What is the best option for large size scalp scar due to Hair transplant plant necrosis? (Photos)

Question

Greetings, I have done Hair transplant surgery, the next day I had necrosis in large area. It took time to peel off and heal, and now its scar tissue with no hair. I was told by plastic surgeon that two options are available for treatment, several skin excisions sessions (5 times) or skin expansion using balloon (which I wish to avoid), he mentioned that hair transplant on the same area could cause a necrosis and advised me to avoid. I appreciate your advice on what would be the best option?

Jae Pak, MD · Answer

It is best to see a doctor in person for an examination for such a difficult case.  The options you were told are very reasonable.

Toby Mayer, MD · Answer

Larger scalp necrosis scar after hair transplant.  For 35 years I have used scalp expansion to remove large amounts of scar as described in our textbook. Anything short of this will give you a sub optimal results. See a very experienced  scalp surgeon who can show you many photos of his work with this procedure.

Craig L. Ziering, DO · Answer

It is true that both options exist. However, I believe that from personal experience a hair transplant would be more successful. If a transplant is done, the graft should not be packed too densely and several sessions would be preferred, providing their is adequate donor.

Benjamin C. Paul, MD · Answer

Firstly, thank you for sharing your photos.  I am very sorry you have had this result after seeking care to improve your hair.  I agree with my colleagues that scalp expansion with balloons (tissue expanders) is probably the fastest and best step.  Best of luck.

David Perez-Meza, MD, FISHRS · Answer

I agree about the two surgical options and my first suggestion and option could the tissue expansion then the possible serial excision. Also, it depends of the case but hair transplantation is very successful in several scarring tissue cases but it depends of the tissue and surgeon's training and experience. I have a very good friend of mine with great experience in tissue expansion and hair transplantation in Md.

What is the best option for large size scalp scar due to Hair transplant plant necrosis? (Photos)

Answers (8)

Answer: Options for your hair

Answer: Options for your hair

Answer: Necrosis in the recipient area

Answer: Necrosis in the recipient area

Recommended reading

Everything you need to know about Hair Transplant

Our mission is to create a world where every investment in modern beauty is Worth It.

What is the best option for large size scalp scar due to Hair transplant plant necrosis? (Photos)

Answers (8)

Answer: Options for your hair

Answer: Options for your hair

Answer: Necrosis in the recipient area

Answer: Necrosis in the recipient area

Browse related questions

Recommended reading

Everything you need to know about Hair Transplant

Our mission is to create a world where every investment in modern beauty is Worth It.