Any treatments for covering up plastic surgery bald spot? (Photo)

Scar repair on the scalp can be performed with a number of different methods.  Generally scars can be re-excised and closed with a technique called trichophytic closure which allows hair to grow through the scar masking it.  Other times the FUE technique can be used to extract hair follicles from other regions and transplant those follicles into the scar.  It's best to meet with a qualified hair restoration surgeon that can examine your scars, your scalp, and discuss with you the best option.

In most cases, hair transplant to scars or patchy bald areas may not completely cover the scar and you must understand you may need a second follow up surgery for desired coverage.  Of course this may vary based on how you wear your hair and how long you keep your hair.In your particular case, the doctor may want to "test" the grafted area to make sure a transplanted hair will take and grow.The method of harvesting the hair is between you and the surgeon.  There is no right or wrong / better or worse.Scar revision (base on your photo and your history of skin grafting) is not advisable. Finally Scalp MicroPigmentation (SMP) is also an option for addressing the scar (with or without a hair transplant).

I would prefer to perform FUE hair transplantation using NeoGraft if the scar can @take@ the graft.  Scars come in different forms.  If the scarred scalp feels mobile then there is likely enough tissue to hold a follicle.  With some resections, the subcutaneous tissue is removed leaving a paucity of good tissue for grafting.  If not, tissue expansion is an option but its a 2 stage procedure and you will have a head deformity for a couple months.  An evaluation by a board certified plastic surgeon would be helpful.

The best treatment for this is something we pioneered 35 years ago. It is call Tissue Expansion to creat enough skin with hair so as to be able to totally remove the scar and replace it with normal scalp. Hair transplants do not grow well in scar and I would avoid that.

Greetings,Your area of hair loss can most likely be treated with hair transplant, scar, revision, or a combination of both of these techniques depending on the laxity of your scalp.  A full in-person evaluation would be necessary to make more specific recommendations.Good luck!

There are many ways to treat a scalp scar including:Removal of scar and closure with trichophytic closure.  That allows us to minimize the visibility of scalp scar by bringing new hair into itThe other option is to harvest hair from other areas through FUE procedure and implant into the scar.  Scar visibility is usually due to the contrast of the scarred area and the neighboring areas with full density.The last option is SMP or Scalp Micropigmentation that can put dermal pigments into the scar and minimize the contrast of it with other areas and improve its visibility.

Surgical scalp scars, including those from skin grafts, can be suitable for hair transplant surgery to restore hair cover. The scar needs to be mature which can sometimes take a year or more, and there needs to be enough tissue between the scar and the skull. It might take several procedures to build up the density of the hair coverage.

There are few experts who can treat such abnormalities and one is Dr. Sheldon Kabaker in Oakland who is a real expert in these types of wounds. I would write to him.

Scalp expansion for 6-8 weeks followed by a flap reconstruction could give you complete coverage. I've done these procedures since the early 1980's. No two cases have been alike. Hair direction is often a key issue, especially in the temples. 

The only way to remove this scar and replace it with normal hair is the use of the tissue expansion technique which we developed many years ago and described in our medical textbook on hair replacement surgery. Hair transplants will not provide good growth in scarred tissue like this.