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Dr. Mwamba WHTC - Strip Scar Repair - Grafting and Correcting Orientation (Hair Transplant)

posted by drmwamba, 11.05.2008, 01:22

It is happening often that you may think.The scar is never the same or uniform all the way.When suturing a wound you need to keep a certain tension while closing the wounds;and sometimes you may not control and the suture will loosen at certain portion .Another cause of widening scars is the careless attitude of some patients who will not pay attention to decrease the tension on the scalp by avoiding repetitive flexion-extension of their neck;it could loosen up the suture tension.The skin elasticity could also be a factor that explain a stretch back.You got both intrinsec and extrinsec factors that could be responsible for the stretch back.And usually you have to count up to 16 months for the scar to "mature"ie to be in place with no risk of alteration.
In this patient ,we did a first pass with 200 scalp hairs harvested by FIT and 200 BHT.(Lack od good density push us in that plan).Keep in mind scalp hairs is always better to use than BHT for scalp restoration.after one year,hair grew in the scar but there was a surdensity created by a crossing of hairs in different direction at the scar level.Which makes it very difficult to camouflage.We removed 100 grafts from the scar by FIT and reoriented them back in the same incision hole and we added 200 BHT to densify more the scar.
We achieve a more natural result than before because hairs flow in the same direction;it eliminates the surdensity in a small region.Notice also we did it in two sessions to improve the quality of the scar in terms of blood supply to increase athe chance of better yield.


drmwamba is located in [NA] and he is available to meet: NO

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Patrick Mwamba,MD
WHTC
tshinos@hotmail.com
(866)2400873

Complete thread:

• Dr. Mwamba WHTC - Strip Scar Repair - Grafting and Correcting Orientation - MyWHTC, 09.05.2008, 21:54 (Hair Transplant)
  • Dr. Mwamba WHTC - Strip Scar Repair - Grafting and Correcting Orientation - NeverAgain, 10.05.2008, 01:22
  • Dr. Mwamba WHTC - Strip Scar Repair - Grafting and Correcting Orientation - stitchmeup, 10.05.2008, 13:54
    • Dr. Mwamba WHTC - Strip Scar Repair - Grafting and Correcting Orientation - drmwamba, 11.05.2008, 01:22