Trichophytic closure is a type of scar closure that is used in conjunction to a hair restoration. For many years, trichophytic closure has been used for scalp surgeries allowing hair to grow into the scar, improving the appearance. When hair is introduced into the scalp scar, it helps reduce the contrast of the scar and the hair area. Trichophytic closure can be done on the upper edge, lower edge, and double edge of the scar.
Scar tissue and the transection of the lower portion of hair follicles, on the edge of the scar, are what cause the lack of hair in the scar. Partial trichophytic closure, recently introduced by Dr. Parsa Mohebi, requires the hair transplant surgeon to observe the donor wound edges and calculate the width of the edge that needs to be removed at any area. The surgeon will use magnifying loupes in order to carefully observe the edges of the wound, making sure that there is no transection in the hair follicles.
Partial trichophytic closure assures that hair will grow into the scar from the upper edge in order to minimize the contrast between the scar and the surrounding hair areas. With this method the visibility of the donor scar is minimized drastically if done properly.
Scalp scars from any procedure such as scalp reduction, old plug surgery, trauma or neurosurgical procedures can be treated to minimize the look of the scar. Modern hair transplant yields natural, proven, and permanent results along with special wound closure techniques to minimize scars.
Here are some methods that a hair transplant surgeon can use to reduce the visibility of the scar:
Left: Before Scar Revision, Right: After Scar Revision
1. Simple Scar Revision: This method can be used if there is a wide scalp scar due to the initial technical problem during the wound closure.
2. Scar Revision and Trichophytic Closure: This method allows the hair to grow inside the scar, which helps to minimize the contrast between the scar and the surrounding areas of the scalp.
3. Hair Transplantation inside the Scar: In this method, the hair will be harvested from other areas of the scalp and will be transplanted inside the scar to blend the scar with the rest of the hair. The hair will be harvested through the FUE hair transplant technique. The benefit of using this technique is that with FUE, follicles are extracted individually, giving the surgeon the opportunity to place them into the scar without having new scarring.
4. Scalp Micro Pigmentation on the Scar: By introducing dermal pigments into the scar, the visibility of the scar can be significantly improved because it helps reduce the contrast in color between the scar tissue and the surrounding scalp area.
In order to know which technique would fit your needs, it is recommended to visit an experienced hair transplant surgeon.
Hair Transplant Scar Revision Options
Hair transplant surgery can sometimes lead to unanticipated and esthetically displeasing linear scars at the donor sites. A creative medical approach combining scar revision and/FUE Hair Transplant can mitigate the appearance of a hair transplant scar. Permanent tattooing in a small degree can also obscure the scar bringing a level of satisfaction to the patient when wearing a short hair style exposing your natural scalp.
This method allows hair to grow inside the scar and minimize the contrast between scar and surrounding areas of the scalp. Trichophytic closure is performed by preparing one side of the surgical wound to allow the hair follicles on the margin of the incision to produce hair that will grow through the scar. There are various ways hair restoration surgeons prepare the incision. The end result is to allow for hair to grow through the margins of the scar as healing takes place. The hair growing through the scar borders camouflages the typical straight linear appearance of a hair transplant scar. The scar is present but as in all successful scar revision it is rendered less visible.
FUE Hair Transplant Procedure
Follicular Unit Extraction (FUE) is a method of extracting individual hair follicles which leave little to no scarring at all. In revisioning a scar a hair transplant surgeon can harvest a modest number of grafts from the various areas on the back of the head in a manner that is virtually unnoticeable. Those grafts can then be transplanted into the scar area strategically. Upon healing and the regrowth process the scar is hidden more because of the hair growing from its margins. This procedure combined with Trichophytic Closure is one of the most effective ways of hair transplant scar revision.