Our best results were obtained when tissues were least traumatized. Tension generated at wound closure was found to be the main culprit; hence the size of the session is extremely important. we have found the 3.000 graft session to be the best compromise in getting great results on both the closure and being able to extract high numbers of hair.
Improved aesthetics of post harvesting donor sites are better when measures are taken to ensure minimal trauma by taking definitive steps to combat tension in the tissues. Modest blunt undermining combined with deep plane fixation equipped to withstand the adverse consequences of tension.
The number one cause of a stretched donor scar is closure under high tension and/or poor surgical planning and suturing. And stretched scarring can also occur for unknown reasons due to a patient’s physiology, although this is reported as rare. So what can be done to reduce the appearance of a scar once it’s already stretched?
Patients with wide donor scars can sometimes undergo another strip procedure to attempt to reduce scarring. The old scar is harvested with a new strip and the new wound is closed under minimal tension using today’s state of the art techniques including the “gold standard” trichophytic closure.
Double layer sutures are often used in order to reduce tension on the wound and minimize the air pockets underneath the scar. While at least some improvement is typical, optimal scarring isn’t always possible depending on the severity of the first scar.
Additional implanting of follicular units in the scar line during the procedure may contribute to camouflaging also. Recent studies show a significant improvement of aesthetic outcome.
Patients can also help with preparing the donor area by doing Scalp Laxity exercises that can help gaining more elasticity and therefore less tension that should lead to better healing.
Second measure is to trim the upper edge of the epidermal layer. This surgical closure method giving way for new hair follicles to cause growth through the linear scar, camouflaging it and making it very hard to find in most cases.
It is all about camouflage and sound surgical technique.