Hair Loss Forum - anyone know this link???

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anyone know this link??? (Hair Transplant)

posted by FIT2Btied Homepage, 03.05.2007, 13:24

»
» 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.

Yes, I think it is still unknown exactly what the "threshold" is for primary intention with "holes" healing.
We have tried everything under the sun to convert holes into slits, if you will (compression, elastic, sutures, staples...) We still do that when we are FIT-ing out FU's from old plugs in the recipient area, for instance. I personally think you have to get pretty small (probably more than is feasible) to have approximation across a dead space to mimic incisional primary intention healing.
You may well be right about punch size compromising viability. I keep forgetting to post those pix of "sheathing" etc, but I WILL do it!
BTW, I remember mention of preserving the epithelium for "plugging" the holes; does he still do it? Or was that approach abandoned?




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

---
Regards,
FIT2Btied
-----------------------------------
Ask me question: consults@forhair.com
Disclaimer:I am not a physician. My opinions are not necessarily those of Dr Cole. My advice is not a medical advice.

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