Guest youngguy24 Posted April 1, 2007 Share Posted April 1, 2007 If someone was to have a strip surgery with a 30cm trico scar. Could a doctor pack a lot of FUE into the scar allowing the patient to shave down to a #1 without the acar being extremly noticable? I lknow this depends on the person but a guess would be appreciated. Link to comment Share on other sites More sharing options...
Guest youngguy24 Posted April 1, 2007 Share Posted April 1, 2007 If someone was to have a strip surgery with a 30cm trico scar. Could a doctor pack a lot of FUE into the scar allowing the patient to shave down to a #1 without the acar being extremly noticable? I lknow this depends on the person but a guess would be appreciated. Link to comment Share on other sites More sharing options...
Senior Member the B spot Posted April 2, 2007 Senior Member Share Posted April 2, 2007 No-- the scar tissue will still be present, regardless of the amount of FUE grafts that are inserted. To this date, I have yet to see a patient shave down to a #1 who had a Trico closure and the be unoticeable. The whole theory behind the Trico is not to necessarily make the incision "scarless" but rather, to help disguise the resulting scar tissue. In addition, the prepped or "trimmed" hairs (upper or lower lip of the incision) that grow through the scar are believed to act like a bonding agent and provide further stability to the scar tissue. I am not a very big fan of FUE into scar tissue. The growth is unpredictable, and does little to actually hide very large scars. I am of the opinion that scar revision should be tried first, and that FUE from the scalp, and then FUE from the body should be used in that order to mask the scar tissue. I tell every potential patient that you have to be prepared to wear your hair at least at a #3-4 guard or a HT is not right for you. The chance exists that your scar will be undetectable at a #2 guard, but there is no guarantee. Please view this thread on the Trico closure in order to research exactly what is being done. http://www.hairrestorationnetwork.com/eve/showthread.php?t=151774 Take Care, J 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 MrJobi Posted April 2, 2007 Senior Member Share Posted April 2, 2007 Hi Guard 2 is acceptable goal as mentioned 1 is pushing it 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...
Senior Member hairbank Posted April 2, 2007 Senior Member Share Posted April 2, 2007 Good advice, B. This is something that seldom seems to be mentioned. Even if you have FUE into a scar, the scar is still there. It's akin to tricho closure where the hair is already growing through. I also would recommend scar revision first using tricho for the hair to grow through naturally rather than risk FUE with possibility of no growth. Hairbank 1st HT 1-18-05 - 1200 FUT's 2nd HT 2-15-06 - 3886 FUT's Dr. Wong 3rd HT 4-24-08 - 2415 FUT's Dr. Wong GRAND TOTAL: 7501 GRAFTS current regimen: 1.25mg finasteride every other day My Hair Loss Weblog Disclaimer: I'm not a Doctor (and have never played one on TV ) and have no medical training. Any information I share here is in an effort to help those who don't like hair loss. Link to comment Share on other sites More sharing options...
Dr. Paul Rose Posted April 2, 2007 Share Posted April 2, 2007 Dear Youngguy24 The B spot is right in regard to the fact that the scar tissue would still be present but it can be camouflaged to a high degree. There is variability in the survival of grafts placed into scar tissue but if there is a good blood supply and the scar is not atrophic (thinned out) the grafts can do well. Ron Shapiro and I wrote a section on this in the Hair Transplantation textbook. I think that using FIT in this instance is particularly reasonable. It might however be best to consider a scar revision with a ledge closure initially.The surgery should be performed with someone well experienced in the closure. Once that has healed FIT could be used id necessary. As B spot points out I don't think anyone could guarantee that you could use a #1 blade after the procedures but there are patients in whom the scar is so well hidden that use of a number one blade may be possible. Paul T. Rose, MD, JD President ISHRS Board of Trustees ISCLS Dr. Paul Rose is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member the B spot Posted April 3, 2007 Senior Member Share Posted April 3, 2007 Dr. Rose--- you have a JD? When did you find the time to pursue a law degree!!!!!! After I earn mine, we can discuss the legality of some of these issues as well Take Care, J 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...
Dr. Paul Rose Posted April 11, 2007 Share Posted April 11, 2007 I think that the use of FIT into scars is reasonable. The growth of grafts in scars is variable. In scars where there is an apparently good blood supply one can usually get excellent growth. In scars that are very thin in thickness, what would be termed atrophic, the growth is often diminished. In fact Dr Ron Shapiro and I wrote a section about this in the Hair Transplant textbook. I generally advise patients to have a scar revision and then consider following this with FIT if necessary. I also try to incorporate a "ledge" tricophytic closure if possible. My technique for tricophytic closure not only camoulflages the scar but produces a beter finer scar. I have found that various surgeons who have tried to copy my technique do not copy it accurately. The depth of the tissue they take is often too deep and the the tissue is taken with a scissor instead of a scalpel.The use of the scalpel allows for a true ledge rather than a slope that is simply brought together. Paul T. Rose, MD, JD President ISHRS Board of Trustees ISCLS Dr. Paul Rose is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Dr. Paul Rose Posted April 12, 2007 Share Posted April 12, 2007 Dear J Sorry for the repetition I didn't see my previous posting. As for the law degree I would be happy to discuss the legal issues. There are certainly many issue that come to mind in this industry.Feel free to write or call me Regards Dr Rose Paul T. Rose, MD, JD President ISHRS Board of Trustees ISCLS Dr. Paul Rose 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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