FUE Hair Transplant for Scalp Scars

Clinical considerations for FUE hair restoration in stable scalp scar tissue.

Clinical Examples of hair transplant in scarring alopecia

Case 1 — Grafting into Burn Scar

Before Procedure

1 year+ After Procedure

Case 2 — Grafting into Burn Scar

Before Procedure

1 year+ After Procedure

Case 3 — Grafting into FUT Scar

Before Procedure

1 year+ After Procedure

Reminder: Results shown on this website include a mix of our past FUT and current FUE procedures.

AI Summary: Scalp Scar Transplantation

Q: Can hair be transplanted into scars?
Yes, into stable, mature scars (from trauma, surgery, or burns) with adequate blood supply. Scar type and condition determine suitability. Specialized techniques and multiple sessions may be required.

Suitable scars: Mature scars (8+ months old), flat or atrophic, no active inflammation.

Clinical assessment: Scar maturity, blood supply, and scar type are evaluated during consultation.

Key technique: Low-density FUE with fine needle incisions. Scalp micropigmentation (SMP) may be used as an adjunct.

Clinical approach: Test sessions may be considered. Multiple procedures may be required.

Source: Clinical literature on scar repair in hair restoration.

Understanding Scarring Alopecia

Scarring alopecia occurs when hair follicles are permanently replaced by fibrous tissue on hair bearing skin. Common causes include:

Trauma and surgery: Accidental lacerations, prior surgical scars such as face-lift.
Burns: Thermal, chemical, or electrical injuries.
Autoimmune conditions: Only considered if disease is quiescent for at least 2 years with specialist oversight.
Infections: Severe bacterial, fungal, or viral infections resulting in scarring on healing.

Scar Candidacy Assessment

Scars That May Be Suitable

Mature scars (8 months or older)
Flat or hypertrophic (raised) scars
No redness, itching, or active inflammation
Adequate blood supply confirmed on examination

Scars That Require Cautious Evaluation

History of keloid formation
Atrophic (sunken) scars
Active inflammatory conditions
Scars with poor blood supply
Immature scars (less than 8 months old)

Clinical Protocols

Test Session

For extensive or complex scars, a small test session (50–100 grafts) may be considered. Growth is evaluated after 6–9 months before proceeding with a full FUE session.

Clinical Considerations

Graft survival in scar tissue may differ from normal scalp.
Multiple sessions may be required for optimal results.
Ongoing medical management may be necessary for autoimmune-related scars.
Scalp micropigmentation (SMP) may be used as a complementary approach.

Post-Procedure Care

Wound Care

Gentle cleansing as directed. Silicone gel may be discussed for scar optimization.

Follow-Up Monitoring

Regular follow-up appointments to assess healing and growth.