Scar Revision (HT Doctor vs Plastic Surgeon)

[moro]

Since apparently nobody in this forums have ever posted scar revision pictures from a Plastic Surgeon I assume not to many people have tried before and thats why I think I will take the chance from someone who has studied to repair and not to destroy.

 

Anyway, I like to listen to different views of users about whom to choose for scar revision, Plastic Surgeon or Hair Transplant Doctors?

 

 

Edited December 26, 2010 by moro

[hairthere]

Is your plan to revise the scar and continue shaving your head or do you intend to grow your hair out some?

[moro]

Is your plan to revise the scar and continue shaving your head or do you intend to grow your hair out some?

 

 

shave to zero, no more hair... mi intention is to minimize the scar to an acceptable level and keep moving with my life

[aaron1234]

You might have to take a two step plan to fix your scar situation, especially if you intend to keep a shaved head. First, you'll need the scar reduced but that won't necessarily make the scar unnoticeable, probably just thinner. Second, you'll probably need some FUE to further disguise the scar. Even if with all of that, there is no guarantee the scar will be unnoticeable with a shaved head.

[mmhce]

Best of luck moro !!

[mmhce]

Spex,

 

Does Dr. Feller do scar revision? Or is Dr. Lindsey the foremost on this aspect?

[RCWest]

Dr. Lindsey posts a lot on this subject. Check out his work in the clinics forum.

[Dr. William Lindsey]

Moro,

 

I responded to that PM. But I virtually never check those things. If you want to reach me either come on down for a real visit....which is what is always the best, and its free. OR email me. I reply to all emails within a day, except in ski season, and if I get tired of emailing with someone, I'll at least tell them.

 

But I'm not a huge typer, so if you have specific questions and want the best answers I can give, or any doc for that matter, have an in person visit.

 

Thanks

 

Dr. L

[Blake Bloxham]

Moro,

 

In my personal opinion, perfection of nearly anything in life is obtained by practice and repetition. Plastic surgeons are some of the most highly trained medical professionals in the world, but there are several ways to analyze this situation:

 

1. Select a surgeon based solely on specialization (ie: plastic surgery)

 

2. Select a surgeon who may not have the exact same credentials, but who has performed the procedure hundreds of times over.

 

Now, let me be clear on a few points:

 

a. Training, practicing within one's scope, and being certified by governing organization is a very important aspect of medicine. It helps keep patients safe and practices ethical.

 

b. I'm not advocating avoiding plastic surgeons and only considering hair transplant specialists. Frankly, I would continue researching and consulting with both, and making a decision based upon who you feel would perform the operation most effectively.

 

c. I'm also not saying there aren't plastic surgeons out there who haven't handled hundreds, maybe even thousands of scar revision procedures. What I am saying is to definitely take into consideration the frequency at which the practitioner actually performs this procedure. You could visit someone with all the right connections, certifications, names, etc, but if they have only done 1-2 hair transplant scar revisions over the past decade, it may also be worth while to seek out a physician who performs them on a routine basis (whether that be a plastic surgeon, facial plastic surgeon, hair transplant surgeon,etc).

 

Again, just my opinion and I hope this helps!

[moro]

I just know one thing for sure, I ve never saw any of those "pencil thin scars", they are always covered with hair.

 

You cant appreciate the real magnitude of a scar if its covered.

Thats why ALL hair transplant doctors web pages when they mention the scar and post a picture it is always covered. They should be obligated to show the real scar picture by law.

[LT]

I didn't know your situation until I read this post. If you want to continue shaving your head I think the best choice would be micropigment tattooing into scar. If you decide to get another HT then a good doctor could implement old scar into a new scar or FUE.

 

I'm in the same situation as you but haven't shaved my head yet and not sure what I'll do after I get tattooing into my scars.

[j1j9j85]

im not being funny with you moro,

 

but u aint never gunna be happy!! mark my words a scar revision will be better than that fat wide pink scar you have but...

 

no matter how good a revision you have its still going to be really noticable no matter what dr you choose, especially with a bald head all over like yours....

 

drs cant be required by law to show posts of scars shaved down as it would mean every patient is also then required by law also to shave the whole of there heads bald all over for photos some 5 months later when its all healed up......... i personaly couldnt think of anything worse than having my head shaved down 100% 5 months after just when its all grown normal again!!!

 

the best thing u can do with that scar is have it tattooed like stumble and then also micropigmentation to make it look a more normal skin colour to match the rest of your scalp......

 

its cheap enough and will save you the trauma of a revision that im guessing in advance you will be disapointed with any way as its always going to be very noticable with hair like yours.....

 

just trying to save you extra disapointment and trauma but each to there own!

 

****im 3.5 months out from having my surgery and scar redone and apart from the shock loss on the sides which is already starting to fill in im happy with it. i have my hair currently shaved to a 3 and the only thing you can see on the back is some redness under the hairs but no bare strched scar scalp and when the scar turns whit will be unoticable under my hair even at no3 on the buzzer now in my mind i class that as i scar never the less, but im more than happy with it!!!!

 

and just from talking from you in other posts i know you will just say well if your scar is so thin post a pic then well just for you to prove im not trying to be dishonest im gunna take some pics now for you, i hope they help in some way

 

i hope you find happy'ness man

Edited October 22, 2010 by j1j9j85

[j1j9j85]

this is me at only 3.5months after a megga session and a large donor strip taken,

 

the scar is still very itchy a little shock loss still remains on the back but the sides are little worse for the shock loss.... but i have to say im over the moon with it im very sure i will be able to shave my hair down to a 3 every month with no worries when the redness fades and the shock loss comes back...

 

by month 5 this scar will be unoticable all together even more than now im very happy

 

and ive even had folliculitis which you can see on the one side that is still red and the scar is still ok it looks wet over the scar area as in the pics i had just applied some vit e lotion.....

Edited October 22, 2010 by j1j9j85

[Blake Bloxham]

I just know one thing for sure, I ve never saw any of those "pencil thin scars", they are always covered with hair.

 

You cant appreciate the real magnitude of a scar if its covered.

Thats why ALL hair transplant doctors web pages when they mention the scar and post a picture it is always covered. They should be obligated to show the real scar picture by law.

 

Moro,

 

Wouldn't something like this cause the need for all physicians to re-shave that section of the patient's hair 6-12 months after the operation? Seems a bit extreme to me. Additionally, I don't think it's necessarily deceiving to show the scar both covered by hair and exposed (as best it can be) by the physician. This is how the scar will look every day, and it's important to display this perspective.

 

If you would like me to help you research some additional scar pictures on the forums, let me know! We recommend a set of physicians who really produce this 'pencil thin' scarring, and they don't seem to hide this fact during post-operative reports.

[moro]

Moro,

 

Wouldn't something like this cause the need for all physicians to re-shave that section of the patient's hair 6-12 months after the operation? Seems a bit extreme to me. Additionally, I don't think it's necessarily deceiving to show the scar both covered by hair and exposed (as best it can be) by the physician. This is how the scar will look every day, and it's important to display this perspective.

 

If you would like me to help you research some additional scar pictures on the forums, let me know! We recommend a set of physicians who really produce this 'pencil thin' scarring, and they don't seem to hide this fact during post-operative reports.

 

 

Ohh come on guys! you know what I am taking about. When I said they should be obligated by law, I am not taking about every case of course!

Just simply post a picture on their web sites with one of this thousands of horrible scars they made and say, "this is a possibility" "you might get a scar horrible like this" thats it. Not necessary to shave every head in the world.

 

Why they dont do that? because nobody else in this planet would ever get a hair transplant! Nobody can argue that.

[moro]

this is me at only 3.5months after a megga session and a large donor strip taken,

 

the scar is still very itchy a little shock loss still remains on the back but the sides are little worse for the shock loss.... but i have to say im over the moon with it im very sure i will be able to shave my hair down to a 3 every month with no worries when the redness fades and the shock loss comes back...

 

by month 5 this scar will be unoticable all together even more than now im very happy

 

and ive even had folliculitis which you can see on the one side that is still red and the scar is still ok it looks wet over the scar area as in the pics i had just applied some vit e lotion.....

 

 

 

 

j1j9j85, I am glad you are happy, but wait at least 1 year after the surgery and then just shave your head to zero in order to see it.

After 3 months my scar was still decent, the worst stretching was in between the 3rd and the 8th month in my case.

 

I agree with you 100% with the tattoo and micropigmentation, but first I have to give the revision a chance, in my case is almost mandatory due to the size of the scar.

[moro]

I didn't know your situation until I read this post. If you want to continue shaving your head I think the best choice would be micropigment tattooing into scar. If you decide to get another HT then a good doctor could implement old scar into a new scar or FUE.

 

I'm in the same situation as you but haven't shaved my head yet and not sure what I'll do after I get tattooing into my scars.

 

 

LT you are right, that is one of the best options.

is there any good case on this forum? anybody that you know?

 

sorry, I usually dont leave this section (for now)

[j1j9j85]

if you get your scar revised and then the micro pigmentation to make the colours the same of the skin tissue then the stubble tattoo on it also, it will be near unoticable and about as good as you can get it

[Blake Bloxham]

Ohh come on guys! you know what I am taking about. When I said they should be obligated by law, I am not taking about every case of course!

Just simply post a picture on their web sites with one of this thousands of horrible scars they made and say, "this is a possibility" "you might get a scar horrible like this" thats it. Not necessary to shave every head in the world.

 

Why they dont do that? because nobody else in this planet would ever get a hair transplant! Nobody can argue that.

 

 

Moro,

 

I personally believe that many of the highly ethical, dedicated hair transplant surgeons are very upfront with patients about scarring issues. I've seen recommended surgeons on this site discuss the possibility of stretching, some of the issues with closures, and cases where the scarring was not optimal for a variety of reasons.

 

At the core, I definitely understand and agree with what you're saying - hair transplant physicians need to be open, honest, and straightforward with patients. No professional should paint the procedure to be anything more (or less) than it is. However, I do think there are a number of good doctors out there who do just that openly and honestly.

[scar5]

Scar revision is hit and miss. Linear scarring is very unpredicatble anyway. It always makes me laugh when doctors say ceratin types of surgery suit patients with certain scarring tendencies. ha! - as if they know before the patient signs the dislaimer and the cut is made! My best and worst scars come from the same doctor! I had revision about three years back on a scar about 5mm wide. I had tricophytic closure and wound closure at two levels. The scar stetched out again, although not uniformally. some areas are 2-3mm and some are about 8mm.

[moro]

I agree with you 100% that is defenetly the route to take after my revision. Now, where are the best two places for micropigmentation and tattoo?

Edited December 26, 2010 by moro

[j1j9j85]

in your first thread you posted on here i think i posted a link about a woman in florida who has alot of success with the thing, it included pictures and advice etc! i even think a few members have been to her!!! alread:D

[j1j9j85]

i guess by having a new modern scar revision you get to see how good the new ways of doing scars really is for your self!! what i mean is you will be in a good position to evaluate the 2 diff scars you will have had!!!! better than most on the forum.......... as you have experiance of both types etc

[moro]

j1j9j85, you mean "Melany Whitney"

Edited December 26, 2010 by moro

[Blake Bloxham]

Moro,

 

Unfortunately, it seems like the results of micropigmentation/scar tattooing are hard to find. David (TakingThePlunge) and I tried to write an article about the pros and cons of having this procedure done, what to expect, the results, etc, and had a really tough time finding good information. Please, share what you discover with the community! I know there are quite a few patients who want to know more about micropigmentation, but simply can't find any credible resources.