Skip to main content
SpringerLink
Log in
Book cover

Practical Aspects of Hair Transplantation in Asians pp 209–216Cite as

Upper and Lower Trichophytic Closure with Wavy Two-Layered Closure for Optimal Hair Transplantation Scar

  • Chapter
  • First Online:

  • 878 Accesses

Abstract

The trichophytic technique was first reported in facelift and flap procedures in the mid-1970s. For donor harvesting in hair restoration surgery, it was described by Drs. Patrick Frechet and Paul Rose (lower trichophytic closure) and Dr. Mario Marzola (upper trichophytic closure) in 2005. The trichophytic closure has improved the appearance of donor scars since its introduction. In 2009, I reported that the appearance of a donor wound can be further improved by adding an additional wavy two-layer closure to upper and lower trichophytic closure. We achieve an invisible scar in greater than 95% of patients using this method. However, making proper judgments depending on the characteristics of the patient is indispensable in order to obtain good results.

This is a preview of subscription content, log in via an institution.

References

  1. Frechet P. Donor harvesting with invisible scars. HT Forum Int. 2005;15:119–20.

    Google Scholar 

  2. Rose P. Paul Rose, MD, presented a similar technique at the ESHRS meeting and writes. HT Forum Int. 2005;15:120.

    Google Scholar 

  3. Marzola M. Trichophytic closure of the donor area. HT Forum Int. 2005;15:113–6.

    Google Scholar 

  4. Yamamoto K. Trichophytic closure of both wound edges after strip excision for hair transplantation. HT Forum Int. 2009;19:185,190–1.

    Google Scholar 

  5. Yamamoto K. Double trichophytic closure with wavy two-layered closure for optimal hair transplantation scar. Dermatol Surg. 2012;38:664–9.

    Article  CAS  PubMed  Google Scholar 

  6. Pathomvanich D. Donor harvesting, a new approach to minimize transection of hair follicles. HT Forum Int. 1998;8(5):1,4–5.

    Google Scholar 

  7. Pathomvanich D. A refined open donor harvesting to minimize follicular transection. In: Pathomvanich D, Imagawa K, editors. Hair restoration surgery in Asians. Tokyo: Springer; 2010. p. 109–15.

    Chapter  Google Scholar 

  8. Haber RS. The “spreader” technique and indications. In: Unger W, Shapiro R, editors. Hair transplantation. 5th ed. New York: Informa Haralthcare; 2011. p. 279–81.

    Google Scholar 

  9. Kim D. Saving the sebaceous gland in the trichophytic closure. HT Forum Int. 2009;19:89.

    Google Scholar 

  10. Puig C. Controlled dissection for trichophytic closures with a ledge knife. HT Forum Int. 2008;18:207.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Kyoto Prefectural University of Medicine/Wellness Beauty Clinic Osaka, AD Bldg. 9F, 2-15-29 Sonezaki, Kita-ku, Osaka, Japan

    Kazuhito Yamamoto

Authors
  1. Kazuhito Yamamoto
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kazuhito Yamamoto .

Editor information

Editors and Affiliations

  1. DHT Clinic Private Practice, Bangkok, Thailand

    Damkerng Pathomvanich

  2. Yokobi Clinic Private practice, Yokohama, Japan

    Kenichiro Imagawa

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer Japan KK, part of Springer Nature

About this chapter

Cite this chapter

Yamamoto, K. (2018). Upper and Lower Trichophytic Closure with Wavy Two-Layered Closure for Optimal Hair Transplantation Scar. In: Pathomvanich, D., Imagawa, K. (eds) Practical Aspects of Hair Transplantation in Asians. Springer, Tokyo. https://doi.org/10.1007/978-4-431-56547-5_23

Download citation

  • DOI: https://doi.org/10.1007/978-4-431-56547-5_23

  • Published:

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-56545-1

  • Online ISBN: 978-4-431-56547-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation