D
drmwamba
Valued member
Hair transplant is based on finding balance between the recipient area and the donor .Recipient being the miror and donor area the bank .with the event of follicular unit transplant ,it seems like we resolve most of the concerns about the recipient area.Physicians were more concerned about the donor and lately we assisted at the birth of two techniques (FIT/FUE and TRICHO CLOSURE) as a solution for the donor.They render the scar in the donor "quasi" invisible to the naked eye.
We know all about the presence of white dots with the FUE technique.What about the tricho closure?
I would like to illustrate some findings we can have with two scar repair cases That showed up to our clinic:
This 26 yo patient ,moving to a NW6-7 finds himself with this railway image of scar ,not specific of trcho closure,but common in any strip if the suture were made to tight.On the top right picture ,in the blue circle ,you will see hairs emerging from the scar ,the key advantage of tricho closure ,when this phenomenon is homogen through all the suture line.Which is not the case in our patient.
You can notice in the bottom picture scar without hairs ,wide ,and also hairs emerging in ackward direction .This fact may look very bad and those patients can not have a short cut anymore.
See microscopic details of the scar texture,and the hair direction modified .
Another case in a mature patient who had two prior strip surgeries:
Tricho closure is great but you have to respect all the precautions(size of your harvested tissue,number of previous procedures,stretch back,...) related to a normal strip procedure.The change in hair direction may create a super density that could attract our sight and make the scar noticeable , especially with wet hairs or short hair cut.
As a treatment for those patients , we grafted BHT in the first one .For the second one ,we removed the hairs in the scar donor by FIT and re direct them in the right angle in the same holes ;and we complete it with some BHT.
We know all about the presence of white dots with the FUE technique.What about the tricho closure?
I would like to illustrate some findings we can have with two scar repair cases That showed up to our clinic:
This 26 yo patient ,moving to a NW6-7 finds himself with this railway image of scar ,not specific of trcho closure,but common in any strip if the suture were made to tight.On the top right picture ,in the blue circle ,you will see hairs emerging from the scar ,the key advantage of tricho closure ,when this phenomenon is homogen through all the suture line.Which is not the case in our patient.
You can notice in the bottom picture scar without hairs ,wide ,and also hairs emerging in ackward direction .This fact may look very bad and those patients can not have a short cut anymore.
See microscopic details of the scar texture,and the hair direction modified .
Another case in a mature patient who had two prior strip surgeries:
Tricho closure is great but you have to respect all the precautions(size of your harvested tissue,number of previous procedures,stretch back,...) related to a normal strip procedure.The change in hair direction may create a super density that could attract our sight and make the scar noticeable , especially with wet hairs or short hair cut.
As a treatment for those patients , we grafted BHT in the first one .For the second one ,we removed the hairs in the scar donor by FIT and re direct them in the right angle in the same holes ;and we complete it with some BHT.