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Cole Isolation Technique (CIT)

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The CIT- Cole isolation technique (Former known as FIT) is a process of removing one follicular unit at a time from the donor region. Our technique has
evolved from the techniques of Dr. Inaba, Dr. Woods, and Dr. Rassman. A special instrument is used to extract the individual follicular units.

This instrument must cut into the dermis to a point just beyond the arrector pili muscle. Once this structure is cut, the graft can be extracted intact. Grafts ranging from one to 5 hairs each have been extracted. Our technique has allowed the largest single session of graft removal in a single day. We have successfully removed 950 intact follicular units in a single day. We also have the largest successive sessions in a two day span on the same patient. Currently, we are able to move almost 2000 grafts in a two day time using our follicular isolation technique.

This process requires a dermal depth analysis ,so that we can properly judge the depth of the arrector pili muscle. We have found that this depth varies from one region of the donor area to another.

Our process allows for the harvesting of hair from multiple regions of the body. This includes chest, stomach, back, etc. hair. The combination of this technique with standard graft harvesting expands the scalp donor region. The ability to use hair from other regions of the body also adds significantly to the total amount of available donor hair. Dr. Ray Woods has found that chest hair grafted to the scalp eventually begins to grow faster and longer than it did when it was on the chest.

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Punch Size Comparision Study in Hair Transplant Surgery
In the spring of 2003 I first introduced the 0.75 mm punch to FUE. I immediately noted that I it had certain advantages and certain disadvantages. I also noted that no single method or instrument worked equally well on all individuals. I found quickly that no one technique or procedure worked equally well for ever patient. It became apparent that every donor area was different and one had to be able to adapt to these difference. For this reason, I began developing a number of different devices of a variety of geometric shapes. All of this development was quite costly. Therefore, we were quite careful about our disclosures and we also sought patent protection on a number of the instruments. From the early days we planned to offer our procedure and instruments through a license so that we can continue developing better tools and instruments that we hoped would encourage more physicians to abandon the invasive, unpredictable scar prone strip procedure. That time is near.
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