Dr. Duncan specializes in different areas of hair restoration: follicular cell transfer and microneedling with exosomes. These hair restoration treatments are offered in our Fort Collins clinic are meant to improve hair density and hair shaft thickness in areas that have thin fine hairs. They are also less invasive than traditional hair treatments and allow patients to recover much more quickly while still achieving their goals of restoration.

    1. Minimally invasive hair restoration treatments
    2. Little to no downtime is required
    3. Results are seen within weeks

    80% of American men and over 30% of American women experience hair loss, with incidence increasing with age. Fewer than 1 in 10 who seek consultation for hair restoration are willing to undergo traditional hair transplantation. The most common reasons for this include cost, down time, and uncertainty about the outcome of hair transplant surgery. Our Fort Collins clinic offers hair restoration treatments that are minimally invasive and produce desired results.


    Follicular stem cell transfer is effective in many cases. In this procedure, several small hair bearing samples are taken from the back of the head, where hair generally remains thickest for a lifetime. Hair follicle precursors (stem cells) exist at the base of the follicle. The tissue is processed so these cells can be injected into the thinning area with a needle. It takes about a month to see some improvement in hair growth, and at 3 months, a visible difference can be seen. Young patients do respond better than older patients. We recommend adding finasteride or dutasteride daily, along with hair vitamins, light therapy such as Hair Max comb, and topical Rogaine or minoxidil.

    35 year old female following pressure alopecia. Patient again at 1 and 2 months post-follicular cell transplant.

    36 year old male pre, 1 month post and 6 months post treatment. Patient has been supporting result with oral finasteride.


    A second popular option is the combination of microneedling plus the application of topical exosomes. Exosomes are used as a cosmetic application in these cases. We use a product produced in an FDA-registered lab. Exosomes are derivatives of stem cells, and contain mRNA, a messenger that primarily acts to reduce inflammation. Microneedling of the affected area is first performed to stimulate blood flow and to call out to the anti-inflammatory exosomes. A topical exosome balm is then applied 2-3 times a day for 3-5 days. Hair growth can be seen as early as one month, with peak response after 3-6 monthly treatments at one year. A maintenance treatment per year will help keep hair loss from progressing.


    Both follicular cell transfer and microneedling with topical exosomes require very little to no downtime. These hair restoration and transplant treatments in Fort Collins offer better results with less discomfort, as well as easier at-home maintenance. Once your hair restoration treatment is complete, you can return to your normal routine immediately. The benefits of your hair treatment will become increasingly noticeable in the coming weeks as your hair continues to strengthen, grow, and reverse the miniaturization of follicles, healing themselves from the inside-out. We recommend between 2-6 treatments to establish a foundation for new hair production. In addition, we encourage our patients to incorporate products such as finasteride or dutasteride daily, along with hair vitamins, light therapy such as Hair Max comb, and topical Rogaine or minoxidil to further their results.

    51 year old male following genetic male pattern hair loss. Patient before treatment and 1 year post. Patient used oral finasteride and topical minoxidil for result support.

    Does Dr. Duncan offer PRP treatments?
    We no longer offer traditional hair transplantation, nor PRP treatments. While there are no well controlled studies with strong data, a collective analysis shows a 30% improvement at best. Dr. Duncan’s interest in regenerative medicine allows her practice to focus on two innovative treatment options: follicular cell transfer, and microneedling with exosomes.
    I have a bald patch, will these treatments help regrow my hair?
    Follicular cell transfer and microneedling with exosome treatments will not regrow hair in a completely bald area; for that you will need an actual hair transplant. Our office does not offer this service.
    How many treatments will I need?
    As no two patients have the same starting points or ending goals, the recommended treatments can vary. On average we recommend anywhere from 2-6 treatments depending on severity of hair loss.

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