Scar Grafting

As we noted in the section on strip hair transplants, the strip method results in a linear scar on the back and sides of the head.  In some cases, this scar may widen significantly, sometimes to disfiguring proportions.  This may occur due to an overly tight scalp, too low a placement, or poor surgical technique.  In some cases, these scars may be concealed by hair, but for others, the scars can be obvious and cause great embarrassment and emotional distress.  For a long time, the only treatment option for this was a scar revision.  Scar revision is simply another surgery designed to remove the existing scar, with a scalpel, and close the wound again with sutures or staples.  Unfortunately, this method often resulted in a scar just as prominent, and sometimes even larger, than the original one.

Thankfully, there are now other, more consistent, methods for dealing with linear scars.  It is now possible to camouflage the scar by transplanting hair, from the scalp, body or both, into the scar.  We recommend utilizing scalp hair taken by the CIT® hair transplant, rather than body hair, as scalp hair tends to yield better and more consistent results.  Sometimes, when there is an inadequate donor supply of scalp hair, body hair will be the only option.  It is unnecessary to achieve the same density found in the area around the scar, only to add enough hair to break up the appearance of the straight, shiny scar.

It is important to understand that scar tissue may not grow hair as well as virgin scalp regions. In other words, the growth yield may be lower than with a regular hair transplant.  Additionally, it will often take more than one procedure to achieve the level of density needed to fully hide the scar.  For some patients, this procedure requires patience and diligence in order to achieve the desired final results.

My hair is growing and is seems to get thicker by the week. The hair in my scars are also growing! The hairline looks great and I could not be happier unless I grew all of my hair back.

Camoflaging Strip Scars

Scars in the donor area from strip harvests may be problematic for many men. They may be short or run from ear to ear. Sometimes they widen over time, occasionally to more than two centimeters, which is deforming. This is usually due to an overly tight scalp, too low a placement, or poor surgical technique. They also change the direction of hair growth below the scar, relative to above the scar, which may cause a “shadow” of the linear scar to be evident even with the hair grown out somewhat.

IN order to minimize the appearance of scars, several strategies are available. There are cosmetics such as Dermatch, which may help disguise the scar. The hair may also be grown out fairly long to attempt coverage. This, of course, may not be an option for those with an over harvested donor region.

Surgical scar revision may be attempted, often without success. This consists of excising the scar and them suturing up the wound, hoping that the resultant scar will look better than the original one. This can work in some instances; however, if the condition that led to the scarring is not remedied, then even the best revision may fail.

Grafting into the scar is another option. Because yields tend to be lower in scars, this may take more than one surgical procedure over many months to have a significant cosmetic effect. Either body or scalp hair may be used; scalp hair is generally a better choice if it is available.

Scar repair Resources

Scar Repair Results- Examples

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Cole Hair Transplant is located in Atlanta at 1045 Powers Place, Alpharetta, GA, United States and provides hair restoration to patients worldwide. We offer high quality FUE Hair Transplants and hair loss solutions

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