Dermefface FX 7™ - Scar Reduction Therapy

Thursday, September 12, 2019

Revising Scars in Hair Transplant Repair

Before formulating a scar, it is important to take a patient's history carefully and find out exactly what, if anything goes wrong with the previous surgery. It is important to think that only some patients have scars, the next procedure will make them better. One should carefully review the history of the surgery and, if possible, talk to the original surgeon to see if there are any improvement techniques or problems that may be avoided in future procedures.

Unacceptable causes of scarring may be due to poor intrinsic healing to the patient, such as the tendency to form keloids. It may also be due to the genetic tendency for poor healing due to connective tissue defects, such as Ehlers-Danlos Syndrome. Genetic or drug-induced coagulopathies, or medications that interfere with healing can also result in unacceptable scars. In addition, scars can be caused by complications such as cancer infections or only from patients who do not follow post-op instructions, such as smoking or doing heavy exercise too long after surgery.

As emphasized in the previous discussion, the reduced supply of donors is a major limitation to successful repair. The inability to harvest additional hair is due to two main factors. The first factor is the physical limit set by the combination of low donor density and weak scalp movement. When the donor density is low, larger strips must be harvested to obtain sufficient hair volume. Tight scalp, however, limits the size of the strip that can be removed. After a variety of procedures, trying to harvest additional hair is no longer worth the risk of widespread injury possible. Each hair transplant procedure simultaneously reduces donor density and scalp defects, but poor surgery is performed better and decreases supply without creating a cosmetic enhancement to the recipient's scalp.

The second factor is the visibility of the donor's scar. Once the donor's scar has reached a close point of view, the ability to harvest additional hair is very limited, as further surgery will make the surgical operation of the patient more apparent. An important thing to keep in mind when judging how much extra hair is available, is that the coverage of the donor's hair is closer to the donor's hair volume than the scar level. Therefore, any process that removes hair along with the scar will risk the donor's scar more visible. The reason is that when both scars and hair are removed, the closure will stretch the scalp further and reduce the density of the remaining hair. This can prevent them from closing other unlit or scarred skin from the donor's peripheral to an unacceptable level.

Techniques, such as Follicular Unit Extraction, in which follicle units are harvested directly from the donor area without linear excision can be useful when the scalp is very tight. The use of this technique is limited, however, as the essential donor scar makes removal of the hair without transection difficult and the low density donor zone limits the amount of hair that can be removed without the area being too transparent.

Open Donor Open Repair -

The most common type of donor check is the isolation of a round scar (generated by the open donor technique) during a routine, single-hair harvesting session. This is best achieved when the old hair transplant scars lie in line with the new strips proposed. Although the procedure is relatively simple, the following should be kept in mind when excluding a donor scar.

1. Healing the open donor's scalp often decreases mobility when the tissue is attached to the underlying fascia. It is caused by a shot that is too deep and requires the surgeon to take it narrower than the normal band.

2. Injuries tend to be worse than normal scalp. To prevent edges from tearing during suturing, thin strips should be designed to reduce wound tension.

3. Finally, avoid releasing the donor's scar that is too low. This can cause major problems, as new linear aberrations will be attracted to the movement of the neck muscles. This can result in a scar that is much worse in appearance than the original open donor scar.

Linear Scars Repair -

Removing unacceptable linear scars with re-isolation should be considered when the scar is well localized and the cosmetic benefits of its removal will be more than offset by the decreased density of surrounding hair. Due to the importance of the surrounding area for the disguise, the success of reducing the size of the container depends on the choice of scars such as the surgical technique used to repair it.

Some surgical techniques have a tendency to produce poor donor scar. Understanding how these techniques can contribute to poor wound healing gives an idea of ​​how the repair can be achieved best. The more common problems are:

* Indoor donor exercises

* Broad donor pathways

* Thickening with big bites

* Weak edge estimates

* The lid is not contoured

* Human donors are placed too low

* Human donors are placed too high









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