Trichophytic closure explained. Dr. Lindsey McLean VA - BaldTruthTalk.com
+ Reply to Thread
Results 1 to 1 of 1
  1. #1
    IAHRS Recommended Hair Transplant Surgeon Dr. Lindsey's Avatar
    Join Date
    Dec 2008
    Location
    McLean, VA
    Posts
    925

    Default Trichophytic closure explained. Dr. Lindsey McLean VA

    Its been a few years since I put up something on trichophytic closure. Trichophytic essentially means hair preserving. This technique was developed by facial plastic surgeons to get better scars for browlifts. In that surgery, hairless forehead skin is excised, and sewn to the hairline. Some bright guy realized that if you bevel the cut so that the scar is back a few hairs from the hairline itself...and the hair roots are left on the deep edge of the posterior surface...that hairs will grow out through the forehead skin hiding the scar. Wow. It works really quite well and I've done maybe 90 browlifts using this technique over the past 20 years.

    Well...some bright hair doctor figured out that if you bevel the edges of a strip excision AND you close the wound so that the tension is taking off of the skin edges, that USUALLY, but not always, the scar won't widen and hairs will grow out through the scarline. It works too. I'd guess that I've closed maybe 1500 scalps like this and as I've bluntly posted many, many times before...each and every year, out of about 130 strip scars...I get 8 PERFECT scars, 120 really quite good scars, and 4 crappy scars three or four mm wide. Every year....I just don't know who is getting the 4 crappy ones and I'm very up front with guys about that possibility.

    So here are pics showing the technique. They are out of a facial surgery book so the drawing shows hair from the forehead growing in front of the scarline on the skin...same principle in the donor region except both sides have hair.

    Note in the example case pictures that the scar is reddish at the 6 week scar check AND there is usually a little shock loss but the scar is not wide, and one of the results is at 5 months, the other at 10 months and the last at 12 months when we excised it for a second case. And in all 3 cases, the scar is easily concealed and has hair growing right out of the scar itself.

    Dr. Lindsey McLean VA
    Attached Thumbnails Attached Thumbnails Click image for larger version

Name:	browlift-medical-drawing-7[1].jpg

Size:	21.6 KB
ID:	42865   Click image for larger version

Name:	trichoschematic 2.jpg

Size:	19.3 KB
ID:	42866   Click image for larger version

Name:	tricho schematic 1.jpg

Size:	27.1 KB
ID:	42867   Click image for larger version

Name:	1.jpg

Size:	107.2 KB
ID:	42868   Click image for larger version

Name:	2.jpg

Size:	120.6 KB
ID:	42869   Click image for larger version

Name:	8.jpg

Size:	76.4 KB
ID:	42870   Click image for larger version

Name:	9.jpg

Size:	113.5 KB
ID:	42871   Click image for larger version

Name:	35 (2).jpg

Size:	100.6 KB
ID:	42872   Click image for larger version

Name:	23 (2).jpg

Size:	107.9 KB
ID:	42873   Click image for larger version

Name:	35 (1).jpg

Size:	89.7 KB
ID:	42874  

    Click image for larger version

Name:	37 (2).jpg

Size:	101.5 KB
ID:	42875   Click image for larger version

Name:	38.jpg

Size:	103.7 KB
ID:	42876   Click image for larger version

Name:	009.jpg

Size:	114.8 KB
ID:	42877   Click image for larger version

Name:	10.jpg

Size:	117.1 KB
ID:	42878   Click image for larger version

Name:	23.jpg

Size:	87.1 KB
ID:	42879   Click image for larger version

Name:	114.jpg

Size:	97.1 KB
ID:	42880   Click image for larger version

Name:	125.jpg

Size:	93.6 KB
ID:	42881  
    William Lindsey, MD
    Member, International Alliance of Hair Restoration Surgeons
    View my IAHRS Profile

Similar Threads

  1. Dr. Lindsey Camouflaging HT at 6 weeks and trichophytic closure with video McLean VA
    By Dr. Lindsey in forum Hair Transplant Results By IAHRS Recommended Surgeons
    Replies: 0
    Last Post: 10-09-2014, 07:17 AM
  2. Trichophytic Closure Repair
    By 35YrsAfter in forum Hair Transplant: Start Your Own Topic
    Replies: 1
    Last Post: 08-20-2014, 01:41 PM
  3. Dr. Lindsey Examples of trichophytic closure results at various time intervals, McL
    By Dr. Lindsey in forum Hair Transplant Results By IAHRS Recommended Surgeons
    Replies: 0
    Last Post: 04-28-2014, 11:11 AM
  4. 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, 06:47 AM
  5. Good and bad browlift scars explained by Dr. Lindsey McLean VA
    By Dr. Lindsey in forum Hair Transplant Results By IAHRS Recommended Surgeons
    Replies: 1
    Last Post: 03-30-2011, 11:01 AM

Posting Permissions

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

» IAHRS

hair transplant surgeons

» The Bald Truth

» Recent Threads

#BAM #BeforeAndAfterMonda...
08-20-2018 08:18 AM
by Billena
Last Post By MarieEvo
Today 06:33 PM
Friendly opinions appreciated, pretty depressed
Today 08:30 AM
Last Post By Johnsamson01
Today 02:03 PM
Well boys, it is happening
09-11-2018 09:59 AM
Last Post By pkipling
Today 12:37 PM
A great video by two very successful bald men!
09-17-2018 01:12 PM
Last Post By pkipling
Today 12:17 PM
Crusts / scabs falling out look like grafts after hair transplant
11-08-2014 12:15 AM
by squiz
Last Post By pkipling
Today 12:12 PM