Three Scalp Reductions - Scar Repair

[ejj]

Those scalp reduction procedures were barbaric! How on earth could anyone perform such a procedure on another human being is beyond me!

I remember when I was 22 yo and a trichologist showed me a video of this procedure performed by a Doctor in Australia, it was just the before and after of a guy who had 4 reductions! Needless to say the video left out the `important` bits !!! I was about a norwood 3 at the time and the trichologist wanted to sell this procedure to me! Lucky escape!

I agree many told me hair will not grow in scar tissue, it did in mine and I hope this client gets good growth and look forward to the updates



ejj

[35YrsAfter]

Our patient had three scalp reductions at one of the big chain hair transplant outfits. The scars are not noticeable until he tips his head down. Our patient does not feel that he was benefitted in any way from these scalp reduction surgeries. He is one of many of our patients who was told by other doctors that hair will not grow in scar tissue. I have personally never seen hair fail to grow in scar tissue to the degree of providing considerable cosmetic benefit, during the time I have worked at Dr. Cole's office.

An article on PubMed.gov (US National Library of Medicine National Institutes of Health) offers some grim predictions related to transplanted hair’s survival rate in scar tissue:

“RESULTS:
The follow-up cases over 6 months after operation were 18 among total 25 cases. The result after hair follicle transplantation was excellent (44.4%), good (38.9%), fair (11.1%), and poor (5.6%).
CONCLUSIONS:
The hair follicle transplantation on the scar tissue is more difficult than grafting on normal tissue because the scar is accompanied by poor blood circulation and stiffness of tissue. The patients with burned scar achieved more favorable result than did others. Incision scars are deeper than burned scars, and their success rates are poor. We should recommend the patients that hair follicle transplantation on the scar may need secondary or more operations for the aesthetically better result.”

Contrary to this report, according to my personal observations working here at Dr. Cole’s, we get excellent growth in incision scars. ACell, PRP, our graft storage solution plus multiple pass, low density placement, greatly improves the outcome in contrast to this PubMed.gov article.



35YrsAfter also posts as CITNews and works at Dr. Cole's office - Cole Hair Transplant, 1045 Powers Place, Alpharetta, Georgia 30009 - Phone 678-566-1011
The contents of my posts are my opinions and not medical advice