FUE White Dot Scars - Options to Fix It?

Question

I have terrible fue scarring after 3000 grafts and wonder what I can do about it. 1.Fraxel laser to see if the white dots blend out and golfball surface from where the grafts where taken. 2.Make slit in the white dots and fill with Acell to create new tissue growth. 3.Bodyhair to the scars but that will not make the white dots go away.

Amir Yazdan, MD · Answer

If it has been less than 2 years from your procedure I think you should wait and see if it improves.  If it has been longer, the best results I have seen is with scalp micropigmentation which is something we do in our office and have received excellent results. Trying to implant hairs into the dots I have found to not work so well.

Ozge Ergun, MD · Answer

Dear Steven_losangeles
Thanks for the question. No permanent scars are left after the FUE hair transplant operation. I wish you all the best.

Jae Pak, MD · Answer

I fix FUE scars routinely at my clinic with Scalp MicroPigmentation.  FUE is not a scarless surgery.  Scarless is just marketing. Fraxel or Acell do not work from my experience of seeing people who have tried it with other doctors.

Sanusi Umar, MD · Answer

Adding body hair to the dots might help; however, the white may remain. How long has it been since the surgery? If it has persisted beyond two years, you should consider micro pigmentation tattooing. If it is still early, it is always a good idea to wait at least two years since it may improve to your satisfaction in that time period.

Dilan Fernando, MBBS · Answer

There are 2 mains ways to fix this issue. You could wait for the surround hair around these small scars to grow and conceal them. Alternatively you can have scalp micropigmentation to the affected areas which can have some amazing results.

Pramit Malhotra, MD · Answer

You can undergo scalp micropigmentation for your scars.  I would not advise any other therapies at this point.

Hassan Nurein, MD · Answer

Unfortunately there is no way of removing these tiny scars. But micro-pigmentation can be considered to hide them.

John Peter Cole, MD · Answer

I would begin with scalp micro pigmentation.  I would begin by doing this in a two day session.  Then follow up in one month.  Next after 6 months, and then have a check up in one year.Acell in the extraction sites will not help.  BHT in the extraction sites can be useful alone or in combination with SMP.  The issue is whether the BHT will grow.Trust me, you are much better off with white dots than a strip scar.  You can't repair those ugly things, but you can almost totally eliminate white dots.  FUE is by far the better solution over strip harvesting.

D.J. Verret, MD · Answer

Unfortunately you are experiencing one of the unadvertised results of follicular unit extraction. Anytime the skin is cut there will be a scar - no ifs, ands, or buts about it. In the case of strip harvesting this will be a linear scar. In the case of FUE, there will be white dots left behind. These white dots are hypopigmented areas and will never fill back in. You have a couple of options. First is medical tattooing of the area. Second, you can perform a laser resurfacing procedure to lighten the surrounding skin and make the white dots blend better. Third, longer hair will cover the scar. These and a couple of other options are all subject to your particular problem and skin color. I would recommend talking with a plastic surgeon or facial plastic surgeon who performs hair transplants to further discuss your options.

William Rassman, MD (retired) · Answer

The ON:Y fix I know for treating scalp scars including FUE scars, is scalp micropigmentation which works wonderfully as can be seen on our website in web reference below. The FUE scars you are talking about are minor compared to the larger scars of a similar nature shown on the website. .

FUE White Dot Scars - Options to Fix It?

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