Our patient came to us looking to improve the appearance of his strip scar. This patient had previously undergone 4 strip surgeries at another clinic, causing a 21cm wide and 2cm high strip scar. With each subsequent strip procedure, a patient increases his risk of a larger strip scar. The patient came to see Dr. Cole to have hair grafted into this region. 5cc of ACell was injected into the scar along with the 443 scalp hair grafts. Dr. Cole has found that the administration of ACell and PRP during transplant surgery improve the graft survival rate. When performing scar grafts, a low-density placement of hair during the first surgery is beneficial for both graft survival and blood supply, thus setting an optimal environment for placement of future grafts. The benefit of added density is an improved appearance when hair is worn in a shorter hairstyle. The goal is to make the scar blend with the rest of the patient’s hair. While some of our patients have told us that other hair transplant physicians do not recommend scar grafting as a means to strip scar repair, we can only conclude this advice is based on the concept that scar tissue will not grow hair. However, as we have seen with our patients, this is simply untrue, especially with the addition of ACell and PRP. This patient has quite an improvement in his strip scar even with as little as 443 hair grafts.