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pluggy.
User deleted
QUOTE (LeetssAgoo @ 16/12/2005, 16:01)Hi Pluggy and wellcome aboard
I hope u ll get a great result by the frechet tecnique
Hey LeetssAgoo - thx for the nice words
Finally I was able to put some information regarding Dr. Frechet's invisible scar(s) technique together and make some comparison to other docs who use a similiar technique.
H&W are using the same method, but they term it Tricophytic closure. A term that was coined by Dr. Marzola.
Dr. Frechet told me that he examined his technique on 100 virgin heads and he was very successful in that.
Regarding repair cases like mine his results are not consistent and he did not have many cases yet. This means he achieved excellent results, mediocre ones, but failures as well.
H&W are using staples for closing the wound whereas Dr. Frechet is using a running superficial suture. Dr. Hasson explained to me that staples are superior as they don't put pressure on the wound edge from all sides. Except this their method seems to be identical.
Dr. Paul Rose is using exactly the same technique as Frechet (up to my knowledge), but at the time he presented his technique at the congress in Brussel in may05 he did not use undermining of the galea. He terms it ledge closure. Dr. Frechet told me that Dr. Rose is using undermining right now though. Then there is Dr. Marzola of Australia - he is cutting the upper wound edge instead of the lower one (this makes no sense according to Dr. Frechet) and his sample size on which he based his study was only 26 cases. I heard that Dr. Wolf of Ohio is using this new technique as well and even HT chains like MMG (Germany/Austria) seem to offer it right now.
The whole procedure consists actually of 4 key factors:- wound less than 10mm
The really new thing seems to be #3 cutting the inferior wound edge. This helps to bring a scar down to invisibility, which would have turned out to be 1-2mm if the conventional method had been applied. Invisible BTW means not visible to the naked eye, but visible under magnification.
- supra galea undermining
- de-epithelialisation of the inferior edge of the wound
- superficial running stitch
According to Dr. Hasson and Dr. Cole the underming of the galea is nothing really new therefore if it is not possible to close the wound without tension then the new closure technique itself does not make much sense IMO, the scar is still prone to stretch. Most important for a successful scar repair are still laxity and personal healing characteristics. If they are bad the new method won't succeed IMO. So the whole thing seems to be no miracle and only fittable for repair patients who would come out with a good result under the conventional technique as well.
The reason why I chose Dr. Frechet for my repair surgery was that he is one of the best in scalp lifts worldwide and therefore has been dealing with scars for decades. So he should be therefore the best in producing small scars.
I established a new homepage and put some important links on it. From there you can download some important documents which explain the procedure. I mainly got my information concerning the new technique by reading them:
Documents/explanations concerning Dr. Frechet's technique
Finally my status 3 month post op: I met Dr. Cole 3 weeks ago in London and he examined my revised scar. The good news is that it seems to be considerable improved, but the bad one is that it is not invisible. He observed several scar spots which will require grafting in the future. Furthermore he fears that it will stretch during the next few months. It's hard for me to figure out the actual status by myself, because looks like a mixture of schockloss, redness and then I have a second scar below. So I will wait at least 9 more month in order to draw a definite conclusion.
So hopfully that helped to give you a basic overwiew of this new trico procedure.
I will keep you updated.
Edited by pluggy - 17/12/2005, 17:46.
H&W ADOTTANO COME PROTOCOLLO LA NUOVA SUTURA TRiCOPHYTICmetodo frechet |