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thickened scar? 
PostPosted: Sun Sep 23, 2007 2:22 am Translate this post:   Reply with quote
dennisabc
Posts: 6
Joined: 23 Sep 2007




Hi I am 8 months post-op (strip surgery). I can feel that my donor scar is raised when I wake up in the morning, but it becomes flat after I have massaged it and then it remains flat for the rest of the day. Why is this happening? Is this scar a raised/thickened/hypertrophic scar? And is it appropriate to FUE into it? Thanks.
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Re: thickened scar? 
PostPosted: Tue Sep 25, 2007 10:10 am Translate this post:   Reply with quote
FIThair
Proficient Poster
Posts: 147
Joined: 18 Dec 2006




dennisabc wrote:
Hi I am 8 months post-op (strip surgery). I can feel that my donor scar is raised when I wake up in the morning, but it becomes flat after I have massaged it and then it remains flat for the rest of the day. Why is this happening? Is this scar a raised/thickened/hypertrophic scar? And is it appropriate to FUE into it? Thanks.


I belives it could be a kind of swelling or idema due to your position while sleeping. If your scar is flat during the day, it could be because in the standing position, the liquid goes down and nothing accumulates in the scar.

It is not a hypertrophic scar because you scar texture changes during the day or when you massage it.

It takes 16 months for your scar to mature. If you graft your scar, it will not solve this phenomenon. It could be advised to schedule an appointment with a dermatologist for an evaluation.


Regards,
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PostPosted: Tue Sep 25, 2007 10:18 am Translate this post:   Reply with quote
dennisabc
Posts: 6
Joined: 23 Sep 2007




Thanks for your reply. I am thinking about grafting this scar 2-3 months later because it is quite wide. May I know if it is alright to put grafts into this immature scar? And what will be the graft survival/yield rate? Thanks.
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PostPosted: Wed Sep 26, 2007 10:38 am Translate this post:   Reply with quote
FIThair
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Posts: 147
Joined: 18 Dec 2006




[quote="dennisabc"]Thanks for your reply. I am thinking about grafting this scar 2-3 months later because it is quite wide. May I know if it is alright to put grafts into this immature scar? And what will be the graft survival/yield rate? Thanks.[/quote]

Hi Dennisabc,

If you have swelling or edema in the scar area, you should contact you dermatologist first. No doctor will be willing to transplant into a scar that is swollen because the new grafts could be at risk of survival.

FIT is a minimally invasive surgery. It is perfect for filling in strip scars. Scar repair can be treated by grafting. It takes 2 to 3 procedures to get it to a point where the contrast with the surrounding zone is not detectable. It takes more than one session because the blood circulation is poor in the scar and we need to graft at a low density to start. Scar tissue is also a bad environment and it slows the process because nutrients arrive slowly which delay the growth.

Grafting a scar has a yield of 60 to 70 % in general. However, we expect 90% growth. Hair transplantation is not an exact science, and results vary from patient to patient. There have never been any studies done about yields after transplantation in scar tissue.

You can have a consult online or in person where the doctor will recommend a certain number of grafts to achieve the results you are looking for.
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PostPosted: Sat Sep 29, 2007 3:48 am Translate this post:   Reply with quote
dennisabc
Posts: 6
Joined: 23 Sep 2007




Thanks for your useful advice. May I know what I can do to the swelling or edema aside from seeing a doctor? Should I continue to massage it?
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PostPosted: Fri Oct 05, 2007 11:09 am Translate this post:   Reply with quote
FIThair
Proficient Poster
Posts: 147
Joined: 18 Dec 2006




dennisabc wrote:
Thanks for your useful advice. May I know what I can do to the swelling or edema aside from seeing a doctor? Should I continue to massage it?


Just being up and around during the day will help to mobilize the fluids from the scar; massage may also help and certainly will not hurt.

You should wait at least a year to allow further maturation of the scar prior to grafting it. Probably the best course of action is to graft into the scar when it shows signs of less fluid accumulation during sleep.

_________________
FIThair
Patient Services

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Notice: I am not a doctor. My opinions are not necessarily those of the CHTG doctors.
My advice is not medical advice.
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