Revision Hairline Lowering or Transplants to cover scar?

Question

I had a hairline lowering over a year ago and I’m devastated by my results. The scar is unacceptable. Indented, raised, lumpy, thick and visible. No hair growing through whatsoever!! I literally cannot wear my hair up and I’ve lost all self-esteem and will to go on :( I want to get rid of/conceal/minimize this scar! No one knows I got this done so I to hide the scar. Should I do a revision w a skilled surgeon or should I get grafts?

Zoran Potparic, MD · Answer

One could consider a more irregular, zig-zag scar along the hairline, as a part of scar revision. Since it is done in particular manner to allow hair follicules to stay intact and hair to grow through the scar, it may create improvement in your case; it is done in local anesthesia with minimal downtime. Hair transplant may be another option for which I do not have good answer? Hope this helps. Good luck.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Revision Hairline Lowering or Transplants to cover scar?

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Revision Hairline Lowering or Transplants to cover scar?

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