Info i found
quote -
"Trichophytic closure is not new. it was presented at our ISHRS meeting in 1999 by an Australian Colleague but no-one took any notice. Gradually however in my practice it became standard and has been used exclusively in the past four years. There's no doubt that it makes a difference but its not magic. Every other aspect of gentle closure needs to be in place before trichophytic can deliver "invisible scars". The fine scar is still there but this technique makes a few hairs grow up through the scar which disperses the line.
I coined the phase "trichophytic closure" two years ago when the technique was discussed with Dr Shelly Kabaker of Oakland CA. You see it's all borrowed from the old days of transposition flap hairlines where the scar at the front was minimised by cutting the epidermis off the front few follicles. Dr Kabaker is a world expert in those flaps. In August last year at our Vancouver meeting of ISHRS I gave a talk on trichophytic closure including a DVD of the technique. Again there seemed little interest but its really taken off since then. Dr Patrick Frechet of Paris demonstrated his slightly different technique at the European Society of Hair Restoration Surgery in Brussels June 2005 and Dr Paul Rose of Tampa Fl showed us his variation in August 2005 at our ISHRS meeting in Sydney Australia. So there's the chronological order of events guys, just to set the record straight. You can download the DVD of trichopytic closure if you wish from
http://www.norwooddaysurgery.com "
Dr Mario Marzola
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Comments from Dr Feller about it:
Post by Dr Feller:
No question that this closure is worth doing.
I haven't seen long term results, but the short term is very good.
Before Tric closure the scar just look like a 1-2mm space extending the length of the donor area, now it is STILL a 1-2mm space but WITH hairs growing out of it. It looks alot like a high density "FUE into scar" procedure, but without the need to FUE.
IF the scar stretches, as in the case in patients with extreme laxity, or multiple surgeries, there probably won't be much benefit from the tric closure.
I believe there is a bit of confussion on the boards. It should be understood that a tric closure will NOT affect the overall size of the scar, just the APPEARANCE of the scar.
QUOTE
Thanks for your input Dr. Feller. I'm extremely interested in this closure technique for a possible revision of my scar which is not very wide, but is now raised and sometimes causing pain. Will you be/are you using this technique?
Yes, I am performing the tric closure. To be more specific, I tric the bottom edge as opposed to the top. This bit of information will become important as more patients show results from this procedure.
I visited with Dr. Hasson and Wong about a month ago and they were kind enough to show me their methods of performing this procedure. I also saw one of Dr. Wong's patients on whom he performed the tric closure (top edge) and must say that I was more than impressed. He was only 5 months out, and alot can happen in that time, but it looked very good. Again, it looked like a normal scar, but with lots of hair growing out of it.
Remember, however, that this closure will NOT change the texture of your scar.
When I do a scar revision I use this closure exclusively.
I must admit that I never would have guessed how good the procedure could be. Just goes to show, even after 13 years experience, there is always something else to learn.
Dr.Feller
Regards
Spex
