Hair transplant with strip technique can cause linear scar that could be visible on the back of head if the patient wants to shave his head. Hair transplant scar is not limited to bad hair transplant technique and it might have to do with personal healing process too (some people are generally better healers compare to the others).
The good news is that we have methods to minimize the size of the scars nowadays and if you have bad hair transplant scars from bad transplants in the past, there are several new methods that can help improving the appearance of the donor scar. Hair transplant scar could be improved by repair of linear widened scars with different methods that we perform at our Los Angeles office of US Hair Restoration. Dr. Mohebi is the inventor of Laxometer, a device that measure the laxity of the scalp precisely before hair transplant surgeries. Good measurement of the scalp laxity is one of the best ways to minimize development of donor wound complications and widening of donor scar.
One method is through simply excising the scar. Excision of the donor scar may be helpful for some donor scars. After removing the scar, hair transplant surgeon can close the skin with trichophytic closure method in which a small wedge on one or both sides of the skin edge is removed and skin is closed primarily. Trichophytic closure allows some hair follicles grow new hair into the final scar. Presence of hair helps making hair transplant scar become invisible.
Hair transplant donor coverage could be done by transplanting hair into the scar. Hair could be harvested from other areas using FUE or mini-strip techniques. Again, presence of the hair inside scarred area could trick the discriminating eye and scar become less detectable. Patients may need more that one hair transplant procedure into the donor scar for minimizing the difference between the densities of hair in scar and surrounding areas.
The last method that could be used to camouflage the linear scar is by tattooing the scar. People who plan to keep the hair very short can easily tattoo the scar with the figures of short hairs so it seems that there are some hairs present in the scar area, which can help minimizing the visibility of the scar.
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