Does a Hair Transplant Leave Scarring?


If I wanted hair implants, would I have a scar on the back of my head?


Any time skin is cut, it will leave a scar. Therefore, hair transplant surgery is not without scarring.

There are two hair transplant techniques worth considering.  Both of them have benefits and drawbacks that should be carefully evaluated before deciding on a technique. 

In follicular unit transplantation (FUT) also known as strip surgery, the physician removes a strip of scalp containing hair follicles and then sutures or staples the area back together.  Follicular units (hairs in groups of 1, 2, 3, and 4) are slivered and dissected preferably under microscopes and then placed into tiny incisions made by the hair transplant surgeon.  You will end up with a thin linear scar that extends from ear to ear.  Be sure to research the possibility of scar stretching and what you and the surgeon can do to help minimize the risk.  Wearing your hair a bit longer in the sides and back will help camouflage this.  Additionally, with the new trichophytic closure technique, hair can grow through the scar which will also help minimize its appearance. In many cases, this will enable you to wear your hair pretty short in the back without showing the linear scar.

In follicular unit extraction (FUE) also known as the follicular isolation technique (FIT), a surgeon will extract one follicular unit graft at a time from the donor area.  This will eliminate the linear scar however in its place, will be little white dots where the hair has been removed.  Taking too much hair from a concentrated area can make the donor area (the sides and back of your head) look like swiss cheese.  But when hair is taken from various parts of the scalp, it can minimize the appearance of the scars and in many cases, you can cut your hair pretty short.  In my opinion, FUE has come along way in the hands of a few elite hair transplant surgeons, but is generally overhyped and not without risk of damage to the grafts and poor hair growth.