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Since it was difficult for patients to directly assess their donor scar, we used an indirect method that we labeled donor area cosmesis. This had three components; visibility of the suture material in the immediate post op period (0 2 weeks), the inability of the patient to wear his hair as short as he had been accustomed to in the more extended post op period (4 8 months) and, finally, any perceived hair loss along the suture line. Only two patients had post operative complaints regarding cosmesis, both related to visibility of the actual staples through the hair.

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