Senior Member EmuSteve Posted September 9, 2007 Senior Member Share Posted September 9, 2007 Can someone tell me what the difference is exactly between Trico closure, HITS, LEDGE, etc? Which is best? -Steve I don't work for a doctor. Got 2700 fu from Ron Shapiro, 11-30-7 Link to comment Share on other sites More sharing options...
Senior Member EmuSteve Posted September 9, 2007 Author Senior Member Share Posted September 9, 2007 Can someone tell me what the difference is exactly between Trico closure, HITS, LEDGE, etc? Which is best? -Steve I don't work for a doctor. Got 2700 fu from Ron Shapiro, 11-30-7 Link to comment Share on other sites More sharing options...
Senior Member MrJobi Posted September 9, 2007 Senior Member Share Posted September 9, 2007 Hi Emu I believe they are all relatively the same but let's see what Master Bill has to say. JOBI 1417 FUT - Dr. True 1476 FUT - Dr. True 2124 FUT - Dr. True 604 FUE - Dr. True My views are based on my personal experiences, research and objective observations. I am not a doctor. Total - 5621 FU's uncut! Link to comment Share on other sites More sharing options...
Bill - Seemiller Posted September 9, 2007 Share Posted September 9, 2007 Steve, Great question. HITS (performed by Dr. Epstein) and LEDGE (performed by Dr. Rose) are variations of the trichophytic closure. I've posted more detail on FUT, FUE, and the Trichophytic closure here. Best wishes, Bill Link to comment Share on other sites More sharing options...
Senior Member TheHairLossCure Posted September 9, 2007 Senior Member Share Posted September 9, 2007 Dr. Rose's Ledge closure is a technique where he uses a scalpel to score the lower edge of the strip incision. He uses a scalpel to cut the epidermis at a 1 mm depth. This method is very accurate as a scalpel can be used to pick the follicles to be included or exclude. Also, a true right angle is created. Some physicians use scissors to create a slope rather than a ledge. In Dr. Rose's opinion, this slope results in a less secure closure verses the more secure ledge. Notice: I am an employee of Dr. Paul Rose who is recommended on this community. I am not a doctor. My opinions are not necessarily those of Dr. Rose. My advice is not medical advice. Dr. Rose is a member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Regular Member mm Posted September 10, 2007 Regular Member Share Posted September 10, 2007 What technique leaves more of a "bump" ? Link to comment Share on other sites More sharing options...
Senior Member TheHairLossCure Posted September 11, 2007 Senior Member Share Posted September 11, 2007 mm, "Bumps" and elevated scars are not attributed to the closures discussed in this thread. These problems are more associated with bad techniques and individual healing tendencies. Notice: I am an employee of Dr. Paul Rose who is recommended on this community. I am not a doctor. My opinions are not necessarily those of Dr. Rose. My advice is not medical advice. Dr. Rose is a member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Senior Member EmuSteve Posted September 16, 2007 Author Senior Member Share Posted September 16, 2007 I found this in an old thread... not sure why I didn't find it before. It really does a good job of explaining the different techniques (thanks Dr. Shapiro). http://hair-restoration-info.com/eve/forums/a/albumcomm...60861/m/6991072522?r -Steve I don't work for a doctor. Got 2700 fu from Ron Shapiro, 11-30-7 Link to comment Share on other sites More sharing options...
Senior Member TheHairLossCure Posted September 16, 2007 Senior Member Share Posted September 16, 2007 Good find, Emu. This is a very definitive thread by Dr Shapiro. It nicely covers the trichophtyic variations of Rose, Frechet, and Marzola. Thanks. Notice: I am an employee of Dr. Paul Rose who is recommended on this community. I am not a doctor. My opinions are not necessarily those of Dr. Rose. My advice is not medical advice. Dr. Rose is a member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Regular Member mm Posted September 16, 2007 Regular Member Share Posted September 16, 2007 Which closure technique does Dr Shapiro use? Link to comment Share on other sites More sharing options...
Senior Member the B spot Posted September 17, 2007 Senior Member Share Posted September 17, 2007 I believe that Dr. Shapiro likes to trim the bottom edge of the incision, regardless of which method he uses. I will have to ask this in an in-depth manner in order to properly answer the question. Perhaps Janna will catch the thread and give a better response. Go Cubs! 6721 transplanted grafts 13,906 hairs Performed by Dr. Ron Shapiro Dr. Ron Shapiro and Dr. Paul Shapiro are members of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Senior Member Janna Posted September 17, 2007 Senior Member Share Posted September 17, 2007 Hi Jason, There are few different techniques to the trichophytic closure, and Dr. Shapiro has tried them all. Lately, he has been using a very sharp blade he used use for making incisions called Sharpoint blades. These come in number of different sizes. He uses this instrument to score the 1mm x 1mm dermis, and then uses the scissors to extract the tissue. So, he basically uses both the ledge and the scissors (Frechet) method. He feels he has greater control and efficiency with this technique. Dr. Shapiro has alternated trimming the bottom edge on some patients and the top edge (Marzola) on others depending on his criteria for switching. He's been trimming more top than bottom recently. I'm not sure what the criteria(s) are for the bottom or top, but I believe he has not definitively seen one being better than the other. I hope this helps. Patient Care Services & UK Patient Advisor for Shapiro Medical Dr. Ron Shapiro, Dr. Paul Shapiro and Dr. David Josephitis are members of the Coalition of Independent Hair Restoration Physicians. http://shapiromedical.com/info@shapiromedical.com http://shapiromedical.com/contact/request-a-consultation/janna@shapiromedical.com Link to comment Share on other sites More sharing options...
Senior Member the B spot Posted September 17, 2007 Senior Member Share Posted September 17, 2007 Thanks Janna!!! Good Catch!!!!! Go Cubs! 6721 transplanted grafts 13,906 hairs Performed by Dr. Ron Shapiro Dr. Ron Shapiro and Dr. Paul Shapiro are members of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Senior Member EmuSteve Posted September 19, 2007 Author Senior Member Share Posted September 19, 2007 Another great post on this topic: http://hair-restoration-info.com/eve/forums/a/tpc/f/346...871082522#8871082522 -Steve I don't work for a doctor. Got 2700 fu from Ron Shapiro, 11-30-7 Link to comment Share on other sites More sharing options...
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now