Surgical Scar Revisions

Scarring will occur with any hair transplant and the patient has a degree of responsibility during the first weeks and months after the surgery to try and ensure the best healing; some is out of the doctor´s or patient´s hands and related to the natural skin healing properties

Scarring can increase if the procedure has been performed too aggressively and safe donor management should always be the priority; not to over harvest the area with the FUE technique and not too large a strip with the FUT technique

Mild Scarring Caused By A Skin Condition And Repaired With A FUT Hair Transplant

Mild Scarring Caused By A Skin Condition And Repaired With A FUT Hair Transplant

The skins natural laxity will go a long way to determine how long and wide FUT can harvest; if the skin is too tight or too lax it can have a negative effect when healing; although a slightly tight laxity generally will allow for a neater closure

If the linear scar does stretch back the scar area will increase, this can be distressing for the individual and impair the quality of the donor area; there are a number of surgical options that can help to revise the area if this occurs

In some cases if the laxity allows and dependent on the size of the area a new strip can be removed that englobes the old scar and then closed; with proficient skills and suturing this can leave a much smaller line and with the latest closure techniques hair can regrow through the line to break it down further

If the area does not allow for a strip revision, possibly the size or shape, or the position and laxity do not allow then the FUE technique can be utilised. This will not remove or change the scar surface area but by adding hair over the area can camouflage

FUE can use either scalp hair or body hair to add density to the area; the hair can be harvested from around the safe donor area and then placed into the scar tissue; by definition the skin has been impaired and although the area will be vascular the healing properties will be impaired

Placing too high a density initially may impair the skin further and result in a lower growth rate of the hair; it is advised to start by placing a lower hair density and then if required increase the hair density with a second procedure; around 12 months should be left before entering the same area to allow for optimum healing and access the hair yield

In older style harvesting methods such as punch grafting that leaves multiple cylindrical scarring over a wide area FUE may not be possible; the density of hair has already been reduced and removing more will thin the area further

In this case excising with a strip can remove the multiple scarring in one go and leave a single line; this is possible because there has been much less changes to the skin laxity caused by the punch grafting. This is allows for grafts to be harvested at the same time and either used to place into any further scarring or if required to rebuild areas of hair loss over the top of the head

Repairing scarring, be it caused by a previous hair restoration or any surgical procedure or burns is a specialist activity; requiring a high level of skill and understanding how scarring forms and heals

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