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The cause of the white dot devil. (Hair Transplant)

posted by marco, U.K, 01.06.2007, 13:33
(edited by marco on 01.06.2007, 15:06)

Thank you for your response. It understandable that a smaller punch produces smaller or no scaring. It is more surprising that .25mm decrease is the difference between such a lot of noticeable scaring and virtually nothing. It is great for several reasons that the kind of scaring produced by the larger punch is no longer acceptable by the HT community. This goes well beyond the visibility of the scars when the hair is cut so short. It is my contention that no scaring means that the defect has shut by primary intention and that means that there is a diffuse scalp reduction. As a consequence, the density is retained and there is more scope for future FUE surgery.

This whole area remains a work in progress and my hypothesis (as an arm chair transplant surgeon) is that the total amount of tissue removed during the surgery is a major influence on wound closure. In other words smaller punches with larger sessions would also result in the white dots / secondary intention.

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