Here is a patient who presented to me after undergoing 2 previous procedures with another physician. He was having constant pain in the donor region. On examination his strip scar was raised and 7-9mm wide and in certain spots there were 2 separate scars.
I decided to revise the scar in the context of the patients procedure to increase the density in his hairline.
While I was extracting the old scar I noticed that there were a number of retained nylon sutures in the wound that were left there and had never been removed. These were likely contributing to the pain and poor healing. I removed the retained sutures and revised the scar closing with a triuchopytic closure to get hair to grow through the scar.
I then placed 1003 grafts into the hairline.
The results of the hair transplant and the donor scar revision are shown below.