Hairline lowering surgical scar in a male (photo)

This man’s photos shows two problems.  (1) above the scar, there are areas of balding which indicate that the scar will become obvious, and (2) the stitches were placed far back creating a railroad pattern which will (a) cause hair loss and )b) probably keep elements of this scar.  This man will need a hair transplant to fix this once it is healed.  Why would any man do this when a hair transplant alone would have solved his hairline recession?