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Trichophytic closure

W

WayneM

Member
What are the benefits of Trichophytic closure?

A little about myself, I have a scar which is highly visible from surgery several years ago, its approximately 1cm wide, in some places slighter wider and 15cm`s long. I`m happy with the growth, its just the scar causing problems as i prefer to wear my hair short. I was told my scalp laxity is good.

My question is, would a two layer Trichophytic closure eradicate my scar? If not would I be best off having 200 - 300 FUE grafts placed along the scar.

Thankyou.
 
H

hairtech

member
A trychophytic closure attempts to let hair grow through the middle of the suture line... r option by way of the surgical cut on one lip of the two scalp exposures during a strip excision. It isn't a perfect science I have seen in several clinics the outcomes... some great and some not so great.

Now grafting the scar via FUE is definitely another option. It may take more than one pass to make you happy... but this works also.
 
Bigmac

Bigmac

Administrator
Staff member
I`ve had both options done, they worked out well for myself.
 
T

turelure

Valued member
I've. Had à tricho, scar is better but i can not cut my hair short. I go for a fue of 600 graft in the scar, i hope it will work.
 
W

WayneM

Member
turelure wrote:
I've. Had à tricho, scar is better but i can not cut my hair short. I go for a fue of 600 graft in the scar, i hope it will work.
Did you have an old scar excised out?
 
Bigmac

Bigmac

Administrator
Staff member
I had an old scar excised out and it worked well for me.
 
Prohairclinic

Prohairclinic

Prohairclinic Scalp Micro Pigmentation
IMHO neither a tricho revision or planting FUE will undo a scar, it will however most likely soften the scar.
 
bullitnut

bullitnut

4 awesome repairs with SMG
I had my old donor scars excised out too like BM and mine look great now too and i can cut my hair a lot shorter which is cool.
 
W

WayneM

Member
Thankyou all for the kind replies,

It appears that a scar revision is a gamble as there are no guarantee it will improve my situation, therefor I`m leaning towards a small Fue session.

I also came across an article written by Dr. Shapiro which confirms my findings. See below.



For scar revisions the use of the trichophytic closure is more variable. It may be effective if the pre-existing scar is thin, there is sufficient laxity remaining, and the entire scar can be excised with limited tension, than it may work well. However if the pre-existing scar is wide and there is decreased laxity than the technique may be less affective for the following reasons. The decreased laxity may make it impossible to remove the entire scar at once. The decreased laxity will increase wound tension and the potential for the new scar to stretch out again. Finally, \the edge of wounds in a scar may have less hair present to grow through which limits the effectiveness of the trichophytic closure.

The Trichophytic closure is not a magic technique that will automatically create a less visible scar if these other rules are not followed. All three innovators of the technique still emphasize that it is still necessary to use all the rules and methods usually employed to create fine scars. (i.e. limit wound tension, create good skin approximation, properly space sutures or staples, etc). As stated above the trichophytic closure does not limit the width of a scar but instead, primarily masks a scar by letting hair grow through it. Since only a 1 to 2 mm wide zone of epithelium is trimmed away, and this creates only a 1-2 mm width of exposed follicles, the trichophytic incision works best when the scar resulting from the donor incision is 1-2 mm or less. When this occurs the results can be amazing and with the scar being nearly undetectable even with the hair cut short. However if the underlying scar resulting from the donor incision is wider than 1-2 mm, for whatever reason, the benefit is less dramatic. There are a number of reasons why a scar may occasionally end up being wider than expected. This is true no matter what technique is used and no matter who the surgeon is.


 
sl

sl

BHR Clinic Patient Advisor
A scar revision is really dependent on what you expect to achieve, Dr. Shapiro writes some accurate words. Tricho closure seems to be thought as the miracle for strip surgery and revisions, but it is not, it has limitations, especially with revisions.

In such cases it is best to try a visit a few doctors first and see what they have to say in person; a scar will always be there so sometimes it is a case of  reducing  the size or being able to camouflage the area better, and partly, largely it is for you to decide which maybe the best option for you and go with the doc you most feel can perform your demands.  
 
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