How does scar grafting work?

I need to repair my FUT wide scar, How does scar grafting work? Can it really conceal scars? You asked Forhair, here is the answer.

Category: General Hair Transplant FAQs

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Scar grafting, as the name implies, is a procedure grafts hair in and around a scar to obfuscate its appearance and improve its pigmentation. Patients should know that transplants onto scar tissue do not have as high of a retention rate as regular tissue, sometimes requiring Dr. Cole to schedule several procedures to deliver the best possible results.

Any scalp scar is a candidate for scar grafting; accidents, hair transplants by other clinics, and aging hair transplants. The latter two also pertain to plug redistribution, when a specialist redistributes transplant plugs that are either apparent after another clinic's procedure or have become obvious with time. Many patients require both procedures to revamp or update their transplant, but scar grafting is currently more common due to the prevalence of FUT.

Hair transplants have come a long way in the last 20 years. FUE, the most recent transplant method and the least likely to leave scars, is now prevalent enough that almost every patient can enjoy it. FUT, though, which leaves a large orbital scar, was prominent before and during FUE's proliferation. Many surgeons still advocate for FUT; Dr. Cole even still conducts the procedure on occasion for those who prefer it over FUE or CIT®, though, cases where he recommends the procedure over other transplant types, are rare. Several other types of transplants can leave noticeable scars too, often far more severe than FUT.

Dr. Cole uses Cole Isolation Technique (CIT®), his unique FUE variant, to graft follicles around scars. Uniquely suitable for scar grafting, CIT® extraction leaves follicular stem cell remnants that can then, with the application of ACell, regenerate 30% to 40% of donor follicles. The added density is of substantial benefit to anyone in the middle to later stages of hair loss: just imagine 300 to 400 new hairs for every 1000 single extractions. CIT® is the only FUE variant that leads to follicular regeneration, making Forhair a prime clinic for this reparative work. Learn more about scar grafting by contacting us or scheduling a consultation today!


Scar grafting conceals the appearance of a strip scar (or other surgical or accident-related scars). Dr. Cole places grafts directly into the scar via his CIT method, improving the density of hair in the scarred region and adding pigmentation to lessen the scar's noticeability. Grafts placed in scar tissue will generally not have as high of a yield as those placed in virgin scalp; exactly why it is vital a specialist conducts the scar grafting. Further, many patients require more than one session to achieve their ideal results.


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