Double Trichophytic Closure with Wavy Two-Layered Closure for Optimal Hair Transplantation Scar

Yamamoto, Kazuhito

doi:10.1111/j.1524-4725.2011.02275.x

Cited by 15 publications

(3 citation statements)

References 18 publications

(24 reference statements)

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“…The wound was closed with 3-0 polyglactin 910 (vicryl rapide) suture material using continuous non-trichophytic, single trichophytic and double trichophytic closure techniques[4] [Figure 1]. In trichophytic closure, a thin shallow strip of 1-2 mm that does not cause damage to the bulge area of the follicles and the sebaceous gland is cut from the edge of the wound and closed.…”

Section: Methodsmentioning

confidence: 99%

A study of donor area in follicular unit hair transplantation

Balakrishnan¹,

Somiah²,

Sacchidanand³

2013

J Cutan Aesthet Surg

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Background:The advent of follicular unit transplantation (FUT) has given a natural appearance in the recipient area in the past two decades, but has left behind an unsightly scar in the donor area. A study of donor area and techniques to make it cosmetically acceptable is lacking.Aim:The aim of this study was to evaluate the donor area after follicular unit hair transplantation and to show a few techniques to make the donor scar aesthetically pleasing.Materials and Methods:The donor area was examined for scar width and patient satisfaction scores of donor area in 30 consecutive patients from March 2012 to February 2013 retrospectively after a minimum of 3 months after the procedure. Complications such as effluvium along suture line, wound infection, dehiscence, necrosis, folliculitis, keloids and wide scars were also noted.Results:Scar width increased with increase in width of the donor strip. Patient satisfaction scores declined with larger strip widths. The most common complication seen was folliculitis-like lesions. Double trichophytic closure yielded the most aesthetically acceptable scar.Conclusion:FUT produces a linear scar in the donor area, which can be a significant concern in patients wishing to cut their hair short. Restricting the width of the donor strip and trichophytic closure has greatly improved the appearance of the scar.

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Section: Methodsmentioning

confidence: 99%

A study of donor area in follicular unit hair transplantation

Balakrishnan¹,

Somiah²,

Sacchidanand³

2013

J Cutan Aesthet Surg

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“…Proponents of the technique suggest that the suture used for wound closure, whether single or double layered, 14 should not bite deeper than approximately 1 mm because the bulge of the hair follicle extends between about 1.0 mm and 1.8 mm below the skin surface. Employing simple measures such as avoiding wound tension and not using electrocautery or crushing instruments at the cut edges of the scalp help reduce the risk of follicular damage and scar alopecia.…”

Section: Local Flapsmentioning

confidence: 99%

Scalp and calvarial reconstruction

Wallace

Wei

2015

Plastic and Reconstructive Surgery

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“…4,5 The trichophytic closure and W-plasty also decrease the visibility of the scar. [6][7][8] There are various scales used to assess the scar, but majority of these are described for the burn scar. The most commonly used include Vancouver Scar Scale (VSS), Patient and Observer Scar Assessment Scale (POSAS), Manchester Scar Scale (MSS), Scar Cosmesis Assessment and Rating (SCAR) scale, and so on.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of 50 Donor Scars Undergoing Hair Restoration Using a New Cosmetic Surgery Scar Assessment Scale

Malik¹

2017

Am J Cosmet Surg

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The donor area scar is of utmost importance in strip-harvest hair restoration procedure. The proper assessment of the scar is important for the subsequent sessions. This study was undertaken to evaluate the quality of scar using a new Cosmetic Surgery Scar Assessment Scale (CSSAS). The study was conducted at a private hair restoration clinic. The patients undergoing first session were included. The width of the strip ranged from 15 to 20 mm. The donor wound was closed primarily using single-layer nonabsorbable 3-0 polypropylene suture and incorporating trichophytic closure. The stitches were removed on 11th postoperative day. The scars were assessed in daylight. The patients' scars were assessed at 12th month using a selfdeveloped scar scale which is comprised of 10 characteristics, each subdivided into 4 points (1-4), with a minimum score of 10 and maximum of 40. The higher scores represented poor scar, whereas the low scores represented good quality scar. A total of 50 patients were included. The mean age was 27.8 years. Most of the patients (56%) aged 31 years or more. The baldness pattern varied from Norwood type III to VII. The scars were assessed using the daylight. The average scar score was 14.3 out of 40. Majority of the patients (78%) had average score which was 15 or less. The maximum scar score achieved by the patients was 23 (4%). The newly developed CSSAS is very simple. It incorporates key features including the width and mobility of scar as well.

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Double Trichophytic Closure with Wavy Two-Layered Closure for Optimal Hair Transplantation Scar

Cited by 15 publications

References 18 publications

A study of donor area in follicular unit hair transplantation

A study of donor area in follicular unit hair transplantation

Scalp and calvarial reconstruction

Evaluation of 50 Donor Scars Undergoing Hair Restoration Using a New Cosmetic Surgery Scar Assessment Scale

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