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Scars on the Scalp and Forehead

Alopecia Scars: 

Alopecia refers to a loss of hair.  If you have a noticeable scar on your scalp, there is a good chance that there is associated alopecia along the scar that makes it look more visible in certain positions. The loss of hair along an incision-line is often due to an injury of the hair follicles that are contained deep within the scalp skin. When a traumatic laceration or surgical incision extends to the level of the hair follicles, some hair loss may ensue. The goal of an alopecia scar on the scalp is to reduce the thickness of the scar and then to replace the hair follicles contained within the bare area of skin. 

Dr. Karamanoukian employs a method of follicular unit extraction (FUE) to restore hair follicles to bare areas of the scalp and hairline. By removing individual hair follicles from the back of the head, Dr. Karamanoukian reduces the linear scar associated with hair follicle harvesting. These individual hair follicles are then transplanted into bare scar areas to restore the hair follicles to the area. 

Scalp scars that require hair transplantation may not be as good a recipient site for hair follicles as normal skin. For this reason, it is always a good idea to prep the recipient site scar with topical scar serum, lasers, and intralesional injections to soften and prepare a scar before hair transplantation. 

Forehead Scars: 

The forehead is an area that is very prone to scarring, particularly in the central T-zone and around the eyebrows. The position of the forehead as the most prominent and anterior anatomic site of the head makes it prone to injury, particularly during motor vehicle accidents. We see many patients who have permanent forehead scarring from lacerations or from cosmetic facial surgery such as forehead lifts, eyebrow lifts, forehead advancement surgery, and hair transplants. 

The thickness of the forehead skin lends to poor textural scarring on most forehead scars. Our office specializes in textural, contour, hyperpigmented, hypopigmented, dynamic, and hypertrophic/keloid scars of the forehead. Most of these types of scars respond well to a tailored scar protocol which may include laser, injections, fractional RF, microneedling, surgery, topical application of Melarase or Plato's Scar Serum, and scar color modulation. 

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