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DONOR SITE REPAIR Spread donor scars can also be a source for considerable embarrassment for patients who have undergone hair transplantation. These may result from active exercise in the immediate postoperative period, lack of subcutaneous suture, excessive coagulation, overly wide donor strips, or patients with weak connective tissue.Briefly, it is felt that one must undermine an area containing such a wide scar at the same time that re-excision and closure is performed. This undermining may extend up to the nuchal ridge and inferiorly to the nape of the neck posteriorly. It may extend superiorly close to the hair bearing fringe laterally in the parietal scalp and down to the base of the ear in this location. The scar is then excised via a sharp scalpel. Since this strip often contains a significant number of hairs, micrografting of the scalp can be performed simultaneously after dissecting free these hairs. The wound is generally closed in 2 or even 3 layers: deep, (galea, and deep scar), subcutaneous scar tissue, and surface closure. Monocryl or PDS are ideal for deeper layers because of delayed absorption. Sutures or staples can be placed on the surface, removed in 11-14 days. In the most severe cases, use of a tissue expander, inflated for several weeks or months, may also prove beneficial to expand adjacent tissue. Please remember that individual results may vary depending on your hereditary tendencies. Seldom do patients get a tiny "hairline" scar in the scalp. Scars can often be improved, but only to a point. You may mail a photo to us for an opinion . (Please complete the questionnaire.) |