Regular Member moro Posted August 29, 2010 Regular Member Share Posted August 29, 2010 (edited) I am trying to get to a Scar Revision to reduce the size of the scar. Does anybody been into this process? what is the best procedure available? thx Edited December 26, 2010 by moro Link to comment Share on other sites More sharing options...
Senior Member Blake Bloxham Posted August 29, 2010 Senior Member Share Posted August 29, 2010 Moro, I think you've made an excellent decision sharing your story and some pictures with our community. I think you're completing some thorough research, and this will help create an optimal result in the end. Additionally, our community does recommend some excellent hair restoration physicians in the New York area. If you would like any further specific information on a particular surgeon, the scar revision procedure, etc, feel free to ask additional questions. Good luck, and keep researching! "Doc" Blake Bloxham - formerly "Future_HT_Doc" Forum Co-Moderator and Editorial Assistant for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum All opinions are my own and my advice does not constitute as medical advice. All medical questions and concerns should be addressed by a personal physician. Link to comment Share on other sites More sharing options...
Regular Member moro Posted August 29, 2010 Author Regular Member Share Posted August 29, 2010 Hi, I will like to ask you just a few questions. - Wich is the best procedure for this kind of scar? w-plasty? z-plasty? fraxel? tricho? - Is it better to see a Plastic Surgeon or a Hair Restoration Doctor? because I don?t feel like going to an other HT and end up with more marks in my head. - Do you have any other cases like this with positive final results? Thanks Link to comment Share on other sites More sharing options...
Senior Member Blake Bloxham Posted August 30, 2010 Senior Member Share Posted August 30, 2010 Moro, First, I wanted to state that some of these questions are probably best answered during a consultation with your surgeon, and that my opinions do not reflect any sort of medical advice. Having said that: 1. In my opinion, state-of-the-art hair transplant surgeons use the trichophythic closure technique for a reason: it minimizes scarring in the donor area. If other techniques (such as the z-plasty closure - as you mentioned) worked more efficiently, these would probably be used instead. However, the idea behind the trichophytic closure is that it allows hairs to grow through the closure and better camouflage the scar. Because of this, I would assume that revising the original scar with a trichophytic closure is optimal. Again, I would definitely consult with one of our recommended hair restoration physicians and review this information with him or her (though I hope the response was helpful). 2. Personally, I would see a hair transplant surgeon who performed follicular unit transplantation (FUT) procedures and scar revision frequently. 3. There are definitely quite a few scar revision examples on the site. I think inputting relevant terms (ie: scar revision) into the forum search function would probably be the best way to locate and review this information. Please let me know if you have any additional questions or need assistance tracking down some of the revision results. "Doc" Blake Bloxham - formerly "Future_HT_Doc" Forum Co-Moderator and Editorial Assistant for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum All opinions are my own and my advice does not constitute as medical advice. All medical questions and concerns should be addressed by a personal physician. Link to comment Share on other sites More sharing options...
Regular Member Dr. William Lindsey Posted August 31, 2010 Regular Member Share Posted August 31, 2010 You need to go to a doctor or 2, have them look at you in person and see how lax your scalp is. Plus take a good scar history from you. My hunch is you would benefit from a well done scar excision, but you may also need some FUE's placed into any existing scar line months later, if indeed you want to keep your hair that short. But that is just a guess based on pics. See a reputable doc in person. Good luck Dr. Lindsey McLean VA William H. Lindsey, MD, FACS McLean, VA Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Regular Member moro Posted September 18, 2010 Author Regular Member Share Posted September 18, 2010 (edited) You need to go to a doctor or 2, have them look at you in person and see how lax your scalp is. Plus take a good scar history from you. My hunch is you would benefit from a well done scar excision, but you may also need some FUE's placed into any existing scar line months later, if indeed you want to keep your hair that short. But that is just a guess based on pics. See a reputable doc in person. Good luck Dr. Lindsey McLean VA Thanks Dr. Lindsey for your answer. Honestly I don?t wont to get more hair, I just want to reduce the size of the scar to a decent level and then just live with it. Edited December 26, 2010 by moro Link to comment Share on other sites More sharing options...
Dr. Glenn Charles Posted September 20, 2010 Share Posted September 20, 2010 I agree with Dr. Lindsey. Are you planning on keeping your hair that short? Are you wearing this type of hair style to de-emphisize the areas of hair loss and thinning? You should have been told that no matter how good the scar comes out you will see it if you cut the hair very short like that. Dr. Glenn Charles is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Regular Member moro Posted September 20, 2010 Author Regular Member Share Posted September 20, 2010 I agree with Dr. Lindsey. Are you planning on keeping your hair that short? Are you wearing this type of hair style to de-emphisize the areas of hair loss and thinning? You should have been told that no matter how good the scar comes out you will see it if you cut the hair very short like that. There is no type of hair style anymore! I am shaving my head to zero and don?t wont any more hair transplant, FUE, etc. I just want to reduce the size of the scar to an aceptable level (for me) and just live with it. But it looks like you guys only want to sale your product wich is more Hair Trnasplants and dont really care about the pacients at all. Maybe this is not the right site to get the information I need. Thank you. Link to comment Share on other sites More sharing options...
Regular Member moro Posted September 25, 2010 Author Regular Member Share Posted September 25, 2010 No answers ahh! If no money for more Hair Transplants, no help! Link to comment Share on other sites More sharing options...
Senior Member Sean Posted September 26, 2010 Senior Member Share Posted September 26, 2010 I personally think, if you keep the hair that short, then probably a fue insertion after a scar revision would be good or a TATTOO or PIGMENT insertion by a cosmetic specialist. That's probably the only way to fix or REDUCE it rather. I don't think with hair that short, the scar could ever be invisible regardless of what cosmetic work that occurs. Because even if you do pigmentation or tatoo, as you age your hair colors would turn grey or white and you have to redo it again to keep up with the hair color. But if you do a scar revision and have fue's placed you probably are in better shoes and at least the color of the hair would match all other hairs in your scalp. But again, it would cost a lot of money. It's a tough situation but if you are leaning only on cosmetic surgery then check out the whole pigmentation and tattoo for scars on the site. Link to comment Share on other sites More sharing options...
Senior Member j1j9j85 Posted September 26, 2010 Senior Member Share Posted September 26, 2010 Personaly if i was you, and it was me wearing my hair that short. I would get tattoo pigmentaion, to give the visiul effect of stubble, that way you have no surgery its cheaper and no down time......i have to say some of the results i have seen have been quite good for concealing scars..... how ever tattoo pigmentation is terrible for hairlines as its to perfect? that way no more fue or grafts or scar excision......... check out some of the results there was a link on here a while ago there was many HT scars that where massively improved........... if my scar is visible after i grow my hair out, i would deffinatley consider it cheers Link to comment Share on other sites More sharing options...
Senior Member Tom60 Posted September 27, 2010 Senior Member Share Posted September 27, 2010 i second the tatoo. since growing the hair is not an option and you just want to minimize the scar, the tattoo is probably your best bet. thoughts? Link to comment Share on other sites More sharing options...
John Malloy Posted September 27, 2010 Share Posted September 27, 2010 Moro, First, I wanted to state that some of these questions are probably best answered during a consultation with your surgeon, and that my opinions do not reflect any sort of medical advice. Having said that: 1. In my opinion, state-of-the-art hair transplant surgeons use the trichophythic closure technique for a reason: it minimizes scarring in the donor area. If other techniques (such as the z-plasty closure - as you mentioned) worked more efficiently, these would probably be used instead. However, the idea behind the trichophytic closure is that it allows hairs to grow through the closure and better camouflage the scar. Because of this, I would assume that revising the original scar with a trichophytic closure is optimal. Again, I would definitely consult with one of our recommended hair restoration physicians and review this information with him or her (though I hope the response was helpful). 2. Personally, I would see a hair transplant surgeon who performed follicular unit transplantation (FUT) procedures and scar revision frequently. 3. There are definitely quite a few scar revision examples on the site. I think inputting relevant terms (ie: scar revision) into the forum search function would probably be the best way to locate and review this information. Please let me know if you have any additional questions or need assistance tracking down some of the revision results. Hey Moro I'm extremely sorry for your situation. I've been looking for an answer to conceal my scar also. As far as scar revision, I've had a tricho-closure on my second Ht which was done by Dr. Feller who is suppossed to be one of the best, and the whole left side of my scar is very similar to yours. So, I do not think that I would go that route. As far as the tattoo, I'm looking for answers on that one myself. After my experience with Ht's I'm very timid to do anything without seeing results, and unfortunately, I've made a few phone calls and this is not as easy as you would thing to see some results. I've even asked one micropigmentation artist if I could pay for an hour of her time and do a test strip, she declined. So for now, I'm lost. I'm actually thinking of just doing a regular tat over my scar, but I actually have two scars. In short, I know exactly how you feel, and I'll pray that you find some answers in the near future. Link to comment Share on other sites More sharing options...
Senior Member j1j9j85 Posted September 28, 2010 Senior Member Share Posted September 28, 2010 get in touch with Bill there where many pics on here a while back and a link he may have it saved somewhere as you know how precise he is! Link to comment Share on other sites More sharing options...
Regular Member moro Posted September 28, 2010 Author Regular Member Share Posted September 28, 2010 (edited) Hey MoroI'm extremely sorry for your situation. I've been looking for an answer to conceal my scar also. As far as scar revision, I've had a tricho-closure on my second Ht which was done by Dr. Feller who is suppossed to be one of the best, and the whole left side of my scar is very similar to yours. So, I do not think that I would go that route. As far as the tattoo, I'm looking for answers on that one myself. After my experience with Ht's I'm very timid to do anything without seeing results, and unfortunately, I've made a few phone calls and this is not as easy as you would thing to see some results. I've even asked one micropigmentation artist if I could pay for an hour of her time and do a test strip, she declined. So for now, I'm lost. I'm actually thinking of just doing a regular tat over my scar, but I actually have two scars. In short, I know exactly how you feel, and I'll pray that you find some answers in the near future. Hey John, thanks for your advice. It?s coming just on time, I am about to jump to a revision next month. That was my hope. So you are saying that you didn?t have any improvment with Dr. Feller Revision? When was that done? I thought he doesn?t do Tricho Clousure. Did he use staples or stitches? or both? Edited December 26, 2010 by moro Link to comment Share on other sites More sharing options...
Regular Member moro Posted September 30, 2010 Author Regular Member Share Posted September 30, 2010 You need to go to a doctor or 2, have them look at you in person and see how lax your scalp is. Plus take a good scar history from you. My hunch is you would benefit from a well done scar excision, but you may also need some FUE's placed into any existing scar line months later, if indeed you want to keep your hair that short. But that is just a guess based on pics. See a reputable doc in person. Good luck Dr. Lindsey McLean VA Dr. Lindsey, if you honestly think I would benefit from a well done scar excision. How would you re-close the scar back? Stitches or Staples? 1 or 2 layered closure? Thanks. Link to comment Share on other sites More sharing options...
Senior Member j1j9j85 Posted October 2, 2010 Senior Member Share Posted October 2, 2010 http://www.hairrestorationnetwork.com/eve/157783-ive-had-getting-micropigmentation-tattooing-into-my-old-strip-scars.html look here moro! Link to comment Share on other sites More sharing options...
Senior Member j1j9j85 Posted October 2, 2010 Senior Member Share Posted October 2, 2010 Permanent Makeup and Permanent Cosmetics - Scars Link to comment Share on other sites More sharing options...
Regular Member moro Posted October 4, 2010 Author Regular Member Share Posted October 4, 2010 http://www.hairrestorationnetwork.com/eve/157783-ive-had-getting-micropigmentation-tattooing-into-my-old-strip-scars.html look here moro! j1j9j85, I dont get it, on your other post you said that HT doctors left you with a "pencil thin scar" and now you tell me that you had the micropigmentetion done, so whats the deal here? Why would you spend in a micropigmentation procedure if they left you with a "pencil thin scar"? I dont get it. Link to comment Share on other sites More sharing options...
Senior Member j1j9j85 Posted October 6, 2010 Senior Member Share Posted October 6, 2010 (edited) ive never had micro pigmantation and i dont think i ever have! you must have miss read my posts totally!!!!!!!!!! in this very same thread as yours you disscussed the your discussed of any more surgery and the desire to wear your hair short and also you frustration at not being able to find relevent info on tattooing!!!!! then i read a new thread that was based on exactly the same subject just thought id help you out by posting the link so you could check it out as it ticks all the boxes for your desires you have previously mentioned!!!!! u seriously need to read properly man you keep getting totally the wrong end of the stick!!! lol its almost like your on a mission to expose the whole of the HT industry as bogus or fraud but im affraid you a very very wrong!!!!!!! as many great results will testify!!!!!! ok you had a bad one so did i and so did many other people except it move on or get it fixed!!!! thats it in nut shell goodluck with what ever you decide to do! but if i was you micro pigmentation make scars look better than the best revision in opinion as even thre best scar will still be visisble with a shaved head!!! where as pigmentation is less obviouse as ait blends the edges in to your hair stubble etc etc with men with hair like yours!!!! in reference to the name of the link "ive had it micropigmentation" thats the name of the thread that the author named it not me??? Edited October 6, 2010 by j1j9j85 Link to comment Share on other sites More sharing options...
Regular Member moro Posted October 6, 2010 Author Regular Member Share Posted October 6, 2010 ive never had micro pigmantation and i dont think i ever have! you must have miss read my posts totally!!!!!!!!!! in this very same thread as yours you disscussed the your discussed of any more surgery and the desire to wear your hair short and also you frustration at not being able to find relevent info on tattooing!!!!! then i read a new thread that was based on exactly the same subject just thought id help you out by posting the link so you could check it out as it ticks all the boxes for your desires you have previously mentioned!!!!! u seriously need to read properly man you keep getting totally the wrong end of the stick!!! lol its almost like your on a mission to expose the whole of the HT industry as bogus or fraud but im affraid you a very very wrong!!!!!!! as many great results will testify!!!!!! ok you had a bad one so did i and so did many other people except it move on or get it fixed!!!! thats it in nut shell goodluck with what ever you decide to do! but if i was you micro pigmentation make scars look better than the best revision in opinion as even thre best scar will still be visisble with a shaved head!!! where as pigmentation is less obviouse as ait blends the edges in to your hair stubble etc etc with men with hair like yours!!!! in reference to the name of the link "ive had it micropigmentation" thats the name of the thread that the author named it not me??? j1j9j85, Yes yes you are right, I am sorry I got the wrong end of the stick! you sent me a link to micro and I thought you said you did it yourself, sorry! And you are also right, I am not in a mission to expose the whole of the HT industry, but I want the truth! and the truth is that we are thousands around the world with this horrible scars, and probably 10 times more other guys that are afraid of getting out in public. And we all have been told that lie of "the fine pencil line scar". Perhaps for you isn't that horrible, but for me it is, it destroyed my life completely at 21 years old, and I am now in the way to rebuild it, and is not easy. In order to do it I need to find the truth to feel comfortable with myself, and of course I need to find a solution to look at myself in the mirror and feel happy and comfortable again. Anyway, I appreciate your help and your posts and I don't expect everybody else to be angry with this industry, but I do expect most of us to be aware that this industry is still going and destroying hundreds young kids like us every day around the world. Link to comment Share on other sites More sharing options...
Regular Member moro Posted October 6, 2010 Author Regular Member Share Posted October 6, 2010 (edited) Hey MoroI'm extremely sorry for your situation. I've been looking for an answer to conceal my scar also. As far as scar revision, I've had a tricho-closure on my second Ht which was done by Dr. Feller who is suppossed to be one of the best, and the whole left side of my scar is very similar to yours. So, I do not think that I would go that route. As far as the tattoo, I'm looking for answers on that one myself. After my experience with Ht's I'm very timid to do anything without seeing results, and unfortunately, I've made a few phone calls and this is not as easy as you would thing to see some results. I've even asked one micropigmentation artist if I could pay for an hour of her time and do a test strip, she declined. So for now, I'm lost. I'm actually thinking of just doing a regular tat over my scar, but I actually have two scars. In short, I know exactly how you feel, and I'll pray that you find some answers in the near future. Hey John, thanks for your advice. Edited December 26, 2010 by moro Link to comment Share on other sites More sharing options...
Senior Member j1j9j85 Posted October 6, 2010 Senior Member Share Posted October 6, 2010 at the moment i can say that my scar seems good! but if it stretches and the hair around it doesnt cover it and it is visible i would be pist also if the hairs dont grow i will be even more pist!!!!! im 3 months out so everything hangs in the balance. its a scary buisness and a scary wait!!!!!! the shock loss on the sides is a right pain it makes the scar look alot bigger i cant wait for this to grow back if my hair grow and the scar doesnt strech im good but im gunna have to wait to at least 6-8months to see that or 12 months!!!! but all i can say is that if the scar does stretch and the hair doesnt grow i can guarantee that i will be here asking for the best dr to give me hair and improve my scar if it comes to it!!!!!!!!!!! i wouldnt stop to untill i ran out of money or donor grafts!!! then the final result really will be final hopefully it wont come to that Link to comment Share on other sites More sharing options...
Regular Member moro Posted October 6, 2010 Author Regular Member Share Posted October 6, 2010 (edited) at the moment i can say that my scar seems good! but if it stretches and the hair around it doesnt cover it and it is visible i would be pist also if the hairs dont grow i will be even more pist!!!!! im 3 months out so everything hangs in the balance. its a scary buisness and a scary wait!!!!!! the shock loss on the sides is a right pain it makes the scar look alot bigger i cant wait for this to grow back if my hair grow and the scar doesnt strech im good but im gunna have to wait to at least 6-8months to see that or 12 months!!!! but all i can say is that if the scar does stretch and the hair doesnt grow i can guarantee that i will be here asking for the best dr to give me hair and improve my scar if it comes to it!!!!!!!!!!! i wouldnt stop to untill i ran out of money or donor grafts!!! then the final result really will be final hopefully it wont come to that hopefully not! But remember, its a never end process. You have the best example on this same forum (jotronic) 6 or 7 procedures and more than 8.000 grafts in his head. And he is how old? 40 maybe. In 7 or 8 years he is probably going to the same process all over again. Probably taking Minox, Propecia or an other inhibitor for decades, forget it! I am out! It is only possible in his case because he works at the Hasson&Wong office. I can afford that, I dont want my body to suffer again and again, and I honestly think it doesnt look natural at all. Dont misunderstand me, I wish you the best with your procedure and hopefully you are happy with the results. At the end is all that matters, that you're happy. Edited October 6, 2010 by moro Link to comment Share on other sites More sharing options...
Regular Member Dr. William Lindsey Posted October 8, 2010 Regular Member Share Posted October 8, 2010 Moro I close 95% with sutures. I am a better sewer than stapler. But in the right hands, they probably give equal results....assuming the deep layers are addressed and you aren't just relying on a skin closure. In that case I personally think that either technique will give you just as mediocre or even poor scars. I'll occasionally staple if someone requests it but for me, sutures are better in my hands. At one time I calculated that I'd placed about 800,000 sutures since the year 2000. Dr. Lindsey McLean VA William H. Lindsey, MD, FACS McLean, VA Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
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