+ Reply to Thread
Results 1 to 2 of 2
  1. #1
    IAHRS Recommended Hair Transplant Surgeon Dr. Lindsey's Avatar
    Join Date
    Dec 2008
    Location
    McLean, VA
    Posts
    1,185

    Default Trichophytic incisions by Dr. Lindsey McLean VA

    I posted a while back on how Trichophytic incisions and closures were originally developed for forehead lifting, then adopted by many hair surgeons. Here is a small additional thread on the same topic.

    With forehead lifting, the standard coronal lift involves a cut about an inch and a half back in the hair. The forehead is lifted and a strip of hair-baring scalp is excised. This lifts the eyebrows, but also lifts the hairline...in my opinion, un-naturally. Most white women have high hairlines to begin with, you raise that hairline another inch and you start to look odd. I know, I've seen lots of those women up close over the years.

    To counter that, doctors then put the cut in front of the hair...it avoids raising the hairline, but you see the scarline forever. Then in about the late 80s, doctors started cutting about 4 or 5 hairs behind the hairline, but angled the incision so as to cut ABOVE the roots of those 4 or 5 hairs. When forehead skin is lifted and cut off, again a bevel cut is made. Then when the angled forehead skin is placed down and sewn up, there are 4 or 5 rows of hair roots that will grow out in front of the scar.

    Shown is a young lady's forehead that I closed with trichophytic closure last week. I took her sutures out on day 6 and the pictures are shown. Note that there are no hairs YET in front of the scar. It takes several months for them to grow in.

    Also shown is another lady who I did a forehead lift on now at 4.5 months showing hair in front of the scarline, which itself will continue to fade for about a year.

    Now ideally, this same result SHOULD occur with strip closures closed trichophytically. But I think there is much more variability due to the thickness of the donor scalp being re-approximated during closure, and scalp stretching with normal head and neck movements during the first several months postop. Nevertheless, trichophytic closures are a valuable tool for the hair surgeon.

    Dr. Lindsey McLean VA
    __________________
    William H. Lindsey, MD, FACS
    McLean, VA
    Attached Thumbnails Attached Thumbnails Click image for larger version

Name:	1r.jpg

Size:	35.3 KB
ID:	7652   Click image for larger version

Name:	2r.jpg

Size:	41.7 KB
ID:	7653   Click image for larger version

Name:	3r.jpg

Size:	37.7 KB
ID:	7654   Click image for larger version

Name:	5monthsR.jpg

Size:	58.4 KB
ID:	7655  
    William Lindsey, MD
    Member, International Alliance of Hair Restoration Surgeons
    View my IAHRS Profile

  2. #2
    IAHRS Recommended Hair Transplant Surgeon Dr. Lindsey's Avatar
    Join Date
    Dec 2008
    Location
    McLean, VA
    Posts
    1,185

    Default

    The lady in the 4 month set of pics above, that I did a tricho brow on, now about 8 months ago, stopped by Friday. Her scar is maturing nicely and there is hair growing through and in front of, the scar itself.

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

Name:	ar.jpg

Size:	49.5 KB
ID:	9691   Click image for larger version

Name:	br.jpg

Size:	42.8 KB
ID:	9692  
    William Lindsey, MD
    Member, International Alliance of Hair Restoration Surgeons
    View my IAHRS Profile

Similar Threads

  1. A work in progress by Dr. Lindsey McLean VA
    By Dr. Lindsey in forum Hair Transplant Results By IAHRS Recommended Surgeons
    Replies: 1
    Last Post: 11-01-2010, 11:52 PM
  2. FUE into scar as a repair by Dr. Lindsey McLean VA
    By Dr. Lindsey in forum Hair Transplant Results By IAHRS Recommended Surgeons
    Replies: 3
    Last Post: 06-08-2010, 11:30 AM
  3. 600 graft FUE by Dr. Lindsey McLean VA
    By Dr. Lindsey in forum Hair Transplant Results By IAHRS Recommended Surgeons
    Replies: 0
    Last Post: 05-25-2010, 06:11 AM
  4. 15 months out from 3000 grafts by Dr. Lindsey McLean VA
    By Dr. Lindsey in forum Hair Transplant Results By IAHRS Recommended Surgeons
    Replies: 0
    Last Post: 05-04-2010, 12:21 PM
  5. Scar excision by Dr. Lindsey McLean VA
    By Dr. Lindsey in forum Hair Transplant Results By IAHRS Recommended Surgeons
    Replies: 0
    Last Post: 03-16-2010, 10:50 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

1800 graft repair case results by Dr. Lindsey
Yesterday 08:38 AM
Last Post By Dr. Lindsey
Yesterday 08:38 AM
Navigating the German Job Market as a Kenyan Citizen
11-04-2023 06:31 AM
Last Post By Keegan212
Yesterday 03:51 AM
DR HAKAN DOGANAY/ 4500 GRAFTS / Implanter Pen+FUE
03-26-2024 04:15 PM
Last Post By Hakan Doganay, MD
03-26-2024 04:15 PM
The Mane Event for Thursday, June 15th, 2023
06-15-2023 02:59 PM
Last Post By gisecit34
03-26-2024 08:05 AM