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What Happens When My Hair Surgery Leaves an Unsightly Scar?

If you have previously undergone a hair transplant and are unsatisfied with your results, we can help you achieve the results you had hoped for through hair restoration revision surgery with the ARTAS System. Unsuccessful, unfavorable outcomes from hair transplant surgery often occur because of technical errors, poor planning on the part of the doctor, and unforeseeable complications.  For the very latest technology in hair restoration, Dr. Mark Bishara is now using the ARTAS System. This interactive, computer assisted equipment employs image guidance to enhance the quality of hair follicle harvesting. ARTAS is the first hair transplant robot to improve the most challenging aspects of Follicular Unit Extraction (FUE).

Technical Errors and Complications

If your scalp has a plugged, tightened, cobblestone, or ridged appearance, we can dramatically improve your results using the ARTAS system. Technical errors generally occur when a specialist uses sub-standard transplantation techniques. When hair follicles are placed at incorrect angles or inappropriate depths, the newly transplanted hair will grow in the wrong directions and each transplant will look unnatural and pitted.

Poor Doctor Planning

In some cases, an underqualified, inexperienced doctor can be to blame for an unsatisfying result following hair loss surgery. If your surgeon isn’t properly prepared for surgery, not only can he or she damage your healthy hair follicles, but he or she can prematurely deplete your supply of available, transplantable donor hair prior to the completion of treatment. Planning of the positioning of the hairline using donor hair is a precautionary step that must be carefully performed at the beginning of the surgical process. During this stage, your doctor should anticipate future hair loss and allocate available hair follicles to be placed in the appropriate areas.

Benefits of Hair Restoration Revision Surgery

During hair restoration revision surgery, we can:

  • Improve the aesthetic of your scalp, hairline, and hair
  • Improve botched hair
  • Conceal scaring that was a result of a former surgery
  • Create a single linear scar that masks multiple incisions that were previously made during your former surgery
  • Extract existing follicles that were miss-placed by your former surgeon
  • Implant new, healthy hair follicles
  • Alleviate the discomfort of a tightened scalp and scar tissue

This physician-controlled, state-of-the-art ARTAS system enables the harvesting of hair follicles during hair restoration procedures. It offers numerous beneficial features, including an image-guided robotic arm, special imaging technologies, small dermal punches and a computer interface. The ARTAS System is capable of identifying and harvesting individual follicular units to implement the FUE technique. The device, guided by cameras and 3-D imaging software, can perform the dissection of hair follicles individually at a rate of up to 1,000 per hour.  We have an ARTAS robot in each of our offices in Mansfield and Southlake.  The procedure is done in office and requires no downtime- most patients are back to work the next day.

Contact Dr. Mark Bishara’s Office for Hair Restoration

We ensure you will have a quality, satisfying experience when you receive treatment. Whether you are in need of hair restoration revision surgery or subsequent restoration procedures, our team is here to help you achieve the results you are looking for and natural hair your want. Don’t let an unsatisfying outcome keep you from looking and feeling your best. Contact us today at (817) 473-2120!
www.MarkBisharaMD.com
 

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Hair Transplant Scars- Scar Revision by Dr. Mark Bishara, MD in Mansfield & Southlake

Fixing and Repairing Hair Transplant Scars

Hair transplant procedures that use follicular units exclusively leave no visible scarring in the recipient area. In Follicular Unit Transplantation (FUT), there is a single thin line in the donor area where the strip was removed. In Follicular Unit Extraction (FUE) there are multiple tiny round, white scars in the donor area, one for each extracted follicular unit. Generallythese scars are undetectable and are of no cosmetic consequence to the patient.
When older methods of hair restoration surgery are used, current techniques are performed improperly or, less commonly, when a patient is a poor healer, scarring may be excessive and may present a cosmetic problem. The scarring may be due to the plug itself (which invariably leaves a round white scar), it may be caused by the elevation or depression of grafts (seen with some slit and minigrafting techniques), or it may be due to a stretched or thickened donor scar.
Scarring in the recipient area can be eliminated by keeping recipient sites very small. Sites such as those used in FUT and FUE, will not leave any visible marks. Scarring in the donor area can be minimized by meticulous closures, where the wound edges are perfectly approximated and are under little or no tension. Using an inert material to close the wound, such as stainless steel staples, also helps to minimize the destruction of hair follicles and the incidence of hair transplant scarring.
When significant scarring does result, a number of techniques are available to reduce it. The two most effective methods are scar revision (excising or changing the direction of a hair transplant scar) and camouflage (a technique where hair is transplanted directly into the scar). In addition, thickened scars may be flattened with cortisone injections, depressed scars may be raised with dermal fillers and an irregular surface may be made smoother with dermabrasion or laser treatments.
The method for fixing hair transplant scars must be tailored to the specific situation, since each hair transplant repair patient has unique problems which influence the approach. Perhaps the most significant issue is the amount of remaining donor hair reserves. The following examples illustrate a number of common techniques used to improve scarring.
For some instead of just covering it up their scar, they just want to get rid of the problem entirely, that is why they opt for scar revision surgery. In this procedure, the scar is removed and the scalp is pulled back together. There will still be some scarring but it will be much smaller than the original.
Follicular Unit Extraction (FUE) is a great method of concealing hair transplant scars. This time, the donor grafts are taken from the beard or chest hair and then implanted on the scar and given time to grow. Those with a high hair density in other areas of the body are considered to be the best candidates for this treatment. Usually 50% to 90% of the grafts grow in scars, making the scarred areas of the scalp much less visible.

Before your hair transplant surgery, discuss hair transplant scar treatments available to your surgeon. Your hair transplant surgeon can help minimize scarring by using a certain closure technique.  If you have more questions about fixing hair transplant scars or to find out more about what can be done for thinning hair, please don’s hesitate to contact us at (817) 473-2120 or visit our website at www.markbisharamd.com.

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