Innovative techniques in hair transplant surgery can sometimes lead to unanticipated and esthetically displeasing scars at the donor or recipient sites. Follicular transfers from the back of the scalp often leave a rough, “pebbled” appearance that is more disfiguring than the receding hairline that it was meant to correct. Sparse hair growth at the recipient sites on the forehead may fail to camouflage the indentations and discoloration created by scarring of the micro-follicular hair transplants.
A creative approach combining scar revision and/or laser resurfacing can mitigate some of these disfiguring hair transplant scars and, in some instances, actually lower the receding frontal hairline. These procedures, in conjunction with flesh colored make-up and/or permanent tattooing will allow you to feel comfortable in exposing your natural scalp.
Procedure and recovery
The anterior approach is through a one and a half to two inch incision at the receding frontal hairline. The dissection is carried out under the galea muscle of the mid scalp. The deep fibrous attachments to the skull are released. Traction is placed in a downward vertical direction on the scalp, advancing the receding frontal/temporal hairline forward to a more natural frontal hairline. A crescent of the alopecic forehead skin is excised and closed with deep sutures and surgical staples. No extra hair is trimmed during the closure.
