Understanding Hair Transplant Scarring
Every hair transplant procedure results in some level of scarring. The extent depends on the method used, the patient's healing process, and the surgeon's skill. Older techniques, like hair plugs, left noticeable scarring, but modern methods have greatly reduced this issue.
Follicular Unit Extraction (FUE) and Direct Hair Implantation (DHI) create minimal, scattered scars that fade over time. Proper post-operative care further minimizes scarring and enhances the final results.
Why FUT Causes More Scarring Than FUE and DHI
Follicular Unit Transplantation (FUT), also known as a FUT procedure, involves removing a strip of skin from the donor area, leaving a linear scar that can be visible with short hairstyles. The scar size depends on scalp elasticity and the surgeon’s technique. FUE and DHI extract individual hair follicles, eliminating the need for a long incision. Since no stitches are required, these methods result in less visible scarring and allow for a more natural look.
Are Hair Transplants Ever Scar-Free?
No hair transplant procedure is entirely scar-free, but some techniques make scars nearly invisible. Even with FUE and DHI, tiny scars form in donor areas, though they fade significantly over time. Factors such as skin type, post-surgical care, and the expertise of a skilled surgeon influence scar healing. Laser therapy, scalp micropigmentation (SMP), and PRP therapy can further reduce scar visibility.
Do FUE and DHI Leave Scars?
Both FUE and DHI leave tiny, round scars, but they are much less noticeable than those from FUT hair transplant procedures. The main difference is in implantation: DHI uses an implanter pen, which reduces trauma to recipient areas and promotes faster healing. With proper care, most FUE and DHI scars are virtually undetectable once healed.
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Types of Hair Transplant Scars
Linear Scars from FUT Procedures
FUT procedures result in linear scars at the back of the scalp. While a skilled surgeon can minimize the size of the scar using advanced closure techniques, it remains visible if the hair is cut short. Some patients opt for SMP or FUE transplants to conceal the scar.
Hair Graft Scars from FUE and DHI
Unlike FUT, FUE and DHI leave small, round scars where extracted hair follicles were removed. These scars are scattered, making them less visible once healed. Their size depends on punch diameter, skin type, and post-transplant care. With a highly experienced surgeon, the resulting hair graft scars blend seamlessly into the surrounding hair.
Hair Plug Scars from Older Transplants
Hair plug scars are a common issue from outdated transplant techniques. These methods used large grafts, leading to visible scarring in both the donor and recipient areas. Many patients seek scar revision, SMP, or corrective FUE transplants to improve their hairline and overall appearance.
Often, spacing and density issues result in an unnatural "doll hair" appearance. No one today would opt for this obsolete method.
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Factors That Affect Hair Transplant Scar Visibility
Skin Type and Healing Process
The way a patient’s skin heals plays a major role in scar visibility. Those with thicker dermal layers may experience less noticeable scarring, while those with lighter or thinner skin may find scars more visible. Keloid-prone individuals may develop raised scars, requiring additional treatments like laser therapy or PRP.
Surgeon Skill and Technique
The expertise of the surgeon is crucial in minimizing hair transplant scars. A skilled surgeon, like Dr. Asi or Eric Peretz, ensures precise extraction, placement, and healing. Using smaller punch sizes (0.7-0.9mm) in FUE and DHI procedures reduces scar tissue formation. Poor technique, excessive graft extraction, or improper closure can lead to more visible scarring.
Post-Transplant Care for Scar Minimization
Proper aftercare is essential in ensuring smooth healing and scar reduction. Patients should:
Keep the scalp clean and hydrated
Avoid scratching or picking at scabs
Protect the scarred area from sun exposure
Follow all post-op instructions Treatments like silicone gels, laser resurfacing, and SMP can further help reduce the appearance of a transplant scar.
Can Hair Grow on a Scar?
How Scar Tissue Affects Hair Growth
Scar tissue lacks the same blood supply and follicular structure as normal skin, making natural hair growth difficult. The thickness and texture of the scar can prevent new hair from anchoring properly, requiring specialized treatments to improve graft survival.
How Hair Transplants Work on Scars
Hair transplants can restore hair growth in scarred areas by implanting healthy follicles from donor areas. Since scar tissue has a limited blood supply, pre-treatment with microneedling or PRP therapy can enhance graft retention. A skilled surgeon strategically places grafts to maximize coverage and minimize trauma.
Success Rates of Hair Transplants into Scar Tissue
Hair transplants into scar tissue have a 60-80% survival rate, compared to 90-95% on normal skin. The success depends on scar thickness, blood supply, and proper post-transplant care. Following healing protocols ensures the best long-term results.
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How to Treat and Conceal Hair Transplant Scars
Hair Transplant Scar Repair Options
Scar treatments include:
Scar revision surgery – excises and re-closes the scar
Laser therapy – softens and lightens scars
FUE transplants into scars – implants new follicles for coverage
Hair Transplant Scar Removal Treatments
While complete scar removal isn’t possible, dermatological treatments can significantly improve appearance. Options include:
Fractional laser resurfacing
Microneedling
PRP therapy
Chemical peels
Best Ways to Hide a Hair Transplant Scar
Patients can conceal hair transplant scars through:
Growing hair longer over the scar
Hair fibers or concealers for temporary coverage
SMP for a permanent, low-maintenance solution
Can Scalp Micropigmentation (SMP) Help?
SMP creates the illusion of hair follicles, making FUT scars almost invisible. This technique is ideal for short hairstyles and requires minimal upkeep.
How Much Does Scar Repair Cost?
Scar repair costs depend on the treatment method:
Scar revision surgery: $3,500 - $8,000
Laser treatments or microneedling: $300 - $1,000 per session
FUE into scar tissue: $3,000 - $7,000
SMP: $500 - $2,500
Healing and Recovery After a Hair Transplant
Hair Transplant Scar Healing Time
Healing typically takes 7-14 days, with scabs falling off naturally. FUE and DHI scars fade within months, while FUT scars may take several months to a year to settle fully.
Healing Time: FUT vs. FUE/DHI
FUT requires stitches and 3-6 months for full healing
FUE/DHI heals in 7-10 days with minimal scarring
How to Prevent Excessive Scarring
To reduce visible scarring, patients should:
Follow post-op care guidelines
Avoid excessive movement and sun exposure
Consider PRP therapy or laser treatments
Choosing the Right Hair Transplant to Avoid Scarring
Why Trichogenics Only Performs FUE and DHI
At Trichogenics, we use FUE and DHI to provide natural results with minimal scarring. These advanced methods offer quicker recovery and better aesthetic outcomes.
The Trichogenics Difference: Hair Transplant Experts
Check out our clinic reviews and schedule a consultation for a hair loss evaluation and to check your eligibility for a hair transplant. We are here to answer your questions. We will create a treatment plan just for your hair restoration goals.
Hair Transplant Scars Before and After FAQ's
What Happens 10 Years After a Hair Transplant?
After 10 years, transplanted hair follicles continue to grow naturally. FUT scars remain, while FUE/DHI scars fade further. Some patients may require additional hair restoration due to natural hair loss.
Which Hair Transplant Leaves No Scar?
How to Pick a Surgeon for Minimal Scarring
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