» V, would you be kind enough to detail your closure technique for strip.
I will explain that one.
When making a strip incision and closure, we keep the following things in mind :
The strip incision should be in the coronal plane. That minimizes chances of post HT stretching.
The closure is in double layer with self dissolving 4 zero monocryl sutures.
There should be no tension on the suture closure.
Trichophytic closure is employed.
In points 3 and 4, if using the triclosure will put an increased tension on the suture wound, then we prefer that there be no tension.
Pre HT scalp donor area stretching exercises must be performed to increase the donor area laxity.
Post HT, scalp donor area pinching exercises - the forefinger and the thumb be placed on either side of the strip scar and then the intervening skin is pinched. This should be performed as soon after 15 days post HT when the patient can comfortably do so. This is aimed to take the stretch factor off the strip scar by transmitting it to the skin above and below the strip.