(7 votes)
Last modified on Sunday, 13 September 2020 18:10

Strip scar repair is a demanding procedure that requires skill and experience. Follicular Unit Transplant (FUT) used to be the most prevalent form of hair transplantation. However, it always leaves a visible scar of unpredictable size. Not only does this impact natural appearing hair growth, but it also limits the patient's selection of hairstyles. Repair entails using Follicular Unit Extraction (FUE), today's leading hair transplant technique, to establish a realistic hair growth pattern and scalp micro pigmentation, a realistic tattoo that lasts up to seven years, to mitigate the scar's appearance. For many patients, FUE into FUT scar is the only solution to fix their GUT scar and is considered by them as a lifesaver. The patient's ideal result is the ability to wear their hair how they wish without any obvious signs transplantation happened.

FUE Strip Scar Repair 2013

Before making his decision to have his strip scar repaired by Dr. Cole and his team, our patient received discouraging news from the other hair restoration physicians he consulted with. One doctor said that FUE into a scar would yield so little hair, it would be a complete waste of money.

On June 18, 2012, our patient, received 1244 scalp hair grafts into his strip scars. Our video demonstrates the successful growth of these grafts 11 months post-op. On May 17, 2013, our patient received an additional 200 grafts into his scars to improve hair density.

FUE Patient Results from 10.17.2013

Our patient began with hair transplant surgery in 1995. At that time he received plugs and mini grafts. Fortunately, he got a relatively thin strip scar. To date, he has had two small procedures with Dr. Cole. His first surgery was in November 2005 and the next, in April 2007. In 2005 he received 779 grafts and in 2007 he received 500 grafts for a total of 1279 so far. Today, October 2013, he is having his final procedure. He is receiving 400 scalp grafts and 100 beard grafts.

Today, I used Hair Cycle Texture gel in an attempt to make the strip scar as visible as possible for the photo (see upper right photo) before his final surgery. The two previous surgeries have done a great job so far at filling in the strip scar to the point where a short haircut is possible without revealing the scar.

The lower right photo reveals some minor plugginess that will be addressed during today's surgery.


pic 2

FUE Scar Repair Results 9.29.2014

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. Dr. Cole has 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 improves 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 the 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.

Before the FUE scar repair:


17.scar before head

18.scar  before left

19.scar before front



5.scar after front

6.scar after close up

7.scar after left

8.scar after left2

9.scar after right

10.scar after right2

11.scar after close up

Read 10079 times
This comment was minimized by the moderator on the site

The best thing to do about strip scars is the just avoid them, anyone need to look and search for the best fue practice.
most patient for for fue these days, do you think that in the next 10 years the demand for scar repair will disappear?

This comment was minimized by the moderator on the site

Strip surgery will continue to be a large percentage of all hair transplant procedures for many years to come. We might even see a spike in strip surgeries as patients come to realize that many physicians, who offer FUE, are using unlicensed personnel to do the FUE harvesting or using a robot to extract the grafts. The results of these procedures by unlicensed individuals and robots are not as good as the results done by skilled physicians. The poor results obtained by these procedures may slow the FUE movement. Too many strip surgeons want to capitalize on the FUE demand so they are using robots and laymen to harvest their FUE grafts. It will take us time to train a new breed of physicians who place patient results and high quality surgery ahead of financial gain.

Dr. Cole
This comment was minimized by the moderator on the site

That is very impressive progress.
I'm male 40 years old, my hair starts shedding 2 years ago and I'm going bald now. I think I got that gene from my dad...It was very frustrated at the beginning but after 2 years I just decided to accept it and find a solution instead. I have been researching for a while about everything, I think transplantation will save my life.
Most of the case I read is about FUE but its quite expensive .. but it seems safe and delivers good result.. would you please advice me on this... as I read it's using new advanced techniques as well? And should I take FUE or FUT? Please reply or send me an email

Daniel Marc
This comment was minimized by the moderator on the site

Dr. Cole has developed cutting edge regenerative treatments such as Cytokine Rich Plasma (CRP), follicle stem cells, and microparticles. We are currently studying adipose stem cells for future treatments. The CRP increases density by 50% and prolongs the life of your hair. Dr. Cole is conducting studies on follicle stem cells. A clinic in Italy recently performed studies, and patients averaged a 22% increase in density. I attached the article - http://sci.amegroups.com/article/view/15436/15549

I discourage you from having the strip method. FUT causes traction alopecia. This will lead to more hair loss over time. FUE is far less invasive and yields a better result. However, the result really depends on the physician. If you have a strip, make sure it is a physician that has performed FUT for a long time. The same goes for FUE. There are many new FUE physicians out there today because fewer people want a strip procedure. These doctors are novices in the field and yield poor growth.

Nikolas Cole

Nikolas Cole
This comment was minimized by the moderator on the site

Strip or FUT is indeed cheaper but you don't want to go to that route. As you said, FUE combined with PRP and our stem cell treatments is a better and safer option, and in my opinion the only valid option. Maybe this video will convince you:

Please contact us at consults @forhair.com or click on the "online consultation" to send photos and information (on the top of this page), it is free and we will give you a better idea about your options, no obligations

There are no comments posted here yet

Leave your comments

  1. Posting comment as a guest. Sign up or login to your account.
Attachments (0 / 3)
Share Your Location
No Internet Connection