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FUE hair transplant scars... visible or invisible?


Photo (above): FUE NeoGraft Donor healing after seven days is 98% healed, revealing little more than some residual redness in this wound-healing study performed at Bauman Medical Group.



Photo (left): FUE punctate scarring, visible here under 30x magnification, appears like tiny unpigmented freckles in the skin but typically remain undetectable to the naked eye.

[photo courtesy: Dr. Bernard Arocha]


From a patient's point of view, cosmetically… if there is no visible scar, is this the same as "no scar?"

In my patient-education materials and in my Informed Consent paperwork for FUE hair transplant patients, I have preferred the phraseology of "no linear scar," and avoided the use of the terms "no scar," "scar free," or "scarless" over the years when discussing the benefits of FUE hair transplants.  Additionally, in the Informed Consent, we also include very close-up magnified photos of a healed FUE donor areas so patients know that there is a limit as to how short they can buzz their hair and still keep their harvested areas undetectable.

Several factors that will determine the future detectability of FUE scars will be

1. The proportion of harvesting performed in an area in relation to native follicular units/cm2
2. The depth and diameter of the instruments used.
3. The patient's individual hair quality (length, color, curl, caliber, etc.)
4. The patient's individual skin quality (pigmentation, healing ability, keloid tendency, etc.)
5. The use of healing adjuncts (ECM's like Acell or Humatrix, hyperbaric oxygen, low level laser therapy, etc.)

Our discussion of whether FUE is a 'scar-free' hair transplant continues on


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