| 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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