Category Archives: ISHRS

ISHRS 22nd Annual Meeting in Kuala Lumpur, Malaysia

The International Society of Hair Restoration Surgery (ISHRS) is having its 22nd annual meeting in Kuala Lumpur, Malaysia from October 8-11, 2014.  Surprisingly, this is the first time this conference is being held in Asia, home to over one-half of the world’s population.  As was the case with last year’s conference in San Francisco,  the initial online outline of their program is excellent:

ISHRS 22nd annual meeting

The chair of the conference is the renowned Thailand based surgeon Dr. Damkerng Pathomvanich (also called Dr. Path on the forums). As usual, the majority of the presentations are related to hair transplantation techniques and improvements in that field.  The four main non-hair transplantation related presentations from invited speakers are:

  1. The key Norwood lecture by Dr. Valerie Randall (UK), titled “Is a Glaucoma Drug the Next Treatment for Hair Loss? ”  This of course pertains to the FDA approved drug Bimatoprost, a prostamide/prostaglandin F2α analog that was initially used to stop the progression of glaucoma (and was later also found to grow eyelash hair and has since been sold for that purpose under the brand name Latisse). (My note: this is quite possible going to be the next big thing in terms of hair loss drugs, and I will have to write a post on it soon).
  2. Dr. Rodney Sinclair (Australia)’s lecture titled “Androgenetic Alopecia: New Insights into the Role of the Arrector Pili Muscle in Hair Biology.
  3. Dr. Desmond Tobin (UK)’s lecture on  “The Aging Scalp and its Hallmark Gray Hair.
  4. Dr. Thomas Dawson (Singapore — Proctor & Gamble)’s lecture on “Female Aging & Care for Your Hair – Making the Most of What You Have.”  (My note:  what a depressing and discouraging title!).

There are a huge number of interesting presentations related to hair transplantation this time.  In fact the brochure mentions that they received record interest in this regard.  Among the ones I like include:

  • Four unique presentations (all from renowned hair transplant surgeons) related to storage medium for hair grafts.
  • Four presentations on PRP.
  • Various presentations and group sessions on devices and proprietary techniques, many of which I had never heard of before (but are in all likelihood just minor variations in existing tools and in FUT and FUT).
  • Various presentations and group session dedicated to ethnic groups and hair transplantation (e.g., African hair, Chinese hair, Japanese hair, East Asian hair).
  • Dr. Bradley Wolf’s presentation on the genomics comparison of hair follicles from FUT, FUE and plucks.
  • Dr. Sharon Keene’s presentation on LLLT.
  • Dr. John Cole’s discussion group on FUE megasessions.
  • Dr. Robert True’s discussion group on beard FUE.
  • Dr. Arvind Poswal’s discussion group on chest hair FUE.
  • Dr. Ken Washenik and Dr. Rodney Sinclair’s discussion group on understanding cell multiplication and future therapies.
  • Dr. Jerry Cooley’s discussion group on bioenhancements in hair transplantation.
  • Dr. Robert Bernstein’s presentation on robotic (My note: probably ARTAS) recipient site creation.
  • Dr. James Harris’ presentation on the follicular distribution in 176 robot assisted FUE patient cases.

Update from ISHRS by Dr. Nigam

Dr. Nigam is attending the ISHRS meeting in San Francisco.  He gave an update on Hairsite, and it was quite interesting (some key quotes of his are below — ignore the bad grammar and punctuation).  Am looking forward to his next update after he talks with Dr. Jahoda today.

Well arashi, you will be proved wrong..we will improve on these researchers finding…not just replicate ..
as we have a more holistic approach..a team based approach with feedback and work of different lab researchers from across the globe…with regulatory advantage .  My effort is to get researchers , who are working with different approaches for follicle neogenesis,to share and suggest,utilize each others advantage…

Spoke to washniek at ishrs.  They were culturing the epithelial and dermal components of the follicle separately and injecting them separately.  Neither they were culturing in 3d spheroids nor they were using growth factors specifically to activate dp/ds cells like shh,wnt .etc.

I got this clue about the freshly isolated dp or ds cells..and their trichogenic potential from jahoda… We have gone one step ahead…from jahoda ,
regards experimenting with fresh trichogenic dp/ds cells..by adding certain specific gf/shh, to activate or make ds/dp cells trichogenic…
can’t disclose much about it..but in our first test ..we can see thick terminal neofollicles on human scalp ,in 1sqcm area on the vertex of a patient in six weeks..

Jahoda used hanging drop method to culture in 3d..
we will shortly use polystyrene coated low adherent tubes for 3d aggregation..for mass production of 3d spheroids..so that we can inject the cells without dissociation.

We will use important gf to make the ds/dp cells more trichogenic.
Ans with the help of jahoda, gerd, many others and with our own insights…a good culture protocol will do the trick..to maintain the conductivity of dp/ds cells…

Dear james…i believe the creation of spheroidal dp or ds cell(and injecting as 3d spheroids and not dissociated cells,which we and jahoda are doing now)

with secretion of natural ecm…or a microfollicle created by gerd..is definitely the next thing to focus…. plus the use of freshly isolated trichogenic dp/ds cells with addition of gf or shh…to make dp/ds cells trichogenic and activated to be able to induce neofollicle formation….
plus the right culture protocol to induce these cells to produce hair ..
is not old news..not to be excited about.

Me and mwamba were approached by a lot of surgeons,regarding doubling and HM work..