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Unger, Robin et al.: 2023 Hair Transplantation DOI: 10.1055/b-0042-191781
Section VI Repair and Special Considerations

85 Donor Scar Repair

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Editors: Unger, Robin; Shapiro, Ronald

Authors: Gupta, Aditya K.; McDonald, Adriane; Noreldin, Ahmed Adel; Bauman, Alan J.; Juliano, Alessandra; Abbasi, Ali; Dua, Aman; Christiano, Angela M.; O’Mara, Angela; Yong, Angeline Anning; Tosti, Antonella; Ruston, Antonio; Nusbaum, Aron G.; Poswal, Arvind; Shahmalak, Asim; Alp, Bayramoğlu; Nusbaum, Bernard P.; Farjo, Bessam; Feriduni, Bijan; Wolf, Bradley R.; Puig, Carlos J.; Varona, Christopher M.; Albertini, Conradin von; Ziering, Craig; Pathomvanich, Damkerng; Josephitis, David; Perez-Meza, David; Mangubat, E. Antonio; Ball, Edward A. M.; Poblet, Enrique; Eisenberg, Eric L.; Wang, Etienne C. E.; Rinaldi, Fabio; Jimenez, Francisco; Krenitsky, Gabriel H.; Williams, Greg; Abaci, Hasan Erbil; Radwanski, Henrique N.; Park, Jae Hyun; Hernandez, Irene; Harris, James A.; Vogel, James E.; Devroye, Jean; Irvine, Jeff; Epstein, Jeffrey; Cooley, Jerry E.; Shapiro, Jerry; Wong, Jerry; Kim, Jino; Jackow, Joanna; Cole, John; Dua, Kapil; Washenik, Ken; Williams, Ken; Erdogan, Koray; Sicco, Kristen Lo; Yagyu, Kuniyoshi; Bloch, Leila David; Santos, Leopoldo Duailibe; Avila, Lorena; Pontes, Luciana Takata; Khanna, Manoj; Avram, Marc R.; Pitchon, Marcelo; Crisóstomo, Márcio; Barusco, Marco N.; Sanseverino, Maria Angélica Muricy; Schambach, Marie A.; Unger, Mark; Speranzini, Mauro; Cole, Megan; Mayer, Melvin L.; Beehner, Michael L.; Neff, Mike; Mohmand, Mohammad H.; Ahmad, Muhammad; Rogers, Nicole E.; Large, Nicole; Farjo, Nilofer; Otberg, Nina; Desai, Nirav V.; Mohebi, Parsa; Frechet, Patrick; Mwamba, Patrick; Shapiro, Paul; Rose, Paul T.; Tesauro, Piero; Kinler, Rae Lynne P.; Rabbani, Ramin; Konior, Raymond J.; Kothottil, Renu; Lemos, Ricardo Gomes de; Mejia, Ricardo; Shiell, Richard C.; Finney, Robert; True, Robert H; Dorin, Robert J.; Haber, Robert S.; Unger, Robin; Shapiro, Ronald; Adajar, Ruel A.; Knudsen, Russell G.; Nadimi, Sahar; Lam, Samuel M.; Vasa, Sanjeev; Tovar, Sara Lea Salas; MD, Sara Wasserbauer; Boden, Scott A.; Keene, Sharon A.; Abbasi, Sheida; Kabaker, Sheldon S.; Kobren, Spencer David; Gabel, Steven; Hwang, Sungjoo “Tommy”; Nakatsui, Thomas C.; Carman, Timothy; Lardner, Tina; Elliott, Vance W.; Mysore, Venkataram; Unger, Walter P.; Rassman, William; Doucet, Yanne S.; MD, Young-Ran Lee; Guo, Zongyou

Title: Hair Transplantation

Print ISBN: 9781626236936; Online ISBN: 9781684202737; Book DOI: 10.1055/b000000335

6. Edition © 2023 Thieme. All rights reserved.
Thieme Medical Publishers, Inc., New York

Subjects: Plastic, Reconstructive and Cosmetic Surgery;Dermatology

Thieme Clinical Collections (English Language)



 
Paul T. Rose

Summary

With strip harvest excision, a linear scar is created. Factors influencing donor scarring in these surgeries include tension on closure, scalp elasticity, patient skin characteristics, underlying diseases, and patient habits such as smoking tobacco. In most patients, a very good linear scar is to be expected when using meticulous technique and a low-tension closure. However, at times a wide donor scar can result or multiple scars can be created. Often, patients with wide strip scars, multiple scars, or other detectable scars resulting from follicle harvesting will seek scar revision to try to improve the appearance of their donor site. Follicular unit extraction (FUE) harvest techniques can likewise result in scars that are problematic. Generally, these are the result of overharvesting, uneven harvesting, or use of too large a punch. However, just as hair restoration surgeons noted with strip harvesting, there are patients with unexpected poor healing characteristics—and in the case of large FUE sessions that involve harvesting throughout the entire donor fringe, these complications can literally eliminate any option for surgical revision. In this chapter, we look at the causes of poor scars in the donor area and ways to improve these scars.

Key words

scar revision - scalp laxity - trichophytic closure - scalp micropigmentation
 
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