I have scars on my head from an accident and ruined my hair line. What must be done to have a normal hairline again? (photos)

You can consider Hair Transplant surgery with Scalp MicroPigmentation for surgical scars.  Many men and women with your scar can add hair to the area with a hair transplant surgery.  If the contrast between hair and scalp is too great, you can also consider Scalp MicroPigmentation.The method of harvest depends on the doctor and your goals.  The results are what matters.Many doctors push FUE or Neograft or ARTAS claiming "no scar" or "minimally invasive". You are a woman who probably will not likely shave your head.  FUE or Strip will not really matter in donor harvest.  FUE surgery will actually require you to shave your head.FUE (follicular unit extraction) is just one surgical technique in harvesting the grafts. It has nothing to do with the end results. Many companies or doctors promote FUE, ARTAS, and Neograft because the technique of harvesting the graft does not leave a linear scar on the back of your head. FUE leaves hundreds or  thousands of dot scars. These dot scars are not usually noticeable with a short hair cut. If you are ever considering shaving or buzzing your hair shorter than a #2 guard, FUE method of harvest is recommended.

Thank you for the photos.  I would tackle this 2 ways.  One, I would punch out the scar using 1 mm punches.  This will allow the scar to shrink.  Simply cutting it out will likely result in a  wider scar in a year.  The second thing I would do is transplant hairs into the scar using NeoGraft (automated FUE).  This combination is the most powerful one to improve a scar of this nature.

I have done this surgery for 35 years with and without tissue expansion. This will give you the best results. See a very experienced scalp surgeon. 

It appears that your scars are fairly extensive. My solution would first be to excise as much scar as possible. Then as a second procedure have hair transplants with FUE (follicular unit extraction) technology. I prefer the NeoGraft technique as many more grafts can be done at one sitting. This should virtually eliminate your scar, and your hair line can be created to appear completely normal. The NeoGraft procedure is minimally invasive and the recovery time is minimal. 

I have treated numerous patients with your type of problem over the years. Hair transplantation is usually the best solution. Hair transplants tend to do okay in scar tissue. The critical factor is the thickness of the scar and can only be determined by physical exam. The area of the scar must be thick enough to accommodate the transplant.

You have a couple of options.  First is to have the scars excised and then close the wounds.  This may require tissue expansion to get adequate coverage.  You will still have scars but less noticeable.  The other option is hair transplant.  It would likely work but there can be issues with graft survival in scar tissue.  An exam by a board certified plastic surgeon is in your best interest.  Good luck!

These are the types of problems that good hair restoration surgeons address. There are many good such doctors in Florida where you live. You can travel to California and I would be happy to evaluate you and give you recommendations for treatment.

You can contact a hair transplant  specialist for a consult.  You may be a good candidate for hair transplant to cover the scared areas. 

You can restore a normal hairline by excising the larger scars and refining the result with micrografts (one and 2 hair transplants). You will then have total freedom of hair styling.

You should be examined by a surgeon who has experience both in scalp scar revision and hair transplantation. There are few such individuals. If cost is no object, a combination of procedures could give results that make scarring hard to detect and improve eyebrow position.