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Marco (Hair Transplant)

posted by marco, U.K, 22.12.2007, 07:39

» 1. The strip incision should be in the coronal plane. That minimizes
» chances of post HT stretching.
»


Dr. A, I think that this is a very interesting and under discussed issue. I assume that you refer to the angle of the incision such that the plane is more vertical. I have always felt that this plane is important and is used in the trico closure. I believe the use of this plane by far out ways any other explanation for improved scar line when using trico closure. In fact, in terms of scar stretch, it is the only factor that has good rational when using trico. It seems to me that is any incision is strictly lateral to the forces that act on it then stretch is much more likely to occur than if there is a perpendicular aspect of the incision in relation to the forces on it. Not sure if that makes sense without a pic but I have thought about this and it also suggests a number of possible approaches to improving scar stretch. I would also suggest that if an incision is purely perpendicular to the forces acting on it then scar retraction may dominate but this would not be a usual scenario with HT.

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