Can Hair Be Transplanted Into An Existing Scar?

I was in a car accident six years ago which left me with a 4 inch scar right behind my hairline. I was able to hide if with my hair when I combed it back, but now I seem to have less hair in front and notice that my hair line is receding rapidly. If I go for a hair transplant can the doctor add hair in my scar when they transplant my new hair line. I’ve been very self self conscious about the scar and now it’s becoming very visible as my hairline gets worse. By the way I am 29 years old.

Thanks for any help you can give me.
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Hair transplantation on scar tissue has been discussed and well understood in Hair Restoration Surgery for decades. Scalp has a very well built blood supply system so each wound can be healed rapidly but not always perfectly. That means thickness of the new dermis can not be same as the elastic collagen fibers are more or less shrinked. Inserting new follicles in a sparse distance between epidermis and galea makes revascularisation process difficult as well as graft taking. This fibratic area blocks blood supply of the neighboring tissue. That means scars are getting centers of the balding process. You can be treated both on the hairline and the scar. But you have to be informed that success growth rate on scar tissue is less than on healthy virgin scalp.

Melike Kulahci, MD
Member, International Alliance of Hair Restoration Surgeons
Member, American Hair Loss Association

Copyright 2011 International Alliance of Hair Restoration Surgeons