I am considering FUT. Is trichophytic closure really a scar-less procedure?

Question

I am considering FUT . Is trichophytic closure really a scar-less procedure ? I have read patients experience such as a wavy pattern formed by slight change in direction of hair growing through the scar. Any thoughts on this ? I don't have bald patches on scalp, rather I am concerned about thinning particularly on temples, crown . Is FUT a better option than FUE for "not completely bald" cases ?

Jae Pak, MD · Answer

There is no such thing as a scarless surgery.  Any cut on the skin, even FUE, will leave a scar.  A trichophytic closure will still leave a linear scar.  It may be slightly better than a normal incision scar but it will all depend on how well your body heals.

Bernardino Arocha, MD, FISHRS · Answer

runnithan,FUT or FUSS is an excellent technique to maximize the yield of follicles from your donor area for the purpose of restoring your hair. The trichophytic closure technique is used to have the hair grow through the scar so that the scar is not very visible. There  are other techniques that can help scars become not visible. The most important factor to achieving nearly invisible scars is to avoid pulling at the neck until the scar is mature which takes 6-12 months after surgery.Sincerely, Bernardino A. Arocha, MD

Bernard Tan, MBBS, MRCSB · Answer

Hi there, trichophytic closure for FUT is a method of wound closure that results in a subtle and cosmetically acceptable scar, but there will still be a scar. Most doctors and patients are opting for FUE method of hair transplant currently.

Sean Behnam, MD · Answer

There's no type of hair transplant that is completely scarless. It often is less noticeable than a plan FUT but that's all it can offer. Without knowing the details of your situation, such as how big an area you'd need transplants in, hair thickness, donor area quality, how short you keep your hair, etc. It's impossible to give you a recommendation on which procedure would be best for you. You should see a doctor for a consultation, and from there they can advise you on which procedure fits your case.

William Woessner, MD · Answer

There is no true scarless procedure however the trichophytic closure can minimize the extent of the scar. In today's times scars have gotten better for strip excisions because of information sharing and newer techniques. The trichophytic closure attempts to allow hair to grow directly through the scar line. It doesn't allows work in all individuals. A visual explanation is in the link below.

William Rassman, MD (retired) · Answer

Trychophitic closures are not scar less procedure. They do leave a scar, sometimes with hair in it if this type of closure is done in a particular way. The use of scalpmicrpigmentation is the best way to treat a scar, see below

I am considering FUT. Is trichophytic closure really a scar-less procedure?

Answers (6)