Dear forum readers and fellow HT doctors,
I am pleased to inform you of a new addition/method of donor closure after strip FUHT excision.
The step, in simple terms, involves placing grafts into the closed suture wound a few hours after the suturing has been done.
This is something patients used to ask about.
We have performed test sessions in over 50 patients in 2013.
The result has led to less visible scarring (without need of trichophytic closure), better cosmesis and healing.
For this purpose we chose to transplant beard hair into identified area of the strip suture and followed the progress. Beard hair were extracted using the FUSE method.
Beard hair was used as it could be easily identified due to its differing characteristics. Thus, preventing chances of confusion.
However, its a proof of concept. Scalp hair or robust body hair can also be transplanted to achieve the GAD closure
Delayed Graft Assisted Donor closure for FUSE -
We also transplanted FUSE grafts into the donor wounds of scalp FUSE 3 days after the creation of the donor wounds.
Veteran readers may remember the Donor Exchange method, we had done many years ago. The difference is that waiting for 48-72 hours after FUSE/fue wound creation allows the -
- Donor hole to contract, and,
- Granulation tissue to form.
I hope this helps other doctors and patients alike.
We shall be sharing the detailed methodology and pictures in days to come.
Please let me know if you have any queries.