Scars on the hairy part of the scalp or eyebrows are very sensitive defect on our appearance. Some scars are small and easy to hide, while others may be in need of scar repair. In some cases the person with scalp scarring can use hair styling to make the scars cosmetically invisible. However, the size and placement of some scars may make them impossible to disguise with hair styling.
Most common cases of scalp injuries are automobile accidents, sports injuries, birth marks, burn injuries, chemical burns, number of inflammatory diseases ( discoid lupus erythematosus, lichen planopilaris, and severe forms of psoriasis), face-lifting surgeries and neurosurgeries which are resulting in destruction of hair follicles in those areas. The injured areas are often bald after healing.
As we are speaking about hair surgery, many scars, which can become very obvious are those after the strip hair transplant, especially if owner decides for short hair style.
Hair restoration in the scarred scalp is not undertaken lightly. It requires careful examination of the scalp and consideration of numerous factors that can influence the feasibility and outcome of surgical hair restoration. These factors can include:
A very limited and compromised blood supply, due to injured and missing blood vessels, might make surgical hair restoration difficult or even impossible to carry out. Hair follicles need a blood supply in order to survive and function; if the blood supply is inadequate, the transplanted hair follicles will die or be unable to function adequately.
Most physician hair restoration specialists do not recommend hair transplantation if the disease is active; a minimum of two years of disease inactivity is advised before hair transplantation is undertaken.
Different types of scars have different properties in regard to thickness .Very thick (hypertrophic) scar tissue may limit accessibility to underlying blood vessels. Very thin (atrophic) scar tissue may be too thin to hold transplanted follicles.
The procedure involves removing hair from the body or head with fue technique and placing them into the scar tissue. We wish to state that the growth rate and survival of grafts in scar tissue is less than in healthy skin and can vary widely in different types of scars. This is why we usually place some test hair first, to see if it's worthy to remove more hair-follicles.
Please, keep in mind this will NOT make the scar go away, only add hair to it so if you grow your hair out, the scars will be less noticeable.