FUT scar: I had a major FUT transplant 3 month ago, most of the scar healed good except for this area. (Photos)

Question

This area is about 3cmx1 cm. I don’t know why this happened doctor said that it was a tight closer on this side now 3 month later and it still not healed. Please help

Ken Anderson, MD, FISHRS · Answer

Dear mkila212,
Thank you for writing in with this question. What is happening on your scalp is 100% NOT typical for hair transplant surgery. There has been abnormal healing of your scalp. It certainly appears as though the closure was tight, given how stretched the scar is in that area 3 months following your procedure. A diagnosis requires an in-person evaluation with a physician. To me it appears to be post-surgical granulation tissue. This will almost certainly require further surgical intervention to correct. I suggest you seek a facial plastic surgeon who has experience in scalp reconstruction as your next step, and be seen for evaluation. He or she will outline the next steps to be taken. I hope this information is helpful to you. 
Kind Regards,
Ken Anderson, MD, FISHRS

Daniel J. Lee, MD, FACS, ABHRS · Answer

Dear mkila212,
Obviously what you are seeing is not normal for a hair transplant scar.  There is growth of abnormal new tissue in the scar which is beefy red in some areas.  This appears to be granulation tissue.  It can occur on the surface of any wound during the healing process.  In your case the scar is wider than usually seen for a transplant procedure and was likely caused by a tight wound closure.  In order to get proper diagnosis you should see a physician with experience in wound care.  More than likely you will need a surgical procedure to remove the excess tissue.
Sincerely,
Daniel J. Lee, MD, FACS

Tim Neavin, MD · Answer

This is abnormal healing.  Tight closure is always an enemy of healing.  In this circumstance, I urge you to follow up with your doctor and se if he or she can come up with a good solution that makes sense for you.

William Woessner, MD · Answer

That scar is not likely to change now. You should consult your surgeon - on another one who you trust - and talk about a small transplant into the scar.

Karl Hekimian, MD · Answer

This is not normal healing and does not look like it is moving in the right direction since your previous post.  You need to go see your surgeon for evaluation and treatment

Daniel Danyo, MD · Answer

The scar changes will require reevaluation by your surgeon ASAP or another surgeon skilled in managing scalp wounds.  First, there is a large eschar (dead tissue) which needs to be debrided.  Secondly, the raised reddened areas need to be evaluated/treated for hypertrophic (thickened) scarring or an abscess.  This will likely require frequent wound care and follow up until the area is completely healed.

William Rassman, MD (retired) · Answer

There appears to be both a widening of your scar and possibly some necrosis in the wound with over-active granulation tissue reaction to it as the necrotic skin will shed shortly. A surgeon should clean up this wound

Randy Dean, MD - Account Suspended · Answer

Hi and welcome to our forum!
I am sorry that you are experiencing a complication  of the procedure. Delayed healing usually results from a tight closure, poor blood supply, or development of infection. 
From your photographs, there appears to be significant crusting about the wound itself, suggesting less than optimal wound management. The crusting can harbor an underlying infection. There appears to be healthy granulation tissue (the beefy red tissue) which suggests good blood supply to the area. Wound care is extremely important at this time.
I recommend reevaluation by your surgeon. Debridement of the crusting is recommended followed by intensive wound care  If shrinkage and sealing is not accomplished, a secondary procedure is occasionally required.
Best wishes...

FUT scar: I had a major FUT transplant 3 month ago, most of the scar healed good except for this area. (Photos)

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