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Dr Bisanga 3200 Strip/Tricophytic 0-9 Months


#1

Dr Christian Bisanga-BHR Clinic
3200 Grafts
Strip/FUT with Trichophytic Closure
0-9 Months Post Op

BEFORE & DESIGN


PLACEMENT

9 MONTHS POST OP


#2

Nice hairline! Only singles in the first rows also… good job!


#3

Excelent job! BHR / Bisanga is a top outfit! Good informative pics.

A side question, what does BHR think about the likely hood of scar stretch over the years?


#4

» Excelent job! BHR / Bisanga is a top outfit! Good informative pics.
»
» A side question, what does BHR think about the likely hood of scar stretch
» over the years?

Hi marco, hope you’re well.

Long term stretch back, Dr B has mixed views and from a HT point of view can only go by what he has seen and from meeting our former patients from a few years ago…who to date none have suffered from this. Obviously healing is different from person to person and some just do not heal as well as others regardless how well the closure is; this can be due to ethnic background, age and general body makeup, for example the collagen count alters as we age. In Europe we have noticed that the further north seems to have better overall short/long term healing, slightly faster and less trauma. It also has to be noted that many general scars on the body can sometimes become smaller over time, this may be due to the depth of the incision and the placement of the scar, whether it is position in an area of high laxity or less muscle movement; for example I had a relatively deep scar on my knee from falling off a bike as a child about 1.5cm in diameter and now it is almost invisible, and I’m not young anymore!

The technique for removing the strip will play a large part of subsequent stretch back be it short or long term as can the post op care taken by the patient. We have seen many strips taken in incorrect positions or cut too deep when removing creating a crater having to be filled, fibrosis. Removing a strip from a less muscle movement effected area may at times have a benefit as the chances of improved healing may get better and there is generally less movement in the area, opposed to an area that is prone to more stretching. Assuming a virgin scalp then much depends on the precision removal of the strip and the suture; over harvesting just to reach numbers will put added strain and tension causing stretch back regardless how well the post op care is followed; the same can be said for poor post op care. In general it is not a situation we have been able to note as a problem from our patients over the years, and obviously not being able to monitor other patients hard to quantify if much of the stretch back occurred in the months post op or much later.


#5

BHR what do you think of Acell wound regeneration? This may solve the problem of strip scars once and for all,

http://www.hairsite.com/hair-loss/forum_entry-id-34927-page-0-category-1-order-last_answer.html


#6

Very nice result.


#7

» BHR what do you think of Acell wound regeneration? This may solve the
» problem of strip scars once and for all,
»
» http://www.hairsite.com/hair-loss/forum_entry-id-34927-page-0-category-1-order-last_answer.html

Dr Bisanga contacted them some months ago knowing of the possibility and imminent announcement, at the time they were more reticent. As now, like all we can hope it will prove beneficial and we have not ruled out the possibility of testing the product.