Hair transplant on scar is a procedure where permanent hair follicles are grafted onto scarred areas of the scalp. Whether the scar resulted from an accident, surgery, or scarring alopecia, these areas typically do not regrow hair naturally. This can significantly impact self-confidence, especially when scars are prominent along the hairline or at the crown.
What is a Hair Transplant on Scar?
Hair transplantation on a scar is a specialized solution for areas where hair growth has ceased due to tissue damage. This procedure can address scars from trauma, birthmarks, skin diseases, or even certain types of alopecia. However, it is important to note that the success rate may be slightly lower than a standard hair transplant. This is because scar tissue often has a compromised blood supply, making it more difficult for the newly transplanted follicles to receive the nutrients they need to thrive.
For more details on the process, read our article: [Permanent Hair Transplant: Procedures and Preparation].
Pros and Cons of Scar Tissue Hair Transplantation
Advantages
The primary benefit is the restoration of lost self-confidence. Feeling good about your appearance is often the key to unlocking new opportunities in life. Additionally, the transplanted hair is harvested from “permanent” donor zones that are resistant to the hormones causing hair loss, meaning the results are long-lasting.
Limitations and Considerations
- Healing Time: For surgical or accidental scars, you must wait approximately 12 months for the tissue to fully mature before undergoing a transplant.
- Medical Implants: Patients with metal plates or cranial implants must undergo a thorough evaluation to ensure the procedure is safe and effective.
- Skin Diseases: If the scar was caused by a specific skin condition, the disease must be fully cured or stabilized to prevent the transplanted hair from falling out later.
- Large Scars: Very large scars may require surgical “scar reduction” before a transplant. If the area is too extensive, a hairpiece or wig may be a more practical recommendation.
- Tissue Viability: Not every scar can be treated. If the tissue is too thick (keloid) or the blood supply is virtually non-existent, a transplant may not be recommended as the follicles are unlikely to survive.
Scar Tissue vs. Normal Hair Transplant: What’s the Difference?
Unlike healthy scalp tissue, scar tissue presents unique challenges:
- Tissue Texture: Scar tissue is tougher and less elastic than normal skin. Surgeons must use specialized techniques and precise site preparation to maximize graft “take” rates.
- Blood Circulation: Scars often have limited blood flow, which is the most critical factor for graft survival.
Success Rates and Growth Timeline
While success rates may not match 100% of a standard transplant, significant improvement is achievable. Success depends on:
- The thickness and health of the scar tissue.
- Residual blood flow in the area.
- The surgeon’s expertise and chosen technique.
Typically, new hair growth begins within 3–4 months, with full, visible results appearing between 6–12 months post-procedure.
How Much Does a Scar Tissue Hair Transplant Cost?
At Hairsmith Clinic, the cost depends on the size of the area and the chosen technique:
- FUE Technique: 100 THB per graft.
- Non-Shaven FUE Technique: 150 THB per graft.
Read more: Hair Transplant Pricing at Hairsmith Clinic
Preparation Before the Procedure
To ensure the best possible outcome, patients should:
- Ensure the scar is fully healed and inflammation-free.
- Avoid smoking and alcohol for at least 1–2 weeks prior to surgery.
- Disclose all medical history and allergies to the physician.
- Strictly follow pre-operative instructions provided by the clinic.
Post-Operative Care
Caring for a transplant on scar tissue is similar to a standard procedure:
- Keep the area clean to prevent infection.
- Avoid direct water pressure or physical impact on the grafts.
- Refrain from scratching or rubbing the scalp for the first 2 weeks.
- Attend all follow-up appointments to monitor growth progress.
Will the Hair Definitely Grow on My Scar?
As mentioned, while the survival rate is slightly lower than on healthy skin, hair will grow if the tissue is deemed viable by a surgeon. If our specialists determine you are a good candidate, you can expect to see clear, transformative results starting from the 4th month onwards.
Summary
Scar tissue hair transplantation is a transformative procedure designed to hide scars and restore confidence. While factors like scar size, tissue health, and underlying medical conditions play a role in the final result, modern techniques allow for highly satisfying outcomes. If a surgeon confirms you are a candidate, the transplanted hair will grow, successfully masking the scar for a natural look.
FAQ: Frequently Asked Questions
What types of scars are suitable for a hair transplant?
Scars must be fully healed (at least 6–12 months old), showing no signs of redness or inflammation, and must not be excessively thick or hard.
Which technique is best for scar tissue?
The FUE (Follicular Unit Excision) technique is preferred. It allows for the precise placement of individual grafts and provides more control over the angle of growth, which is essential for the delicate nature of scar tissue.
Does the procedure hurt?
The procedure is performed under local anesthesia, so you will not feel pain during the surgery. Some tightness or mild soreness may occur afterward but usually subsides within a few days.
Will I need a second procedure?
In some cases, a second session may be required to achieve the desired density, as the initial “take” rate on scar tissue can be unpredictable. Your doctor will evaluate the growth and plan accordingly.
