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Can FUE be performed on patients with hair loss due to scarring?

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Can FUE Be Performed on Patients with Hair Loss Due to Scarring?


Yes, Follicular Unit Excision (FUE) can be performed on patients with hair loss due to scarring, also known as cicatricial alopecia. However, it requires an experienced surgeon to evaluate the suitability of the procedure and to manage the unique challenges associated with transplanting hair into scar tissue.

Expanded Information

Hair loss due to scarring presents unique challenges, but FUE can be an effective solution when performed by a skilled surgeon. Here’s a detailed look at how FUE works for patients with scarring and what to consider:

Understanding Scarring and Hair Loss

  • Cicatricial Alopecia: This type of hair loss occurs when scar tissue forms on the scalp, destroying hair follicles and preventing new hair growth. It can result from trauma, surgery, burns, or inflammatory scalp conditions.
  • Types of Scarring: The characteristics of the scar (size, location, and depth) can affect the feasibility of a hair transplant. Proper assessment by a qualified surgeon is crucial.

FUE for Scarring

Evaluation and Planning

  • Consultation: An in-depth consultation is essential to assess the scar tissue’s condition and determine the best approach. The surgeon will evaluate the blood supply to the scarred area, as adequate blood flow is necessary for graft survival.
  • Donor Area Assessment: The quality and quantity of hair in the donor area are crucial factors. The donor hair must be healthy and robust enough to thrive in the scarred recipient area.

Procedure Details

  • Precision Extraction: During FUE, individual hair follicles are extracted from the donor area using a micro-punch tool. The surgeon must carefully select and handle each follicle to ensure its viability.
  • Implantation into Scar Tissue: Implanting hair into scar tissue requires meticulous technique. The surgeon creates tiny incisions in the scarred area and places the extracted follicles at the correct angle and depth to promote natural growth.

Challenges and Considerations

  • Blood Supply: Scar tissue often has reduced blood supply compared to healthy scalp tissue. Ensuring adequate blood flow to the transplanted follicles is vital for their survival.
  • Graft Survival: The survival rate of grafts in scar tissue can be lower than in non-scarred areas. Experienced surgeons use specific techniques to maximize graft survival, such as pre-treating the scarred area to improve blood flow.
  • Realistic Expectations: Patients should have realistic expectations about the results. Complete coverage may not always be possible, but significant improvement in hair density and appearance can be achieved.

Post-Operative Care

  • Follow-Up Appointments: Regular follow-up appointments are crucial to monitor healing and graft growth. The surgeon may recommend additional treatments to support recovery and hair growth.
  • Care Instructions: Following the surgeon’s post-operative care instructions, including proper washing, avoiding trauma to the transplanted area, and using prescribed medications, is essential for optimal results.


FUE can be an effective solution for hair loss due to scarring, but it requires an experienced surgeon to manage the unique challenges. A thorough evaluation and careful planning are essential to ensure the best possible outcome. At the FUE Surgeons Directory, we connect you with skilled surgeons experienced in performing hair transplants on scar tissue. For personalized advice and to find the right surgeon for your needs, chat with our support team.

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