Hair Transplant for Scar Repair

Clinical considerations for hair restoration in stable scalp scar ( Scarring Alopecia ).

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.

Case Studies Of Hair Grafting Into Scalp Scar

Case 1 — Burn Scar

Before Procedure

1 year+ After Procedure

Case 2 — Burn Scar

Before Procedure

1 year+ After Procedure

Case 3 — Old 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.

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-Op 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.