Hair Transplant on scar after hairline lowering surgery - Should I go for FUT or FUE?

Question

I had hairline lowering surgery 2 years ago and have been left with a visible scar (worse on one side as shown on the photos). I am now wanting a hair transplant to cover this. I have been to several surgeons who have given me different advice. I would like to hear from surgeons who have experience in either surgeries on which transplant you think would be more suitable for my case, FUT or FUE? And how many grafts would be needed to cover it? I am a 20 year old female with thin hair.

Jeffrey Epstein, MD, FACS · Answer

This is not a typical result after hairline lowering surgery, particularly how wide the scar is on the right side.  It is my recommendation that you first undergo a revision hairline advancement to achieve a much finer line scar, then as soon as three months later, if there is still scarring, at that point grafting either through FUE or FUT can be performed, that will also allow for more rounding out if desired.

Toby Mayer, MD · Answer

Hair transplants or excision of the scar with proper closure with the Irregular Trichophytic closure? You don’t been grafting -only revision. This is a procedure I developed 40 years ago. This leaves an undetectable scar(see below). Transplants don’t grow well in scar tissue!

Kapil Dua, MBBS, MS · Answer

The previous scar seems to have been closed under tension as a result of which it has become like this. There are two ways to go about it: 1. Scar excision and having a thin linear scar in which transplant can be done.2. Direct transplantation into this scar.Since the requirement of grafts is less, you may go in either FUT or FUE from an experienced hair transplant surgeon

Matt Tahsini, MD · Answer

Hello and thank you for your question. Yes you can cover up this scarring with a transplant. In my opinion a FUE would be your best choice. I do advise you to get a very experienced doctor to do the procedure, you don't want/need further complications by someone not doing it correctly. Best wishes.Dr. T

Richard W. Fleming, MD (retired) · Answer

I've never seen aa scar like this after the Irregular Trichophytic Hairline Incision technique that I developed and described many years ago. I suspect this is secondary to closing the wound under too much tension. I recommend an excision of the scar and a refined closure for a quicker and more natural result. It will be very difficult to achieve natural hairline density with grafts in this large scar.

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Hair Transplant on scar after hairline lowering surgery - Should I go for FUT or FUE?

Answers (6)

Answer: Hairline scarring

Answer: Hairline scarring

Answer: Transplants in Scar after Hairline Lowering

Answer: Transplants in Scar after Hairline Lowering

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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.