SCAR REPAIR IN MINNEAPOLIS, MN
Hair Transplantation can be used to treat areas of scarring on the scalp caused by different types of physical trauma. These could include scars caused by burns, explosions, accidents. Sometimes the scarring is atrogenic and produced by surgical procedures such as face lifts, brow lifts, radiation treatment; or removal of a scalp tumor such as a hemangioma) Special considerations are needed when transplanting into areas of scarring.
3rd DEGREE BURNS
The issue of adequacy of the blood supply to the scar tissue often arises. In addition to leading to poor graft survival, this limited blood supply can potentially leave the recipient area more vulnerable to infection, further ischemia and necrosis. Although these are legitimate concerns, experience has shown that the blood supply in scar tissue is often sufficient to accommodate the appropriate placement of FU grafts.
In general, one should always perform the first transplant with a smaller number of grafts placed further apart so as not to stress the blood supply. It is also prudent to wait longer in between sessions. With scar tissue it is better to plan on doing multiple, smaller sessions that succeed rather than one large session that fails greater oxygenation to the tissue.
RADIATION SCARRING FROM CANCER TREATMENT
Not all scars are the same and scar thickness can have an affect on transplantation. Some scar tissue is thick and tough, while other scar tissue is thin and friable. With thick hypertrophic scars, there is concern that the incisions will not gain access to the blood supply. In these situations one should err on the side of making the incisions slightly deeper. Transplanting into thin atrophic scar tissue, such as that created by post-radiation injury, creates a different, and in our opinion, a more difficult problem. The recipient area in this thin, poorly vascularized tissue is more prone to ischemia. In addition, the shallow skin makes it difficult to create incisions deep enough to house even tiny FU grafts.Making the incisions at a more acute angle can increase the length of the incisions, and create a posterior “pocket” to house the graft. Carefully using a small amount of tumescent solution (without epinephrine) can temporarily distend the skin, making it easier to create these more acutely angled incisions. On several occasions, we have noticed that after the first conservative transplant into an area of atrophic (thin tissue) scar it becomes thicker and suppler. It may be that the FU grafts act like multiple tiny skin grafts, and also may stimulate angiogenesis.
DONOR SCAR REPAIR
In addition donor linear scars that may have occurred from older techniques can also be repaired by a combination of scar revision, FUE grafts planted into the old scar, and/or Scalp Micro Pigmentation (SMP). Each patient must be individually evaluated to see the best approach for each
FACE-LIFT AND BROW LIFT SCAR REPAIR
Face lifts and brow lifts can often leave scars along the forehead or in front of the ears. This can easily be repaired with hair transplants
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WEB TESTIMONIALS & REVIEWS
“Thank you very much for your attention. I am very happy with the results of the surgery. After 3 months only I already have full hair coverage in all the affected areas and don’t need to use the hair clips like I used to do for many years. Please give my beast regards to Dr. Shapiro and the team...”Read More