Non-Scarring Hair Transplant

 

Scarring can occur in two area of the scalp, either the recipient area where the hair is placed into small recipient sites or slits or in the donor area where the hair or follicular units are removed from. How Visible Is The Scarring? (Assuming both techniques are performed proficiently along with careful post-operative care by the patient)

In the donor area, where the hair is removed from there are 2 recognised techniques of harvesting the follicular units, FUE and FUT; they differ in the manner the hair is extracted and require different donor management protocols

FUT, The FU´s are removed in a single strip of hair bearing tissue, the sides are brought together and sutured or stapled with inner and outer closures to aid healing and closure. The staples/sutures are removed around 10 days post-operation; once healed over a few months a fine line should be left and with the latest closure techniques hair can regrow through the line to camouflage further

FUE relies on a cylindrical punch surrounding each FU individually, making a punch incision and then the graft is removed: the punch marks left heal over a couple of weeks, the scarring shrinks and can leave small white dots over the surface of the donor area, dependent on skin physiology some are more visible than others

The punch diameter ranges from around .75mm to 1.1mm and can depend on the size of the FU or simply the preference of the doctor; the cylindrical or white dot scarring is hard to see when the hair is brushed through; it can resemble chicken pox scarring

A problem if the hair is cut too short is the randomness of the scarring, or lack of it, and it can appear cosmetically made. The larger numbers removed the harder it becomes to manage the extraction protocol and scarring can become more visible

Hair length can be an issue with both techniques; a visible thinning of the donor with FUE and a slight line or kink in the hair direction with FUT

The harvesting method is not a matter of taste but a matter of necessity. Each patient will have different characteristics and these should be taken into account when deciding on the best technique that should be employed

In the recipient area, when performed proficiently there should be no visible signs the hair growing from the scalp was not always there, with the slit healing well, leaving no pitting or ridging in and around the area of placement

Making the recipient sites requires skill to ensure the slit is made deep enough, but not too deep, wide enough but not too wide, and close enough together ensuring density but not too close to create trauma and impair healing

Visible scarring is always a concern with any surgical procedure and no less a concern when considering surgical hair restoration, a hair transplant procedure, be it using the FUE or FUT extraction techniques

With either technique it is easy to hide the scarring with minimal hair length, but too short a hair style and it can become visible. This is important to understand that regardless of technique some degree of scarring remains, albeit minor

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