Wide Scar After Transplant

I had a hair transplant using the strip procedure 18 months ago. The scar in the donor area is 5mm to 7mm wide. Unfortunately I can’t cut my hair shorter than grade 4.5. Can you please tell me what would be the best option to reduce the scar. I am also thinking of having about 1000 grafts transplanted in the previous transplant area to gain more density and cover up the thin patches. Do you suggest the 1000 grafts should be taken while removing the existing scar together in order to achieve a smaller scare? Please guide me with the best options.

Thank You

The answer depends upon many variables, such as:

1. donor density
2. scalp laxity
3. the surgical dynamics and wound tension at the time of the last surgery
4. the techniques to be employed at the proposed surgery
5. the skill of the surgeon

Your goals should be reasonable and you should go with the opinion of your surgeon if you trust him/her. The scarring may or may not be the fault of the surgeon. It could be the way your body heals. Many times I would do both a scar revision and an additional transplant all included in one step. Special care would be given to minimize risks of recurrence. See:

• Techniques to Minimize Donor Area Scarring
• 2 Months Post-Operative Trichophytic Closure