Scalp Scar Hair Loss Repair – Our Techniques

3 available techniques in our center 

Causes of Scarring Alopecia

Hair loss due to scarring, also known as scarring alopecia, can occur after injury, surgery, burns, or certain medical conditions that damage the scalp’s hair-bearing skin. Unlike typical pattern baldness, these areas may lose hair permanently due to the destruction of hair follicles and underlying structures.

Common causes include:

  • Trauma or surgery (e.g. car accidents, surgical scars)

  • Burns (thermal, chemical, or radiation-induced)

  • Autoimmune diseases (e.g. lichen planopilaris, lupus, folliculitis decalvans)

  • Infections (e.g. tinea capitis, bacterial abscesses)

Scar left by chemical burn
Irregular patches left by FUE

Careful evaluation by an experienced doctor is crucial to determine the best treatment options which include:

1. Scalp Micropigmentation

2. FUE-Grafting into scar

2. Excision and Re-Closure

The advance of Scalp Micropigmentation has made it the preferred choice in most cases. Also it changes our preference for hair transplant technique, when FUT making a return.

The downside of FUT, the linear scar at the back of the head, can now be easily fixed by SMP, leaving the patients with the option of wearing skin head even after a FUT procedure.

Technique 1 : Scalp Micropigmentation

Age is not a limiting factor — you are never too old for a hair transplant as long as you have a sufficient supply of healthy donor hair.

In fact, older patients often make excellent candidates because:

  • Hair loss tends to stabilize with age, making long-term planning more predictable.
  • The donor area’s permanency is clearer, allowing for better surgical design.
  • Older patients are often more realistic about their expectations, leading to higher satisfaction with the outcome.

Whether you’re in your 50s, 60s, or beyond, what matters most is your overall health, donor hair availability, and your goals. Dr. Ng will assess all of these during your consultation to determine if you’re a good candidate.

FUT Scar - Before Repair
FUT Scar - After Repair
Indications
  • Scar left by previous FUT hair transplant procedure
  • Any scalp surgery, including facelife
Our Technique
  • We use FUE to extract graft from the donor area
  • 2-hair and 3-hair follicular units are used for better result
  • The number of grafts transplanted is limited due to the compromise of circulation in scar
Postop Care
  • The use of silicone and Vitamin C gel is recommended for the first few months
Number of Session
  • It may take more than one session to achieve the required result as not 100% of graft transplanted will grow。
Adjuvant Therapy
  • Topical Minoxidil and silicone gel can be applied after the procedure。
  • It can be combined with SMP to give a more 3-D appearance。

Case 1 : Scar Repair ( Same Patient )

This man had hair transplant elsewhere. Donor scar was 5-6 mm wide.
We excised old scar and harvested 1700 grafts. New scar was only 2-3 mm wide.

Case 2 : Scar included and excised in 2nd FUT Procedure

Hair transplant in another center with wide scar.
Old scar included in the new strip with 2,500 grafts.
Indications
  • Scar left by previous FUT
  • Any scalp surgery, including facelife
Our 3 Steps Technique
  • Step 1 : Excise old scar
  • Step 2 : Trichophytic Closure with lower edge of wound trimmed 2mm
  • Step 3 : Postop Care
Number of Session
  • May take more than one session to excise wide scar in stages
Adjuvant Therapy
  • It can be combined with FUE-Grafting +/- SMP in a second procedure to give better result
  • Topical Minoxidil and silicone gel can be applied after the procedure
Doctor’s Comment

Good hair habits aren’t complicated. Clean gently. Nourish from within. Avoid extremes. And treat your scalp like the living skin it is.

Doctor Care at Every Step

From consultation, surgery, to aftercare, you will receive continued personal care by our doctors, not just consultants.

Before & After

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International Accreditations

Recognized by leading global medical bodies, our clinic stands as one of the most qualified and internationally accredited hair transplant centers in Hong Kong and mainland China. We are proud to uphold the highest standards in medical ethics, safety, and surgical expertise.

Your Hair Restoration Starts Here ...

Free Online Assessment

Hair transplant is the ultimate solution to restores hair, but not everyone is good candidate. 
Our online assessment helps determine if these procedures suit you, saving you time and costs.

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