Hair Transplant Scar
Hair Transplant Scar: An Extensive Guide
A hair transplant is a life-changing procedure for those struggling with hair loss, but many patients have concerns about scarring. While modern hair transplant techniques aim to minimize scarring, it is impossible to avoid it entirely. The type, size, and visibility of scars depend on the procedure used—Follicular Unit Extraction (FUE) or Follicular Unit Transplantation (FUT) — and how they are performed. In this article, we will explore the different types of hair transplant scars, their healing process, and how to conceal them effectively.
FUE Hair Transplant Scar
Follicular Unit Extraction or Excision (FUE) is a modern hair transplant technique that involves extracting individual follicular units (hair folliclies) from the donor area, usually at the sides and back of the scalp. Unlike the “strip” or FUT method, FUE does not leave a linear scar. Instead, it results in small, dot-like scars scattered across the donor area.
These scars are caused by the small “punch” tool used to cut around the follicular units before they are pulled free and prepared for implantation. An FUE punch can range anywhere between a 0.6mm size and a 1.2mm size (and sometimes greater) and also come in slightly different shapes (some are straight and sharp at the very end; others are flared like a trumpet and only cut away from the graft; and some are blunt and dull).
The scars depend on the size and type of punch used, and the patient’s own physiology. Typically, however, very small punches are utilized during an FUE procedure. The most common punch size today is likely a 0.8mm. Scars of this size — especially when spread far apart — are typically not visible to the naked eye unless the hair is shaved very short or there is a strong contrast between the skin-tone and the color of the scar tissue.
However, if a large number of grafts are extracted, the cumulative effect of these tiny scars and the damage they inflict on the tissue can create a patchy or thinned appearance in the donor area. This is referred to as “over-harvesting” and can be a true problem with FUE mega-sessions over 3,000 grafts. FUE scars placed close together in areas now void of hair cause a very obvious appearance which is difficult to hide.
FUE Scars with a Shaved Head
For individuals who prefer a shaved or very short haircut, FUE scars can become more noticeable. While the tiny dot-like scars are less visible compared to the linear scar from FUT, they can still be apparent when the hair is completely shaved down lower than a number 2 (sometimes a number 1) on the buzzer.
The degree of visibility depends on factors such as the number of grafts extracted, the size of the punch used, skin tone,and healing response. In cases where a high number of grafts have been harvested, thedonor area may appear patchy or have a diffuse thinning effect. Some patients opt for scalp micropigmentation (SMP) to create the illusion of a fuller scalp and better blend the scars with the surrounding skin.
FUT Hair Transplant Scar
Follicular Unit Transplantation (FUT), also known as the strip method, involves removing a strip of scalp from the donor area, closing the area with sutures or staples, and dissecting it into individual follicular units for transplantation. This method leaves a linear scar across the donor area, which can vary in width depending on the patient’s healing ability and the surgeon’s technique. FUT scars are typically quite good as well; usually 1-3mm on average. However, healing is variable and some patients will have wider and more visible scars.
An average strip scar can be covered with a number 3 or 4 on the buzzer. A wider scar will likely require longer hair. And FUT scars will become more visible if the hair is cut very short.
Hair Transplant Scar Comb Through
In the following video, Dr. Bloxham carefully examines the scalp of several of his patients who have undergone FUT (Follicular Unit Transplantation) procedures at his clinic. The resulting scars are remarkably minimal and nearly imperceptible, demonstrating the precision and expertise involved in the technique.
Are Hair Transplant Scars Permanent?
Yes, hair transplant scars are permanent, as they are the result of surgical incisions made during the procedure. However, their visibility depends on various factors, such as:
The technique (FUE vs. FUT) and tools used
The dense, curly nature of Afro textured hair provides excellent coverage, often requiring fewer grafts for a full look.
The skill of the surgeon
Unlike topical treatments like minoxidil, a hair transplant provides a long-term solution to hair loss.
The patient’s healing response
Regaining a full head of hair or filling in thinning edges can greatly boost self-esteem.
The length of the hair in the donor area
Once the transplanted hair grows in, it can be treated and styled just like natural hair.
While scars can fade over time, they will not completely disappear. Fortunately, there are treatments and methods available to minimize their appearance.
Hair Transplant Scar Healing Time
The healing process for hair transplant scars varies based on the technique used:
FUE Scar Healing Time
• Small extraction wounds begin healing within a few days.
• Scabs typically fall off within 7-10 days.
• Redness and minor inflammation may last up to 2-3 weeks.
• The scars become less noticeable after several months.
FUT Scar Healing Time
• Sutures or staples are usually removed 7-14 days post-surgery.
• The incision heals over the following weeks, but the scar remains visible.
• Full scar maturation can take12-18 months.
• Scar width may vary, but techniques like trichophytic closure can help minimize
its appearance.
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No Scar Hair Transplant: Myth vs. Reality
Many clinics advertise “no scar” hair transplants, but this is misleading. Any surgical procedure involving skin incisions will result in some form of scarring. FUE is often marketed as scar-free, but it still leaves tiny dot-like scars. While these scars can be much less noticeable than FUT’s linear scar, they are still present. The key to achieving an inconspicuous result lies in the expertise of the surgeon, proper post-operative care, and physiology.
How Do You Hide Hair Transplant Scars?
There are several ways to conceal hair transplant scars, including:
Growing Hair Longer:
Keeping hair at a sufficient length can naturally cover scars.
Scalp Micropigmentation (SMP):
A tattooing technique that replicates the look of hair follicles, making scars less visible.
Hair Thickening Products:
Fibers and concealers can temporarily mask scars.
Scar Revision Surgery:
Some patients opt for surgical treatments to reduce scar width.
FUE into Scars:
Hair grafts can be transplanted into scar tissue to camouflage it.
Conclusion
While hair transplant scars are inevitable, their visibility depends on the technique used, surgeon skill, and individual healing. Furthermore, they tend to be subtle and well hidden in general. FUE results in multiple tiny scars, whereas FUT leaves a single linear scar. With proper planning, hair length management, and potential treatments like SMP or scar revision, hair transplant scars can be effectively concealed. Understanding these factors can help individuals make informed decisions about their hair restoration journey
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