Donor Wound Closure (Minimal Scar)
In the majority of our patients the scar is minimal if not invisible because we close the wound by a technique called “Lower Trichophytic Closure”. A high power magnifying loupe is used to enhance visibility. The inferior edge of the incision is trimmed 1x1 mm to allow the hair stump to grow inside the small incision scar to hide it.
The donor area is then closed by using superficial running absorbable stitches (4/0 Vicryl Rapide, dissolved by itself in 3-4 weeks, no removal needed) and simple interrupted retention stitches (3/0 Nylon, non-absorbable, removed in 5-7 days). The addition of retention sutures will enable the surgeon to close without undermining, minimize wound tension, possible nerve damage, bleeding and follicular transection. All these will result in minimal scar!
The ability of the individual to heal well is much less important except for a very small percentage of individuals who either heal with keloid formation or have an abnormality of collagen formation.
Invisible donor scar