Permanent Scarring with Hair Transplant Surgery


I've previously had hair transplant surgery and am left with a scar. This prevents me from wearing my hair too short and I also feel some discomfort from time to time in my donor area. I would like to know whether or not you have any remaining scar on your donor area? I'm considering getting body hair transplantation to avoid getting another scar.


Follicular unit hair transplant surgery will leave a linear scar that goes from ear to ear. This is because the hair transplant surgeon removes a strip of skin containing hair follicles and then closes the wound with sutures or staples. Once these hair follicles are removed from the donor area, they will not regrow in that area. With the new trichophytic closure technique, one side of the wound overlaps the other, allowing remaining hair to grow through the wound. This helps camouflage the existing scar. I happen to be a 3 time follicular unit hair transplant patient and like anyone who has this type of surgery, am left with a scar.

Typically a scar up to 2-3 mm in width is considered normal and most patients can wear their hair down to a 4 clip (1/2 inch) on the sides and back of their head without revealing a scar, sometimes less. But patients should know that with strip surgery, they will never be able to shave their head or cut too close without showing a scar.

If your scar is wider than this, you may be a candidate for scar revision which involves removing the old scar with another surgery and re-stitching it and wait for healing. There is no guarantee that your scar won’t stretch again, but this is one option. Another option is to consider Scalp follicular unit extraction (FUE) to fill in the scar and/or balding areas remaining on your scalp.

In my opinion, body hair transplants should be considered as a last resort, but may be a viable solution for some patients in extreme situations.

Donor area discomfort can be common for the first several months up to a year, but typically goes away with time. If you are beyond this point and are still experiencing pain, be sure to consult with your hair transplant surgeon, or one recommended on the Hair Transplant Network.