I Don’t Want Multiple Linear Scars from Multiple Hair Transplants

Hello Dr.Rassman,

Is it true that during the second transplant, the physician can cover the first scar that was caused by the first transplant? I would like to do a second procedure but do not want to have multiple scars as well as one BIG scar. Also, is it true that a scar from the transplant will be visible as the person ages and the hair in the back of the head gets thinner? One last question, can shock loss (loss of hair due to transplant) occur for already transplanted hair when a person undergoes a second transplant.

Thank You for your time

The state of the art today is to limit transplanted scars to just one, even with multiple surgeries. If, for any reason, the scar gets wider (5-10% of people) then a single scar can often be corrected in a special surgery that addresses the need for a scar revision. Some surgeons go into untouched areas of scalp and intentionally produce a ‘step ladder’ set of scars which accomplishes two things: (1) a higher yield of hair, and (2) more dollars for the doctor’s pocket. I generally believe that step ladder scars produce a more unsightly look and can not be fixed easily while a single scar is easier to manage in the long term.

I personally had two hair transplant surgeries 16 years ago and you can barely see my scar and it has not changed (as typical) since the last surgery that had been done.

Your last question addressed shock loss in previously transplanted hair. It is very, very rare and if it should occur (less than .01% of cases) it always returns.