Scar Revision Question

[Cant decide]

Just curious. For those that have done scar revisions, did the revision strip also yield a few usable grafts (Assuming the only goal was to make the scar better but a few grafts happen to be in the strip taken out)?

[WHTC-7706631290]

@Cantdecide

 

Each case is unique, but some scar revisions can involve viable grafts in the excision. Also, the surgeon performing the excision can chose to avoid capturing donor follicular units as well.

[Jotronic]

A proper scar revision will require cutting out all of the scar so that only healthy skin tissue meets healthy skin tissue when the wound is closed for the best healing. How this is done depends on the doctor performing the revision. Some doctors will follow the exact outline of the existing scar to purposely avoid getting viable grafts. However, this will always yield at least a few grafts.

 

Other doctors will instead remove all of the scar tissue based on the laxity in the immediate vicinity as the revision progresses along the scar line, which will always result in some grafts being removed as well. This can vary to just a handful of grafts being 20 to 30 or up to 400 or so depending on the size and variations of the scar shape and direction.

 

I hope this helps.

[Mickey85]

A proper scar revision will require cutting out all of the scar so that only healthy skin tissue meets healthy skin tissue when the wound is closed for the best healing. How this is done depends on the doctor performing the revision. Some doctors will follow the exact outline of the existing scar to purposely avoid getting viable grafts. However, this will always yield at least a few grafts.

 

Other doctors will instead remove all of the scar tissue based on the laxity in the immediate vicinity as the revision progresses along the scar line, which will always result in some grafts being removed as well. This can vary to just a handful of grafts being 20 to 30 or up to 400 or so depending on the size and variations of the scar shape and direction.

 

I hope this helps.

 

Joe, do you have any H&W scar revision cases available that can be posted? Alot of guys are seeking scar revision(as opposed to FUE grafting into the scar) and I believe H&W have the best technique and closures.