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Subject: "Triclosure after strip - pics + videos (1.5mths)" First topic | Last topic
Dr. SanSat Oct-07-06 04:27 PM
Member since Jul 23rd 2005
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"Triclosure after strip - pics + videos (1.5mths)"


  

          

This is another of our patient who had a strip FUHT surgery.
Triclosure was performed over a part of the strip closure to assess its benefits/disadvantages.

We found hair growth in the scar where triclosure was performed and none where triclosure was not performed.

Triclosure, performed atleast the way we do at our clinic, does not lead to any damage to the hair and the hair growth occurs quite early in the strip scar.

We are evaluating more patients and will share the findings with the forum as and when we get them.

I think you will find the video of the strip scar where triclosure was performed very interesting as well as clear.

Please let us know your opinion of these pictures and video. We have tried to take them very clearly to demonstrate the details.

Video of triclosure area.
http://www.hairsite.com/hair-transplant-video/hair-transplant-strip-scar.wmv

Best regards,
Dr. Sangay C.B.
I have trained and work at Dr. A's clinic as a hair restoration surgeon.
However, my opinions and advise need not be shared by Dr. A.
www.fusehair.com
hairadvise101@yahoo.com

  

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Replies to this topic
Subject Author Message Date ID
Pictures of triclosured area
Oct 07th 2006
1
Picture where no triclosure was performed
Oct 07th 2006
2
Additional pictures
Oct 07th 2006
3
RE: Additional pictures
Oct 07th 2006
4
RE: Additional pictures
Oct 09th 2006
14
RE: Additional pictures
Oct 07th 2006
6
RE: Triclosure after strip - pics + videos (1.5mt...
Oct 07th 2006
5
RE: Triclosure after strip - pics + videos (1.5mt...
Oct 08th 2006
7
      RE: Triclosure after strip - pics + videos (1.5mt...
Oct 09th 2006
8
           RE: Triclosure after strip - pics + videos (1.5mt...
Oct 09th 2006
9
           RE: Triclosure after strip - pics + videos (1.5mt...
Oct 09th 2006
12
           RE: Triclosure after strip - pics + videos (1.5mt...
Oct 09th 2006
11
                RE: Triclosure after strip - pics + videos (1.5mt...
Oct 10th 2006
18
                     RE: Triclosure after strip - pics + videos (1.5mt...
Oct 10th 2006
19
RE: Triclosure after strip - pics + videos (1.5mt...
Oct 09th 2006
10
RE: Triclosure after strip - pics + videos (1.5mt...
Oct 09th 2006
13
      RE: Why the big rush to evaluate?
Oct 09th 2006
15
      RE: Why the big rush to evaluate?
Oct 09th 2006
16
      Thx - n/t
Oct 09th 2006
17

Dr. SanSat Oct-07-06 04:33 PM
Member since Jul 23rd 2005
252 posts
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#1. "Pictures of triclosured area"
In response to Reply # 0


  

          

A close up view of the triclosured strip area
Please note the hair growth in the strip scar.


A view of the area from slightly farther out

Best regards,
Dr. Sangay C.B.
I have trained and work at Dr. A's clinic as a hair restoration surgeon.
However, my opinions and advise need not be shared by Dr. A.
www.fusehair.com
hairadvise101@yahoo.com

Attachment #1, (jpg file)
Attachment #2, (jpg file)

  

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Dr. SanSat Oct-07-06 04:41 PM
Member since Jul 23rd 2005
252 posts
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#2. "Picture where no triclosure was performed"
In response to Reply # 0
Sat Oct-07-06 04:46 PM by Dr. San

  

          

This is the picture of the strip closure of same patient where no triclosure was performed. The area is outlined in blue.




A closer view

Best regards,
Dr. Sangay C.B.
I have trained and work at Dr. A's clinic as a hair restoration surgeon.
However, my opinions and advise need not be shared by Dr. A.
www.fusehair.com
hairadvise101@yahoo.com

Attachment #1, (jpg file)

  

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Dr. SanSat Oct-07-06 04:51 PM
Member since Jul 23rd 2005
252 posts
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#3. "Additional pictures"
In response to Reply # 0


  

          

Here are some more pictures taken from various distance & light of the area where triclosure was performed.










Best regards,
Dr. Sangay C.B.
I have trained and work at Dr. A's clinic as a hair restoration surgeon.
However, my opinions and advise need not be shared by Dr. A.
www.fusehair.com
hairadvise101@yahoo.com

Attachment #1, (jpg file)
Attachment #2, (jpg file)
Attachment #3, (jpg file)

  

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ericgomesSat Oct-07-06 06:25 PM
Member since Jun 01st 2004
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#4. "RE: Additional pictures"
In response to Reply # 3


  

          

Excellent pictures, Dr. Sangay. Clear and accurate to the last detail. More doctors should learn from this.

  

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Dr. SanMon Oct-09-06 05:49 AM
Member since Jul 23rd 2005
252 posts
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#14. "RE: Additional pictures"
In response to Reply # 4


  

          

>Excellent pictures, Dr. Sangay. Clear and accurate to the
>last detail. More doctors should learn from this.

Thank you Ericgomes. Its my endeavor to post clear pictures, of the maximum number of cases possible, so that the patients know what to expect.
A big problem with hair transplants has been that certain doctors post misleading pictures to sell HTs.

Best regards,
Dr. Sangay C.B.
I have trained and work at Dr. A's clinic as a hair restoration surgeon.
However, my opinions and advise need not be shared by Dr. A.
www.fusehair.com
hairadvise101@yahoo.com

  

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ericgomesSat Oct-07-06 07:24 PM
Member since Jun 01st 2004
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#6. "RE: Additional pictures"
In response to Reply # 3


  

          

I wish everyone gave such clear pictures.

  

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ericgomesSat Oct-07-06 07:23 PM
Member since Jun 01st 2004
403 posts
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#5. "RE: Triclosure after strip - pics + videos (1.5mths)"
In response to Reply # 0


  

          

cool man this guy has a cake he can definetely eat.
great job.
Keep us posted.

  

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JonnyESun Oct-08-06 01:18 AM
Member since Jul 18th 2006
440 posts
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#7. "RE: Triclosure after strip - pics + videos (1.5mths)"
In response to Reply # 5


          

Triclosure has definitely become the standard for all strip hair transplant clinics.

Minoxidil twice a day
1.25 proscar once a day
3083 grafts by Dr. Armani in April 2004

  

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okanaganMon Oct-09-06 02:40 AM
Member since Jul 30th 2006
43 posts
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#8. "RE: Triclosure after strip - pics + videos (1.5mths)"
In response to Reply # 7
Mon Oct-09-06 02:44 AM by okanagan

          

I believe tricophytic closure can be beneficial in the right hands but this does not appear to be a good example of it. It even appears that the non tricho scar has some hair growing through and not much less than the tricho scar, have another look. I would say the detectability of both scars are about the same. With tricho having a few extra hairs scattered.
I cant help but wonder what happend to the rest of the hairs that were trimmed along the incision, as it appears only a small number grew through the scar. Dr Sangay, do you guys trim the upper or the lower half of the incision and how much of the follicles are you shaving off before closing? Thanks.

Again, Ive seen evidence that tricophytic closure can work fantastic if done right but Im calling this one as I see it.

  

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okanaganMon Oct-09-06 03:17 AM
Member since Jul 30th 2006
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#9. "RE: Triclosure after strip - pics + videos (1.5mths)"
In response to Reply # 8
Mon Oct-09-06 03:36 AM by okanagan

          


Also Dr Sangay do you think that the patients' own healing properties had anything to to do with not having a more undectable tricho scar? Was he destined to have a worse scar no matter what? Because from the first pic looks a little bit like a keloidish looking scar and could that be why not as much hair grew through the scar as we've seen in other cases? Its mostly in that first pic that it seems the growth was not as much as would be desired. The tricho scar definately is better but just not as much as I thought it would be. Hope you interpret these as just legitimate observations and questions and take no offense. Thanks.

  

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Dr. SanMon Oct-09-06 05:43 AM
Member since Jul 23rd 2005
252 posts
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#12. "RE: Triclosure after strip - pics + videos (1.5mths)"
In response to Reply # 9


  

          

>
>Also Dr Sangay do you think that the patients' own healing
>properties had anything to to do with not having a more
>undectable tricho scar? Was he destined to have a worse scar
>no matter what? Because from the first pic looks a little bit
>like a keloidish looking scar and could that be why not as
>much hair grew through the scar as we've seen in other cases?
>Its mostly in that first pic that it seems the growth was not
>as much as would be desired. The tricho scar definately is
>better but just not as much as I thought it would be. Hope you
>interpret these as just legitimate observations and questions
>and take no offense. Thanks.

Okanagan,
I would try to answer your questions even if they were not legitimate. No need to worry.
We , at Dr. A's clinic, stand by our work. No cherrypicking.

First, let me post the pictures of triclosured and non triclosured scar areas together in my reply.
Maybe, seeing them together would help you understand the difference.

Non triclosured scar


Triclosured scar


Second, this is not a keloid scar. While individual healing does differ, this patient's scar is as yet in the healing and remodelling phase.
Its one and a half month later picture. I wrote 1.5 months. I hope you did not mistake it for fifteen months.

Best regards,
Dr. Sangay C.B.
I have trained and work at Dr. A's clinic as a hair restoration surgeon.
However, my opinions and advise need not be shared by Dr. A.
www.fusehair.com
hairadvise101@yahoo.com

  

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Dr. SanMon Oct-09-06 05:35 AM
Member since Jul 23rd 2005
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#11. "RE: Triclosure after strip - pics + videos (1.5mths)"
In response to Reply # 8


  

          

>With tricho having a few extra hairs scattered.
>I cant help but wonder what happend to the rest of the hairs
>that were trimmed along the incision, as it appears only a
>small number grew through the scar.

Okanagan,
Thank you for your comments.
However, I do not agree with your assessment.
If you look carefully, ALL the hair follicles are growing in the triclosured scar. The way to know that is to look for the inter follicular unit distance.
Why are all of them growing?
Because, the superficial tissues were cut in such a way as to avoid any damage to the hair follicular units.

Of course, its still early days.
Time will tell the progress and we will share it with all the forum readers.

Best regards,
Dr. Sangay C.B.
I have trained and work at Dr. A's clinic as a hair restoration surgeon.
However, my opinions and advise need not be shared by Dr. A.
www.fusehair.com
hairadvise101@yahoo.com

  

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okanaganTue Oct-10-06 05:00 AM
Member since Jul 30th 2006
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#18. "RE: Triclosure after strip - pics + videos (1.5mths)"
In response to Reply # 11
Tue Oct-10-06 05:01 AM by okanagan

          

Thank you Dr Sangay for your reply and reposting the pictures in a way easier to asess. Much appreciated.

The tricho scar is clearly better but I still dont see how all the follicular units could be growing. If they were shouldnt they almost completely fill in the scar? There just appears to be too much variance in the spacing between the follicles. Thats why I asked if maybe his scar's condition didnt allow for optimum growth. If he is only 1.5 months out I think it's too early to make a definate evaluation.
Is it possible some of the follicles that are trimmed go into shock before they grow through the scar?

Dr Sangay, can you tell me if you trim the upper or lower part of the incision before closing? Have you tried both ways and if so what are your observations of the outcomes of both?

Thanks again for your time.

  

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Dr. SanTue Oct-10-06 05:36 AM
Member since Jul 23rd 2005
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#19. "RE: Triclosure after strip - pics + videos (1.5mths)"
In response to Reply # 18


  

          

>Dr Sangay, can you tell me if you trim the upper or lower part
>of the incision before closing? Have you tried both ways and
>if so what are your observations of the outcomes of both?
>
>Thanks again for your time.
>
>

Okanagan,
Thank you for your interest. We will be detailing the specifics of our technique at a suitable time in near future.

Best regards,
Dr. Sangay C.B.
I have trained and work at Dr. A's clinic as a hair restoration surgeon.
However, my opinions and advise need not be shared by Dr. A.
www.fusehair.com
hairadvise101@yahoo.com

  

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newtMon Oct-09-06 04:41 AM
Member since Mar 04th 2006
31 posts
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#10. "RE: Triclosure after strip - pics + videos (1.5mths)"
In response to Reply # 0


          

Dr. San,
I appreciate the responsible way your clinic is proceeding with trico.
Thanks for sharing the findings.
What percentage of hair do you think have grown through the tricho'ed scar at this stage?
There is still some redness in the scar. However, its much better then what even the best strip scars usually are at this early stage. In your experience, how much time will the redness take to go away!

Ciao.

  

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Dr. SanMon Oct-09-06 05:46 AM
Member since Jul 23rd 2005
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#13. "RE: Triclosure after strip - pics + videos (1.5mths)"
In response to Reply # 10


  

          

>Dr. San,
>I appreciate the responsible way your clinic is proceeding
>with trico.
>Thanks for sharing the findings.
>What percentage of hair do you think have grown through the
>tricho'ed scar at this stage?
>There is still some redness in the scar. However, its much
>better then what even the best strip scars usually are at this
>early stage. In your experience, how much time will the
>redness take to go away!
>
>Ciao.
>

Newt,
Thank you for your kind words.
The redness you see in the scar is due to the fact that the strip scar is still inthe healing phase.
The redness in the strip scar takes a few weeks, to a few months to subside.

Best regards,
Dr. Sangay C.B.
I have trained and work at Dr. A's clinic as a hair restoration surgeon.
However, my opinions and advise need not be shared by Dr. A.
www.fusehair.com
hairadvise101@yahoo.com

  

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gillenatorMon Oct-09-06 06:41 AM
Member since Feb 14th 2004
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#15. "RE: Why the big rush to evaluate?"
In response to Reply # 13


  

          

If this patient is only 1.5 months post-op, IMO, this is way too ealy to give it a fair and full assessment. Sometimes the redness in the linear scar can linger for up to one year, depending on the healing attributes of each individual patient. And the scar can also continue to heal into a thinner line than it is at the present time.

Obviously any of the present hair growth is evidence of those particular hair follicles still in anagen, but could there by more growth yet to come through the scar? Of course. So really we can't be too judgemental right now when there is typically more progression in the coming year. It would be even better to see the pics at that point with this same patient being previewed.

Not that I am trying to speak for Dr. San, but respectfully I think maybe the point he is making is that even after a short time post-op, the area still looks very well considering the time frame. And of course the visual differences between the two areas. Still, tricoclosure is not for everyone.

Gillenator

I am not a doctor; all opinions shared are not medical advice but my own views. Contributing Physicians: Dr. Glenn Charles, Dr. Jim DeYarman, Dr. Paul Rose, Dr. Ron Shapiro, Dr. Christian Bisanga, Drs. Bob True & Bob Dorin

  

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sizzlerMon Oct-09-06 10:02 AM
Member since Oct 22nd 2005
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#16. "RE: Why the big rush to evaluate?"
In response to Reply # 15


  

          

I think so too.
Its way too early to evaluate. I remember my own strip scar was initially red and slowly faded.
Its good that clinics, especially Dr. San and Dr. A, are posting some damn clear pictures of what tricho can or can not acheive.

I hope we see many tricho results at different time frames. Many patients too.

1800 strip grafts in hairline in 2004.
HT by Dr. Arvind Poswal, whom I am very pleased to recommend.

  

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newtMon Oct-09-06 04:07 PM
Member since Mar 04th 2006
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#17. "Thx - n/t"
In response to Reply # 13


          

/

  

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Top Surgical Hair Transplantation Hair Transplant Open Forum topic #46523First topic | Last topic
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