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Old 02-22-2011, 11:47 AM
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Default Good and bad browlift scars explained by Dr. Lindsey McLean VA

I have posted a few threads before on how trichophytic closures were developed by plastic surgeons for browlift scars. This technique allows the incision to be placed about 5 hairs behind the hairline, and by bevelling the cut, the hair roots are preserved to grow out through and in front of the scar, camouflaging it.

This same technique is now used by many hair surgeons to close donor strip sites and have hair grow through the scar after a few months.

Last week I had the occasion to see a lady who had had what I would describe as a non-trichophytic closure of a browlift. The scar is fairly wide and has no hair growing through it. Several pictures are shown. She inquired about FUE repair which we may do at a later date.

Yesterday, a lady that I'd done a browlift on in October stopped by with her husband who'd had a hair transplant by me. She's about 3.5 months postop and clearly not all of her hair is growing yet, but her scar looks quite good and is nearly undetectable from a foot away.

She is an excellent healer, and this gives an example of why trichophytic closures were developed.

Dr. Lindsey McLean VA
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Old 03-30-2011, 01:51 PM
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Last fall we did a trichophytic closure on Wendy, my tech's, mom. Here are 5 month pics of the scar line. THIS is what trichphytic closure was designed for. Using it for strip closure was a later, and perfectly suitable, modification.

Dr. Lindsey McLean VA
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Old 03-31-2011, 11:21 PM
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I have learned over the past few years how important it is to do the Trichophytic properly in the donor. I have seen several patients who had prior surgery with a Trichophytic donor closure technique and the results were very poor. I can only imagine it being even more critical to master this technique when performing a brow lift which is exposed and potentially much more visible. Nice job Dr. Lindsey I will be calling you if I ever need a brow lift procedure.
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Old 05-10-2011, 09:33 AM
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The lady in the first set of pics above, that I did a tricho brow on, now about 8 months ago, stopped by Friday. Her scar is maturing nicely and there is hair growing through and in front of, the scar itself.

Dr. Lindsey McLean VA
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