Dr. Cole was awarded a research grant in 1999, from the International Society of Hair Restoration Surgery for his work involving regional variation in hair density and hair diameter. His findings were presented at the 2000 meeting of the International Society of Hair Restoration Surgery. Dr. Cole was responsible for orchestrating the Beginner’s Program at the International Society for Hair Restoration’s annual medical conference in Hawaii through which he trained more than 75 physicians in techniques and processes of hair transplantation. He has been invited as a speaker to a host of events which include, the first Korean Workshop on Hair Restoration, the 2001 Italian Society of Hair Restoration Surgery meeting in Sicily and the 2001 European Society of Hair Restoration Surgery. He was also the Co-chair at the Aegean meeting for hair restoration surgery in 2002 at Athens, Greece. Dr. Cole and Dr. Devroye were awarded the First Place for a poster presentation on ‘Computer Applications in Hair Transplantation by the International Society for Hair Restoration in 2000. The Italian Society awarded him the Archimedes Award in 2001 and Michaelangelo Award in 2002.His name was recommended to the Research Committee of the International Society of Hair Restoration Surgery in 1999. He was also the director at the Beginners Program at the International Society Meeting of Hair Restoration Surgery meeting organized in Puerto Vallarta, Mexico. He was also the chairman of the International Society for Hair Restoration Surgery in Chicago Illinois.

Over the years, Dr. Cole has invented a host of instruments that have helped speed up and make hair restoration surgery become more efficient. These include instruments to harvest the donor region, to prepare recipient sites and a translucent slivering board that assists in preparing thin strips of donor tissue that are over 1 cm in length and 1 mm wide.Since the slivering board is transparent it allows for top and bottom fiberoptic lighting. This combination helps improve decrease trauma to individual hair and also improves in visualization of the grafts.Thin slivers produced speed up production of the grafts, which is almost 450 per hour, with hardly any damage to the hair.

Membership

International Society of Hair Restoration Surgery (ISHRS)
International Alliance of Hair Restoration Surgeons (IAHRS)
American Academy of Cosmetic Surgery (AACS) - Associate Member
American Board of Hair Restoration Surgery (ABHRS) (Earliest to become board certified and was certified from 1997 through 2010.)
American Medical Association (AMA)
European Society of Hair Restoration Surgery (ESHRS)
American Society of Hair Restoration Surgery (ASHRS)

Techniques

* Body Hair Transplant

* Hair Restoration (Transplants)

* Hair Transplant Repair

* C.I.T. (Transplant)

C.I.T. (Scar Grafting)

* Follicular Unit Extraction

Donor recharging 

* Hair Transplants (Scalp)

* Plug Removal

Plug Restoration

STRIP (FUT Hair Restoration)

Education

Mercer University, BS (Biology / Chemistry)
Medical College of Georgia, MD
University of Missouri Department of Internal Medicine

Board Certification

International Board of Hair Restoration Surgery, January 1, 1998
American Board of Hair Restoration Surgery, January 1, 1998

Academic Appointments

American Board of Hair Restoration Surgery -Diplomate
American Board of Hair Restoration Surgery - Board of Directors and Examination Committee
International society of Hair Restoration Surgery, Beginners Program Chairman
01 International society of Hair Restoration Surgery - Beginners Program Chairman
02 International society of Hair Restoration Surgery - Scientific Committee Chairman
02 International society of Hair Restoration Surgery meeting - Program Chairman
02 Aegean Meeting for Hair Restoration Surgery - Chairman

Awards

International society of Hair Restoration Surgery,Scientific Research Grant and Award
International Society of Hair Restoration Surgery - Ten Year Attendance Pen
International society of Hair Restoration Surgery - Five Year Attendance Pen 
Italian Society of Hair Restoration Surgery -Michaelangelo Award
Italian Society of Hair Restoration Surgery - Archimedes Award
Dermal Hair International Group - DHI Bronze Medal 2000 
Dermal Hair International Group - DHI Gold Medal 2002
ISHRS Golden Follicle Award 2013

Teaching

ISHRS - Beginners Course (98, 99, 2000, 2001)

Italy 1997 - Beginners Course
European 2000- Beginners course

Korean Live Surgery Workshop, 2001

Faculty of the WHRS (1999 and 2002)


Numerous physicians have visited Dr. Cole for Advanced Training in Hair Transplant Surgery.

Dr. Cole's office is always open to those wishing to advance the field of Hair Transplant Surgery. 

Articles

Over the years, Dr. Cole has researched and published a number of articles in the field of Hair Transplant surgery through the Hair Transplant Forum on various topics such as the use of trigonometry to accurately calculate donor harvest, nomenclature, estimation of the recipient area, estimation of size and number of follicular units, maximization of donor yield, measurement of distance between grafts, based on pattern of distribution and density, predicting coverage and yield.

Dr. Cole has also co-authored a chapter on Donor Harvesting along with Dr. Walter Unger, for his text titled Hair Transplantation. His interview with Cosmetic Surgery Times on Donor harvesting led to a featured article in 1998.

Presentations

Overs years in the field, Dr. Cole has made several presentations and a number of forums. He has discussed donor harvesting, maximizing donor yield, mathematics of follicular transplantation, etiology of hair loss, microscope vs. loops comparison, mustache transplantation, biological switches, metamorphic changes to surgically excised hair, physics of light and geometry of scalp reduction surgery.

He has also held a number of seminars all across the United States of America with reference to the cause and treatment of androgenic alopecia for the general public.

Interests

Dr. Cole is a man of many interests. Over and above his dedication to the field of Hair Transplantation, his interests include, snowboarding, computers, flying, water skiing, baseball, snow skiing, salt water fishing, tennis, golf, wake boarding, dressage and he loves raising his children.

John Peter Colem MD -  Google+

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