Today I want to address the question I am commonly asked, “will I have a different donor scar for each procedure?”. Every patient that has a hair transplant procedure, has more than one procedure. This is for 2 reasons. Firstly, the patient loves the results of the first procedure and at some point wants to add density to those results. Second, the hair we transplant is permanent hair and should never fall out, but the native hair that is present will erode over time, so additional procedures are usually needed to keep up with the continuing hair loss. In the strip procedure a small linear scar, usually between 1-3mm is left from the harvest of the hair from the back and sides of the scalp. When I perform additional procedures, I always make every attempt to resect the previous donor scar so that the patient does not have train track like multiple scars in their scalp. Sometimes I see multiple stacked scars from other Doctors and it makes absolutely no sense to me that one would create an entirely new scar if the original scar was within normal limits. The instances where this is unfortunately not possible are where the previous donor scar is too wide and by resecting it we would not get any hair but just scar, or in a situation where the previous donor scar is too low or too high and taking it out would risk creating a much wider scar, or moving into an unsafe region of impermanent hair. The photos below show a patient who came to me from another physician with multiple strip scars from previous procedures and I consolidated the multiple scars into one fine scar that is much more cosmetically acceptable.
All the best,
Marc Dauer, M.D.