On June 25-27, 2010 the regional congress of the International Society of Hair Restoration Surgery (ISHRS) took place under the chairmanship of the famous Thai surgeon, Damkerng Pathomvanich. The congress was held in Bangkok and was attended by famous hair transplantologists from Asia and across the world. Attendees included: Sanjiv Vasa (India), Kenicharo Imagava (Japan), Bertam Ng (Hong Kong), Tom Hwan (Korea), Akaki Tsilosani (Georgia) and others.
The congress saw the founding of the Association of Hair Restoration Surgery of Asia (AAHRS). Damkerng Pathomvanich was selected as the chairman of Association, with Tom Hwan chosen as the organization’s secretary. In addition to the leading Asian specialists, John Cole and Dow Stow (USA), Mario Marzola (Australia), Jerry Wong (Canada) also came to Bangkok to take part in the congress.
The event saw various luminaries of the hair transplantology field. A series of fascinating reports were presented to the congress, in addition to a number of seminars demonstrating the latest developments in the field. Mario Marzola, a pioneer in the trichophytic closure of occipital donor wounds, presented masterly techniques for excision and improving rag plasticity; Jerry Wong shared a technique for forming coronary micro apertures; Damkerng Pathomvanich demonstrated the open donor method; John Cole has presented his take on the FUE method, through which he has achieved a level of transsection lower than that achieved by the majority of practicing surgeons.
John Cole’s presentation proved the most interesting and informative for the majority of participants of the ISHRS Congress in Bangkok. His transsection ratio during follicular extraction is phenomenally low. It is a remarkable achievement in the field, as high levels of transsection of donor material is the largest problem with using the FUE method to extract grafts. The toolkit presented by Cole allows any surgeon to achieve impressive results, with transsection rates lower than 10 %.
The spectacular results were achieve not only by the toolkit presented at the lecture, but also by using a larger troacar (1,2 mm) than is usually deployed, and by careful selection of a patient who was a fine candidate for the FUE Method.
The event saw heated discussion on the advantages and disadvantages of the two techniques for graft extraction used in modern transplantology: the Strip Method and the FUE Method. Each techniques have their adherents and opponents. Talizi’s approach is to deploy a combination of both methods, even using both in the course of one operational session – a practice that has stirred much interest from our colleagues. At Talizi there is a belief that both the Strip and FUE methods have their own unique advantages. In our opinion, it would be better if all specialists were equally familiar with both techniques, and were able to give the correct advise to patients and enable them to chose the right technique for them. Besides, we are convinced that in severe cases of baldness, large scale hair transplant surgeries can be performed during one operational session (over 1 or 2 days of surgery) to achieve the maximum cosmetic effect in the minimum possible time. These results can only be achieved through the use of both the Strip and FUE methods.
Talizi’s experience in combining both techniques to achieve impressive results could perhaps put to an end the debate once and for all.
Akaki Tsilosani with Iranian colleagues
Akaki Tsilosani and Jerry Wong
Akaki Tsilosani and John Cole