Tricophytic
Closure
Strip
has been the traditional method of extraction for some time,
and is still a very good option especially for men with advanced
thinning looking for the maximum hair coverage with minimum
inconvenience.
This
involves the removal of a hair-bearing strip from the back
and side of the head. The donor area is sutured to leave a
thin, almost invisible line that the surrounding hair grows
through and over to cover. Because the closure causes little
tension even immediately on the tissue this allows the minimum
of strip invasiveness and cosmetic change to the scalp.
It
has to me kept in mind that regardless how good the closure
is, a scar line will be the consequence, this can be hidden
within existing hair and with today’s Tricophytic Closure
a person’s hair can be worn shorter than previously,
but if shaved close or totally shaved the line would be visible.
Strip/FUT
is a proven and successful method of extraction in the right
hands but the patient does carry some responsibility with
donor care. Superficial healing is relatively quick and generally
hidden behind existing surrounding hair; a suture has to be
removed at ten days post operation and this is advised to
be undertaken by a medical practioner. Once the suture is
removed the scalp will start to return to normal pigmentation,
do not be surprised if this takes a few months as this is
normal. A very important factor is stretch back and you as
the patient must ensure over the first two months that minimum
pressure or stretching is applied to the scalp; this generally
involves less activity or heavy work out sessions due to skin
laxity returning to normal without being pulled in differing
directions. Even the best closed suture can stretch if too
much pressure is applied.
Each
FU is separated from the main strip under fibre optic microscopes
to maintain the quality of the tissue, deter increase temperature
rises, and damage to the graft. This leaves thousands of follicular
units in their natural state, divided into their natural groups
of single and multiple hairs. Whilst they are being prepared,
the recipient site is being created and the grafts are then
placed.
Strip
procedures, especially mega sessions are a team effort; the
Doctor heads the Medical Team, guides and directs the cutting
and placement, but it would not be possible to place the amount
of grafts without an efficient and technically adept team.
The
amount of hair that can be removed is dependent on certain
factors, density within the donor area, size of the safety
zone and scalp laxity. Scalp laxity can greatly alter the
width of the strip removed and the doctor will measure what
he feels is safe to extract without putting pressure on the
scalp. As with the closure method, the evolution of strip
removal has now allowed for larger graft numbers to be achieved
even on those with average or lower laxity and density. Dr
Bisanga’s strip removal technique has enabled many patients
with average characteristics to achieve greater graft numbers
than before, with 4000 plus grafts from average patients and
even up to 6000 grafts; one of the largest FUT sessions successfully
performed worldwide and the largest in Europe.
Even
large Strip procedures termed as a Mega Session, 4000 FU plus,
can be repeated over again if the donor area is suitable,
this allows maximum hair placement in minimal time.Time must
be given for the scalp to relax and the laxity/density rechecked,
so it is advisable that at least 12 months is given between
sessions.
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The
new Tricophytic closure is now offered as the standard
closure to all Strip patients at no extra cost with
amazing results. This involves a triple closure of
the donor site after the removal of the epithelium
on the lower edge. The results are excellent even
in Super Mega Sessions. |
A
PowerPoint presentation on FUE/Strip can be found on our Download
Page.
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