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Some strip scars are a little too wide to fully excise in one procedure. This may be the case with you. Typically with the Trichophytic closure, it works best when you have a thin scar to start with. Certainly they do help make the resulting scar much less noticeable. Some times you get some hairs growing into the scar that can cause an ingrown hair that has to be removed. Also, once you reduce the scar, you may need to add a little hair to the finer scar with FIT to FUE to make it look its best. This will be if the scar widens. You cannot predict who will get this. Again, Trichophytic closures work best only when the scar that you get is 1 mm wide. If it is 2 mm wide you will have a scar that is 1 mm wide and the Trichophytic hairs will grow into the other 1 mm.
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Unfortunately, I find that most doctors today still fail to recognize that some patients simply do not want a strip scar.
A strip scar that is 2 to 2.5 mm wide is not an ideal scar, but it is not a “bad” scar by most strip standards. One cannot ever predict a strip scar width. I find that a good strip scar will range from 1 mm in width to about 3 mm in width. An ideal scar is 1 to 2 mm at its maximum. There are certain things you can do that make a scar wider or narrower when you take the initial strip, but no strip harvest procedure that avoids a scar altogether. This is what you needed. I certainly hope your treating physician told you about the scar and told you that you would never be able to shave your head again without risking exposure of the scar. If he did not, you have a potential legal claim.
There is only one procedure that does not leave a strip scar. This is called, FUE, FIT, or the woods procedure. There are only a handful of docs in North America that offer this procedure today. We are perhaps the leaders in this field and have done the most to educate patients about this procedure internationally. You can read about FUE and FIT on our website at HYPERLINK "http://www.forhair.com/"www.forhair.com.
What you need to consider is what you should do about the scar. You have two options. One is to reduce the scar. The other is to graft hair into the scar so that it is camouflaged. There is one other option, tattooing the scar, but I would hold this to a last result.
I would not encourage you to reduce the scar because it may not be possible to reduce the scar. There are certain tricks that might help make the scar narrower. This feat alone will not guarantee that you will be able to conceal the scar completely. There are three methods to reduce scars following surgical excision of them. One is deep plane fixation (Paul Rose, MD), one is the gold suture (Brad Wolf, MD), and the third would be to place deep sutures in the incision that minimize stretch back of the scar. Several physicians do this including myself.
Another option is to graft into the scar. You will probably want to do this even if you try to reduce the scar. This will take longer to achieve a result, but it has the potential to create a much better result than reduction alone since the scar will now be camouflaged. You will want to harvest the hair using FUE or FIT. We do this procedure all the time since we specialize in repair work. Often the scars we treat are much worse than the one you describe. FUE and FIT leave very tiny scars in the donor area that are usually not visible to the naked eye of the lay consumer even when you shave the head with a BIC.
If you reduce the scar or graft into it, the incision line will be red or pink for 3 to 8 months after the procedure. This is increased blood flow to the incision line so that the body can repair the injury.
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