Should I Have a Trichophytic Closure? Well, It's Complicated... -
+ Reply to Thread
Results 1 to 1 of 1
  1. #1
    IAHRS Recommended Hair Transplant Surgeon Carlos Wesley, MD's Avatar
    Join Date
    Nov 2012
    New York

    film Should I Have a Trichophytic Closure? Well, It's Complicated...

    Patients so often, when electing for FUT or the classic strip harvest, inquire about whether or not they should have a trichophytic closure. There are so many variables involved in this decision that even the major conference in our specialty has dedicated entire sessions to this topic.

    These images illustrate that even within the same patient, the decision as to whether to "tricho or not tricho" can vary. All images (below) are from my patient on his 3rd postoperative day using sterile nylon sutures for the donor closure. The first image is simply a schematic to illustrate where the magnified images where taken. The following image is a "standard" (non-trichophytic) closure used in the temporal areas where the patient had relatively low density. A trichophytic closure would not have made much sense here since little hair could've grown through the scar. The last two images were of the patient's occiput (back of his head). I did use a trichophytic closure in this region (both images) because of the hair density. In the first "tricho" image, you can see that the hair is going to grow through the scar. In the second, there is little noticeable hair along the donor suture line. However, this doesn't mean that there still won't be hairs buried within the closure that will ultimately grow through to further camouflage the donor area!

    The patient in this video benefitted from a trichophytic closure in his donor area.
    Attached Thumbnails Attached Thumbnails Click image for larger version

Name:	DonorClosure.jpg

Size:	53.2 KB
ID:	19952   Click image for larger version

Name:	Donor Day 3_NormalClosure.jpg

Size:	97.9 KB
ID:	19953   Click image for larger version

Name:	Donor Day 3_TrichoClosure_Hair.jpg

Size:	99.3 KB
ID:	19954   Click image for larger version

Name:	Donor Day 3_TrichoClosure_SansHair.jpg

Size:	99.1 KB
ID:	19955  
    Carlos Wesley, MD
    Member, International Alliance of Hair Restoration Surgeons
    View my IAHRS Profile

    1050 Fifth Avenue
    New York, NY 10028

Similar Threads

  1. My story...and it is a complicated one..a accident and more
    By imaginedtruth in forum Introduce Yourself & Share Your Story
    Replies: 7
    Last Post: 11-15-2011, 01:03 PM
  2. Trichophytic incisions by Dr. Lindsey McLean VA
    By Dr. Lindsey in forum Hair Transplant: Start Your Own Topic
    Replies: 1
    Last Post: 05-10-2011, 07:47 AM
  3. Replies: 0
    Last Post: 02-28-2009, 12:10 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts


hair transplant surgeons

» The Bald Truth

» Recent Threads

Is there any hope for me Norwood 6
04-11-2019 02:54 PM
by lpel
Last Post By lukp
Today 02:12 PM
FUE Vs DHI, which results are more natural?
Today 11:56 AM
by RomRav
Last Post By RomRav
Today 11:56 AM
Advanced Hair Clinics, Athens
Today 11:31 AM
by RomRav
Last Post By RomRav
Today 11:31 AM
Smile hair clinic, turkey
12-21-2018 12:13 AM
by saassaf
Last Post By RomRav
Today 10:06 AM
Adventure Games
11-30-2022 11:32 PM
by vobejoh
Last Post By tasimkhan077
Yesterday 09:46 PM