The need to use the Trichophytic Closure Technique after donor area extraction is determined by the amount of transection of follicles during removal of the donor tissue. Most individuals will not need tricophytic closure when hair transplant surgery is performed by Dr. Brian Goertz. Tricophytic closure has been used as a marketing term by some unethical hair transplant practices. Trichophytic closure is not without side effects and can result in ingrown hairs in the donor area.

Most individual’s follicles exit the skin at the same angle, and with Dr. Goertz’s extraction technique there is almost no transection of follicles beneath the surface of the skin. Some individuals have follicles arranged at all angles making transection impossible to eliminate.

Note: These individuals are also poor candidates for FUE.

In these patient’s tricophytic closure of the donor area is of benefit and can reduce the evidence of a linear scar. Trichophytic closure is performed by taking a small amount of tissue at a 45 degree angle at a precise depth and width to maintain the integrity of the follicles. This will allow for hair to grow through the scar. If performed incorrectly, trichophytic closure can actually increase the width of the scar. Dr. Goertz has seen many individuals with scars and ingrown hairs from other clinics in which trichophytic closure has been performed incorrectly.

Most individuals do not require trichophytic closure and it is a decision made by Dr. Goertz at the time of donor harvesting, based on what is best for the patient to obtain the most natural results. At time of your consultation with Dr. Goertz please discuss need for tricophytic closure if you have additional questions.