Hair Transplant Over Scar

Overview

Hair doesn’t naturally grow in scar tissue because there aren’t any hair follicles in a scar.

The hair follicle transplantation on the scar tissue is more difficult than grafting on normal tissue because the scar is accompanied by poor blood circulation and stiffness of tissue. It’s not like regular skin at all, so scar tissue can’t accept a typical hair transplant where hair is inserted into existing follicles. In order to transplant hair onto a scar, a surgeon will graft hairs that are still contained in their follicles into the scar. This lets the hair begin taking root and growing again once they make contact with blood vessels.

Conditions

Some indications are:
  • Accidents
  • Burn
  • Surgery
  • Tumors
  • Scarring alopecia
  • Post-traumatic scars on the scalp in visible places
  • Postoperative scars
  • Post-traumatic scars on the eyebrows
  • Post-traumatic scars on the upper lip
  • Visible scars in other areas of the body that are preventing hair growth

Reasons & Challenges

What is the reason behind it?

Scars present in the scalp, beard or eyebrow can be concealed with hair transplant surgery. Today, it’s possible to have natural-looking results to those who seek to look better or younger by undergoing hair transplants.

What are the challenges or special considerations while operating in such conditions?

 

An insufficient blood supply can affect both the growth rate of the hair and the grafts’ chance of survival. The blood supply of scars on the scalp can vary significantly according to their type and so there is no guarantee a hair transplant can completely conceal a scar. Hair transplants on scar tissue require close aftercare to make sure they implant successfully. You may also need multiple procedures because of the initial lack of blood flow to the area. If the scarring is accompanied by severe tissue growth, the excess tissue must first be removed. Rare complications include: infection, intense pain or itching, pus or fluid draining from the surgical area, crust forming around the surgical area, further hair loss.

Techniques of Hair Transplant

DHT

Direct Hair Transplant

This is the most advanced technique of hair transplantation. individual grafts are harvested from the donor area using fine punches of calibre less than 1 mm and are transplanted into bald area within 2-20 minutes of harvesting so that grafts do not get damaged during storage process in other techniques like follicular unit extraction (fue) and follicular unit transplantation (fut). Since all the hair grafts survive, maximum density is achieved only with direct hair transplant (dht). This technique does not involve use of sutures/stitches and there is no visible scar after the procedure.

Read More

FUE

Follicular Unit Extraction

In follicular unit extraction (fue), each hair graft is removed from the donor region one by one using fine punches, and implanted one by one into the recipient site. the site from where grafts are taken heals in 2-7 days without apparent scarring. this is also stitchless method of hair transplant. the major disadvantage of follicular unit extraction (fue) is long storage time of grafts outside the body (usually 3-6 hours) due to which 10-40% grafts do not survive and grow. this results in poor density and un-natural look after hair transplant.

Read More

FUT

Follicular unit transplantation

In follicular unit extraction (fue), each hair graft is removed from the donor region one by one using fine punches, and implanted one by one into the recipient site. the site from where grafts are taken heals in 2-7 days without apparent scarring. this is also stitchless method of hair transplant. the major disadvantage of follicular unit extraction (fue) is long storage time of grafts outside the body (usually 3-6 hours) due to which 10-40% grafts do not survive and grow. this results in poor density and un-natural look after hair transplant.

Read More
process of eyebrow transplant at folliderm

Why choose Folliderm?

Scar hair transplantation is a complex procedure that requires specialized expertise due to the unique challenges posed by scar tissue, such as reduced blood supply, altered anatomy, and limited elasticity. These factors make it difficult to extract grafts, create new follicle openings, and achieve natural-looking results.

At Folliderm, our skilled surgeons are well-versed in these complexities and excel in providing tailored solutions for scar hair transplants. We carefully evaluate each case, considering factors like the scar’s size, type, and location, as well as the availability of donor hair. Our meticulous pre-operative planning and advanced techniques ensure that you receive the best possible outcome, with hair that blends seamlessly and looks natural.

Success Stories

Results that Transform Lives

Country

Nepal

Baldness Grade

Burn Scar

No of Grafts

3100

Country

Nepal

Baldness Grade

Scar

No of Grafts

1700

Country

Nepal

Baldness Grade

Scar

No of Grafts

234

FAQ's

We request that two days prior to your surgical date you discontinue drinking any alcoholic beverages. The use of medicines such as aspirin, ibuprofen-containing products, naproxen, and certain homoeopathic vitamins should also be avoided. as they may cause more bleeding during the procedure. Smokers must discontinue smoking for 2 to 5 days prior to the procedure to allow healthy blood and oxygen flow. all other preoperative care will be discussed at your visit before the procedure.

Depending on the size of the session, the procedure may take 4-5 hours for the smallest case and up to 2-3 days for the largest case.

Here at folliderm, we believe that keeping our client comfortable is an essential part of the procedure. dr. pramod uses a combination of oral and local anesthetic which numbs the scalp so that the client experiences no pain or inconvenience. our clients are pleasantly surprised that the procedure is much more comfortable than expected. usually, there is no or minimal pain after the procedure. the clients are also presented with an after-care kit that helps them heal smoothly.

The risks of follicular unit extraction (fue) and direct hair transplant (dht) are treatable or transient, considered minor, and do not affect the final results of the procedure. These may include – Mild pinpoint bleeding Post-procedure swelling Itching The procedure is virtually painless. the specific risks of this procedure will be discussed during the initial consultation. major complications are extremely rare.

After initial short-term growth, a large part of the implanted hair will fall anytime between 2-12 weeks. hair will start growing from the fourth month and a visible difference will be seen in 6-9 months. and a full-blown dense look will only be noticed in 1 year time.

Mild antibiotic and pain killer is given for 2-3 days after hair transplant. saline spray over implanted area is recommended for 3-7 days. mild wash over implanted area can be done from third day of hair transplant. scabs are removed from the implanted area after one week when one can see visible small hairs in the implanted area.

Dr Pramod recommends one day stay at home after procedure. if social issues are not of concern, there are no medical reasons which will prohibit you from resuming your day to day activities. a socially compatible look is visible in a week.

All hair transplant centers are not created equal! achieving a natural look with hair transplantation requires artistic talents as well as meticulous surgical skills. the experience of the dermatologist and the technical staff is critical when choosing a center for your transplant. so, the key to finding the best transplant surgeon is taking the time to research his experience.