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

posted by FIT2Btied , 04.06.2007, 16:30

» Additionally and to bring up an older argument, it seems to me (although
» it is conjecture) that if a tumescent introduction of fluid (saline
» adrenalin or anything else) is used to blow up the tissue subdermally then
» this may stretch the dermis allowing more grafts to be placed but if the
» fluid does not drain at a reasonable rate then the wound is less likely to
» close by primary intention . This is very different to the effect of
» adrenalin in the dermis which has more complex effects on swelling and
» inflammation and exudation of interstitial fluid. It is the difference
» between blowing up the melon from inside and influencing the expansion of
» the skin of a melon. This second area remains a little confusing to me in
» the context of HT but remains an open issue for me at least.


Marco,
That is a reasonable theoretical concern, but in reality, the tumescent fluid drains extremely rapidly, sometimes in 15 to 30 minutes. Patients lymph and venous systems take it up and carry it away from surgical area so quickly it's amazing. During grafts harvesting, it may be necessary to reinject as often as every 10 minutes to maintain a tumescent state!
There are many reasons to use this technique, for both donor work and recipient work. It gives a flat, turgid surface on which to cut; it separates the grafts so they are easier to get to and to isolate from one another; if there is epi in it this helps achieve hemostasis, but even without epi, it compresses the vessels and diminishes bleeding; it raises the skin up from the deeper tissues including the vasculature, and thereby decreases trauma from the extraction tool or site blade or needle. The decrease in bleeding is only significant in that it improves visualization, thereby diminishing the risk of transection and shock loss.
Even if the drainage was not so rapid, the inflammatory stage of the healing process only peaks out at 48-72 hours; at this point, we are a long way from collagen synthesis, so the fluid would have to hang around for a LONG time to effect healing one way of the other.


FIT2Btied is located in [NA] and he is available to meet: NO

---
Regards,
FIT2Btied
-----------------------------------
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Disclaimer:I am not a physician. My opinions are not necessarily those of Dr Cole. My advice is not a medical advice.

Complete thread:

• GHI Patient - 3244 FUE 11 Months After - GHI, 30.05.2007, 16:05 (Hair Transplant)
  • GHI Patient - 3244 FUE 11 Months After - damon, 30.05.2007, 16:57
    • GHI Patient - 3244 FUE 11 Months After - marco, 30.05.2007, 19:40
      • GHI Patient - 3244 FUE 11 Months After - notanewbiee, 30.05.2007, 22:56
        • GHI Patient - 3244 FUE 11 Months After - marco, 31.05.2007, 11:57
          • GHI Patient - 3244 FUE 11 Months After - GHI, 31.05.2007, 19:32
            • GHI Patient - 3244 FUE 11 Months After - marco, 01.06.2007, 04:17
              • GHI Patient - 3244 FUE 11 Months After - GHI, 01.06.2007, 11:28
                • The cause of the white dot devil. - marco, 01.06.2007, 13:33
                  • The cause of the white dot devil. - FIT2Btied, 01.06.2007, 15:05
                    • The cause of the white dot devil. - damon, 01.06.2007, 17:59
                      • The cause of the white dot devil. - Duck, 01.06.2007, 18:28
                        • The cause of the white dot devil. - damon, 03.06.2007, 18:28
                    • The cause of the white dot devil. - Jessica, 01.06.2007, 18:54
                      • The cause of the white dot devil. - marco, 01.06.2007, 21:20
                        • The cause of the white dot devil. - FIT2Btied, 04.06.2007, 16:30
                      • The cause of the white dot devil. - FIT2Btied, 04.06.2007, 16:47
                        • The cause of the white dot devil. - Jessica, 04.06.2007, 17:07