Developing a scar on scalp could be the worst that one can imagine in their life. Hair transplant is opted as one of the best solutions for scalp scars. Scar can develop due to various reasons and alopecia is one of them. Scar tissues are fibrous tissue that has replaced the area of injury and have less vascularity. Though hair transplant can be done but uptake of grafts is usually less due to inadequate blood supply in that area.

Performing a hair transplant on scars presents a unique set of challenges compared to traditional hair restoration procedures. Scars alter the skin’s texture, vascularity, and elasticity, making it more complex to achieve optimal graft survival and natural-looking results. Surgeons must navigate these altered conditions with precision, considering factors such as blood supply, tissue quality, and scar tissue resilience to ensure successful transplantation.

Certain things should be kept well in mind while doing hair transplant on scar tissue like plantation is usually on front and back so the growth on the sides can cover the scar tissue. In linear scars, the plantation is denser so that the graft uptake is better due to lesser thickness of the tissue. The edges of the scar are planned in a denser manner in linear scars. This is because the edge tissue is normal, graft uptake is better and growth is better in that area.
Some other scars can happen when one goes for FUT in past leaving a strip scar at the donor area. In certain such cases donor is finite so, body hair can be used in such cases if donor area is exhausted or is finite.
Facial scars – like on eyebrows, moustache, beard etc are cosmetically a bigger concern for many people. Many times due to traumatic surgeries or traumatic incidents scars can develop on these areas resulting in hair loss. Hair Transplant can help regrow hair on the scar.  After surgery or injury doctor must wait for 6-8 months to allow the scar remodeling.