Does CIT cause scarring?

There is no doubt that strip surgery (FUT) leaves a wide scar that can stretch in time and cause many problems but does FUE or Cole's CIT cause scarring in the donor area?

Category: FUE / CIT Hair Transplant FAQs

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Scarring from hair transplantation was common and pronounced until the advent of Follicular Unit Extraction (FUE) variants that minimize it, of which Cole Isolation Technique (CIT®) is one. In fact, CIT® is actually among the least intrusive methods available, adding a number of unprecedented benefits.

After results, of course, scarring is probably the first concern that patients voice. They are also right to ask about scarring. FUE, conceptually, is far superior to the second most recent option, Follicular Unit Transplantation (FUT) because the latter's visible lateral scar and inferior precision in graft placement.

However, the effectiveness of FUE depends on both the surgeon and clinic. Less experienced or incompetent FUE surgeons will almost always leave a pattern of scarring that patients like to moth hole patterns in garments, not to mention have less success implanting the actual grafts themselves.

A pioneer of FUE since before the 2000s, Dr. Cole is among the most experienced and renowned hair transplant surgeons worldwide. This is due to the top-caliber results his patients enjoy, of course, but also his emphasis on research and innovation. Cole Isolation Technique (CIT®), Dr. Cole's namesake FUE variant, is among the least intrusive hair transplant options in the world. This emphasis on the slightest amount of invasion possible offers a number of unique benefits that only CIT® recipients enjoy. Minimal to no visible scarring is one such advantage.     

Scarring from CIT® by Dr. Cole is very rare to nonexistent due to a number of factors. First, and as already mentioned, Dr. Cole's acumen means he is very familiar with good practices that minimize scarring. This is perhaps the most critical part of choosing a surgeon: demonstrable skill. Further, Dr. Cole has both researched and clinically tested a number of instruments and post-procedure haircare to further minimize scarring. In the very rare case that patients have noticeable scarring, however, Forhair offers Scalp Micro Pigmentation, a technique excellent for masking scars, for free. Learn more by visiting our CIT® webpage or contacting us!


It is difficult to predict how different patients will heal following any type of surgical procedure. In some patients, CIT can leave small white dotting, known as hypopigmentation, in the donor area where follicles have been removed. However, CIT scarring is typically undetectable, particularly if you maintain a few centimeters of length in the surrounding hair, and certainly not as noticeable as a linear strip scar.


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