Can scar revision with artas or neograft conceal a hair transplant donor strip scar?
Doctor Answers 11
Can a linear donor scar from a hair transplant be concealed with FUE?
For scar camouflage, options are:
1) scar removal and revision by an highly experienced scalp surgeon if indicated, with or without tissue expansion
2) FUE into the scar; typically 2 or more small sessions will be required
3) following FUE the scar to provide some texture, the skin of the scar, which is typically lighter than the surrounding skin of the scalp, can be tattooed with a specialized scalp micropigmentation procedure (SMP), which are temporary tattoos that will need to be revised about once every 2 years or so.
However, as you mentioned that you'd like to "shave my head" following a linear strip procedure and have the donor scar be "undetectable", this is not likely ever to happen. This is definitely something your hair restoration surgeon should have disclosed to you prior to you signing up for surgery. These techniques can help to decrease the visibility of the scar, allowing for shorter hair styles, but following a linear procedure, is it typically not possible to shave your head without the scar being at least a little bit noticeable, despite the techniques mentioned above. All scars are, by definition, permanent, as your physician should have mentioned to you as well.
Options for Scar Revision
All of these options will help minimize the scar. It is unrealistic to think it will become "undetectable" with any repair procedure if the head is shaved.
Yes it can make it much better
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Transplanting into Scars
1. Follicular units can be put into the scar to try to camouflage the appearance of the scar. This is essentially a small hair transplant done by FUE into the scar.
2. The scar can be tattooed using scalp micro pigmentation (SMP).
Considerations in Fixing Scars Using FUE
Not completely You will Always See the Scar
Think about it. You are having a hair transplant to the scar. Then you are SHAVING it. This is not going to hide your scar. You will still have the scar and the transplanted hair may even make your scar look worse as the transplanted hair will not completely match your surrounding hairs in texture and hair direction. Furthermore, your FUE scar will now be an issue with tiny white dots (when you shave your head).
FUE to the transplanted scar can work if you keep your hair long, but it will not work if you shave your head.
Even Scalp MicroPigmentation (SMP) which I perform at my clinic will have limitations. You can see all my before after photos on this site and my website but YOU WILL STILL SEE THE SCAR in certain lighting and angles. No treatment will make the scar undetectable. The goal is to make the scar less detectable and not noticeable to the general public at a casual glance.
This is why you need to see a doctor for a realistic assessment.
Scaring after FUE
So it is very important to chose an experienced doctor and discuss the options in detail to make sure it meets your concerns and expectations.
Scar Revision after Hair Transplant
Scar Revision with FUE
There are also other methods to improve some of the scars in the donor area such as simple exception (revision) of scar and SMP or introducing pigments that resemble hair into the scalp scar.
Laser scar revision first and FUE transplant second
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.