Trichophytic Closure

Trichophytic Closure: the best way of closing wounds

Trichophytic Closure is a technique used to make the scars caused by the removal of the strip of skin practically invisible. Further advantages over previously used methods are that the scar becomes a lot finer and that the method can be used in all commonly used transplantation methods. Trichophytic closure (or tricho for short) involves overlapping the edges of the wound when suturing or stapling them. One side of the existing skin is cut at an oblique angle, after which the adjacent skin flaps are brought together to close the wound. Due to the angle of the cut, they overlap. One piece of scalp tissue now lies underneath another one - and in it also hair follicles, which then slowly grow through the tissue (i.e. through the ensuing scar), thereby concealing the scar and making the donor area look natural. When this closure method has been used after an FUT, it becomes quite possible for patients to wear their hair short - i.e. 6 - 8 mm long. This means that this technique is an alternative to Follicular Unit Extraction (FUE) for patients wanting to wear their hair short.
Trichophytic closure can also be used on patients already having had an FUT to improve the donor scar. This technique is also used on an initial FUT operation and is very suited for reconstructive or corrective treatment.
The success of trichophytic closure is not just dependent on the ability and experience of the hair surgeon, but also on the healing process and the characteristics of the patient's skin. Not every patient is suitable for Tricho-Closing. This applies especially to younger patients and it is therefore up to the surgeon to decide which closure technique to use.

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