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All Hair Transplants Leave Scars — That’s a Medical Fact
Last Updated: 6 Nov 2025
Sara’s CommentDespite what some advertisements claim, no hair transplant procedure is truly scar-free. Whether FUE or FUT, any removal of hair-bearing skin will leave behind small wounds — and all wounds heal with some form of scar. The key difference lies in how visible that scar is, how well it heals, and how it’s managed.
All surgical procedures involving the skin—including Follicular Unit Extraction (FUE)—create wounds, and all wounds heal with some degree of scarring. This is a biological reality, not a flaw in technique. What can be controlled—and significantly improved—are the size, visibility, distribution, and healing quality of those scars.
At our clinic, we take a holistic, precision-driven approach to FUE that goes beyond simply extracting grafts. Our goal is not just to harvest hair—but to do so in a way that respects the biology of the scalp, minimizes trauma, and supports long-term donor area health.
Judicious Graft Harvesting
We never over-harvest. Every extraction plan begins with a detailed pre-operative assessment to determine the exact number of grafts needed for natural, lasting results—avoiding unnecessary depletion of the donor supply.
Strategic Graft Spacing
To prevent clustering and visible thinning, we avoid extracting adjacent follicles. Instead, we use wide-area donor mapping across the safe donor zone (including occipital, temporal, and even nape regions when appropriate), ensuring extractions are evenly distributed and invisible to the naked eye—even in short hairstyles.
Preservation of Regenerative Potential
In select cases, we employ partial graft extraction techniques that intentionally leave behind portions of the dermal sheath and stem cell-rich niche. Emerging evidence suggests this may support limited regrowth in the donor area, preserving future options.
Minimizing Tissue Trauma
Infection & Complication Prevention
Strict aseptic technique, minimal session duration, and careful patient selection (e.g., excluding those with poor wound healing or active scalp conditions) help reduce infection risk and promote optimal recovery.
Advanced Post-Operative Healing Support
Immediately after extraction, the donor area is treated with our specially formulated healing oil, enriched with anti-inflammatory botanicals, antioxidants, and lipids that support barrier repair.
This is followed by a structured recovery protocol including:
We invite you to compare our FUE-HD ( High-Definition ) donor outcomes : tiny, hypopigmented dots that blend seamlessly into surrounding skin, invisible beyond arm’s length, and often undetectable even with hair clipped to a #1 guard.
But more importantly, we prioritize long-term scalp integrity — because true excellence in hair restoration isn’t just about what you transplant today, but how well your donor area heals tomorrow.
Transparency is part of our standard. We don’t promise “scarless” surgery — that would be misleading. Instead, we offer science-backed, ethically practiced FUE that minimizes scarring while maximizing both aesthetic results and patient safety.
This patient had the first hair transplant in another reputable center. He came to us for second procedure.
(B) Scar from another center ( 1st procedure )
(A) Our FUT scar ( After 2nd procedure)
Below : Move the cursor sideway to see the scar exposed.
As mentioned, we use a combination of advanced surgical techniques to reduce scarring and promote natural healing.
Over the years hair transplant surgeons have tried many methods to achieve the “invisible” scar in the donor area. There are 4 common ways to minimize donor scar. Transection is the accidental damage to the hair follicle by sharp blade during harvesting and graft cutting. To survive, the mid-portion (contains stem cells) must be intact. To compensate for wasted graft a wider strip must be excised. The increase of few minimeter can make a big difference to the wound closing tension. Smaller strip means lesser scar, so we reduce strip size by :
• Careful planning using less grafts for best result
• Minimizing transection by combining different techniques
his technique create mechanical creep for tension free closure, and allows close approximation of wound edges. It has been used in abdominal surgery for decades. Dr Pathomvanich (Thailand) adopted the technique into donor wound closure. Satisfactory results have been observed in more than 1,000 cases. Stitches can be removed as early as day 5. No unsightly stitch marks were left in most cases. Even tight wound can be closed without tension. This technique leaves no buried stitches so there is less tissue reaction and better scar formation.
Sutures should be kept long enough for proper healing. Forceful or jerky movement of the neck should be avoided for the first 4 weeks. Topical Silicone, Vitamin C preparation and steroid have all been advocated.
3 techniques are available in our center to reduce size of scalp scar：
1. Scalp Micropigmentation
2. FUE-Grafting into scar
3. 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.
conditions of use
Information provided on this website is for educational purposes only and is not intended as medical advice. It should not be interpreted as promotional material or as claims of superiority over other techniques or providers.
Individual results may vary, and no outcome can be guaranteed. Always consult with a qualified healthcare professional before making any decisions about medical treatment.
Pre-Consultation Review
If you want to get a personalized answer from our medical team, you can reach us using this form here. We will cantact you as soon as possible.
Our practice adheres to guidelines established by leading international organizations in Hair Restoration.
International Society of Hair Restoration Surgery is the leading global medical association that establishes international practice standards and patient safety protocols.
The American Board of Hair restoration Surgery represents the highest standard. To maintain rigorous certification requirements the physician must demonstrate surgical expertise.
Worls FUE InstituteI serves as the premier educational body focused exclusively on Follicular Unit Extraction methodology. The institute ensures consistent application of safe FUE.
