+ Reply to Thread
Page 1 of 2 1 2 LastLast
Results 1 to 10 of 14
  1. #1
    Senior Member
    Join Date
    Nov 2011
    Posts
    180

    Default Strip scars in asian patients (brown skin individuals)

    Hi Guys,

    For those who didn't know, abnormal healing of the skin occurs frequently in individuals with brown/black skin, comapred to those with white skin. When skin is injured, it may heal with one of several types of scars: normal (level with the surrounding skin), atrophic (depressed), hypertrophic (slightly raised), and keloidal (large and raised). Keloid scarring occurs much more frequencetly in people with darker skin. Not to mention people with brown skin are also more prone to hyperpigmentation after injury (produce too much pigment).

    Does anyone have any information on strip scars in brown skinned people ? I have medium brown indian skin and a very lax scalp, but i'm still worried about the scar due to the reasons mentioned above. Thanks.

  2. #2

  3. #3
    Senior Member
    Join Date
    Nov 2011
    Posts
    180

    Default

    Very interesting, thanks for the links fitnesse-man. As Dr. Charles mentions, darker skin people are more at risk of hypertrophic scarring. How much more of a risk ? I think this is something only a HT surgeon can give a valid opinion on, based on experieces with darker skin individuals. Something i'll be asking at my consultations over the next few months. I'll let you guys know what i found out.

  4. #4
    Senior Member
    Join Date
    Nov 2011
    Posts
    180

    Default

    Update for any brown skinned brothers out there. I spoke to Dr. Hasson at a London consultation about this issue last month. He said he has come across keloid scarring twice in his entire time performing HT surgery. Both times were with brown skin patients, but he has treated hundreds and hundreds of brown/black skin patients (can't remember if he said thousands), so it is still extremely unlikely. I think the patient will know if he/she has a history of keloid scarring, in which case they should talk to their HT surgeon about it pre-op. Otherwise, i gathered from Dr. Hasson that it's not something to worry about.

    Not sure how they deal with keloid scarring in a strip scar if it does happen. It's just a raised scar, so maybe they just 'trim' it. I'm assuming the scar tissue underneath will be the same as a normal scar, so FUE'ing into the scar once it's trimmed should produce the same yield. Maybe keloid scarring isn't that big a deal ?

    I'll be seeing Dr. Feller next month, so i'll pick his brains on this issue too and update this thread.

    Thanks.

  5. #5
    Member
    Join Date
    Feb 2011
    Posts
    40

    Default

    Hi there,

    Don't worry about the stats that are associated with hyperpigmentation with dark skinned people. It's really about the skill of the surgeon producing a nice lnear clean scar also the more grafts you go for naturally the wider the scar will be and hence nore tension will be present on the tissue where it hs been taken from.

    I have ahs two strips form Dr feller and they have both healed beautifully in fact the 2nd time round was even better than the first.

    here are some pics

    Dr Feller will give you a great scar he goes long and thin = less teniosna dn a thinner scar

    best
    Uk R
    Attached Thumbnails Attached Thumbnails Click image for larger version

Name:	SCAR-28-DAYS-POT-OP.jpg

Size:	65.7 KB
ID:	14420  

  6. #6
    Senior Member
    Join Date
    Nov 2011
    Posts
    180

    Default

    Thanks UK responder. Yeah, i've seen a few of Dr. Feller's tricho scars and they look very good indeed. I saw a couple of Dr. Hasson's closures recently too in person (Jotronic and another H&W patient) and i couldn't believe how undetectable they were. I was totally stunned at the comparison of my head to Jotronics. He seems to have less scarring than me and i've only had 1,250 grafts via FUE. White dots on brown skin looks terrible by the way !! I had lots of them. The extra contrast of the white dots on brown skin really accentuates the overall scarring effect. I definitely don't think i could shave down to a 1 guard without those white dots showing through.

    Your scar looks great mate and good luck with the growth. You know where the staples ener the scalp, above and below the scar.....Do the hairs there get damaged by the staple entry point ? Just wondering.

    Thanks.

  7. #7
    IAHRS Recommended Hair Transplant Surgeon Jeffrey Epstein, MD's Avatar
    Join Date
    Nov 2008
    Location
    Miami and New York
    Posts
    247

    Default

    While what you describe is overall true, there is an extremely low risk of any keloid or even other scarring with a donor strip incision. What I occasionally see is some darkening of the scar in some patients. What you have described as your skin, most likely you'd be in the top one-third in terms of donor site scar appearance.
    Jeffrey S. Epstein, MD
    Foundation For Hair Restoration

  8. #8
    Senior Member
    Join Date
    Nov 2011
    Posts
    180

    Default

    Thanks for the input Dr. Epstein.

  9. #9
    Senior Member gillenator's Avatar
    Join Date
    Dec 2008
    Location
    Washington DC
    Posts
    1,418

    Default

    Folly,

    Are you then Asian as your thread implies? If so, I am also Asian (half) and had 4 strip procedures without any issues with my donor scar. Even after 4 strips, I still have a very long thin linear scar!

    And yes my 4th strip had the triclosure method done.
    "Gillenator"
    Independent Patient Advocate
    more.hair@verizon.net

    NOTE: I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice nor are they the opinions of the following endorsing physicians: Dr. Bob True & Dr. Bob Dorin

  10. #10
    Dr Representative Spex's Avatar
    Join Date
    Nov 2008
    Location
    UK
    Posts
    3,156

    Default

    Folly, You have good donor , your strip scar will be hard to find
    Visit my website: SPEXHAIR

    Watch regular segments and interviews on The Bald Truth UK show

    View Media interviews www.spexhair.media

    Subscribe to my YouTube Channel : SpexHair Youtube

    I am not a doctor or medical professional and my words should not be taken as medical advice. All opinions expressed are my own unless stated otherwise. Always consult with your own family doctor prior to embarking on any form of hair loss treatment or surgery.

Similar Threads

  1. CIT Eyebrow reconstruction - no strip scars -
    By CIT in forum Hair Transplant Results By IAHRS Recommended Surgeons
    Replies: 0
    Last Post: 01-05-2010, 04:31 PM
  2. 700 CIT on class 3 patient - 1yr. - No strip scars - Dr. Cole
    By CIT in forum Hair Transplant Results By IAHRS Recommended Surgeons
    Replies: 0
    Last Post: 12-04-2009, 11:04 AM
  3. Fine hair line result from 400 CIT - No strip scars
    By CIT in forum Hair Transplant Results By IAHRS Recommended Surgeons
    Replies: 0
    Last Post: 08-11-2009, 06:25 PM
  4. 2900 CIT grafts ALL-IN-ONE Results on class 3V - no strip scars
    By CIT in forum Hair Transplant Results By IAHRS Recommended Surgeons
    Replies: 0
    Last Post: 03-17-2009, 06:44 PM
  5. Guidance For Prospective Asian Hair Transplant Patients
    By tbtadmin in forum IAHRS Info Center Discussion
    Replies: 0
    Last Post: 10-29-2008, 02:32 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

» 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