FUE or FUT Technique To Repair Old Scarring

Surgical hair restoration can be a good way of masking old scarring, be it from a previous hair surgery, cosmetic surgery, burns or other type of scarring. Unless the scarring can literally be removed, excised from the area a hair transplant can camouflage the area to leave less visible signs of the scarring

The position on the scalp, depth, thinness of the scarring, surface area to cover must all be considered. Different types of scar tissue will react differently and some is easier than others to place hair grafts into and achieve a good percentage of regrowth or yield

In some cases rather than place grafts into the scarring it would be possible to excise the scar tissue; this is determined by the size, shape and skin laxity and a high proficiency in closure techniques. Obviously a scar will still form from the closure and with good healing can be much less visible than the previous scarring

In this case it is common to also remove hair grafts at the same time surrounding and mixed in with the scar tissue. The hair can be removed from the scar tissue under magnification and then placed back into the scalp in an area of priority

Once healed, usually 12 months post procedure grafts can still be placed in the scar to camouflage it further

If englobing the old scar is not an option then hair can be placed into the scar tissue; graft placement density; it is considered to increase the graft survival rate a lower than average density is placed over the surface area to be treated, and if required at a later date the density can then be increased

A constant concern  when placing hair grafts into scar tissue is always the vascular properties in the scar tissue area; in general there is enough blood supply to sustain the growth of a hair graft as long as precautions are taken during the procedure; not placing too high a density, the depth of the incisions

The individual should be aware of the difficulties placing into scar tissue presents and on many occasions be prepared for the “repair” to be over multiple procedures; do not try to rush this as it may complicate healing and the yield that can be achieved

The time between sessions also is a factor, although the skin surface may have looked to have healed over 8 months it is better to postpone any further procedures for as long as possible, certainly 12 months

This is when FUT and FUE can be used effectively to gain the best result for the individual; the method of extraction differs between techniques and widens the potential to reach the desired result


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