Hair Loss - anyone know this link???

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anyone know this link??? (Hair Transplant)

posted by marco, U.K, 03.05.2007, 12:48

» As far as the punch healing, they ALL heal by secondary intention, by
» definition. Primary intention refers to clean surgical incisions only;
» when a hole is cored out and tissue removed, it will be secondary, that
» is, granulation tissue forms on the open surfaces, and the hole fills in
» from the bottom and sides up.

Actually there was a protracted discussion initiated by Dr.A about this issue. I don't know if anyone has the link. Is the tissue loss is small or the area around the wound is flexible to the extent that it can breach the gap then the wound can close by primary intention. Personally I feel that this is quite noticeable soon after the operation and looks quite different to a kind the gap left by a larger punch but I may be wrong. If the wound is larger or the tissue is not flexible then the wound must heal by secondary intention leaving a small white dot of scar tissue or hypopigmented dermis and epidermis. Dr.A used to deal with this by covering the wound with epidermal cells to get rid of the dots.

There have been a lot of changes and with both BHT and scalp HT it seems that most Dr. are moving to a smaller punch so that the dots are not evident and with smaller procedures the wound os sealed by primary intention. From what I am seeing, I think that the hair viability due to the smaller punches, is being compramised now especially with BHT.



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