Dear Doc Hasson and Wong, I did 2 hair transplants, one was back in 2008 where my scar was minimal but in my 2nd operation with the same doc, I noticed the scar became wider, in a way that 9 months passed by and still when I comb my hair at the donor area, I can see the scar appearing a bit which is unlike what I see in your after photos. Can you please tell me can the scar be minimized in a way it looks like what you show in your website if I choose to do my 3rd hair transplant with H&W, plus does the scar gets bigger with more hair transplant operations? Finally, does the donor area grows back after the operation, or shrink? I’m quite confused about that. Thank you. — N.A.

In many cases the scar can be revised. The location of the scar and laxity of the donor area are probably the two most important factors when considering a scar revision. A poorly placed scar can compromise the possible revision and in some cases make it unwise to even attempt. While individual healing characteristics of the patient may directly contribute to the width of the scar, the skill of the surgeon may be the most important factor.

In our practice, we routinely harvest the strip from the same area regardless of how many surgeries are performed. If done properly and under the right conditions, the resulting scar from a second surgery can and should be very similar to a good scar from the first surgery.

We would have to see accurate photos or evaluate you in person to determine how good a candidate you are for a scar revision. The donor area is a non-renewable resource. The more surgeries and more grafts removed, the less grafts available for subsequent surgeries. At some stage when the number of grafts a patient has in reserve have been extracted, the donor supply is permanently depleted. This is why it is so important to carefully manage the donor region to maximize it’s potential.

In our practice, we routinely harvest the strip from the same area regardless of how many surgeries are performed. If done properly and under the right conditions, the resulting scar from a second surgery can and should be very similar to a good scar from the first surgery.

For a consultation, please submit an online hair transplant consultation form. Ensure that you follow our photo guidelines. Good luck.

— Victor Hasson, MD.

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I had a 500 graft hair transplant about 19 months back in the frontal sides (M area) of my head (in India). My donor area is about 10 cms, right from near the left ear leading down to the base of back hair, near the neck. My scar is not horizontal as in usual case but actually vertical with only a slight inclination. Doc, my feeling is that at times I feel tightness/numbness near the scar area. Will there be any case of nerve entrapment possible in such a scar? Sometimes I also feel my left area of my head is compressed making it difficult to breathe through left nostril. Is it psychological or is there a need for rectification/scar revision? My scar is slightly bumpy at the edges. My left part has more transplanted hair comparatively. — A.B.

Thanks for your question. It is natural for the area to feel tight with some numbness for up to several months after the hair transplant. I would have to see photos to make any comments about the angle of the donor area scar and the growth (or lack of growth) you are experiencing. It is impossible to say whether a scar revision would improve matters without more information. It is doubtful that the tightness in the area is causing the restriction you are feeling when breathing through your left nostril (although again, without examining you I am only guessing). This may be a coincidence that you are attributing to the hair transplant. Please visit our hair transplant consultation form and upload photos, I would happily provide a recommendation.

— Victor Hasson, MD

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