Scar Revision Treatment for the Scalp & Hairline
If you have a visible scalp or hairline scar from a previous hair transplant, cyst removal, surgery, or injury—and the area appears bald, sunken, or uneven—you’re not alone. Scalp scarring is a known outcome of certain procedures, and in many cases, its appearance can be improved with the right treatment approach. At Springs Hair Restoration, scar revision treatment is physician-led and tailored to the characteristics of your scar, scalp health, and long-term goals.
All scar revision treatment planning and procedures are led by Dr. Zack Charkawi, with a focus on realistic outcomes, scalp safety, and natural appearance. Scar tissue behaves differently from normal skin, which is why careful assessment and medical oversight are essential.
Treatment decisions are based on:
• Scar depth and texture
• Blood supply and scalp quality
• Presence or absence of surrounding hair
• Prior procedures and healing history
Follicular Unit Extraction (FUE) hair transplantation may be used to place grafts directly into scar tissue when conditions allow. Because FUE avoids a linear incision, it is often suitable for scar coverage and refinement, helping restore hair to areas that would otherwise remain bare.
Scar revision is not one-size-fits-all. Depending on your scar type and goals, treatment may involve one or a combination of the following approaches.
Growth-factor–based scalp treatments may be used to support tissue quality and healing in scarred areas. This non-surgical approach is designed to improve scalp health and, in some cases, enhance the environment for future hair restoration.
For depressed or uneven scars, dermal fillers may be used to restore volume beneath the skin. This minimally invasive option can help smooth contour irregularities and improve the appearance of the scalp in select cases.
Biostimulator or fat-based regenerative techniques may be used to improve scar thickness, texture, and overall scalp quality. These approaches aim to support tissue remodeling and may be appropriate for certain scar types.
For an overview of common scalp and hairline scars and how scar revision is approached, see our Scalp & Hairline Scar Revision Guide.
Hair transplantation can play an important role in scar revision when the goal is to restore hair growth within or around scarred areas. Unlike standard hair transplants performed on healthy scalp tissue, transplanting into scar tissue requires careful planning, evaluation of blood supply, and conservative graft placement. At Springs Hair Restoration, hair transplant techniques for scar revision are selected based on scar characteristics, scalp health, and long-term donor preservation, not graft count alone.
Learn more about our surgical techniques on our Hair Transplant Solutions page.
Hair transplantation for scars may be considered when: The scar tissue is stable and adequately healed Blood supply is sufficient to support graft survival Surrounding hair patterns allow for natural blending In many cases, Follicular Unit Extraction (FUE) is preferred for scar revision because it avoids creating new linear scars and allows precise placement of individual grafts. Each graft is positioned to match the natural direction, density, and flow of surrounding hair to help the result blend seamlessly over time. Not all scars are candidates for hair transplantation, and results can vary depending on scar depth and tissue quality. A physician-led evaluation is essential to determine whether hair transplantation is realistic and which approach is most appropriate.
In many cases, yes. When scar tissue has adequate blood supply and is properly prepared, hair follicles can often be successfully transplanted. During consultation, Dr. Charkawi evaluates whether transplantation is realistic and how many grafts may be appropriate. Not all scars are candidates for hair transplantation, which is why individualized assessment is essential.
You may be a candidate for scar revision if you have:
• Stable scar tissue
• Adequate scalp health
• Realistic expectations
• Sufficient donor hair (if transplant is considered)
If scar revision is not appropriate, that will be discussed honestly during your visit.
Your consultation is designed to be informative and pressure-free. During your visit, Dr. Charkawi will:
• Evaluate the scar and surrounding scalp
• Discuss realistic improvement options
• Review potential timelines and expectations
• Explain costs and available financing options
Scar revision treatment requires thoughtful planning and medical expertise. A consultation is the best way to determine which options are appropriate for your specific situation.
Request A Consultation at any of our locations in Sandy Springs or Johns Creek.
Conveniently serving patients throughout Metro Atlanta, including Sandy Springs, Alpharetta, Roswell, Dunwoody, Marietta, and Johns Creek.
Long Post Alert...but worth the read! - A few months ago, I decided to consider a hairline transplant in Atlanta. After doing some research, I became interested in the FUT process. I was still determining where to begin, so I initially went to what I had seen for years on TV, Bosley. The consultation was excellent, but I felt too many people between me and the surgeon performing the procedure. I wanted that direct interaction to ensure I got what I wanted in my design. I went to a second, Dr. P, but it wasn’t the right fit for me, then I was referred to Dr. Zack Charkawi. From the moment I sat down with him at his desk, I knew he was the one. CONTINUE READING REVIEW
As a healthcare provider, I am very particular who I choose for my own healthcare needs. I completed my 4th hair restoration procedure with Dr. Zach, and I am extremely pleased with the outcome. Dr. Zach's professionalism was evident at my initial consultation, where he spent time discussing the procedure, pertinent research, and most importantly the realist expectations; he did not "over sell" the procedure. He also is the only practitioner that I am aware of who uses a specific anesthesia technique that dramatically decreased the procedural discomfort. He was very thorough during the procedure, covering all of the necessary areas. I highly recommend him and his staff without reservations!
My husband had a fantastic experience with Dr.Zack! It took him a while to find the best doctor for hair transplant. He had many consultations before choosing his clinic. The polish and professionalism of Dr. Zack and his team is excellent! My husband was very happy with the results of the procedure. We could never have asked for a better experience! I will be highly recommending him to my friends!
Dr Charkawi was fantastic. He really made me feel at ease and went above and beyond to make sure that I was happy with my hair. Also it’s a beautiful, clean office with a sister location for follow ups or further needs which is very helpful. Overall very satisfied customer.
Long Post Alert...but worth the read! - A few months ago, I decided to consider a hairline transplant in Atlanta. After doing some research, I became interested in the FUT process. I was still determining where to begin, so I initially went to what I had seen for years on TV, Bosley. The consultation was excellent, but I felt too many people between me and the surgeon performing the procedure. I wanted that direct interaction to ensure I got what I wanted in my design. I went to a second, Dr. P, but it wasn’t the right fit for me, then I was referred to Dr. Zack Charkawi. From the moment I sat down with him at his desk, I knew he was the one. CONTINUE READING REVIEW
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