The FUE transplant procedure in scars is exactly the same as the hair transplant procedure, but the success of the procedure depends on the type and thickness of the scar in the receiving region. Often we perform a combination of surgery during which we surgically remove part or the entire scar, and then with the hair transplantation the new, smaller scar is “masked”.
Scars usually occur as a result of surgery (face-lift, neurosurgical procedures, removal of moles and atheroma, etc.), car accidents, sports’ injuries, skin birth signs, burns or illnesses. Once scars also remained after the old hair transplant procedure, the STRIP technique after which one or more linear scars were visible at the back of the scalp. Such scarring with the FUE hair transplantation and surgical procedures can be made less visible.
In the majority of these scars most or all of the hair follicles are irreversibly destroyed. Different kinds of scars have different properties compared to the thickness of the scalp. A very thick (hypertrophic) scar may limit the availability of underlying blood vessels, while a very thin (atrophic) scar may be too thin to maintain the transplanted follicles. Fortunately, in the vast majority of cases the tissue is not too thick nor too thin, there is enough of it, it is well vascularized and healthy, and it is possible to make a successful FUE hair transplantation.
The rate of growth and survival of grafts in the scar tissue is less than in the healthy skin and can vary in relation to the diversity of the scar. This is why we often first do a test transplantation to validate the functionality of the follicles, i.e. the “soil’s fertility”. No method will remove a scar, but a scar will be less visible after the transplanted hair reaches a sufficient length and density.